Is the timed-up and go test feasible in mobile devices? A systematic review

The number of older adults is increasing worldwide, and it is expected that by 2050 over 2 billion individuals will be more than 60 years old. Older adults are exposed to numerous pathological problems such as Parkinson’s disease, amyotrophic lateral sclerosis, post-stroke, and orthopedic disturbances. Several physiotherapy methods that involve measurement of movements, such as the Timed-Up and Go test, can be done to support efficient and effective evaluation of pathological symptoms and promotion of health and well-being. In this systematic review, the authors aim to determine how the inertial sensors embedded in mobile devices are employed for the measurement of the different parameters involved in the Timed-Up and Go test. The main contribution of this paper consists of the identification of the different studies that utilize the sensors available in mobile devices for the measurement of the results of the Timed-Up and Go test. The results show that mobile devices embedded motion sensors can be used for these types of studies and the most commonly used sensors are the magnetometer, accelerometer, and gyroscope available in off-the-shelf smartphones. The features analyzed in this paper are categorized as quantitative, quantitative + statistic, dynamic balance, gait properties, state transitions, and raw statistics. These features utilize the accelerometer and gyroscope sensors and facilitate recognition of daily activities, accidents such as falling, some diseases, as well as the measurement of the subject's performance during the test execution.info:eu-repo/semantics/publishedVersio

mHealth technologies for osteoarthritis self-management and treatment: A systematic review

Osteoarthritis is a common chronic disease that can be better treated with the help of self-management interventions. Mobile health (mHealth) technologies are becoming a popular means to deliver such interventions. We reviewed the current state of research and development of mHealth technologies for osteoarthritis self-management to determine gaps future research could address. We conducted a systematic review of English articles and a survey of apps available in the marketplace as of 2016. Among 117 unique articles identified, 25 articles that met our inclusion criteria were reviewed in-depth. The app search identified 23 relevant apps for osteoarthritis self-management. Through the synthesis of three research themes (osteoarthritis assessment tools, osteoarthritis measurement tools, and osteoarthritis motion monitoring tools) that emerged from the current knowledge base, we provide a design framework to guide the development of more comprehensive osteoarthritis mHealth apps that facilitate self-management, decision support, and shared decision-making

Smart object for physical rehabilitation assessment

The technologies associated with smart healthcare are a reality nowadays, however in the physical therapy area there is still lack of patient monitoring during the physical rehabilitation and common usage of walking aids by the patients affected by lower limb impairments. Currently there are fewer systems that provide the patient monitoring during the rehabilitation process by physiotherapists, which may lead to less adequate diagnostic techniques for the patient's physical condition. The dissertation presents a solution to this problem by relying on smart equipment used in physical rehabilitation, more precisely a crutch. By embedding multiple smart sensors on crutches, the physiotherapist will be provided appropriate information regarding the interaction between the patient and the walking aids through a mobile application, developed for Android systems, which will receive data from the sensors via Bluetooth. All the data collected will be stored in a local database located on the physiotherapist’s mobile device and also on a remote server, giving the possibility of having a full offline application. This system allows for any session previously done to be consulted, which results in the possibility of visualizing historical values and comparing them with different sessions, allowing the physiotherapist to analyze the evolution of the patients.As tecnologias associadas à saúde são uma realidade na atualidade, porém na área de fisioterapia ainda há falta de monitorização dos pacientes durante a fisioterapia e o uso de objetos que auxiliam o movimento pelos pacientes afetados por deficiências nos membros inferiores. Atualmente, existem poucos sistemas que proporcionam a monitorização do paciente durante o processo de reabilitação por fisioterapeutas, o que pode levar a técnicas de diagnóstico menos adequadas para a condição física do paciente. A dissertação apresenta uma solução para este problema, contando com equipamentos inteligentes utilizados em fisioterapia, mais precisamente uma muleta. Ao incorporar vários sensores inteligentes em muletas, o fisioterapeuta receberá informações adequadas sobre a interação entre o paciente e as muletas através de uma aplicação móvel, desenvolvida para sistemas Android, que receberá dados dos sensores via Bluetooth. Todos os dados recebidos serão armazenados numa base de dados local localizada no dispositivo móvel do fisioterapeuta e também num servidor remoto para fins de sincronização, dando a possibilidade de ter um uma aplicação completamente offline

Wearable technologies to measure clinical outcomes in multiple sclerosis: A scoping review

Wearable technology refers to any sensor worn on the person, making continuous and remote monitoring available to many people with chronic disease, including multiple sclerosis (MS). Daily monitoring seems an ideal solution either as an outcome measure or as an adjunct to support rater-based monitoring in both clinical and research settings. There has been an increase in solutions that are available, yet there is little consensus on the most appropriate solution to use in either MS research or clinical practice. We completed a scoping review (using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines) to summarise the wearable solutions available in MS, to identify those approaches that could potentially be utilised in clinical trials, by evaluating the following: scalability, cost, patient adaptability and accuracy. We identified 35 unique products that measure gait, cognition, upper limb function, activity, mood and fatigue, with most of these solutions being phone applications

Wearable Technology Supported Home Rehabilitation Services in Rural Areas:– Emphasis on Monitoring Structures and Activities of Functional Capacity Handbook

The sustainability of modern healthcare systems is under threat. – the ageing of the population, the prevalence of chronic disease and a need to focus on wellness and preventative health management, in parallel with the treatment of disease, pose significant social and economic challenges. The current economic situation has made these issues more acute. Across Europe, healthcare expenditure is expected to rice to almost 16% of GDP by 2020. (OECD Health Statistics 2018). Coupled with a shortage of qualified personnel, European nations are facing increasing challenges in their ability to provide better-integrated and sustainable health and social services. The focus is currently shifting from treatment in a care center to prevention and health promotion outside the care institute. Improvements in technology offers one solution to innovate health care and meet demand at a low cost. New technology has the potential to decrease the need for hospitals and health stations (Lankila et al., 2016. In the future the use of new technologies – including health technologies, sensor technologies, digital media, mobile technology etc. - and digital services will dramatically increase interaction between healthcare personnel and customers (Deloitte Center for Health Solutions, 2015a; Deloitte Center for Health Solutions 2015b). Introduction of technology is expected to drive a change in healthcare delivery models and the relationship between patients and healthcare providers. Applications of wearable sensors are the most promising technology to aid health and social care providers deliver safe, more efficient and cost-effective care as well as improving people’s ability to self-manage their health and wellbeing, alert healthcare professionals to changes in their condition and support adherence to prescribed interventions. (Tedesco et al., 2017; Majumder et al., 2017). While it is true that wearable technology can change how healthcare is monitored and delivered, it is necessary to consider a few things when working towards the successful implementation of this new shift in health care. It raises challenges for the healthcare systems in how to implement these new technologies, and how the growing amount of information in clinical practice, integrates into the clinical workflows of healthcare providers. Future challenges for healthcare include how to use the developing technology in a way that will bring added value to healthcare professionals, healthcare organizations and patients without increasing the workload and cost of the healthcare services. For wearable technology developers, the challenge will be to develop solutions that can be easily integrated and used by healthcare professionals considering the existing constraints. This handbook summarizes key findings from clinical and laboratory-controlled demonstrator trials regarding wearables to assist rehabilitation professionals, who are planning the use of wearable sensors in rehabilitation processes. The handbook can also be used by those developing wearable sensor systems for clinical work and especially for use in hometype environments with specific emphasis on elderly patients, who are our major health care consumers

Computational Approaches for Remote Monitoring of Symptoms and Activities

We now have a unique phenomenon where significant computational power, storage, connectivity, and built-in sensors are carried by many people willingly as part of their life style; two billion people now use smart phones. Unique and innovative solutions using smart phones are motivated by rising health care cost in both the developed and developing worlds. In this work, development of a methodology for building a remote symptom monitoring system for rural people in developing countries has been explored. Design, development, deployment, and evaluation of e-ESAS is described. The system’s performance was studied by analyzing feedback from users. A smart phone based prototype activity detection system that can detect basic human activities for monitoring by remote observers was developed and explored in this study. The majority voting fusion technique, along with decision tree learners were used to classify eight activities in a multi-sensor framework. This multimodal approach was examined in details and evaluated for both single and multi-subject cases. Time-delay embedding with expectation-maximization for Gaussian Mixture Model was explored as a way of developing activity detection system using reduced number of sensors, leading to a lower computational cost algorithm. The systems and algorithms developed in this work focus on means for remote monitoring using smart phones. The smart phone based remote symptom monitoring system called e-ESAS serves as a working tool to monitor essential symptoms of patients with breast cancer by doctors. The activity detection system allows a remote observer to monitor basic human activities. For the activity detection system, the majority voting fusion technique in multi-sensor architecture is evaluated for eight activities in both single and multiple subjects cases. Time-delay embedding with expectation-maximization algorithm for Gaussian Mixture Model was studied using data from multiple single sensor cases

Leveraging Smartphone Sensors for Detecting Abnormal Gait for Smart Wearable Mobile Technologies

Walking is one of the most common modes of terrestrial locomotion for humans. Walking is essential for humans to perform most kinds of daily activities. When a person walks, there is a pattern in it, and it is known as gait. Gait analysis is used in sports and healthcare. We can analyze this gait in different ways, like using video captured by the surveillance cameras or depth image cameras in the lab environment. It also can be recognized by wearable sensors. e.g., accelerometer, force sensors, gyroscope, flexible goniometer, magneto resistive sensors, electromagnetic tracking system, force sensors, and electromyography (EMG). Analysis through these sensors required a lab condition, or users must wear these sensors. For detecting abnormality in gait action of a human, we need to incorporate the sensors separately. We can know about one's health condition by abnormal human gait after detecting it. Understanding a regular gait vs. abnormal gait may give insights to the health condition of the subject using the smart wearable technologies. Therefore, in this paper, we proposed a way to analyze abnormal human gait through smartphone sensors. Though smart devices like smartphones and smartwatches are used by most of the person nowadays. So, we can track down their gait using sensors of these intelligent wearable devices