Basic motion patterns and posture can be distinguished by multichannel acce
lerometry, as recently shown. A refinement of this method appeared to be de
sirable to further increase its effectiveness, especially to distinguish wa
lking and climbing stairs, and body rotation during sleep. Recordings were
made of 31 subjects, according to a standard protocol comprising 13 motions
and postures. This recording was repeated three times with appropriate per
mutation. Five uni-axial sensors and three sites of placement (sternum with
three axes, right and left thigh) were selected. A hierarchical classifica
tion strategy used a standard protocol (i.e., individual reference patterns
) to distinguish subtypes of moving behaviors and posture. The analysis met
hod of the actometer signals reliably detected 13 different postural and ac
tivity conditions (only 3.2 % misclassifications). A minimum set of sensors
can be found for a given application; for example, a two-sensor configurat
ion would clearly suffice to differentiate between four basic classes (sitt
ing, standing, lying, moving) in ambulatory monitoring.