Mohieldin Suehayla, Batsis John A, Minor Colin M, Halter Ryan J, Petersen Curtis L
Thayer School of Engineering, Dartmouth College, Hanover, NH, USA.
Division of Geriatric Medicine, Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
IEEE Int Conf Commun Workshops. 2021 Jun;2021. doi: 10.1109/iccworkshops50388.2021.9473520. Epub 2021 Jul 9.
As the United States population ages, managing pathologies that largely affect older adults, including sarcopenia (i.e., loss of muscle mass and strength) represents a significant and growing clinical challenge. In addition to increased rates of sarcopenia with age, its incidence and impact increase after acute illness, increasing the risk of functional decline, institutionalization, or death. Resistance-based exercises promote muscle regeneration and strength and are an advised therapy for such patients. Yet, such therapeutic exercises are normally conducted either under direct clinical oversight or unsupervised by patients at home, where compliance rates are low. The presented device, , aims to create an integrated force data detection and acquisition system for monitoring and transmitting at-home exercise force data to patients and clinicians. A potentiometer-based sensor was integrated to a resistance exercise band through the use of custom designed electronics, which incorporated Bluetooth Low Energy (BLE) for wireless transmission to a mobile 'app'. A protocol for calibrating the device was developed using a range of loads and validated in static benchtop and dynamic testing. Data from a pilot study with 7 older adults was also collected and analyzed to test the device. BandPass is 94% accurate with a coefficient of variation (CoV) of 4.9% and sensitivity of 150g. The pilot study recorded 147 exercises, allowing for analysis on patients' exercise performances. was successfully able to measure force continuously over time during exercises, measure longitudinal compliance with exercises, and quantify force continuously over time. A mobile health (mHealth) force-sensing system allows for the remote monitoring of prescribed in-home resistance exercise band programs for at-risk older adults, bridging the gap between clinicians and patients.
随着美国人口老龄化，管理主要影响老年人的疾病，包括肌肉减少症（即肌肉质量和力量的丧失），是一项重大且日益严峻的临床挑战。除了肌肉减少症的发病率随年龄增长而增加外，急性疾病后其发病率和影响也会增加，从而增加功能衰退、入住养老院或死亡的风险。基于阻力的运动可促进肌肉再生和增强力量，是此类患者的推荐疗法。然而，此类治疗性运动通常要么在直接临床监督下进行，要么由患者在家中无人监督的情况下进行，而在家中的依从率较低。本文介绍的[具体设备名称未给出]旨在创建一个集成的力数据检测和采集系统，用于监测并将家庭运动力数据传输给患者和临床医生。通过使用定制设计的电子设备，将基于电位计的传感器集成到阻力运动带中，该电子设备集成了蓝牙低功耗（BLE）技术，用于无线传输到移动“应用程序”。使用一系列负载开发了一种校准该设备的协议，并在静态台式和动态测试中进行了验证。还收集并分析了来自7名老年人的试点研究数据，以测试该设备。带通精度为94%，变异系数（CoV）为4.9%，灵敏度为150克。试点研究记录了147次运动，从而能够分析患者的运动表现。[具体设备名称未给出]能够在运动过程中随时间连续测量力，测量运动的纵向依从性，并随时间连续量化力。移动健康（mHealth）力传感系统允许对高危老年人规定的家庭阻力运动带计划进行远程监测，弥合了临床医生和患者之间的差距。
