Wearable motion sensor device to facilitate compliance with rehabilitation program and functional recovery in patients with shoulder adhesive capsulitis - a pilot study to assess feasibility (Preprint)

2019 ◽  
Author(s):  
Yu-Pin Chen ◽  
Ming-Jr Tsai ◽  
Tai-Yuan Chuang ◽  
Oscar Kuang-Sheng Lee
Keyword(s):  
Range Of Motion ◽  
Functional Recovery ◽  
Adhesive Capsulitis ◽  
Measurement Unit ◽  
Motion Sensor ◽  
Treatment Model ◽  
Shoulder Range Of Motion ◽  
Sensor Device ◽  
Home Based ◽  
Functional Scores

BACKGROUND Adhesive capsulitis (AC) of the shoulder is a common shoulder disorder that painfully reduces the shoulder range of motion (ROM) among the middle-aged population. Although physical therapy with home-based exercises is widely advised to restore range of motion in the treatment of AC, clinical results vary owing to inconsistent compliance. OBJECTIVE This study aims to verify the feasibility of a treatment model that applies wearable motion sensor device (MSD) to assist home-based exercises to improve training compliance and the accuracy of exercises, with the ultimate goal of improving the functional recovery of AC patients. METHODS The MSD comprised inertial measurement unit-based sensors and mobile apps for patients and physicians, offering shoulder mobility tracing, home-based exercise support and progress monitoring. The inter-rater reliability of shoulder mobility measurement using the MSD on ten healthy participants and 15 AC patients was obtained using intraclass correlation coefficient (ICC) analysis and compared to assessments by two highly experienced physicians. A pilot prospective control trial was then carried out to allocate 15 AC patients to two groups – a home-based exercise (HE) group and a motion sensor-assisted rehabilitation (MAR) group. Changes in active and passive shoulder ROM, pain and functional scores and exercise completion rates were compared between groups for a treatment of three months. RESULTS Shoulder ROM, as measured using the MSD herein, exhibited good to excellent reliability by comparison the measurements made by two physicians (ICC range from 0.771 to 0.979). The AC patients in the MAR group exhibited better shoulder mobility and functional recovery and a higher exercise completion rate than the patients in the HE group during and after three months of rehabilitation CONCLUSIONS This investigation shows that MSD-assisted home-based rehabilitation in the treatment of AC is a useful treatment model for tele-rehabilitation that enhances the compliance of patients with training, improving functional recovery, the overcoming of important obstacles in physiotherapy at home by providing comprehensible and easily accessible exercise instructions, compliance, exercise correctness, and the monitoring of progress.

scholarly journals Wearable Motion Sensor Device to Facilitate Rehabilitation in Patients With Shoulder Adhesive Capsulitis: Pilot Study to Assess Feasibility

10.2196/17032 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e17032
Author(s):  
Yu-Pin Chen ◽  
Chung-Ying Lin ◽  
Ming-Jr Tsai ◽  
Tai-Yuan Chuang ◽  
Oscar Kuang-Sheng Lee
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Functional Recovery ◽  
Adhesive Capsulitis ◽  
Intraclass Correlation ◽  
Exercise Group ◽  
Motion Sensor ◽  
Treatment Model ◽  
Sensor Device ◽  
Home Based

Background Adhesive capsulitis (AC) of the shoulder is a common disorder that painfully reduces the shoulder range of motion (ROM) among middle-aged individuals. Although physical therapy with home-based exercises is widely advised to restore ROM in the treatment of AC, clinical results vary owing to inconsistent patient compliance. Objective In this study, we aimed to verify the feasibility of a treatment model that involves applying a wearable motion sensor device to assist patients conduct home-based exercises to improve training compliance and the accuracy of exercises, with the ultimate goal of improving the functional recovery of patients with AC. Methods The motion sensor device was comprised of inertial measurement unit–based sensors and mobile apps for patients and physicians, offering shoulder mobility tracing, home-based exercise support, and progress monitoring. The interrater reliability of shoulder mobility measurement using the motion sensor device on 10 healthy participants and 15 patients with AC was obtained using an intraclass correlation coefficient analysis and compared with the assessments performed by two highly experienced physicians. A pilot prospective control trial was then carried out to allocate the 15 patients with AC to two groups: home-based exercise group and motion sensor–assisted rehabilitation group. Changes in active and passive shoulder ROM, pain and functional scores, and exercise completion rates were compared between the groups during a treatment period of 3 months. Results Shoulder ROM, as measured using the motion sensor device, exhibited good to excellent reliability based on the comparison with the measurements of two physicians (intraclass correlation coefficient range, 0.771 to 0.979). Compared with patients with AC in the home-based exercise group, those in the motion sensor–assisted rehabilitation group exhibited better shoulder mobility and functional recovery and a higher exercise completion rate during and after 3 months of rehabilitation. Conclusions Motion sensor device–assisted home-based rehabilitation for the treatment of AC is a useful treatment model for telerehabilitation that enhances the compliance of patients through training, thus improving functional recovery. This helps overcome important obstacles in physiotherapy at home by providing comprehensible and easily accessible exercise instructions, enhancing compliance, ensuring the correctness of exercise, and monitoring the progress of patients.

scholarly journals Wearable Motion Sensor Device to Facilitate Rehabilitation in Patients With Shoulder Adhesive Capsulitis: Pilot Study to Assess Feasibility (Preprint)

2019 ◽  
Author(s):  
Yu-Pin Chen ◽  
Chung-Ying Lin ◽  
Ming-Jr Tsai ◽  
Tai-Yuan Chuang ◽  
Oscar Kuang-Sheng Lee
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Functional Recovery ◽  
Adhesive Capsulitis ◽  
Intraclass Correlation ◽  
Exercise Group ◽  
Motion Sensor ◽  
Treatment Model ◽  
Sensor Device ◽  
Home Based

BACKGROUND Adhesive capsulitis (AC) of the shoulder is a common disorder that painfully reduces the shoulder range of motion (ROM) among middle-aged individuals. Although physical therapy with home-based exercises is widely advised to restore ROM in the treatment of AC, clinical results vary owing to inconsistent patient compliance. OBJECTIVE In this study, we aimed to verify the feasibility of a treatment model that involves applying a wearable motion sensor device to assist patients conduct home-based exercises to improve training compliance and the accuracy of exercises, with the ultimate goal of improving the functional recovery of patients with AC. METHODS The motion sensor device was comprised of inertial measurement unit–based sensors and mobile apps for patients and physicians, offering shoulder mobility tracing, home-based exercise support, and progress monitoring. The interrater reliability of shoulder mobility measurement using the motion sensor device on 10 healthy participants and 15 patients with AC was obtained using an intraclass correlation coefficient analysis and compared with the assessments performed by two highly experienced physicians. A pilot prospective control trial was then carried out to allocate the 15 patients with AC to two groups: home-based exercise group and motion sensor–assisted rehabilitation group. Changes in active and passive shoulder ROM, pain and functional scores, and exercise completion rates were compared between the groups during a treatment period of 3 months. RESULTS Shoulder ROM, as measured using the motion sensor device, exhibited good to excellent reliability based on the comparison with the measurements of two physicians (intraclass correlation coefficient range, 0.771 to 0.979). Compared with patients with AC in the home-based exercise group, those in the motion sensor–assisted rehabilitation group exhibited better shoulder mobility and functional recovery and a higher exercise completion rate during and after 3 months of rehabilitation. CONCLUSIONS Motion sensor device–assisted home-based rehabilitation for the treatment of AC is a useful treatment model for telerehabilitation that enhances the compliance of patients through training, thus improving functional recovery. This helps overcome important obstacles in physiotherapy at home by providing comprehensible and easily accessible exercise instructions, enhancing compliance, ensuring the correctness of exercise, and monitoring the progress of patients.

Effect of a Wearable Motion Sensor Device in Facilitating In-Home Rehabilitation Program in Patients After Total Knee Arthroplasty (Preprint)

2020 ◽  
Author(s):  
Yu-Pin Chen ◽  
Chung-Ying Lin ◽  
Yi-Jie Kuo ◽  
Oscar Kuang-Sheng Lee
Keyword(s):  
Total Knee Arthroplasty ◽  
Functional Recovery ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Exercise Group ◽  
Motion Sensor ◽  
Treatment Model ◽  
Sensor Device ◽  
Home Based ◽  
Total Knee

BACKGROUND Total knee arthroplasty (TKA) is an effective procedure for patients with end-stage knee osteoarthritis. Postoperative rehabilitation programs are essential for facilitating functional recovery after TKA. However, clinical results vary because of inconsistent patient compliance. OBJECTIVE This study aimed to verify the feasibility of a treatment model that involves applying a wearable motion sensor device (MSD) to assist patients in performing home-based exercises after TKA. METHODS The MSD comprised inertial measurement unit–based sensors and mobile apps for patients and physicians, which allowed for knee mobility tracing, home-based exercise support, and progress monitoring. The interrater reliability of knee mobility measurements was assessed using the intraclass correlation coefficient (ICC). Different knee flexion angles and the time spent for completing the 5-times sit-to-stand test (5TSST) in 12 healthy participants were measured by 2 experienced physicians and using the MSD, and their results were compared using ICC. A pilot prospective control trial was then conducted, in which 12 patients following TKA were allocated to 2 groups: the home-based exercise group and the MSD-assisted rehabilitation group. Changes in knee range of motion, pain, functional score (assessed using the Western Ontario and McMaster Universities Arthritis Index), performance (tested using 5TSST), and exercise completion rates were compared between the groups over 2 months of follow-up. RESULTS Knee flexion at different angles and the time spent for completing 5TSST measured using the MSD exhibited excellent reliability compared with the physician measurements (ICC range: 0.996 and 0.996 respectively). Furthermore, patients in the MSD-assisted rehabilitation group reported higher exercise completion rate within 2 months of the in-home exercise program compared with participants in the home-based exercise group, which lead to more favorable outcomes in the knee extension angle and maximal and average angular velocity in 5TSST. CONCLUSIONS MSD-assisted home-based rehabilitation following TKA is a useful treatment model for telerehabilitation because it enhances patients’ compliance to training, which improves functional recovery. This method helps overcome critical obstacles in home-based physiotherapy among patients after TKA. Therefore, this study has crucial implications for patients and health systems.

scholarly journals COMPARISON OF INTRA-ARTICULAR METHYLPREDNISOLONE AND KETOROLAC INJECTIONS IN IMPROVING RANGE OF MOTION FOR DIFFERENT SHOULDER JOINT DISORDERS

2021 ◽  
Vol 71 (3) ◽  
pp. 819-22
Author(s):  
Sumeera Matee ◽  
Wasif Anwar ◽  
Sami Wahid ◽  
Saeed Bin Ayaz ◽  
Rana Shahid ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Shoulder Joint ◽  
External Rotation ◽  
Adhesive Capsulitis ◽  
Military Hospital ◽  
Prednisolone Acetate ◽  
Methyl Prednisolone ◽  
Shoulder Range Of Motion ◽  
Significant Difference ◽  
Flexion Extension

Objective: To compare the efficacy of intra-articular injection of methyl prednisolone with ketorolac for improvement in range of motion in various shoulder joint disorders. Study Design: Quasi-experimental study. Place and Duration of Study: Departments of Internal and Rehabilitation Medicine, Combined Military Hospital Mangla, from Nov 2018 to May 2019. Methodology: Through non-probability consecutive sampling, patients with shoulder disorders were enrolled in the study and divided into two groups. Group A received intra articular corticosteroid injection and group B received intra-articular Ketorolac injection. Outcome was measured in terms of improvement in shoulder range of motion. Results: A total of 60 patients were selected, 40 (66.7%) male and 20 (33.3%) female. 30 (50%) patients had adhesive capsulitis, 24 (40%) had rotator cuff syndrome and 6 (10%) had impingement syndrome. 24 patients received methyl prednisolone acetate injection while 36 received ketorolac injection. There was no significant difference in the mean gain in flexion, extension, abduction, internal or external rotation between both groups (p=0.224, p=0.261, p=0.884, p=0.238, and p=0.584 respectively). Conclusion: There was no significant difference in efficacy of corticosteroid and ketorolac when injected intra-articularly in shoulder joint disorders.

scholarly journals Neuromodulation of the Suprascapular Nerve

2014 ◽  
Vol 6;17 (6;12) ◽  
pp. E769-E773
Author(s):  
Foad Elahi
Keyword(s):  
Peripheral Nerve ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
Nerve Stimulation ◽  
Shoulder Joint ◽  
Adhesive Capsulitis ◽  
Suprascapular Nerve ◽  
Shoulder Range Of Motion ◽  
Shoulder Range ◽  
Chronic Shoulder Pain

The shoulder joint is an enarthrodial or ball-and-socket joint. A complex network of anatomic structures endows the human shoulder with tremendous mobility, greater than any other joint in the body. Many pathologies can been found in those patients with chronic shoulder pain. The painful limitation of shoulder motion affects hand and arm motion as well; therefore, it significantly influences work performance and everyday activities as well as the quality of life. Therefore, the treatment of patients with chronic shoulder pain has major social and health economic implications. In this article we present a patient with a complex history of shoulder pathology including 7 surgeries that left the patient with chronic debilitating shoulder pain. She was suffering from chronic pain and limited mobility of the shoulder joint due to adhesive shoulder capsulitis. She was treated with a multimodality approach with the goals of increasing shoulder range of motion and decreasing her pain. This did not provide significant improvement. The suprascapular nerve supplies motor and sensory innervation to the shoulder, and can be easily accessible in the supraspinatus fossa. A suprascapular nerve block dramatically decreased her pain. This clinical observation along with confirmatory nerve block play an important role during the decision-making process for a trial period of electrical neuromodulation. She was followed for 3 months after the permanent implantation of a suprascapular nerve stimulator. Her pain and shoulder range of motion in all planes improved dramatically. Peripheral nerve stimulation (PNS) of the suprascapular nerve, in addition to multimodality pain management, is one approach to the difficult task of treating adhesive capsulitis with accompanying pain and the inability to move the shoulder. We conducted a literature review on PubMed and found no case describing a similar patient to our knowledge. Key words: Suprascapular nerve, neuromodulation, peripheral nerve stimulation, adhesive capsulitis, chronic shoulder pain

scholarly journals Measurement of Shoulder Range of Motion in Patients with Adhesive Capsulitis Using a Kinect

PLoS ONE ◽  
2015 ◽  
Vol 10 (6) ◽  
pp. e0129398 ◽  
Author(s):  
Seung Hak Lee ◽  
Chiyul Yoon ◽  
Sun Gun Chung ◽  
Hee Chan Kim ◽  
Youngbin Kwak ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Adhesive Capsulitis ◽  
Shoulder Range Of Motion ◽  
Shoulder Range

scholarly journals A comparative study on the effectiveness of Mulligan mobilization versus Positional release therapy technique in patients with Adhesive capsulitis

2021 ◽  
Vol 12 (1) ◽  
pp. 1-5
Author(s):  
Chandrasekaran K ◽  
Sundaram M S ◽  
Senthil Selvam P ◽  
Viswanath Reddy A ◽  
Senthilkumar S ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Functional Activity ◽  
External Rotation ◽  
Adhesive Capsulitis ◽  
Shoulder Range Of Motion ◽  
Release Technique ◽  
Group A ◽  
Group B ◽  
Shoulder Range

Adhesive capsulitis is a painful condition in which the movement of the shoulder becomes limited and functional activity is affected. Adhesive capsulitis occurs when the shoulder joint capsule become thick, stiff and inflamed. The aim of the study is to compare the effectiveness of Mulligan movement with mobilization versus Positional release technique on shoulder range of motion and functional activity in patients with adhesive capsulitis. 30 patients were randomly divided into two groups. Group A (N = 15) received Mulligan mobilization technique and Group B (N = 15) received positional release therapy. The shoulder range of motion (Abduction, External rotation, Internal rotation) was measured by goniometer, the functional activity by SPADI questionnaire. The results showed that significant differences in shoulder ROM Abduction (t = 14.18, p = 0.000), Internal rotation (t = 13.80, p = 0.000), External rotation (t = 15.87, p = 0.000) and SPADI questionnaire (t = 13.94, p = 0.000) were observed in group A patients when compared to group B. In conclusion the Mulligan mobilization technique was effective to improve the shoulder ROM and reduce functional disability in patients with adhesive capsulitis compared to Positional release technique.

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