Personalized, Predictive, Participatory, Precision, and Preventive (P5) Medicine in Rotator Cuff Tears

Longo, Umile Giuseppe; Carnevale, A; Massaroni, Carlo; Presti, Daniela Lo; Berton, Alessandra; Candela, Vincenzo; Schena, Emiliano; Denaro, Vincenzo

doi:10.3390/jpm11040255

Cited by 14 publications

(13 citation statements)

References 75 publications

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“…Obtaining quantitative information about the kinematics of patients with shoulder musculoskeletal impairments is of great interest to clinicians and patients themselves [ 13 , 14 , 35 ]. In recent years, a growing interest has been devoted to unobtrusive wearable systems for joint kinematics monitoring [ 36 , 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

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Virtual Reality for Shoulder Rehabilitation: Accuracy Evaluation of Oculus Quest 2

Carnevale

Mannocchi

Sassi

et al. 2022

Sensors

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Virtual reality (VR) systems are becoming increasingly attractive as joint kinematics monitoring systems during rehabilitation. This study aimed to evaluate the accuracy of the Oculus Quest 2 in measuring translational and rotational displacements. As the Oculus Quest 2 was chosen for future applications in shoulder rehabilitation, the translation range (minimum: ~200 mm, maximum: ~700 mm) corresponded to the forearm length of the 5th percentile female and the upper limb length of the 95th percentile male. The controller was moved on two structures designed to allow different translational displacements and rotations in the range 0–180°, to cover the range of motion of the upper limb. The controller measures were compared with those of a Qualisys optical capture system. The results showed a mean absolute error of 13.52 ± 6.57 mm at a distance of 500 mm from the head-mounted display along the x-direction. The maximum mean absolute error for rotational displacements was found to be 1.11 ± 0.37° for a rotation of 40° around the z-axis. Oculus Quest 2 is a promising VR tool for monitoring shoulder kinematics during rehabilitation. The inside-out movement tracking makes Oculus Quest 2 a viable alternative to traditional motion analysis systems.

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Section: Discussionmentioning

confidence: 99%

“…In the orthopedic field, rehabilitation has a crucial importance after surgery or traumatic events for the recovery of the compromised functionalities [ 8 ]. Among shoulder musculoskeletal disorders, rotator cuff tears have a high incidence [ 13 , 14 ]. In [ 15 ], a new approach for the right shoulder’s rotator cuff is presented.…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality for Shoulder Rehabilitation: Accuracy Evaluation of Oculus Quest 2

Carnevale

Mannocchi

Sassi

et al. 2022

Sensors

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“…Biyomedikal görüntüleme araçları, yapay zekâ, giyilebilir teknoloji, kişiye özel veri tabanı, laboratuvar bulguları ve genetik testler gibi yöntemlerden yararlanarak bireylerin sağlık durumunu, kritik durumları ve sağlığı bozulma riski olan hastaları öngörebilmektir (2,13).…”

Section: Predictive (Tahmin Edici/öngörücü Tıp)unclassified

“…Bireyin sadece biyolojik yönünü değil, aynı zamanda çevresel, sosyal ve psikolojik yönlerini de dikkate alarak tahmin edilen kritik durumları ve hastalığı engellemek amacıyla planlanan müdahalelerdir (2,13).…”

Section: Preventive (Koruyucu/önleyici Tıp)unclassified

Sağlıkta “4P tıbbı”: Geleneksel tıp tarih mi oluyor?

Aslan

2022

SagAkaDerg

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Günümüzde 4P tıbbı, sağlık alanında sıklıkla karşılaştığımız ancak yeterli bilgi kaynağının olmaması nedeniyle aktif kullanamadığımız bir kavramdır. Özellikle son zamanlarda “Sindirellanın Ayakkabısı” ifadesiyle ele alınan bu kavram; hastaların biyolojik ve hücresel yapısına uygun ilaçları geliştirmeyi, hastalık odaklı tedaviden hasta odaklı tedaviye dönmeyi ve bireyleri bütüncül şekilde ele alarak hastalık risklerini en aza indirmeyi hedeflemektedir. Ancak günümüzde hastalar; semptomlarına ve kişisel özelliklerine bakılmaksızın bir dizi tıbbi muayeneden ve check-up gibi her bireye uygulanan çoklu testlerden geçmektedir. Peki 4P tıbbı gibi kişiye özel bir sağlık yaklaşımı varken her bireye aynı tıbbi uygulamaları gerçekleştirmek ne kadar doğrudur? Bu amaçla bu derleme; 4P tıbbı hakkında bilgi vermek ve sağlık alanında 4P tıbbının önemine açıklık getirmek amacıyla ele alınacaktır.

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“…Patients suffering from shoulder musculoskeletal disorders (MSDs) may experience pain and reduced functional capacity [ 1 , 2 ]. The scapula, the bone linking the humerus with the clavicle, ensures proper alignment and the normal mobility of the glenohumeral and acromioclavicular joints [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Skin Strain Analysis of the Scapular Region and Wearables Design

Carnevale

Schena

Formica

et al. 2021

Sensors

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Monitoring scapular movements is of relevance in the contexts of rehabilitation and clinical research. Among many technologies, wearable systems instrumented by strain sensors are emerging in these applications. An open challenge for the design of these systems is the optimal positioning of the sensing elements, since their response is related to the strain of the underlying substrates. This study aimed to provide a method to analyze the human skin strain of the scapular region. Experiments were conducted on five healthy volunteers to assess the skin strain during upper limb movements in the frontal, sagittal, and scapular planes at different degrees of elevation. A 6 × 5 grid of passive markers was placed posteriorly to cover the entire anatomic region of interest. Results showed that the maximum strain values, in percentage, were 28.26%, and 52.95%, 60.12% and 60.87%, 40.89%, and 48.20%, for elevation up to 90° and maximum elevation in the frontal, sagittal, and scapular planes, respectively. In all cases, the maximum extension is referred to the pair of markers placed horizontally near the axillary fold. Accordingly, this study suggests interesting insights for designing and positioning textile-based strain sensors in wearable systems for scapular movements monitoring.

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Personalized, Predictive, Participatory, Precision, and Preventive (P5) Medicine in Rotator Cuff Tears

Cited by 14 publications

References 75 publications

Virtual Reality for Shoulder Rehabilitation: Accuracy Evaluation of Oculus Quest 2

Virtual Reality for Shoulder Rehabilitation: Accuracy Evaluation of Oculus Quest 2

Sağlıkta “4P tıbbı”: Geleneksel tıp tarih mi oluyor?

Skin Strain Analysis of the Scapular Region and Wearables Design

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