Validation of an on-screen application-based measurement of shoulder range of motion over telehealth medium

Sahu, Dipit; Shah, Darshil U.; Joshi, Moksha; Shaikh, Sana Afreen; Gaikwad, Priyanka; Shyam, Ashok

doi:10.1016/j.jse.2021.06.017

Cited by 7 publications

(11 citation statements)

References 23 publications

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“…For the SF measurement, we mainly applied the computer software “Screen Protractor” to calculate the range of motion from the screenshots randomly captured by the video camera throughout the experiment, and results were assessed combining all the sessions. This measurement was adapted from previous studies [ 31 , 32 ] where the validity and reliability had been examined.…”

Section: Methodsmentioning

confidence: 99%

Wii or Kinect? A Pilot Study of the Exergame Effects on Older Adults’ Physical Fitness and Psychological Perception

Huo

et al. 2021

IJERPH

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Exergames are now often implemented among older adults for health purposes. This study aimed to investigate whether playing Kinect and Wii exergames has effects on older adults’ physical fitness and psychological perceptions towards exergames. A total of 23 older participants aged above 60 years were recruited and randomly assigned into two groups, in which they played either Kinect or Wii Bowling exergames for three sessions in one week. Physiological and psychological measures were collected including heart rate, blood pressure, shoulder flexibility, as well as perceived benefits and intentions for future use. Findings indicated that exergames are equivalent to light-intensity exercises, and hence pose no or minimal risk to older adults. Older adults had a positive attitude towards exergames and have a strong willingness to engage in exergaming on a regular basis. Although no significant platform difference was identified, observation and qualitative findings suggested that Wii might provide a more intense physical activity than Kinect, while Kinect might obtain a higher perception among older adults than Wii. The study has several practical implications for both health professionals and exergame designers targeting the ageing population.

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Section: Methodsmentioning

confidence: 99%

Wii or Kinect? A Pilot Study of the Exergame Effects on Older Adults’ Physical Fitness and Psychological Perception

Huo

et al. 2021

IJERPH

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“…One of the main challenges for telehealth services in low- and middle-income countries was the inaccessibility to telehealth itself. Low- and middle-income countries face the challenges of access to communication devices such as smartphones, computers, or any other electronic communication devices, access to internet services, and web-based applications [ 15 , 16 , 19 , 24 , 39 ]. These components are key building blocks of a basic telehealth program and without their proper access, one cannot operate efficient and equitable telehealth services that cover the entire population of the country.…”

Section: Resultsmentioning

confidence: 99%

Utilization of telehealth services in low- and middle-income countries amid the COVID-19 pandemic: a narrative summary

Tiwari

Kulkarni

Zhang

et al. 2023

Global Health Action

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Background During the current period of the pandemic, telehealth has been a boon to the healthcare system by providing quality healthcare services at a safe social distance. However, there has been slow progress in telehealth services in low- and middle-income countries with little to no evidence of the cost and effectiveness of such programmes. Objective To provide an overview of the expansion of telehealth in low- and middle-income countries amid the COVID-19 pandemic and identify the challenges, benefits, and costs associated with implementing telehealth services in these countries. Methods We performed a literature review using the search term: ‘*country name* AND ((telemedicine[Title][Abstract]) OR (telehealth[Title][Abstract] OR eHealth[Title][Abstract] OR mHealth[Title][Abstract]))’. Initially, we started with 467 articles, which were reduced to 140 after filtering out duplicates and including only primary research studies. Next, these articles were screened based on established inclusion criteria and 44 articles were finalised to be used in the review. Results We found telehealth-specific software being used as the most common tool to provide such services. Nine articles reported patient satisfaction of greater than 90% with telehealth services. Moreover, the articles identified the ability to make a correct diagnosis to resolve the condition, efficient mobilisation of healthcare resources, increased accessibility for patients, increased service utilisation, and increased satisfaction as benefits of telehealth services, whereas inaccessibility, low technological literacy, and lack of support, poor security standards and technological concerns, loss of interest by the patients, and income impacts on physicians as challenges. The review could not find articles that explored the financial information on telehealth programme implementation. Conclusion Although telehealth services are growing in popularity, the research gap on the efficacy of telehealth is high in low- and middle-income countries. To better guide the future development of telehealth services, rigorous economic evaluation of telehealth is needed.

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“…The ICC between both measurement modalities and the intraobserver reliability between examiners of different training levels was greater than 0.9 (ie, excellent), indicating potential for reproducibility of this technique in a remote setting. 19 Knapp et al 9 performed a study with total hip arthroplasty and total knee arthroplasty patients to assess their engagement using the same smartphone app that was used in this study. The content available to the patients in the app included physical therapy videos/exercises and other educational materials.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of a Smartphone Software Application Compared With a Handheld Goniometer for Measuring Shoulder Range of Motion in Asymptomatic Adults

Soeters,

Damodar,

Borman

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Typically, shoulder range of motion (ROM) measurements are performed in a clinic setting, where physicians, physical therapists (PTs), and occupational therapists make use of a goniometer. Purpose: To determine the accuracy of a smartphone-based ROM software application (app) in assessing active shoulder ROM and compare the measurements with traditional goniometry as measured by a PT. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: This prospective, nonblinded study was conducted at a single institution with adult asymptomatic participants with full active ROM of both shoulders. Participants were enrolled between June 1 and 15, 2021. Each participant self-assessed their active shoulder ROM using the PeerWell smartphone app. A single PT concurrently measured each participant’s active shoulder ROM using a handheld universal goniometer. Bilateral shoulder ROM (forward flexion, abduction [AB], external rotation, internal rotation [IR], and extension) was measured 2 times for each participant. Interrater reliability between the smartphone app and PT measurements as well as intrarater reliability for each method of measurement were assessed using the intraclass correlation coefficient (ICC), and limits of agreement were analyzed for the difference in measurement methods. Results: Data were analyzed for 60 shoulders (30 right, 30 left) from 30 participants (mean age, 31.4 ± 11.7 years; 73% female). The interrater reliability between the 2 methods was excellent for all movements (ICCs, 0.90-0.96). For all movements except shoulder AB, the mean difference in the measurements between the 2 methods was <1.3°; the mean difference in AB ROM was 2.08°. For all movements except IR, both PTs and the app showed excellent intrarater reliability (ICCs >0.90); for IR, good intrarater reliability (ICC ≥0.75) was observed. Conclusion: The PeerWell smartphone app provided measurements comparable with manual measurements taken by a PT using a goniometer. These data provide evidence that the smartphone app is a reliable and valid tool for measuring shoulder ROM and show promise for measuring and monitoring patient ROM remotely.

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Validation of an on-screen application-based measurement of shoulder range of motion over telehealth medium

Cited by 7 publications

References 23 publications

Wii or Kinect? A Pilot Study of the Exergame Effects on Older Adults’ Physical Fitness and Psychological Perception

Wii or Kinect? A Pilot Study of the Exergame Effects on Older Adults’ Physical Fitness and Psychological Perception

Utilization of telehealth services in low- and middle-income countries amid the COVID-19 pandemic: a narrative summary

Accuracy of a Smartphone Software Application Compared With a Handheld Goniometer for Measuring Shoulder Range of Motion in Asymptomatic Adults

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