sensors-logo

Journal Browser

Journal Browser

Sensing and Signal Processing Technologies for Outpatient Monitoring and Rehabilitation

A special issue of Sensors (ISSN 1424-8220). This special issue belongs to the section "Intelligent Sensors".

Deadline for manuscript submissions: 25 December 2024 | Viewed by 13649

Special Issue Editors


E-Mail Website
Guest Editor
Department of Materials and Production, Aalborg University, Fibigerstraede 16, DK-9220 Aalborg East, Denmark
Interests: biomechanical analysis; sensors; monitoring of outpatients; rehabilitation

E-Mail Website
Guest Editor
Interdisciplinary Orthopaedics, Aalborg University Hospital, 9000 Aalborg, Denmark
Interests: wearable sensors; post-operative care; gait analysis

Special Issue Information

Dear Colleagues,

The ageing society and the growing prevalence of population diseases will stretch hospital capacity to the limits, and the increased use of outpatient solutions seems inevitable. Outpatient solutions have several medical benefits, such as faster rehabilitation and improved quality-of-life for patients, but they also pose technical challenges in terms of disease monitoring and rehabilitation progression as well as the identification of situations that require medical intervention. Most of the conceivable technologies rely on sensors and signal processing to some extent, and the associated science is the focus of this Special Issue. Topics include, but are not limited to:

  • Sensing technologies for disease and rehabilitation monitoring;
  • Wearable and ubiquitous sensing technologies;
  • Model-based technologies for the estimation of disease and rehabilitation progress from sensor signals;
  • Infrastructure solutions for the management of outpatient populations;
  • Sensing technologies for rehabilitation and independence-improving technology such cobots and exoskeletons.

The aforementioned technologies are particularly relevant for population diseases such as diabetes, osteoarthritis and Parkinson’s disease, but they are also important for the management of congenital or progressive conditions such as cerebral palsy, amyotrophic lateral sclerosis and multiple sclerosis.

Prof. Dr. John Rasmussen
Dr. Arash Ghaffari
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Sensors is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • sensor data processing
  • wearable biomarkers
  • outpatient monitoring
  • remote patient rehabilitation
  • telemedicine

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • e-Book format: Special Issues with more than 10 articles can be published as dedicated e-books, ensuring wide and rapid dissemination.

Further information on MDPI's Special Issue polices can be found here.

Published Papers (7 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

Jump to: Other

18 pages, 2308 KiB  
Article
Impact of a Precision Intervention for Vascular Health in Middle-Aged and Older Postmenopausal Women Using Polar Heart Rate Sensors: A 24-Week RCT Study Based on the New Compilation of Tai Chi (Bafa Wubu)
by Xiaona Wang, Yanli Han, Haojie Li, Xin Wang and Guixian Wang
Sensors 2024, 24(17), 5832; https://doi.org/10.3390/s24175832 - 8 Sep 2024
Viewed by 382
Abstract
(1) Background: This study utilized a 24-week intervention incorporating heart rate sensors for real-time monitoring of intervention training, aiming to comprehensively assess the effects of Tai Chi on vascular endothelial function, atherosclerosis progression, and lipid metabolism. The insights gained may inform personalized non-pharmacological [...] Read more.
(1) Background: This study utilized a 24-week intervention incorporating heart rate sensors for real-time monitoring of intervention training, aiming to comprehensively assess the effects of Tai Chi on vascular endothelial function, atherosclerosis progression, and lipid metabolism. The insights gained may inform personalized non-pharmacological interventions to enhance the management of cardiovascular health in this population to provide sustainable benefits and improve quality of life. (2) Methods: Forty postmenopausal middle-aged and elderly women were randomly assigned to an exercise or control group. The exercise group underwent a 24-week Tai Chi (BaFa WuBu) training intervention with real-time heart rate monitoring using Polar sensors. Pre- and post-intervention assessments included body composition, blood pressure, vascularity, and blood parameters measured with the Inbody 720, Vascular Endothelial Function Detector, and Arteriosclerosis. Data were analyzed using SPSS 26.0 and mixed-design ANOVA to assess the effects of time, group, and their interactions on study outcomes. (3) Results: After training through 24 weeks of Tai Chi (BaFa WuBu) intervention, compared with the control group, systolic blood pressure in the exercise group was significantly lower (p < 0.05), and the difference between left and right arm pulse pressure, left and right ankle mean arterial pressure, left and right side baPWV, left and right side ABI, TC, TG, LDL, and blood pressure viscosity were all very significantly lower (p < 0.01), and the diastolic blood pressure was significantly higher (p < 0.05). Compared with baseline values in the exercise group, systolic blood pressure, right and left arm pulse pressure difference, right and left ankle mean arterial pressure, right and left side baPWV, right and left side ABI, TC, TG, LDL, and blood pressure viscosity decreased very significantly (p < 0.01) and diastolic blood pressure and FMD increased very significantly (p < 0.01) in the exercise group after the intervention. (4) Conclusions: In our study, a 24-week Tai Chi (BaFa WuBu) program significantly improved vascular health in middle-aged and older postmenopausal women. This simplified Tai Chi form is gentle and effective, ideal for older adults. Regular practice led to reduced vascular obstruction, improved lipid metabolism, and enhanced vascular endothelial function, crucial for preventing vascular diseases. The real-time heart rate sensors used were pivotal, enabling precise monitoring and adjustment of exercise intensity, thereby enhancing the study’s scientific rigor and supporting Tai Chi (BaFa WuBu) as a beneficial therapeutic exercise. Full article
Show Figures

Figure 1

10 pages, 481 KiB  
Article
Excessive Oxygen Administration in High-Risk Patients Admitted to Medical and Surgical Wards Monitored by Wireless Pulse Oximeter
by Clara E. Mathar, Camilla Haahr-Raunkjær, Mikkel Elvekjær, Ying Gu, Claire P. Holm, Michael P. Achiam, Lars N. Jorgensen, Eske K. Aasvang and Christian S. Meyhoff
Sensors 2024, 24(4), 1139; https://doi.org/10.3390/s24041139 - 9 Feb 2024
Viewed by 1034
Abstract
The monitoring of oxygen therapy when patients are admitted to medical and surgical wards could be important because exposure to excessive oxygen administration (EOA) may have fatal consequences. We aimed to investigate the association between EOA, monitored by wireless pulse oximeter, and nonfatal [...] Read more.
The monitoring of oxygen therapy when patients are admitted to medical and surgical wards could be important because exposure to excessive oxygen administration (EOA) may have fatal consequences. We aimed to investigate the association between EOA, monitored by wireless pulse oximeter, and nonfatal serious adverse events (SAEs) and mortality within 30 days. We included patients in the Capital Region of Copenhagen between 2017 and 2018. Patients were hospitalized due to acute exacerbation of chronic obstructive pulmonary disease (AECOPD) or after major elective abdominal cancer surgery, and all were treated with oxygen supply. Patients were divided into groups by their exposure to EOA: no exposure, exposure for 1–59 min or exposure over 60 min. The primary outcome was SAEs or mortality within 30 days. We retrieved data from 567 patients for a total of 43,833 h, of whom, 63% were not exposed to EOA, 26% had EOA for 1–59 min and 11% had EOA for ≥60 min. Nonfatal SAEs or mortality within 30 days developed in 24%, 12% and 22%, respectively, and the adjusted odds ratio for this was 0.98 (95% CI, 0.96–1.01) for every 10 min. increase in EOA, without any subgroup effects. In conclusion, we did not observe higher frequencies of nonfatal SAEs or mortality within 30 days in patients exposed to excessive oxygen administration. Full article
Show Figures

Figure 1

17 pages, 3042 KiB  
Article
Multimodality Video Acquisition System for the Assessment of Vital Distress in Children
by Vincent Boivin, Mana Shahriari, Gaspar Faure, Simon Mellul, Edem Donatien Tiassou, Philippe Jouvet and Rita Noumeir
Sensors 2023, 23(11), 5293; https://doi.org/10.3390/s23115293 - 2 Jun 2023
Viewed by 1799
Abstract
In children, vital distress events, particularly respiratory, go unrecognized. To develop a standard model for automated assessment of vital distress in children, we aimed to construct a prospective high-quality video database for critically ill children in a pediatric intensive care unit (PICU) setting. [...] Read more.
In children, vital distress events, particularly respiratory, go unrecognized. To develop a standard model for automated assessment of vital distress in children, we aimed to construct a prospective high-quality video database for critically ill children in a pediatric intensive care unit (PICU) setting. The videos were acquired automatically through a secure web application with an application programming interface (API). The purpose of this article is to describe the data acquisition process from each PICU room to the research electronic database. Using an Azure Kinect DK and a Flir Lepton 3.5 LWIR attached to a Jetson Xavier NX board and the network architecture of our PICU, we have implemented an ongoing high-fidelity prospectively collected video database for research, monitoring, and diagnostic purposes. This infrastructure offers the opportunity to develop algorithms (including computational models) to quantify vital distress in order to evaluate vital distress events. More than 290 RGB, thermographic, and point cloud videos of each 30 s have been recorded in the database. Each recording is linked to the patient’s numerical phenotype, i.e., the electronic medical health record and high-resolution medical database of our research center. The ultimate goal is to develop and validate algorithms to detect vital distress in real time, both for inpatient care and outpatient management. Full article
Show Figures

Figure 1

15 pages, 2097 KiB  
Article
Accelerations Recorded by Simple Inertial Measurement Units with Low Sampling Frequency Can Differentiate between Individuals with and without Knee Osteoarthritis: Implications for Remote Health Care
by Arash Ghaffari, John Rasmussen, Søren Kold, Rikke Emilie Kildahl Lauritsen, Andreas Kappel and Ole Rahbek
Sensors 2023, 23(5), 2734; https://doi.org/10.3390/s23052734 - 2 Mar 2023
Cited by 1 | Viewed by 1751
Abstract
Determining the presence and severity of knee osteoarthritis (OA) is a valuable application of inertial measurement units (IMUs) in the remote monitoring of patients. This study aimed to employ the Fourier representation of IMU signals to differentiate between individuals with and without knee [...] Read more.
Determining the presence and severity of knee osteoarthritis (OA) is a valuable application of inertial measurement units (IMUs) in the remote monitoring of patients. This study aimed to employ the Fourier representation of IMU signals to differentiate between individuals with and without knee OA. We included 27 patients with unilateral knee osteoarthritis (15 females) and 18 healthy controls (11 females). Gait acceleration signals were recorded during overground walking. We obtained the frequency features of the signals using the Fourier transform. The logistic LASSO regression was employed on the frequency domain features as well as the participant’s age, sex, and BMI to distinguish between the acceleration data from individuals with and without knee OA. The model’s accuracy was estimated by 10-fold cross-validation. The frequency contents of the signals were different between the two groups. The average accuracy of the classification model using the frequency features was 0.91 ± 0.01. The distribution of the selected features in the final model differed between patients with different severity of knee OA. In this study, we demonstrated that using logistic LASSO regression on the Fourier representation of acceleration signals can accurately determine the presence of knee OA. Full article
Show Figures

Figure 1

17 pages, 5805 KiB  
Article
Biomimetic Tendon-Based Mechanism for Finger Flexion and Extension in a Soft Hand Exoskeleton: Design and Experimental Assessment
by Mohamed H. Abdelhafiz, Lotte N. S. Andreasen Struijk, Strahinja Dosen and Erika G. Spaich
Sensors 2023, 23(4), 2272; https://doi.org/10.3390/s23042272 - 17 Feb 2023
Cited by 8 | Viewed by 4496
Abstract
This study proposes a bioinspired exotendon routing configuration for a tendon-based mechanism to provide finger flexion and extension that utilizes a single motor to reduce the complexity of the system. The configuration was primarily inspired by the extrinsic muscle–tendon units of the human [...] Read more.
This study proposes a bioinspired exotendon routing configuration for a tendon-based mechanism to provide finger flexion and extension that utilizes a single motor to reduce the complexity of the system. The configuration was primarily inspired by the extrinsic muscle–tendon units of the human musculoskeletal system. The function of the intrinsic muscle–tendon units was partially compensated by adding a minor modification to the configuration of the extrinsic units. The finger kinematics produced by this solution during flexion and extension were experimentally evaluated on an artificial finger and compared to that obtained using the traditional mechanism, where one exotendon was inserted at the distal phalanx. The experiments were conducted on nine healthy subjects who wore a soft exoskeleton glove equipped with the novel tendon mechanism. Contrary to the traditional approach, the proposed mechanism successfully prevented the hyperextension of the distal interphalangeal (DIP) and the metacarpophalangeal (MCP) joints. During flexion, the DIP joint angles produced by the novel mechanism were smaller than the angles generated by the traditional approach for the same proximal interphalangeal (PIP) joint angles. This provided a flexion trajectory closer to the voluntary flexion motion and avoided straining the interphalangeal coupling between the DIP and PIP joints. Finally, the proposed solution generated similar trajectories when applied to a stiff artificial finger (simulating spasticity). The results, therefore, demonstrate that the proposed approach is indeed an effective solution for the envisioned soft hand exoskeleton system. Full article
Show Figures

Figure 1

15 pages, 4326 KiB  
Article
Hybrid Target Selections by ”Hand Gestures + Facial Expression” for a Rehabilitation Robot
by Yi Han, Xiangliang Zhang, Ning Zhang, Shuguang Meng, Tao Liu, Shuoyu Wang, Min Pan, Xiufeng Zhang and Jingang Yi
Sensors 2023, 23(1), 237; https://doi.org/10.3390/s23010237 - 26 Dec 2022
Cited by 1 | Viewed by 2362
Abstract
In this study we propose a “hand gesture + face expression” human machine interaction technique, and apply this technique to bedridden rehabilitation robot. “Hand gesture + Facial expression” interactive technology combines the input mode of gesture and facial expression perception. It involves seven [...] Read more.
In this study we propose a “hand gesture + face expression” human machine interaction technique, and apply this technique to bedridden rehabilitation robot. “Hand gesture + Facial expression” interactive technology combines the input mode of gesture and facial expression perception. It involves seven basic facial expressions that can be used to determine a target selecting task, while hand gestures are used to control a cursor’s location. A controlled experiment was designed and conducted to evaluate the effectiveness of the proposed hybrid technology. A series of target selecting tasks with different target widths and layouts were designed to examine the recognition accuracy of hybrid control gestures. An interactive experiment applied to a rehabilitation robot is designed to verify the feasibility of this interactive technology applied to rehabilitation robots. The experimental results show that the “hand + facial expression” interactive gesture has strong robustness, which can provide a novel guideline for designing applications in VR interfaces, and it can be applied to the rehabilitation robots. Full article
Show Figures

Figure 1

Other

Jump to: Research

26 pages, 2613 KiB  
Systematic Review
Technologies for Evaluation of Pelvic Floor Functionality: A Systematic Review
by Nikolas Förstl, Ina Adler, Franz Süß and Sebastian Dendorfer
Sensors 2024, 24(12), 4001; https://doi.org/10.3390/s24124001 - 20 Jun 2024
Viewed by 902
Abstract
Pelvic floor dysfunction is a common problem in women and has a negative impact on their quality of life. The aim of this review was to provide a general overview of the current state of technology used to assess pelvic floor functionality. It [...] Read more.
Pelvic floor dysfunction is a common problem in women and has a negative impact on their quality of life. The aim of this review was to provide a general overview of the current state of technology used to assess pelvic floor functionality. It also provides literature research of the physiological and anatomical factors that correlate with pelvic floor health. This systematic review was conducted according to the PRISMA guidelines. The PubMed, ScienceDirect, Cochrane Library, and IEEE databases were searched for publications on sensor technology for the assessment of pelvic floor functionality. Anatomical and physiological parameters were identified through a manual search. In the systematic review, 114 publications were included. Twelve different sensor technologies were identified. Information on the obtained parameters, sensor position, test activities, and subject characteristics was prepared in tabular form from each publication. A total of 16 anatomical and physiological parameters influencing pelvic floor health were identified in 17 published studies and ranked for their statistical significance. Taken together, this review could serve as a basis for the development of novel sensors which could allow for quantifiable prevention and diagnosis, as well as particularized documentation of rehabilitation processes related to pelvic floor dysfunctions. Full article
Show Figures

Figure 1

Back to TopTop