How New Technology Is Improving Physical Therapy

Owens, Johnny G.; Rauzi, Michelle R; Kittelson, Andrew J; Graber, Jeremy; Bade, Michael; Johnson, Julia; Nabhan, Dustin

doi:10.1007/s12178-020-09610-6

Cited by 24 publications

(17 citation statements)

References 96 publications

(68 reference statements)

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“…Training physical therapy students to learn how to administer the digital tools in a standardized way is an important step towards preparing the future healthcare task force to embrace innovation and technology. Emergence of new technologies and digital applications [40] is evident and necessary in the area of fall prevention as it will lead to improved outcomes [41], thereby contributing to good quality of life for community dwelling elderly populations. The interprofessional balance clinic provided this type of experiential learning with respect to using the digital tool and education provided by students to their clients [42].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of a self-reported digital fall risk assessment compared with the traditional functional balance and gait assessments performed during student led balance screening: A pilot study

Hajela¹,

Trueblood²,

Flynn³

2022

IJPR

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Background: One in four older adults in the age range 65 and above, report falls in the US each year. Some falls cause injuries or even deaths and can pose a significant economic burden on society. This pilot study compares two different methods of measuring fall risk in older adults. The goal of this research is to investigate the feasibility of a digital fall risk assessment tool, compared with the traditional functional gait and balance assessments. Methods: Community dwelling older adults aged 60 years or older were recruited. Physical therapy students guided the participants through the following traditional paper-based tests: Berg Balance Scale (BBS) or Fullerton Advanced Balance (FAB), 30 Second Chair Stand (30CST), 50-foot Walk Test, Balance Efficacy Scale (BES), and the Center for Epidemiologic Studies - Depression Scale (CES-D). All participants then independently completed the following digitally guided tests using the Health in Motion© (Blue Marble Health) remote therapeutic monitoring platform that comprised of Fall Risk Questionnaire (FRQ), One Leg Stand Test (OLST), 30 Second Sit to Stand Test (30STST), and 2 Question Depression Screen (2QDS). Results: This pilot study involved six female and one male community-dwelling older adults aged 67-90 years (81.57 ± 8.07). In general, the digital fall risk assessments correlated with some of the traditional paper-based fall risk tests. Specifically, there was a statistically significant moderate correlation between the digital fall risk questionnaire (FRQ) and the paper-based BES (r=0.77, p=0.043), and CES-D (r=0.76, p=.046). There was a statistically significant very strong correlation between the digital OLST and the 50-foot walk preferred speed (r=0.80, p=0.056), fast speed (r=0.92, p=.0009), and moderate correlation with 30CST (r=0.79, p=0.033). Further, there was a 100% match between both digital and paper-based depression tests. In terms of average total duration of administering the test, the digital fall risk assessment takes 7 minutes in comparison to 60 minutes with traditional balance and gait assessment. Conclusion: During the global COVID-19 pandemic and beyond, digital fall risk self-assessment tools can enable clinicians to collect asynchronous, objective, and standardized assessments prior to their telehealth visits. KEYWORDS: Fall Prevention, Fall Screening, Self-Assessment Mhealth App, Telehealth, Pro Bono Balance Clinic, Remote Patient Monitoring.

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Section: Discussionmentioning

confidence: 99%

Feasibility of a self-reported digital fall risk assessment compared with the traditional functional balance and gait assessments performed during student led balance screening: A pilot study

Hajela¹,

Trueblood²,

Flynn³

2022

IJPR

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“…However, the translation of in vitro data to clinical recommendations continues to be extremely difficult and further studies will be required in the future. Needless to say, patients with high expectations for RTS require a disciplined and balanced physical therapy after THA, and should be counseled on available new technologies and novel applications [50].…”

Section: Return To Sports After Thamentioning

confidence: 99%

Recommendations for return to sports after total hip arthroplasty are becoming less restrictive as implants improve

Vu-Han

Hardt

Ascherl³

et al. 2020

Arch Orthop Trauma Surg

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Introduction Total hip arthroplasty (THA) surgeries are expected to exponentially increase in the upcoming years, likely because of the overall broader indication of THAs. With these developments, an increasing number of younger (< 50 years) and active patients will receive surgical interventions, and expectations for an active lifestyle will accordingly increase. In addition, surgeons now have a growing array of techniques and implant materials to choose from. Despite these developments, evidence to provide the best standard-of-care to patients with high expectations for return to sports (RTS) is scarce and urgently needed. What recommendations do arthroplasty surgeons currently make to patients with high return to sports expectations, what factors may influence their recommendations and what surgical techniques and implant specifications are considered favorable in the treatment of patients with a more active lifestyle? This study was conducted to analyze the current recommendations, patient assessment, and patient counseling after THA to identify trends and relevant factors for surgical decision-making in patients with high-RTS expectations. Material and methods We designed a questionnaire comprising five general items and 19 specific items that included 46 sub-items for hip arthroplasty and conducted a survey among 300 German surgeons specialized in arthroplasty at the German Arthroplasty Society (AE) to assess expert opinions, recommendations, surgical decision-making, and patient counseling for patients with high expectations for RTS after THA. Results The majority of surgeons (81.9%) were in favor of RTS after THA. Risks associated with sports after THA were considered minimal (1%), with periprosthetic fractures ranking highest, followed by hip dislocation and polyethylene wear. Some surgical decision-making was influenced by high-RTS expectations in regard to implant fixation, stem type, femoral head diameter, and bearing-surface tribology. We observed an increasingly liberal counseling of patients for high-impact sports. Conclusion With the improvement of implants and surgical techniques, surgeons are more willing to encourage patients to adopt a more active lifestyle. However, the true long-term limitations need further investigation in future studies. Level of evidence 5 Expert opinions.

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“…To overcome these problems, exoskeletons (e.g., see Figure 1 ) can be used to reintegrate persons with motor disabilities into social life [ 11 ]. Furthermore, they can be used to support patients as well as therapists or trainers in the rehabilitation or training progress [ 11 , 12 ]. Exoskeletons are mostly electrically powered robotic devices that fit tightly against the body and use rigid structures to empower or augment the user’s movements [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Use of Lower Limb Exoskeletons as an Assessment Tool for Human Motor Performance: A Systematic Review

Moeller

Moehler

Krell‐Roesch

et al. 2023

Sensors

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Exoskeletons are a promising tool to support individuals with a decreased level of motor performance. Due to their built-in sensors, exoskeletons offer the possibility of continuously recording and assessing user data, for example, related to motor performance. The aim of this article is to provide an overview of studies that rely on using exoskeletons to measure motor performance. Therefore, we conducted a systematic literature review, following the PRISMA Statement guidelines. A total of 49 studies using lower limb exoskeletons for the assessment of human motor performance were included. Of these, 19 studies were validity studies, and six were reliability studies. We found 33 different exoskeletons; seven can be considered stationary, and 26 were mobile exoskeletons. The majority of the studies measured parameters such as range of motion, muscle strength, gait parameters, spasticity, and proprioception. We conclude that exoskeletons can be used to measure a wide range of motor performance parameters through built-in sensors, and seem to be more objective and specific than manual test procedures. However, since these parameters are usually estimated from built-in sensor data, the quality and specificity of an exoskeleton to assess certain motor performance parameters must be examined before an exoskeleton can be used, for example, in a research or clinical setting.

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How New Technology Is Improving Physical Therapy

Cited by 24 publications

References 96 publications

Feasibility of a self-reported digital fall risk assessment compared with the traditional functional balance and gait assessments performed during student led balance screening: A pilot study

Feasibility of a self-reported digital fall risk assessment compared with the traditional functional balance and gait assessments performed during student led balance screening: A pilot study

Recommendations for return to sports after total hip arthroplasty are becoming less restrictive as implants improve

Use of Lower Limb Exoskeletons as an Assessment Tool for Human Motor Performance: A Systematic Review

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