Advances in wearable technology and applications in physical medicine and rehabilitation.
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.
Bonato
Paolo
P
Department of Physical Medicine and Rehabilitation, Harvard Medical School and The Harvard-MIT Division of Health Sciences and Technology, Spaulding Rehabilitation Hospital, 125 Nashua Street, Boston MA 02114, USA. pbonato@partners.org.
IEEE Eng Med Biol Mag. 2003 May-Jun;22(3):104-9
12845826
Psychophysiology. 1998 Sep;35(5):488-96
9715093
Med Biol Eng Comput. 1999 May;37(3):304-8
10505379
Stud Health Technol Inform. 2004;108:209-13
15718648
IEEE Eng Med Biol Mag. 2003 May-Jun;22(3):41-8
12845818
Conf Proc IEEE Eng Med Biol Soc. 2004;2004:4766-9
17271375
Behav Res Methods Instrum Comput. 2000 Aug;32(3):450-7
11029819
Med Biol Eng Comput. 2001 May;39(3):294-302
11465883
Mov Disord. 2003 Jan;18(1):70-80
12518302
IEEE Eng Med Biol Mag. 2003 May-Jun;22(3):89-95
12845824
Technol Health Care. 1999;7(6):455-9
10665681
Clin Biomech (Bristol, Avon). 2004 Oct;19(8):819-27
15342154
IEEE Eng Med Biol Mag. 2003 May-Jun;22(3):96-103
12845825
IEEE Eng Med Biol Mag. 2003 May-Jun;22(3):120-32
12845828
AMIA Annu Symp Proc. 2003;:896
14728401
IEEE Trans Biomed Eng. 2003 Apr;50(4):476-83
12723059
Electroencephalogr Clin Neurophysiol. 1998 Dec;109(6):484-8
10030679
IEEE Eng Med Biol Mag. 2003 May-Jun;22(3):25
12845814
IEEE Eng Med Biol Mag. 2003 May-Jun;22(3):26-7
12845816
Med Biol Eng Comput. 2002 Mar;40(2):173-82
12043798
Ergonomics. 1998 Oct;41(10):1519-26
9802256