Design and evaluation of a wearable system to increase adherence to rehabilitation programmes in acute cruciate ligament
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Design and evaluation of a wearable system to increase adherence to rehabilitation programmes in acute cruciate ligament (CL) rupture George Kordatos 1 & Stavrakis Modestos 1 Received: 25 April 2019 / Revised: 22 October 2019 / Accepted: 19 November 2019 # Springer Science+Business Media, LLC, part of Springer Nature 2019
Abstract
Smart wearables for health monitoring, prevention, and patient support play a significant role in today’s treatment and home rehabilitation. The effectiveness of rehabilitation in acute cruciate ligament (CL) rupture is dependent upon patient adherence to personalised Home Exercise Programmes (HEPs) and development of self-efficacy. This paper presents the research, preliminary design stages and a formative evaluation of a digital wearable system for monitoring, tracking, guiding and motivating users during HEP. The aim of the prototype is to support patients’ rehabilitation program by reducing the risk of re-injury during the process and motivate them to adhere to their HEPs by monitoring, providing constructive feedback, encouraging understanding and thus promoting self-efficacy. The digital infrastructure is composed of three main parts, a physical product of two smart bracelets for sensing data from the patient’s knee, a smartphone application for the user to interact with and a web-based service for collecting, storing, analysing, and sharing data. The evaluation of the wearable system was based on a randomised group of 15 subject participants. Keywords Wearable health technologies . Smart wearables . mHealth . Cruciate ligament rupture . Rehabilitation . Monitoring . Self-efficacy . Home exercise programmes
1 Introduction Smart wearables have attracted much attention in recent years for their capabilities in fitness monitoring and other health-related metrics. The importance of bio-medical engineering and * Stavrakis Modestos [email protected] George Kordatos [email protected]
1
Department of Product & Systems Design Engineering, University of the Aegean, Syros, Greece
Multimedia Tools and Applications
wearable solutions for healthcare is growing during the decades thanks to the improvement and the availability of many devices and technological solutions, as well as their cost reduction. As a consequence, the interest in applying and combining those technologies to the monitoring and treatment of several kinds of diseases has increased [1]. A tear of Cruciate Ligament (CL) is a common knee injury that occurs mostly among athletes. A CL injury can last as long as a year and often includes physical therapy, strength exercises and frequent visits to physiotherapists and doctors. The broader scope of digital health and health wearables is to provide patients with technologies (hardware devices, software tools/systems and online services) to better monitor, track and eventually manage their health and wellness related activities [2]. Wearable health monitoring systems integrated into telemedicine systems are novel information technologies that support early detection of abnor
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