目的:本范围审查的唯一目的是绘制有关可穿戴传感器在患有上肢肌肉骨骼(UE-MSK)疾病或有上肢肌肉骨骼疾病风险的人群中应用的文献的当前状态,考虑到MSK疾病或疾病在其他类型的疾病或疾病中患病率最高,这些疾病或疾病有助于需要康复服务。
方法:本范围审查遵循了系统评价和荟萃分析(PRISMA)扩展范围审查指南的首选报告项目。两位独立作者对四个数据库进行了系统搜索,包括PubMed,Embase,Scopus,和IEEXplore。我们纳入了2010年后发表的对患有或有患UE-MSK疾病风险的人应用可穿戴传感器的研究。我们提取了研究设计,目标,参与人数,传感器放置位置,传感器类型,和数量,以及纳入研究的感兴趣结果。我们范围审查的总体结果在表格和图表中显示,以映射现有应用程序的概述。
结果:最终综述包括80项临床研究(31项研究),工人人口(31项研究),和一般可穿戴设计/性能研究(18项研究)。大多数是观察性的,在工人研究中有2个随机对照试验。临床研究集中在UE-MSK条件,如肩袖撕裂和关节炎。工人研究涉及产业工人,外科医生,农民,和有风险的健康个体。可穿戴传感器用于客观运动评估,家庭康复监测,日常活动记录,物理风险表征,和人体工程学评估。IMU传感器在设计中很普遍(84%),少数包括sEMG传感器(16%)。评估应用占主导地位(80%),而以治疗为重点的研究占20%。在21%的研究中注意到基于家庭的适用性。
结论:可穿戴传感器技术已越来越多地应用于医疗保健领域。这些应用包括临床评估,MSK障碍的家庭治疗,以及对工作环境等非标准化领域的工人人口进行监测。以评估为重点的研究超过治疗研究。此外,可穿戴传感器设计主要使用IMU传感器,一部分研究将sEMG和其他传感器类型纳入可穿戴平台,以捕获肌肉活动和惯性数据,用于评估或康复MSK状况。
This scoping
review uniquely aims to map the current state of the literature on the applications of wearable sensors in people with or at risk of developing upper extremity musculoskeletal (UE-MSK) conditions, considering that MSK conditions or disorders have the highest rate of prevalence among other types of conditions or disorders that contribute to the need for rehabilitation services.
The preferred reporting items for systematic reviews and meta-analysis (PRISMA) extension for scoping reviews guideline was followed in this scoping
review. Two independent authors conducted a systematic search of four databases, including PubMed, Embase, Scopus, and IEEEXplore. We included studies that have applied wearable sensors on people with or at risk of developing UE-MSK condition published after 2010. We extracted study designs, aims, number of participants, sensor placement locations, sensor types, and number, and outcome(s) of interest from the included studies. The overall findings of our scoping
review are presented in tables and diagrams to map an overview of the existing applications.
The final
review encompassed 80 studies categorized into clinical population (31 studies), workers\' population (31 studies), and general wearable design/performance studies (18 studies). Most were observational, with 2 RCTs in workers\' studies. Clinical studies focused on UE-MSK conditions like rotator cuff tear and arthritis. Workers\' studies involved industrial workers, surgeons, farmers, and at-risk healthy individuals. Wearable sensors were utilized for objective motion assessment, home-based rehabilitation monitoring, daily activity recording, physical risk characterization, and ergonomic assessments. IMU sensors were prevalent in designs (84%), with a minority including sEMG sensors (16%). Assessment applications dominated (80%), while treatment-focused studies constituted 20%. Home-based applicability was noted in 21% of the studies.
Wearable sensor technologies have been increasingly applied to the health care field. These applications include clinical assessments, home-based treatments of MSK disorders, and monitoring of workers\' population in non-standardized areas such as work environments. Assessment-focused studies predominate over treatment studies. Additionally, wearable sensor designs predominantly use IMU sensors, with a subset of studies incorporating sEMG and other sensor types in wearable platforms to capture muscle activity and inertial data for the assessment or rehabilitation of MSK conditions.