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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Smart Offloading Boot System for Remote Patient Monitoring: Toward Adherence Reinforcement and Proper Physical
Catherine Park1,2,3, Ramkinker Mishra1, Davide Vigano4
1Interdisciplinary Consortium on Advanced Motion Performance, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Journal of Diabetes Science and Technology
|January 20, 2022
Summary
The SmartBoot, a smart offloading device, accurately monitors adherence and improves balance in users. This innovative system shows potential for remote patient monitoring in diabetic foot ulcer healing.
Area of Science:
- Biomedical Engineering
- Digital Health
- Orthopedics
Background:
- Patient adherence to offloading devices is crucial for healing diabetic foot ulcers.
- Current monitoring methods for offloading devices are limited.
- A smart offloading boot (SmartBoot) system was developed for remote monitoring.
Purpose of the Study:
- To evaluate the accuracy of the SmartBoot system in monitoring patient adherence and activity.
- To assess the impact of the SmartBoot on balance and gait.
- To investigate the user experience with the SmartBoot system.
Main Methods:
- Fourteen volunteers tested the SmartBoot during natural activities and specific balance/gait tests.
- Adherence accuracy was compared between the SmartBoot and staff observation.
- Center of mass (COM) sway and step counts were measured using wearable sensors.
Main Results:
- The SmartBoot demonstrated high accuracy (89.3%) in reporting adherence.
- SmartBoot use significantly reduced center of mass sway, indicating improved balance.
- Participants found the SmartBoot easy to use, comfortable, and innovative.
Conclusions:
- This is the first smart offloading system for remote patient monitoring with real-time adherence reporting.
- The SmartBoot shows potential for improving balance and user experience.
- Further clinical validation is needed to confirm its utility in improving diabetic foot ulcer healing through real-time non-adherence alerts.
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