Over the years, smartphones have become tools for scientific and clinical research. They can, for instance, be used to assess range of motion and joint angle measurement. In this paper, our aim was to determine if smartphones are reliable and accurate enough for clinical motion research. This work proposes an evaluation of different smartphone sensors performance and different manufacturer algorithm performances with the comparison to the gold standard, an industrial robotic arm with an actual standard use inertial motion unit in clinical measurement, an Xsens product. Both dynamic and static protocols were used to perform these comparisons. Root Mean Square (RMS) mean values results for static protocol are under 0.3° for the different smartphones. RMS mean values results for dynamic protocol are more prone to bias induced by Euler angle representation. Statistical results prove that there are no filter effect on results for both protocols and no hardware effect. Smartphones performance can be compared to the Xsens gold standard for clinical research.
Assessment of joint functional and proprioceptive abilities is essential for balance, posture, and motor control rehabilitation. Joint functional ability refers to the capacity of movement of the joint. It may be evaluated thereby measuring the joint range of motion (ROM). Proprioception can be defined as the perception of the position and of the movement of various body parts in space. Its role is essential in sensorimotor control for movement acuity, joint stability, coordination, and balance. Its clinical evaluation is commonly based on the assessment of the joint position sense (JPS). Both ROM and JPS measurements require estimating angles through goniometer, scoliometer, laser-pointer, and bubble or digital inclinometer. With the arrival of Smartphones, these costly clinical tools tend to be replaced. Beyond evaluation, maintaining and/or improving joint functional and proprioceptive abilities by training with physical therapy is important for long-term management. This review aims to report Smartphone applications used for measuring and improving functional and proprioceptive abilities. It identifies that Smartphone applications are reliable for clinical measurements and are mainly used to assess ROM and JPS. However, there is lack of studies on Smartphone applications which can be used in an autonomous way to provide physical therapy exercises at home.
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