Proposed objective scoring algorithm for assessment and intervention recovery following surgery for lumbar spinal stenosis based on relevant gait metrics from wearable devices: the Gait Posture index (GPi)

Mobbs, Ralph J.; Mobbs, Redmond R.; Choy, Wen Jie

doi:10.21037/jss.2019.09.06

Cited by 24 publications

(24 citation statements)

References 29 publications

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“…These health metrics may also be quantitatively combined, potentially enhancing accuracy and allowing for more objective inter-and intrapatient comparisons. The Gait Posture index (GPi) is one such promising tool which demonstrates this concept by synthesising a number of physical activity metrics, ideally collected via a wearable device, into a simple index (78,79). Wearable devices may also improve the implementation of prophylactic measures ( 62) such as tracking the body positions of patients and providing alarms after a predetermined period of inactivity to ensure that patients are rolled to prevent pressure sores.…”

Section: The Potential Impact Of Wearable Devices In Postoperative Monitoringmentioning

confidence: 99%

“…While much of the research identified in this review is focussed on physical activity, the feasibility of collecting other types of data, such as vital signs, and their usefulness should be explored. These data types may ultimately be synthesised into an index capable of quantitatively representing overall patient function, thereby making greater use of currently available health data and extending existing tools, such as the GPi (78,79), to more accurately assess and monitor patient recovery.…”

Section: Further Researchmentioning

confidence: 99%

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Wearable devices for patient monitoring in the early postoperative period: a literature review

Amin¹,

Mobbs²,

Mostafa³

et al. 2021

mHealth

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The early postoperative period is a crucial stage in a patient's recovery as they are susceptible to a range of complications, with detection and management the key to avoiding long term consequences.Wearable devices are an innovative way of monitoring patient's post-intervention and may translate into improved patient outcomes, and reduced strain on healthcare resources, as they may facilitate safer and earlier discharge from the hospital setting. Several recent studies have investigated the use of wearable devices in postoperative monitoring. This review outlines the current literature including the range of wearable devices used for postoperative monitoring, the variety of surgeries investigated, and the outcomes assessed.A search of five electronic databases was performed. Data on the range of wearable devices, outcomes and surgeries investigated were extracted and synoptically analysed. Twenty-four articles were retrieved. Data on several different types of surgery were available and discussed. Most studies used wrist-mounted wearable devices and accelerometers or pedometers to assess physical activity metrics, including step counts and physical activity intensity (PAI), as markers of recovery. Wearable devices can provide objective data capture in the early postoperative phase to remotely monitor patients using various metrics including temperature, cardiac monitoring and physical activity. The majority of current research is focussed on wrist-mounted accelerometers and pedometers used to assess physical activity as a marker of postoperative function. Further research is required to demonstrate improved safety and cost-effectiveness of this technology.

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Section: The Potential Impact Of Wearable Devices In Postoperative Monitoringmentioning

confidence: 99%

Section: Further Researchmentioning

confidence: 99%

Wearable devices for patient monitoring in the early postoperative period: a literature review

Amin¹,

Mobbs²,

Mostafa³

et al. 2021

mHealth

Self Cite

View full text Add to dashboard Cite

show abstract

“…Another new technology and innovation that was not considered in 2006 was the application of wearable technology sensors (37). Recent work has evaluated the use of "wearables" for objective measurements for outcomes analysis (38). Most clinical studies employ subjective observations to evaluate clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

Innovation and New Technologies in Spine Surgery, Circa 2020: A Fifty-Year Review

et al. 2020

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Spine surgery (lumbar, cervical, deformity, and entire spine) has increased in volume and improved in outcomes over the past 50 years because of innovations in surgical techniques and introduction of new technologies to improve patient care. Innovation is described as a process to add value or create change in an enterprise's economic or social potential. This mini review will assess two of three assessments of innovation in spine surgery: scientific publications and patents issued. The review of both scientific publications and issued patents is a unique assessment. The third assessment of innovation: regulatory clearances of medical devices and equipment for spine surgery and their evolution over time, will also be discussed.

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“…Besides posture, the use of wearable devices for gait analysis in LSS patients has received significant attention as evidence suggests these patients demonstrate detectable gait metrics differences compared to normal subjects [34]. The use of a commercial wearable device for detecting gait metrics in LSS is promising with a proposed objective scoring algorithm—the gait posture index (GPi), potentially providing an objective measure of patient function post-surgical interventions [35]. Furthermore, wearable devices can play a vital role in rehabilitation programs, as posture awareness is an essential component.…”

Section: Clinical Applicabilitymentioning

confidence: 99%

Commercial Postural Devices: A Review

Yoong

Perring

Mobbs

2019

Sensors

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Wearables are devices worn on the human body and are able to measure various health parameters, such as physical activity, energy expenditure and gait. With the advancement of technology, the general population are now spending more hours craning our necks and slouching over smartphones, tablets and computers, et cetera. Bodily posture is representative of physical and mental health. Poor posture can lead to spinal complications and the same can be said vice versa. As the standard of living increases, there is an increase in consumerism and the expectation to maintain such a lifestyle even in the aging population. Therefore, many are able to afford small luxuries in life, such as a piece of technology that could potentially improve their health in the long run. Wearable technology is a promising alternative to laboratory systems for movement and posture analysis. This article reviews commercial wearable devices with a focus on postural analysis. The clinical applicability of posture wearables, particularly in preventing, monitoring and treating spinal and musculoskeletal conditions, along with other purposes in healthcare, will be discussed.

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Proposed objective scoring algorithm for assessment and intervention recovery following surgery for lumbar spinal stenosis based on relevant gait metrics from wearable devices: the Gait Posture index (GPi)

Cited by 24 publications

References 29 publications

Wearable devices for patient monitoring in the early postoperative period: a literature review

Wearable devices for patient monitoring in the early postoperative period: a literature review

Innovation and New Technologies in Spine Surgery, Circa 2020: A Fifty-Year Review

Commercial Postural Devices: A Review

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