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From Inertial Measurement Units (IMU...
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Chapman, Ryan M.
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From Inertial Measurement Units (IMUs) to Physical Therapy (PT): The Use of Patient Biomechanics to Inform PT Prescription.
Record Type:
Electronic resources : Monograph/item
Title/Author:
From Inertial Measurement Units (IMUs) to Physical Therapy (PT): The Use of Patient Biomechanics to Inform PT Prescription./
Author:
Chapman, Ryan M.
Published:
Ann Arbor : ProQuest Dissertations & Theses, : 2018,
Description:
291 p.
Notes:
Source: Dissertation Abstracts International, Volume: 80-02(E), Section: B.
Contained By:
Dissertation Abstracts International80-02B(E).
Subject:
Biomedical engineering. -
Online resource:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10934200
ISBN:
9780438474536
From Inertial Measurement Units (IMUs) to Physical Therapy (PT): The Use of Patient Biomechanics to Inform PT Prescription.
Chapman, Ryan M.
From Inertial Measurement Units (IMUs) to Physical Therapy (PT): The Use of Patient Biomechanics to Inform PT Prescription.
- Ann Arbor : ProQuest Dissertations & Theses, 2018 - 291 p.
Source: Dissertation Abstracts International, Volume: 80-02(E), Section: B.
Thesis (Ph.D.)--Dartmouth College, 2018.
Over 1M total joint arthroplasty (TJA) procedures occur in the United States (US) annually. Patients receive standardized physical therapy (PT) to recover range of motion (ROM) post-TJA. Current ROM recovery monitoring methods are costly (e.g. fluoroscopy), idealized (e.g. goniometry), and may not realistically represent function during activities of daily living (ADL). Because of these challenges, rehabilitation is not individualized. As such, a novel inertial measurement unit (IMU) based method for monitoring continuous ROM was developed/implemented. The system was validated via optical motion capture (MOCAP) with error less than 1°/1.4° in laboratory experiments on the knee/shoulder joints, respectively. The system was deployed pre-/post-total knee arthroplasty (TKA) and shoulder arthroplasty (SA), respectively. For TKA, gait knee flexion improved steadily post-TKA. Patients undergoing total SA (TSA) showed increased time above 90° elevation whereas no metric was significantly related with post-reverse SA (RSA) recovery. Additionally, patient PT sorting methods utilizing statistical thresholds and process controls were developed using gait knee flexion for post-TKA PT sorting and time above 90° for post-TSA PT sorting. Finally, a transverse plane metric was assessed for evaluating post-RSA function. The proposed method is a shift toward telemedicine that allows continuous monitoring of patients pre-/post-TJA. The proposed PT sorting algorithms will facilitate customization of post-TJA rehabilitation.
ISBN: 9780438474536Subjects--Topical Terms:
535387
Biomedical engineering.
From Inertial Measurement Units (IMUs) to Physical Therapy (PT): The Use of Patient Biomechanics to Inform PT Prescription.
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Over 1M total joint arthroplasty (TJA) procedures occur in the United States (US) annually. Patients receive standardized physical therapy (PT) to recover range of motion (ROM) post-TJA. Current ROM recovery monitoring methods are costly (e.g. fluoroscopy), idealized (e.g. goniometry), and may not realistically represent function during activities of daily living (ADL). Because of these challenges, rehabilitation is not individualized. As such, a novel inertial measurement unit (IMU) based method for monitoring continuous ROM was developed/implemented. The system was validated via optical motion capture (MOCAP) with error less than 1°/1.4° in laboratory experiments on the knee/shoulder joints, respectively. The system was deployed pre-/post-total knee arthroplasty (TKA) and shoulder arthroplasty (SA), respectively. For TKA, gait knee flexion improved steadily post-TKA. Patients undergoing total SA (TSA) showed increased time above 90° elevation whereas no metric was significantly related with post-reverse SA (RSA) recovery. Additionally, patient PT sorting methods utilizing statistical thresholds and process controls were developed using gait knee flexion for post-TKA PT sorting and time above 90° for post-TSA PT sorting. Finally, a transverse plane metric was assessed for evaluating post-RSA function. The proposed method is a shift toward telemedicine that allows continuous monitoring of patients pre-/post-TJA. The proposed PT sorting algorithms will facilitate customization of post-TJA rehabilitation.
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http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10934200
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