Background: Low back pain (LBP) is a significant public health problem that can result in physical disability and financial burden for the individual and society. Physical therapy (PT) is effective for managing LBP, and includes evaluation of posture and movement, interventions directed at modifying posture and movement, and prescription of exercises. However, physical therapists have limited tools for objective evaluation of low back posture and movement and monitoring of exercises, and this evaluation is limited to the timeframe of a clinical encounter. There is a need for a valid tool that can be used to evaluate low back posture and movement and monitor exercises outside the clinic. To address this need, a fabric-based, wearable sensor, Motion Tape (MT) was developed and adapted for a low back use case. MT is a low-profile, disposable, self-adhesive, skinstrain sensor developed by spray-coating piezoresistive graphene nanocomposites directly onto commercial kinesiology tape.
Objective:The objectives of this study were to a) validate MT for measuring low back posture and movement; and b) assess the acceptability of MT for users.Methods: Ten participants without low back pain were tested. A 3D optical motion capture system was used as a reference standard to measure low back kinematics. Retroreflective markers and a matrix of MTs were placed on the low back to measure kinematics (motion capture) and strain (MT) simultaneously during low back movements in the sagittal, frontal, and axial planes. Cross-correlation coefficients were calculated to evaluate concurrent validity of MT strain in reference motion capture kinematics during each movement. Acceptability of MT was assessed using semi-structured interviews conducted with each participant after laboratory testing. Interview data were analyzed using Rapid Qualitative Analysis to identify themes and subthemes of user acceptability.Results: Visual inspection of concurrent MT strain and kinematics of the low back indicates that MT can distinguish between different movement directions. Cross-correlation coefficients between MT strain and motion capture kinematics ranged from -0.915 to 0.983, and strength of correlations varied across MT placements and low back movement directions. For user acceptability, participants expressed enthusiasm for MT and believed it would be helpful for remote interventions for LBP but provided suggestions for improvement.Conclusions: MT was able to distinguish different low back movements and most MTs demonstrated moderate to high