An Intelligent Remote Monitoring System for Total Knee Arthroplasty Patients.

For the first six weeks following total knee arthroplasty (TKA), a patient will attend an outpatient clinic typically seen twice weekly. Here, an exercise regime is performed and improvement assessed using a hand held goniometer that measures the maximum angle of knee flexion, an important metric of...

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Publicado en:Journal of Medical Systems Vol. 41; no. 6; pp. 1 - 7
Autores principales: Msayib, Yunus, Gaydecki, Patrick, Callaghan, Michael, Dale, Nicola, Ismail, Sheheera
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Jun2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2017
      vid: 41
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-017-0735-2
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        atl: An Intelligent Remote Monitoring System for Total Knee Arthroplasty Patients.
      aug:
        au:
          Msayib, Yunus
          Gaydecki, Patrick
          Callaghan, Michael
          Dale, Nicola
          Ismail, Sheheera
        affil: School of Electrical and Electronic Engineering , The University of Manchester , M13 9PL Manchester UK
      sug:
        subj:
          Arthroplasty, Replacement, Knee
          Telehealth
          Monitoring, Physiologic
          Artificial Intelligence
          Therapeutic Exercise Evaluation
          Physical Therapy
          Client-Server Application
          Human
          Wearable Sensors
          Contracture
          Goniometry
          Funding Source
          Intranet
          Accelerometry
      ab: For the first six weeks following total knee arthroplasty (TKA), a patient will attend an outpatient clinic typically seen twice weekly. Here, an exercise regime is performed and improvement assessed using a hand held goniometer that measures the maximum angle of knee flexion, an important metric of progress. Additionally a series of daily exercises is performed at home, recorded in a diary. This protocol has problems. Patients must attend the hospital with assistance since they are not permitted to drive for six weeks following the procedure; appointments are sometimes missed; there are occasionally not enough physiotherapy appointment available; furthermore, it is difficult to be sure that patients are compliant with their exercises at home. The economic and social costs are therefore significant both to the patient and the health service. We describe here an automatic system that performs the monitoring of knee flexion within a domestic environment rather than in a hospital setting. It comprises a master and slave sensor unit that attach using Velcro straps to the thigh and shin above and below the operation wound. The patient performs the prescribed knee exercises whilst wearing the device, during which time it measures and records the angles of knee flexion. The device utilises the Global System for Mobile Communications (GSM) infrastructure to transmit data through the Internet to a secure hospital-based server using an on-board GSM modem. The clinician is then able to view and interpret the information from any computer with internet access and the software. The system does not require the patient to possess a mobile telephone, a computer, or have internet access; the necessary communications technology is completely integrated into the device.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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