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Time Series Analysis of Muscle Deformation During Physiotherapy Using Optical Wearable Sensors
Satoshi Shimabukuro1,2,3, Tamon Miyake3,4, Emi Tamaki1,3,5
1Faculty of Engineering, University of the Ryukyus, Okinawa 903-0213, Japan.
Sensors (Basel, Switzerland)
|September 19, 2025
Summary
This study compared muscle force and coordination in physiotherapy novices and experts using wearable sensors. Measurable distinctions in muscle activation and coordination strategies were found, aiding skill evaluation.
Area of Science:
- Biomechanics
- Rehabilitation Technology
Background:
- Standardized methods for analyzing wearable sensor data in physiotherapy are lacking.
- Interpreting muscle force and coordination data across studies is challenging due to device and analytical variability.
Purpose of the Study:
- To compare time series data of muscle force and coordination between physiotherapy novices and experts.
- To identify differences in muscle activation patterns and coordination strategies during physiotherapy sessions.
Main Methods:
- Utilized optical wearable muscle deformation sensor arrays to capture muscle bulging and estimate force levels.
- Analyzed time series data from upper and lower limb physiotherapy sessions using visualization, autocorrelation, and cross-correlation analysis.
- Compared data between novice and expert groups, adjusting for covariates.
Main Results:
- Visual and effect size differences in muscle force and coordination were observed between novices and experts.
- No statistically significant group differences persisted after covariate adjustment.
- Identified measurable distinctions in the magnitude of force and muscle coordination patterns.
Conclusions:
- Novices and experts exhibit distinct muscle activation patterns and coordination strategies during physiotherapy.
- Findings suggest potential applications for wearable sensor technology in physiotherapy training and skill assessment.
- Highlights the need for standardized approaches in wearable biometric data analysis for clinical applications.

