背景:下腰痛(LBP)是一种昂贵的全球性健康状况,影响所有年龄和性别的个体。物理治疗(PT)是LBP管理的常用有效干预措施,并结合了运动评估和治疗性锻炼。一种新开发的可穿戴设备,基于织物的传感器系统,运动胶带,使用新颖的传感和数据建模来不显眼地测量腰椎运动,因此与PT结合使用时提供了潜在的好处。然而,物理治疗师对运动胶带的接受仍未被探索。
目的:本研究的主要目的是评估理疗师接受运动带治疗LBP的情况。次要目的是探索物理治疗师对未来设备开发的建议。
方法:来自美国物理治疗协会领导力技术特别兴趣小组的持牌物理治疗师参加了这项研究。总的来说,进行了2个焦点小组(FGs;N=8),其中向参与者展示了MotionTape样本和海报上的应用程序数据输出示例。根据技术验收模型,我们进行了半结构化FGs并探索了可穿戴性,有用性,LBPPT管理的运动胶带的易用性和改进建议。使用快速定性分析对FG数据进行转录和分析。
结果:关于可穿戴性,参与者认为运动磁带可以坚持几天,由于外部因素有一定的可变性。反馈对低调和普遍适合是积极的,但是由于电线和与衣服的潜在摩擦而导致的不适令人担忧。其他问题包括自我应用困难和潜在的皮肤敏感性。关于有用性,参与者表示,MotionTape将提高评估和治疗的效率和特异性.关于易用性,参与者表示,该应用程序将很容易,但数据管理和解释方面的挑战令人担忧.物理治疗师为未来的设计改进提供了一些建议,包括无线系统或可移动电线,可定制的磁带尺寸,和输出,包括运动数据范围和摘要图,并添加了考虑患者输入和上下文的应用程序功能。
结论:与MotionTape的可穿戴性有关的几个主题,有用性,并确定了易用性。总的来说,物理治疗师表示接受运动磁带的潜力评估和监测下背部的姿势和运动,在临床环境内外。与会者表示,MotionTape将是LBP个性化治疗的宝贵工具,但强调了MotionTape在实践中使用所需的一些未来改进。
BACKGROUND: Low back pain (LBP) is a costly global health condition that affects individuals of all ages and genders. Physical therapy (PT) is a commonly used and effective intervention for the management of LBP and incorporates movement assessment and therapeutic exercise. A newly developed wearable, fabric-based sensor system, Motion Tape, uses novel sensing and data modeling to measure lumbar spine movements unobtrusively and thus offers potential benefits when used in conjunction with PT. However, physical therapists\' acceptance of Motion Tape remains unexplored.
OBJECTIVE: The primary aim of this research
study was to evaluate physical therapists\' acceptance of Motion Tape to be used for the management of LBP. The secondary aim was to explore physical therapists\' recommendations for future device development.
METHODS: Licensed physical therapists from the American Physical Therapy Association Academy of Leadership Technology Special Interest Group participated in this
study. Overall, 2 focus groups (FGs; N=8) were conducted, in which participants were presented with Motion Tape samples and examples of app data output on a poster. Informed by the Technology Acceptance Model, we conducted semistructured FGs and explored the wearability, usefulness, and ease of use of and suggestions for improvements in Motion Tape for PT management of LBP. FG data were transcribed and analyzed using rapid qualitative analysis.
RESULTS: Regarding wearability, participants perceived that Motion Tape would be able to adhere for several days, with some variability owing to external factors. Feedback was positive for the low-profile and universal fit, but discomfort owing to wires and potential friction with clothing was of concern. Other concerns included difficulty with self-application and potential skin sensitivity. Regarding usefulness, participants expressed that Motion Tape would enhance the efficiency and specificity of assessments and treatment. Regarding ease of use, participants stated that the app would be easy, but data management and challenges with interpretation were of concern. Physical therapists provided several recommendations for future design improvements including having a wireless system or removable wires, customizable sizes for the tape, and output including range of motion data and summary graphs and adding app features that consider patient input and context.
CONCLUSIONS: Several themes related to Motion Tape\'s wearability, usefulness, and ease of use were identified. Overall, physical therapists expressed acceptance of Motion Tape\'s potential for assessing and monitoring low back posture and movement, both within and outside clinical settings. Participants expressed that Motion Tape would be a valuable tool for the personalized treatment of LBP but highlighted several future improvements needed for Motion Tape to be used in practice.