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Alison H. Mcgregor - One of the best experts on this subject based on the ideXlab platform.
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Exploring the Role of Wearable Technology in Sport Kinematics and Kinetics: A Systematic Review.
Sensors (Basel Switzerland), 2019Co-Authors: Yewande Adesida, Enrica Papi, Alison H. McgregorAbstract:The aim of this review was to understand the use of Wearable Technology in sport in order to enhance performance and prevent injury. Understanding sports biomechanics is important for injury prevention and performance enhancement and is traditionally assessed using optical motion capture. However, such approaches are limited by capture volume restricting assessment to a laboratory environment, a factor that can be overcome by Wearable Technology. A systematic search was carried out across seven databases where Wearable Technology was employed to assess kinetic and kinematic variables in sport. Articles were excluded if they focused on sensor design and did not measure kinetic or kinematic variables or apply the Technology on targeted participants. A total of 33 articles were included for full-text analysis where participants took part in a sport and performed dynamic movements relating to performance monitored by Wearable technologies. Inertial measurement units, flex sensors and magnetic field and angular rate sensors were among the devices used in over 15 sports to quantify motion. Wearable Technology usage is still in an exploratory phase, but there is potential for this Technology to positively influence coaching practice and athletes’ technique.
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Wearable Technology for spine movement assessment: A systematic review.
Journal of biomechanics, 2017Co-Authors: Enrica Papi, Woon Senn Koh, Alison H. McgregorAbstract:Continuous monitoring of spine movement function could enhance our understanding of low back pain development. Wearable technologies have gained popularity as promising alternative to laboratory systems in allowing ambulatory movement analysis. This paper aims to review the state of art of current use of Wearable Technology to assess spine kinematics and kinetics. Four electronic databases and reference lists of relevant articles were searched to find studies employing Wearable technologies to assess the spine in adults performing dynamic movements. Two reviewers independently identified relevant papers. Customised data extraction and quality appraisal form were developed to extrapolate key details and identify risk of biases of each study. Twenty-two articles were retrieved that met the inclusion criteria: 12 were deemed of medium quality (score 33.4-66.7%), and 10 of high quality (score >66.8%). The majority of articles (19/22) reported validation type studies. Only 6 reported data collection in real-life environments. Multiple sensors type were used: electrogoniometers (3/22), strain gauges based sensors (3/22), textile piezoresistive sensor (1/22) and accelerometers often used with gyroscopes and magnetometers (15/22). Two sensors units were mainly used and placing was commonly reported on the spine lumbar and sacral regions. The sensors were often wired to data transmitter/logger resulting in cumbersome systems. Outcomes were mostly reported relative to the lumbar segment and in the sagittal plane, including angles, range of motion, angular velocity, joint moments and forces. This review demonstrates the applicability of Wearable Technology to assess the spine, although this technique is still at an early stage of development.
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Impact of Wearable Technology on psychosocial factors of osteoarthritis management: a qualitative study
BMJ open, 2016Co-Authors: Athina Belsi, Enrica Papi, Alison H. McgregorAbstract:Objectives To identify the impact the use of Wearable Technology could have in patients with osteoarthritis in terms of communication with healthcare providers and patients’ empowerment to manage their condition. Design Qualitative study using focus groups with patients with osteoarthritis; data from patients’ responses were analysed using Framework Methodology. Participants 21 patients with knee osteoarthritis from the London area (age range 45–65 years) participated in a total of four focus groups. Recruitment continued until data saturation. Setting The study was conducted in a university setting. Results Patients’ responses suggested a positive attitude on the impact Wearable Technology could have on the management of osteoarthritis. It was perceived that the use of Wearable devices would benefit patients in terms of feeling in control of their condition, providing them with awareness of their progress, empowering in terms of self-management and improving communication with their clinician. Conclusions This paper suggests positive patient perspectives on the perceived benefits Wearable Technology could have on the management of osteoarthritis. The data that could be collected with the use of Wearable Technology could be beneficial both to patients and clinicians. The information obtained from this study suggests that introducing Wearable Technology into patient-centred care could enhance patient experience in the field of osteoarthritis and beyond.
Paolo Bonato - One of the best experts on this subject based on the ideXlab platform.
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from a to z Wearable Technology explained
Maturitas, 2018Co-Authors: Alan Godfrey, Paolo Bonato, Victoria Hetherington, Hubert P H Shum, Nigel H Lovell, Samuel StuartAbstract:Wearable Technology (WT) has become a viable means to provide low-cost clinically sensitive data for more informed patient assessment. The benefit of WT seems obvious: small, worn discreetly in any environment, personalised data and possible integration into communication networks, facilitating remote monitoring. Yet, WT remains poorly understood and Technology innovation often exceeds pragmatic clinical demand and use. Here, we provide an overview of the common challenges facing WT if it is to transition from novel gadget to an efficient, valid and reliable clinical tool for modern medicine. For simplicity, an A-Z guide is presented, focusing on key terms, aiming to provide a grounded and broad understanding of current WT developments in healthcare.
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Advances in Wearable Technology for rehabilitation.
Studies in health technology and informatics, 2009Co-Authors: Paolo BonatoAbstract:Assessing the impact of rehabilitation interventions on the real life of individuals is a key element of the decision-making process required to choose a rehabilitation strategy. In the past, therapists and physicians inferred the effectiveness of a given rehabilitation approach from observations performed in a clinical setting and self-reports by patients. Recent developments in Wearable Technology have provided tools to complement the information gathered by rehabilitation personnel via patient's direct observation and via interviews and questionnaires. A new generation of Wearable sensors and systems has emerged that allows clinicians to gather measures in the home and community settings that capture patients' activity level and exercise compliance, the effectiveness of pharmacological interventions, and the ability of patients to perform efficiently specific motor tasks. Available unobtrusive sensors allow clinical personnel to monitor patients' movement and physiological data such as heart rate, respiratory rate, and oxygen saturation. Cell phone Technology and the widespread access to the Internet provide means to implement systems designed to remotely monitor patients' status and optimize interventions based on individual responses to different rehabilitation approaches. This chapter summarizes recent advances in the field of Wearable Technology and presents examples of application of this Technology in rehabilitation.
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Clinical applications of Wearable Technology
Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Inte, 2009Co-Authors: Paolo BonatoAbstract:An important factor contributing to the process involved in choosing a rehabilitation intervention is the assessment of its impact on the real life of patients. Therapists and physicians have to infer the effectiveness of rehabilitation approaches from observations performed in the clinical setting and from patients’ feedback. Recent advances in Wearable Technology have provided means to supplement the information gathered using tools based on patient’s direct observation as well as interviews and questionnaires. A new generation of Wearable sensors and systems has recently become available thus providing clinical personnel with a “window of observation” in the home and community settings. These tools allow one to capture patients’ activity level and exercise compliance, facilitate titration of medications in chronic patients, and provide means to assess the ability of patients to perform specific motor activities. In this paper, we review recent advances in the field of Wearable Technology and provide examples of application of this Technology in rehabilitation.
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Advances in Wearable Technology and applications in physical medicine and rehabilitation
Journal of NeuroEngineering and Rehabilitation, 2005Co-Authors: Paolo BonatoAbstract:The development of miniature sensors that can be unobtrusively attached to the body or can be part of clothing items, such as sensing elements embedded in the fabric of garments, have opened countless possibilities of monitoring patients in the field over extended periods of time. This is of particular relevance to the practice of physical medicine and rehabilitation. Wearable Technology addresses a major question in the management of patients undergoing rehabilitation, i.e. have clinical interventions a significant impact on the real life of patients? Wearable Technology allows clinicians to gather data where it matters the most to answer this question, i.e. the home and community settings. Direct observations concerning the impact of clinical interventions on mobility, level of independence, and quality of life can be performed by means of Wearable systems. Researchers have focused on three main areas of work to develop tools of clinical interest: 1)the design and implementation of sensors that are minimally obtrusive and reliably record movement or physiological signals, 2)the development of systems that unobtrusively gather data from multiple Wearable sensors and deliver this information to clinicians in the way that is most appropriate for each application, and 3)the design and implementation of algorithms to extract clinically relevant information from data recorded using Wearable Technology. Journal of NeuroEngineering and Rehabilitation has devoted a series of articles to this topic with the objective of offering a description of the state of the art in this research field and pointing to emerging applications that are relevant to the clinical practice in physical medicine and rehabilitation.
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data mining of motor patterns recorded with Wearable Technology
IEEE Engineering in Medicine and Biology Magazine, 2003Co-Authors: Paolo Bonato, Paul Jarle Mork, D M Sherrill, Rolf H WestgaardAbstract:Discusses utilizing self-organizing maps to manage large data sets gathered in the field. Dramatic advances in Wearable Technology suggest that Wearable sensors and systems are close to deployment in the clinical field environment. Miniature, wireless sensors are becoming readily available due to the tremendous research efforts focused on this area as well as the great interest demonstrated by the private sector for the associated potential market of these devices. Wearable systems, including base stations and hand-held units, are becoming less cumbersome, with an ever-increasing capacity to receive and store vast amounts of data for extensive periods of time. Further, the growing availability of wireless LANs makes it possible to envision Wearable systems from which data can be continuously uploaded, while hand-held units provide a means to communicate with the patient when needed.
Enrica Papi - One of the best experts on this subject based on the ideXlab platform.
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Exploring the Role of Wearable Technology in Sport Kinematics and Kinetics: A Systematic Review.
Sensors (Basel Switzerland), 2019Co-Authors: Yewande Adesida, Enrica Papi, Alison H. McgregorAbstract:The aim of this review was to understand the use of Wearable Technology in sport in order to enhance performance and prevent injury. Understanding sports biomechanics is important for injury prevention and performance enhancement and is traditionally assessed using optical motion capture. However, such approaches are limited by capture volume restricting assessment to a laboratory environment, a factor that can be overcome by Wearable Technology. A systematic search was carried out across seven databases where Wearable Technology was employed to assess kinetic and kinematic variables in sport. Articles were excluded if they focused on sensor design and did not measure kinetic or kinematic variables or apply the Technology on targeted participants. A total of 33 articles were included for full-text analysis where participants took part in a sport and performed dynamic movements relating to performance monitored by Wearable technologies. Inertial measurement units, flex sensors and magnetic field and angular rate sensors were among the devices used in over 15 sports to quantify motion. Wearable Technology usage is still in an exploratory phase, but there is potential for this Technology to positively influence coaching practice and athletes’ technique.
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Wearable Technology for spine movement assessment: A systematic review.
Journal of biomechanics, 2017Co-Authors: Enrica Papi, Woon Senn Koh, Alison H. McgregorAbstract:Continuous monitoring of spine movement function could enhance our understanding of low back pain development. Wearable technologies have gained popularity as promising alternative to laboratory systems in allowing ambulatory movement analysis. This paper aims to review the state of art of current use of Wearable Technology to assess spine kinematics and kinetics. Four electronic databases and reference lists of relevant articles were searched to find studies employing Wearable technologies to assess the spine in adults performing dynamic movements. Two reviewers independently identified relevant papers. Customised data extraction and quality appraisal form were developed to extrapolate key details and identify risk of biases of each study. Twenty-two articles were retrieved that met the inclusion criteria: 12 were deemed of medium quality (score 33.4-66.7%), and 10 of high quality (score >66.8%). The majority of articles (19/22) reported validation type studies. Only 6 reported data collection in real-life environments. Multiple sensors type were used: electrogoniometers (3/22), strain gauges based sensors (3/22), textile piezoresistive sensor (1/22) and accelerometers often used with gyroscopes and magnetometers (15/22). Two sensors units were mainly used and placing was commonly reported on the spine lumbar and sacral regions. The sensors were often wired to data transmitter/logger resulting in cumbersome systems. Outcomes were mostly reported relative to the lumbar segment and in the sagittal plane, including angles, range of motion, angular velocity, joint moments and forces. This review demonstrates the applicability of Wearable Technology to assess the spine, although this technique is still at an early stage of development.
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Impact of Wearable Technology on psychosocial factors of osteoarthritis management: a qualitative study
BMJ open, 2016Co-Authors: Athina Belsi, Enrica Papi, Alison H. McgregorAbstract:Objectives To identify the impact the use of Wearable Technology could have in patients with osteoarthritis in terms of communication with healthcare providers and patients’ empowerment to manage their condition. Design Qualitative study using focus groups with patients with osteoarthritis; data from patients’ responses were analysed using Framework Methodology. Participants 21 patients with knee osteoarthritis from the London area (age range 45–65 years) participated in a total of four focus groups. Recruitment continued until data saturation. Setting The study was conducted in a university setting. Results Patients’ responses suggested a positive attitude on the impact Wearable Technology could have on the management of osteoarthritis. It was perceived that the use of Wearable devices would benefit patients in terms of feeling in control of their condition, providing them with awareness of their progress, empowering in terms of self-management and improving communication with their clinician. Conclusions This paper suggests positive patient perspectives on the perceived benefits Wearable Technology could have on the management of osteoarthritis. The data that could be collected with the use of Wearable Technology could be beneficial both to patients and clinicians. The information obtained from this study suggests that introducing Wearable Technology into patient-centred care could enhance patient experience in the field of osteoarthritis and beyond.
Vladimir Trajkovik - One of the best experts on this subject based on the ideXlab platform.
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Literature on Wearable Technology for Connected Health: Scoping Review of Research Trends, Advances, and Barriers.
Journal of medical Internet research, 2019Co-Authors: Tatjana Loncar-turukalo, Eftim Zdravevski, Jose Machado Da Silva, Ioanna Chouvarda, Vladimir TrajkovikAbstract:Background Wearable sensing and information and communication technologies are key enablers driving the transformation of health care delivery toward a new model of connected health (CH) care. The advances in Wearable technologies in the last decade are evidenced in a plethora of original articles, patent documentation, and focused systematic reviews. Although technological innovations continuously respond to emerging challenges and Technology availability further supports the evolution of CH solutions, the widespread adoption of Wearables remains hindered. Objective This study aimed to scope the scientific literature in the field of pervasive Wearable health monitoring in the time interval from January 2010 to February 2019 with respect to four important pillars: Technology, safety and security, prescriptive insight, and user-related concerns. The purpose of this study was multifold: identification of (1) trends and milestones that have driven research in Wearable Technology in the last decade, (2) concerns and barriers from Technology and user perspective, and (3) trends in the research literature addressing these issues. Methods This study followed the scoping review methodology to identify and process the available literature. As the scope surpasses the possibilities of manual search, we relied on the natural language processing tool kit to ensure an efficient and exhaustive search of the literature corpus in three large digital libraries: Institute of Electrical and Electronics Engineers, PubMed, and Springer. The search was based on the keywords and properties to be found in articles using the search engines of the digital libraries. Results The annual number of publications in all segments of research on Wearable Technology shows an increasing trend from 2010 to February 2019. The Technology-related topics dominated in the number of contributions, followed by research on information delivery, safety, and security, whereas user-related concerns were the topic least addressed. The literature corpus evidences milestones in sensor Technology (miniaturization and placement), communication architectures and fifth generation (5G) cellular network Technology, data analytics, and evolution of cloud and edge computing architectures. The research lag in battery Technology makes energy efficiency a relevant consideration in the design of both sensors and network architectures with computational offloading. The most addressed user-related concerns were (Technology) acceptance and privacy, whereas research gaps indicate that more efforts should be invested into formalizing clear use cases with timely and valuable feedback and prescriptive recommendations. Conclusions This study confirms that applications of Wearable Technology in the CH domain are becoming mature and established as a scientific domain. The current research should bring progress to sustainable delivery of valuable recommendations, enforcement of privacy by design, energy-efficient pervasive sensing, seamless monitoring, and low-latency 5G communications. To complement Technology achievements, future work involving all stakeholders providing research evidence on improved care pathways and cost-effectiveness of the CH model is needed.
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Literature on Wearable Technology for Connected Health: scoping review on research trends, advances and barriers (Preprint)
2019Co-Authors: Tatjana Loncar-turukalo, Eftim Zdravevski, Ioanna Chouvarda, José Machado Da Silva, Vladimir TrajkovikAbstract:BACKGROUND In the last decade the advances in Wearable Technology have driven and transformed performance monitoring in fitness and wellness applications, surveillance in extreme (working) conditions, and management of chronic diseases. These innovations have opened a whole new perspective on health and social care, challenged by vast expenditures in ageing societies. OBJECTIVE The aim of this study is to scope the scientific literature in the field of pervasive Wearable health monitoring in the time interval 2010-2019, identify chronological research trends and milestones, enabling Technology innovations, and spot the gaps and barriers from Technology and user perspectives. METHODS This study follows the scoping review methodology and PRISMA guidelines to identify and process the available literature. As the scope surpasses the possibilities of manual search, we rely on Natural Language Processing (NLP) to ensure efficient and exhaustive search of the literature corpus in three large digital libraries: IEEE, PubMed and Springer. The search is based on keywords and properties to be found in the articles using the search engines of the digital libraries. RESULTS The chronological analysis highlights the increasing numbers of publications that address health-related Wearable technologies resulting from collaborative work on a global scale. The identified articles indicate the research focus on Technology, delivery of prescriptive information, and user (data) safety and security. The literature corpus evidences major research progress in sensor Technology (with regard to miniaturization and placement), communication protocols, data analytics, and evolution of cloud and edge computing powered architectures. The most addressed user related concerns are (Technology)acceptance and privacy. The research lag in battery Technology puts energy-efficiency as relevant consideration both in the design of sensor and network architectures with computational offloading. User-related gaps indicate more efforts should be invested into formalizing clear use-cases with timely and valuable feedback and prescriptive recommendations. CONCLUSIONS There is no doubt that Wearable Technology is a key enabler of a new model of healthcare delivery. While Technology is driving the transformation, there is ongoing research resolving the user concerns related to reliability, privacy, comfort, and delivered feedback. The current research focus is on sustainable delivery of valuable recommendations, the enforcement of privacy by design, and technological solutions for energy-efficient pervasive sensing, seamless monitoring, and low-latency 5G communications.
Renee L Koktsporietis - One of the best experts on this subject based on the ideXlab platform.
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breast cancer survivors perspectives on a home based physical activity intervention utilizing Wearable Technology
Supportive Care in Cancer, 2019Co-Authors: Renee L Koktsporietis, Chelsea R Stone, Christine M Friedenreich, Alyssa Froese, Meghan H Mcdonough, Jessica McneilAbstract:To gain breast cancer survivors’ perspectives on participation in a home-based physical activity intervention and the factors that contributed to their acceptance and adherence to physical activity. Semi-structured interviews were conducted with six women who had participated in a 12-week, home-based physical activity intervention using Polar A360® activity trackers. Additionally, 22 participants from the physical activity interventions provided scaled responses to barriers of physical activity on weeks 3, 6, 9, and 12. Interviews were transcribed verbatim. Thematic analysis was used for qualitative data. Perceptions (n = 6) were categorized into three main themes including (i) Study Environment which consisted of three subthemes acrchversusfear of failure, power of results, and reminders of cancer and moving beyond. (ii) Influence of People encompassed two subthemes, i.e., personal relationships and self as a source of motivation; and (iii) Wearable Technology which was divided into two subthemes, i.e., objective insights into health and disconnect of person and Technology. From the scaled responses, the most impactful barriers for participants within the intervention groups (n = 22) were “feeling busy,” “lack of motivation,” and “weather.” Wearable Technology was perceived largely as a facilitator to physical activity in the current study, but technologic difficulties created a barrier to physical activity adherence. Additionally, participants’ perceptions of study design elements and social support influenced their acceptance and adherence to the home-based physical activity interventions and should be considered to inform the design and implementation of future studies.
