Care Services Directorate, Unit of Physiotherapy Research and Quality Assurance, Geneva University Hospital and University of Geneva, Geneva, Switzerland.
Sensors (Basel). 2010;10(10):9026-52. doi: 10.3390/s101009026. Epub 2010 Oct 8.
The use of wearable motion sensing technology offers important advantages over conventional methods for obtaining measures of physical activity and/or physical functioning in individuals with chronic diseases. This review aims to identify the actual state of applying wearable systems for monitoring mobility-related activity in individuals with chronic disease conditions. In this review we focus on technologies and applications, feasibility and adherence aspects, and clinical relevance of wearable motion sensing technology. PubMed (Medline since 1990), PEdro, and reference lists of all relevant articles were searched. Two authors independently reviewed randomised trials systematically. The quality of selected articles was scored and study results were summarised and discussed. 163 abstracts were considered. After application of inclusion criteria and full text reading, 25 articles were taken into account in a full text review. Twelve of these papers evaluated walking with pedometers, seven used uniaxial accelerometers to assess physical activity, six used multiaxial accelerometers, and two papers used a combination approach of a pedometer and a multiaxial accelerometer for obtaining overall activity and energy expenditure measures. Seven studies mentioned feasibility and/or adherence aspects. The number of studies that use movement sensors for monitoring of activity patterns in chronic disease (postural transitions, time spent in certain positions or activities) is nonexistent on the RCT level of study design. Although feasible methods for monitoring human mobility are available, evidence-based clinical applications of these methods in individuals with chronic diseases are in need of further development.
可穿戴运动感应技术在获取慢性病患者身体活动和/或身体功能指标方面比传统方法具有重要优势。本综述旨在确定可穿戴系统在监测慢性病患者移动相关活动中的实际应用状态。在本综述中，我们重点关注可穿戴运动感应技术的技术和应用、可行性和依从性方面以及临床相关性。检索了 PubMed（1990 年以来的 Medline）、PEDro 和所有相关文章的参考文献列表。两位作者独立系统地回顾了随机试验。对选定文章的质量进行评分，并对研究结果进行总结和讨论。考虑了 163 个摘要。在应用纳入标准和全文阅读后，在全文综述中考虑了 25 篇文章。其中 12 篇论文评估了计步器步行，7 篇论文使用单轴加速度计评估身体活动，6 篇论文使用多轴加速度计，2 篇论文使用计步器和多轴加速度计的组合方法获取总体活动和能量消耗测量值。有 7 项研究提到了可行性和/或依从性方面。在 RCT 研究设计层面上，使用运动传感器监测慢性病（姿势转换、特定位置或活动的时间）活动模式的研究数量为零。虽然有可行的监测人体移动性的方法，但需要进一步开发这些方法在慢性病患者中的基于证据的临床应用。
