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  4. Interactive wearable systems for upper body rehabilitation: a systematic review

Interactive wearable systems for upper body rehabilitation: a systematic review

Journal of NeuroEngineering and Rehabilitation, 2017 · DOI: 10.1186/s12984-017-0229-y · Published: March 2, 2017

NeurorehabilitationBiomedicalTelehealth & Digital Health

Simple Explanation

This paper reviews research on interactive rehabilitation technologies that use wearable sensors for upper body rehabilitation. The review aims to classify these systems based on sensing technology, measurements, and feedback, as well as assess their wearability and clinical evidence of effectiveness. The study found that wearable systems are mainly used for monitoring posture and upper extremity movements in stroke rehabilitation, with accelerometers and IMUs being the most common sensors. Clinical evaluations are scarce, indicating a need for more evidence on the effectiveness of these technologies in clinical settings.

Study Duration
January 2010–April 2016
Participants
45 papers included in the review
Evidence Level
Systematic Review

Key Findings

  • 1
    Accelerometers and IMUs are the most frequently used sensors in wearable systems for upper body rehabilitation.
  • 2
    Visual display is the most common way to provide feedback in these systems.
  • 3
    Most systems are in the stage of feasibility prototypes, with limited clinical evaluations.

Research Summary

This review examines interactive wearable systems for upper body rehabilitation, focusing on sensing technology, feedback modalities, and system measurements. The study identifies accelerometers and IMUs as the most common sensors and visual displays as the most frequent feedback method. The review highlights the need for more clinical evaluations and improved wearability in future research.

Practical Implications

Technology Development

Focus future development on integrating advanced textile sensors to improve wearability and usability.

Clinical Validation

Prioritize clinical trials to assess the effectiveness of wearable systems in improving patient outcomes.

Feedback Design

Incorporate fading frequency schedules to match feedback provision with patient progress, promoting independence from extrinsic feedback.

Study Limitations

  • 1
    Limited clinical evidence for the effectiveness of wearable systems.
  • 2
    Superficial descriptions of sensor attachment methods in most studies.
  • 3
    Lack of systematic wearability assessments in the included studies.

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