Zishi

Abstract

Zishi is a garment designed to support posture monitoring for the purposes of rehabilitation training. It has been designed with attention to presenting accurate and informative feedback to patients regarding their thoracic and shoulder posture as well as comfort, ease of use, wearability and aesthetics. Zishi can be useful during rehabilitation training for a variety of patient groups. So far, we have been concerned with two broad training scenarios a) for arm-hand (neurological) rehabilitation training after stroke or for MS and spinal cord injury patients. B) for shoulder patients. Zishi consists of a garment integrated with smart textiles and wearable electronics. It presents real-time feedback as a vibration delivered through the garment, visual and audio instructions through androidhand held device (smartphone or tablet).

Mobile Health Self-management Support for Spinal Cord Injury: Systematic Literature Review

“…The 24 included publications comprised 20 (83%) studies [ 36 , 37 , 40 , 42 - 57 , 59 ], 3 (12%) reports [ 38 , 39 , 58 ], and 1 (4%) protocol paper [ 41 ] (Table S1 Multimedia Appendix 3 ). The included publications primarily aimed to describe and develop mHealth tools (10/24, 42%) [ 38 , 39 , 43 , 45 , 46 , 48 , 54 , 56 - 58 ], evaluate implementation factors (9/24, 38%) [ 37 , 40 , 45 , 46 , 49 , 50 , 54 , 55 , 57 ], evaluate usability and user experience (7/24, 29%) [ 45 - 48 , 52 - 54 ] and effectiveness (6/24, 25%) [ 36 , 41 , 42 , 44 , 51 , 54 ], and describe stakeholder perspectives (1/24, 4%). The included publications were published between 2015 and 2022, and most (18/24, 75%) were published from 2018 onward [ 41 - 57 , 59 ].…”

“…The included publications were published between 2015 and 2022, and most (18/24, 75%) were published from 2018 onward [ 41 - 57 , 59 ]. The research teams were mainly based in North America (15/24, 62%) [ 38 , 40 - 42 , 44 - 47 , 50 , 52 , 53 , 55 , 56 , 58 , 59 ], followed by Europe (6/24, 25%) [ 36 , 37 , 48 , 49 , 54 , 57 ], Asia (2/24, 8%) [ 43 , 51 ], and Europe and Asia (1/24, 4%) [ 39 ].…”

“…No studies were excluded based on the risk assessment. Study participants experienced various limitations in body functions, including musculoskeletal and movement-related functions [ 37 , 39 , 43 ], sensory functions and pain [ 36 , 47 , 51 , 59 ], urination and defecation [ 40 , 45 , 47 , 50 , 58 , 59 ], skin [ 38 , 45 - 50 , 52 , 53 , 59 ], sleep [ 54 ], and functions that help manage the psychological and social demands of daily life [ 44 , 45 , 47 , 54 , 59 ]. The sample sizes of the 20 included studies ranged from 4 to 75 participants where reported [ 36 , 37 , 40 , 42 - 57 , 59 ].…”

“…In total, 4 tools were unnamed (4/24, 17%) [ 38 , 40 , 43 , 48 , 49 ]. The included publications documented mHealth tools mainly at their testing stage (10/19, 53%) [ 36 , 40 , 43 - 45 , 47 , 50 - 52 , 54 , 55 , 58 ], followed by the developmental (6/19, 32%) [ 38 , 39 , 41 , 46 , 48 , 56 , 59 ], proof-of-concept (3/19, 16%) [ 37 , 42 , 49 ], proposal (1/19, 5%) [ 57 ], and launch (1/19, 5%) [ 53 ] stages.…”

“…The design and development of the included mHealth tools followed phases largely characteristic of user-centered design as the process was iterative and sought to understand users, the relevant tasks they needed to perform, and the environment of use (10/19, 53%) [ 36 , 39 , 40 , 44 , 46 , 47 , 50 - 52 , 54 , 57 , 59 ]. Participatory design, in which stakeholders are encouraged to make substantial contributions to design decisions, was used to a lesser extent (3/19, 16%) [ 45 , 48 , 49 , 56 ].…”