How Does the Integration of Wearable Sensor Technology into Upper Extremity Rehabilitation Impact Functional Outcomes in Stroke Patients?

 I don't see how wearable sensor technology helps recovery at all! Measurements DO NOTHING to get survivors recovered! Prove me wrong!

Send me hate mail on this: oc1dean@gmail.com. I'll print your complete statement with your name and my response in my blog. Or are you afraid to engage with my stroke-addled mind?  Survivors would like to know why you are being so fucking incompetent!

How Does the Integration of Wearable Sensor Technology into Upper Extremity Rehabilitation Impact Functional Outcomes in Stroke Patients?

Date of Presentation

5-2-2024 12:00 AM

College

Rowan-Virtua School of Osteopathic Medicine

Poster Abstract

A literature review was done to assess effectiveness of wearable sensors in stroke rehabilitation. There is a scarcity of clinical trials evaluating their effectiveness from a clinical standpoint. Wearable sensors present an opportunity to collect patient data objectively outside of clinical settings, allowing a more comprehensive analysis of patient rehabilitation in the future.

A search of PUBMED and Scopus was conducted. Keywords “Stroke Rehabilitation”, “Wearable Sensor”, and “Upper Limb” were used to find articles. Inclusion criteria included peer-reviewed, and not limited to research within the U.S. Two independent reviewers completed the screening of articles, selecting articles that fit the criteria and discussed outcomes of trials/review.

Wearable sensors' efficiency and the ability to quantify motor functions are poised to revolutionize rehabilitation. Allowing motor function data tracking outside clinical settings allows for a more holistic approach to rehabilitation. Due to the large number of strokes that ultimately result in motor impairment, it is crucial to understand the efficacy of various rehabilitation methods. This can be used to direct treatment modalities of stroke patients aimed at optimizing clinical outcomes.

With there being a lack of data, the need for further research on the use of wearable sensors in stroke rehabilitation, highlighting an area for further clinical research and assessment of long-term outcomes in this population.

Keywords

Stroke rehabilitation, Wearable Sensor, Upper limb, Wearable Electronic Devices, Upper Extremity, Treatment Outcome

Disciplines

Health and Medical Administration | Medicine and Health Sciences | Occupational Therapy | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Physical Therapy | Rehabilitation and Therapy

Document Type

Poster

Rowan UniversityRowan University
Rowan Digital WorksRowan Digital Works
Rowan-Virtua Research Day 28th Annual Research Day
May 2nd, 12:00 AM
How Does the Integration of Wearable Sensor Technology intoHow Does the Integration of Wearable Sensor Technology into
Upper Extremity Rehabilitation Impact Functional Outcomes inUpper Extremity Rehabilitation Impact Functional Outcomes in
Stroke Patients?Stroke Patients?
Kylon T. CoombsRowan University, coombs18@rowan.edu
Shikhar ManchandaRowan University, mancha25@rowan.edu
Cheryce DanielRowan University, daniel22@rowan.edu
Follow this and additional works at: https://rdw.rowan.edu/stratford_research_day
Part of the Health and Medical Administration Commons, Occupational Therapy Commons, Other
Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons, and the Physical Therapy
Commons
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Coombs, Kylon T.; Manchanda, Shikhar; and Daniel, Cheryce, "How Does the Integration of Wearable
Sensor Technology into Upper Extremity Rehabilitation Impact Functional Outcomes in Stroke Patients?"
(2024).
Rowan-Virtua Research Day. 121.
https://rdw.rowan.edu/stratford_research_day/2024/may2/121
This Poster is brought to you for free and open access by the Conferences, Events, and Symposia at Rowan Digital
Works. It has been accepted for inclusion in Rowan-Virtua Research Day by an authorized administrator of Rowan
Digital Works.
How Does the Integration of Wearable Sensor Technology into Upper Extremity Rehabilitation
Impact Functional Outcomes in Stroke Patients?
Kylon Coombs OMS-III, Shikhar Manchanda OMS-III, Cheryce Daniel OMS-III
Rowan-Virtua School of Osteopathic Medicine
Intro OR Objectives
Methods
- Peer-reviewed articles related to wearable sensor technology
written in English
- Research outside of the U.S was not excluded
Results/Outcomes
Discussion / Conclusion
- However, transitioning from laboratory measurements to
real-world situations poses challenges. The trials highlighted
accelerometers and inertial measurement units (IMUs) as the
commonly used sensors, with increasing interest in
incorporating multiple sensor types, such as gyroscopes. 10,
12 More research is needed consisting of clinical trials with
larger sample sizes and outside laboratory settings.7, 9
Limitations
References
- Stroke, defined by the World Health Organization (WHO), is
marked by the sudden onset of clinical signs indicating
disruptions in cerebral function, persisting over 24 hours or
leading to death, with no evident cause except of vascular
origin.3, 8
- Strokes are a major cause of disability worldwide, with data
from the Global Burden of Diseases, Injuries, and Risk Factors
Study (GBD). About 70% of stroke survivors face motor
impairments, and 80% deal with mobility issues, resulting in
lasting disabilities.
- This has led to an increased emphasis on rehabilitating stroke
patients, with ongoing efforts to integrate technology into
clinical practices, especially in the realm of stroke
rehabilitation. 3,8, 10
- While notable strides have been taken in wearable sensor
technology, there's a scarcity of clinical trials evaluating their
effectiveness, especially from a clinical standpoint. Wearable
sensors present an opportunity to collect patient data outside
clinical settings, which is particularly crucial for assessing
their motor function. 1, 6, 7 Adapted from : Lemmens et al.
Adapted from : Kwakkel et al.
- The results obtained from measurements conducted in a
controlled setting demonstrate the sensors' capability to
distinguish specific activities from a range of activities. One
clinical trial revealed successful identification of both
unimanual and bimanual activities by utilizing data from
sensors attached to the trunk, as well as the arms and hands.6
Database
Searched
Date of
Search
Keyword
String
Number of
Results
Pubmed 11/28/23 “stroke
rehabilitation”
+ “wearable
sensor” +
“upper limb”
127
Scopus 11/28/23 stroke
rehabilitation”
+ “wearable
sensor” +
“upper limb”
148
- As seen in the figure’s, sensors' efficiency
and the ability to quantify motor functions
are poised to revolutionize rehabilitation.
Exploring wearable sensor capabilities could
offer clinicians a more comprehensive
analysis of patient rehabilitation in the
future. 6, 9
- Most literature attributes insignificant findings in clinical
trials to factors like low sample sizes, inadequate outcome data
analysis, and varying stroke severity among participants.7 Stein
et al. highlighted the underutilization of accelerometer sensors
in assessing functional activities beyond labs, emphasizing the
need to observe their efficiency in real-world situations, which
applies to other types of sensors as well.
- The understanding of how diverse rehabilitation approaches
contribute to central nervous system restoration after a stroke
remains incomplete.9 There is a need for further research on the
use of wearable sensors in stroke rehabilitation, highlighting an
area for further clinical research and assessment of long-term
outcomes in this population.