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  4. Is it Feasible to Use a Low-Cost Wearable Sensor for Heart Rate Monitoring within an Upper Limb Training in Spinal Cord Injured Patients?: A Pilot Study

Is it Feasible to Use a Low-Cost Wearable Sensor for Heart Rate Monitoring within an Upper Limb Training in Spinal Cord Injured Patients?: A Pilot Study

Bioengineering, 2022 · DOI: 10.3390/bioengineering9120763 · Published: December 3, 2022

Spinal Cord InjuryCardiovascular ScienceTelehealth & Digital Health

Simple Explanation

Cervical spinal cord injury (SCI) patients often have issues with their autonomic nervous system, which affects how their cardiovascular system adapts during upper limb activities in rehabilitation. Monitoring heart rate (HR) using wearable technology could help measure this adaptation level. This study checks if the Xiaomi Mi Band 5 (XMB5), a low-cost wristband, can accurately monitor HR in cervical SCI patients during upper limb training. The HR measurements from the XMB5 were compared to those from a professional medical device in both static and dynamic conditions. The study found a strong correlation between the XMB5 and the professional device in measuring HR in healthy people. The XMB5 was then used during experimental sessions, revealing that healthy individuals had a significantly higher HR oscillation range than SCI patients.

Study Duration
2 weeks
Participants
4 healthy people and 4 cervical SCI patients
Evidence Level
Pilot Study

Key Findings

  • 1
    There was a strong and positive correlation (r = 0.921 and r = 0.941, p < 0.01) between HR measurements from the Xiaomi Mi Band 5 (XMB5) and the Nonin LifeSense II (NLII) devices in healthy individuals during static and dynamic conditions, respectively.
  • 2
    During upper limb training sessions, the heart rate oscillation range measured by XMB5 was significantly higher in healthy individuals compared to patients with spinal cord injury (SCI).
  • 3
    After the upper limb training program, there was an increase in the number of upper limb movements in SCI patients, indicating a potential improvement in their activity levels.

Research Summary

This study investigates the feasibility of using the Xiaomi Mi Band 5 (XMB5), a low-cost wearable sensor, for heart rate (HR) monitoring during upper limb (UL) training in patients with cervical spinal cord injury (SCI). The study compares HR measurements from the XMB5 with those from a professional medical device (Nonin LifeSense II, NLII) in both static and dynamic conditions. The results demonstrate a strong and positive correlation between the HR measurements obtained from the XMB5 and the NLII devices in healthy individuals. Furthermore, the XMB5 was used during experimental sessions, revealing a significantly higher HR oscillation range in healthy individuals compared to SCI patients. The findings suggest that the XMB5 is a feasible tool for HR monitoring in SCI patients during UL training. This could be incorporated into biomedical applications to determine optimal intensity and duration of experimental sessions for SCI patients using immersive virtual reality applications.

Practical Implications

Rehabilitation Monitoring

Low-cost wearable sensors like XMB5 can be used to monitor HR during rehabilitation, allowing for better-tailored exercise programs.

Biomedical Applications

The feasibility of XMB5 in HR monitoring opens doors for its incorporation in VR-based therapies for SCI patients, potentially optimizing training intensity and duration.

Patient Safety

Real-time HR monitoring helps ensure patients, especially those with acute conditions, do not exceed their maximum HR during exercise, reducing risks of adverse cardiac events.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of similar studies for comparison
  • 3
    Heterogeneity of the patient sample

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