TY - GEN
T1 - A Wearable Pendant Sensor to Monitor Compliance with Range of Motion Lymphatic Health Exercise
AU - Wazir, Hassam Khan
AU - Reddy Bethi, Satish
AU - Kumar, Ashwin Raj
AU - Caruso, Fabio
AU - Kapila, Vikram
N1 - Publisher Copyright:
© 2020 IEEE.
PY - 2020/7
Y1 - 2020/7
N2 - Lymphedema is a chronic and debilitating condition affecting 1 in 1000 Americans and there is no known cure for it. The optimal lymph flow (TOLF) is an effective preventive exercise program designed to reduce the risks of lymphedema. This paper proposes a portable and wearable medical device to monitor compliance with the TOLF therapy. Specifically, the wearable pendant sensor (WPS), a low-fidelity prototype of the proposed design, is developed and tested in comparison with a markerless optical motion capture system (Kinect) for measurement accuracy during shoulder abduction-adduction and flexion-extension exercises. It is shown that the Kendall's Tau between the measurements obtained from the WPS and Kinect devices yields a correlation coefficient ρ = 0.807 for abduction-adduction exercise and ρ = 0.783 for flexion-extension exercise with a significance level of p < 0.001, indicating a strong correlation and high statistical significance. Following careful clinical assessment and validation, preliminary engineering design of this paper can be transformed into an Internet of Things (IoT)-based medical device to facilitate telemonitoring of TOLF therapy. Deployment of such an IoT-based device in patient homes can permit remote assessment of motor function to enhance treatment adherence.Clinical Relevance - This paper documents a WPS with potential to render an IoT-based medical device for monitoring adherence to TOLF exercise program to prevent the risk of post-operative lymphedema.
AB - Lymphedema is a chronic and debilitating condition affecting 1 in 1000 Americans and there is no known cure for it. The optimal lymph flow (TOLF) is an effective preventive exercise program designed to reduce the risks of lymphedema. This paper proposes a portable and wearable medical device to monitor compliance with the TOLF therapy. Specifically, the wearable pendant sensor (WPS), a low-fidelity prototype of the proposed design, is developed and tested in comparison with a markerless optical motion capture system (Kinect) for measurement accuracy during shoulder abduction-adduction and flexion-extension exercises. It is shown that the Kendall's Tau between the measurements obtained from the WPS and Kinect devices yields a correlation coefficient ρ = 0.807 for abduction-adduction exercise and ρ = 0.783 for flexion-extension exercise with a significance level of p < 0.001, indicating a strong correlation and high statistical significance. Following careful clinical assessment and validation, preliminary engineering design of this paper can be transformed into an Internet of Things (IoT)-based medical device to facilitate telemonitoring of TOLF therapy. Deployment of such an IoT-based device in patient homes can permit remote assessment of motor function to enhance treatment adherence.Clinical Relevance - This paper documents a WPS with potential to render an IoT-based medical device for monitoring adherence to TOLF exercise program to prevent the risk of post-operative lymphedema.
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U2 - 10.1109/EMBC44109.2020.9175471
DO - 10.1109/EMBC44109.2020.9175471
M3 - Conference contribution
AN - SCOPUS:85091005343
T3 - Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS
SP - 4588
EP - 4591
BT - 42nd Annual International Conferences of the IEEE Engineering in Medicine and Biology Society
PB - Institute of Electrical and Electronics Engineers Inc.
T2 - 42nd Annual International Conferences of the IEEE Engineering in Medicine and Biology Society, EMBC 2020
Y2 - 20 July 2020 through 24 July 2020
ER -