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Table 1 Shoulder motion monitoring for application in patients with musculoskeletal disorders

From: Wearable systems for shoulder kinematics assessment: a systematic review

Reference, Year, Type of publication

Sensors, Brand

Placement and wearability

Target shoulder parameters, Performance

Gold standard

Task executed

Participants

Aim

Coley 2007, [29]

Full-Text

IMU (n = 2),

Analog Device

(gyr: ADXRS 250, acc: ADXL 21 0)

Bilateral:

humeri (posteriorly, distally)

Adhesive patch

Sh ROM

(HT joint angles), RMSE =5.81°

Mean = 1.80°

Zebris

CMS-HS

Sh FLX-EXT

Sh AB-AD

Sh IER

HS (n = 10),

25.1 ± 4.1 Y

P (n = 10),

7 RC, 3 OA,

4 F, 6 M,

62.4 ± 10.4 Y

Find objective scores to assess shoulder function; to validate such scores comparing healthy and affected shoulders

Coley 2008, [30]

Full-Text

IMU (n = 4),

Analog Device

(gyr: ADXRS 250,

acc: ADXL 21 0)

Bilateral:

humeri (posteriorly, distally), thorax

Adhesive patch

Sh ROM

(HT joint angles)

–

Daily activities (8 h)

HS (n = 35)

32 ± 8 Y

Quantify usage of shoulder and the contribution of each shoulder in daily life activities

Jolles 2011, [31]

Full.Text

IMU (n = 4),

Analog Device (gyr: ADXRS 250, acc: ADXL 21 0)

Bilateral:

Humeri (distally, posteriorly), thorax (× 2)

Adhesive patch

Sh ROM

(HT joint angles), r = 0.61–0.80

–

7 activities of SST

P (n = 34)

27 RC, 7 OA

25 M, 9 F

57.5 ± 9.9

CG (n = 31)

17 M, 14 F

33.3 ± 8.0

Validate clinically shoulder parameters in patients after surgery for GH OA and RC disease

Duc 2013, [5]

Full-Text

IMU (n = 3),

Analog Device (gyr: ADXRS 250, acc: ADXL 210)

Bilateral:

Humeri (distal, posterior), sternum

Adhesive patch

Sh ROM

(HT joint angles), r2 = 0.13-0.52 (CMS)

r2 = 0.06-0.30 (DASH)

r2 = 0.03-0.31 (SST)

–

Free movements, daily activities

HS (n = 41)

34 ± 9 Y

P (n = 21)

53 ± 9 Y

RC (unilateral)

Validate a method to detect movement of the humerus relative to the trunk and to provide outcomes parameters after shoulder surgery (frequency of arm movement and velocity)

Körver 2014, [32]

Full-Text

IMU (n = 2),

Inertia-Link-2400-SKI, MicroStrain

Bilateral:

Humerus (distal, posterior)

Adhesive

Sh ROM

(HT joint angles),

r = 0.39 (DASH)

r = 0.32 (SST)

–

Hand to the back,

Hand behind the head

HS (n = 100)

37 M, 63 F

40.6 ± 15.7 Y

P (n = 15)

5 M, 10 F

57.7 ± 10.4 Y, Subacromial impingement

Investigate about the correlation between subjective (clinical scale) and objective (IMU) assessment of shoulder ROM during a long-term period of follow-up

Van Den Noort 2014, [33]

Full-Text

M-IMU (n = 4),

Xsens MTw

Unilateral:

Thorax, scapula,

UA, FA

Straps, skin tape

Sh ROM

(HT and ST joint angles)

–

FLX (sagittal plane) and AB (frontal plane) with elb extended and thumb pointing up

HS (n = 20)

3 M, 17 F

36 ± 11 Y

Evaluate the intra- and inter-observer reliability and precision of 3D scapula kinematics

Pichonnaz 2015, [34]

Full-Text

IMU (n = 3),

Analog Device

(acc: ADXL 210,

gyr: ADXRS 250)

Bilateral:

Sternum, Humeri (posterior, distal)

Skin tape

Sh ROM

(HT joint angles)

–

Free movements

(7 h)

HS (n = 41)

23 M, 18 F

34.1 ± 8.8 Y

P (n = 21)

14 M, 7 F

53.3 ± 9 Y

RC

Explore dominant and non-dominant arm usage as an indicator of UL function after rotator cuff repair during the first year after surgery

Roldán-Jiménez e Cuesta-Vargas 2015, [35]

Full-Text

M-IMU (n = 4),

InterSense InertiaCube3

Unilateral:

Sternum, humerus,

scapula, FA (near wrist)

adhesive tape and bandage

Sh ROM

(HT and ST joint angles)

–

180° sh AB and EXT with wri in neutral position and elb extended

HS (n = 11)

8 M, 3 F

24.7 ± 4.2 Y

Analyse UL angular mobility and linear acceleration in three anatomical axes

Van Den Noort 2015, [36]

Full-Text

M-IMU (n = 4),

Xsens MTw

Unilateral:

Thorax, Scapula, UA, FA

(ISEO protocol [33, 37])

Straps, skin tape

Sh ROM

(ST joint angles)

–

Humeral FLX (sagittal plane) and AB (frontal plane) with elb extended and thumb pointing up

P (n = 10)

8 M, 2 F

24–63 Y

SD

Evaluate the change in 3D scapular kinematics using a single and double anatomical calibration with a scapular locator versus standard calibration; evaluate difference in 3D scapular kinematics between static posture and dynamic humeral elevation

Roldán-Jiménez e Cuesta-Vargas 2016, [38]

Full-Text

M-IMU (n = 3), InterSense, InertiaCube3

Unilateral:

Humerus (middle third, slightly posterior), scapula, sternum

Double-sided tape, elastic bandage

Sh ROM

(GH and ST joint angles)

–

Sh AB (frontal plane)

Sh FLX (sagittal plane)

Wri in neutral position and elb extended

Young HS (n = 11),

18–35 Y

3 M, 8 F

Adult HS (n = 14)

> 40 Y

5 M, 9F

Analyze differences in shoulder kinematics in terms of angular mobility and linear acceleration related to age

Wang 2017, [26]

Full-Text

M-IMU (n = 3), Adafruit FLORA 9-DOF

Unilateral:

Shoulder (flat part of acromion), spine (C7-T1, T4-T5)

Zipped vest, elastic strap with Velcro

Sh ROM

(ST joint angles), RMSE ~ 3.57°

PST-55/110 series

60 ° sh FLX with elb extended and thumb pointing up, place a cooking pot on a shelf, 40 ° sh EL in the scapular plane with elb extended and thumb pointing up, place a bottle of water on a shelf

P with musculoskeletal shoulder pain (n = 8)

3 M, 5 F

50 ± 6.44Y

Physiotherapist (n = 5)

Evaluate usability of a smart garment-supported postural feedback scapular training in patients with musculoskeletal shoulder pain and in physiotherapists who take care patients with shoulder disorders

Aslani 2018, [39]

Full-Text

M-IMU (n = 1), Bosh Sensortec BNO055

EMG, MyoWare Muscle Sensor

Unilateral:

UA, deltoid (2 surface electrodes on each deltoid section)

Band

Sh ROM (azimuthal and elevation angles)

–

Arm EL (medially, anteriorly, cranially, posteriorly, laterally) with elb fully extended

HS (n = 6)

4 M, 2 F

27.3 ± 3.4Y

P (n = 1), M

Frozen Sh

42 Y

Evaluate a measurements protocol to assess the performance of the shoulder by combining both ROM and electromyography measurements

Carbonaro 2018, [40]

Conference

M-IMU (n = 3), Xsens MTw

Unilateral:

Sternum, FA (distal), scapula (similar to the configuration in [37])

Elastic bands

Sh ROM

(GH and ST joint angles)

–

Extra-rotation,

Arm AB (with different load)

HS (n = 5)

Test a digital application intended for tele-monitoring and tele-rehabilitation of the shoulder muscular-skeletal diseases

Hurd 2018, [41]

Full-Text

Acc buil.in ActiGraph

(n = 2), ActiGraph GT3XP-BLE

Unilateral:

Wrist, UA (mid-biceps level)

Velcro strap

Sh ROM

–

ADL

P (n = 14)

7 M, 7 F

73 ± 6Y

GH OA, RC disease

Evaluate changes in pain, self-reported function and objective measurement of upper limb activity after RSA

Langohr 2018, [6]

Full-Text

IMU (n = 5), YEI Technology

Bilateral:

Sternum, UA (lateral aspects of the midhumerus), FA (dorsal aspect of the wrist)

Shirt

Sh ROM (humeral elevation and plane of elevation angles)

–

Daily activities

(1 day, monitoring of 11 ± 3 h)

P (n = 36)

73 ± 10 Y

TSA, RTSA

Determine the total daily shoulder motion of patients after TSA and RTSA, compare the motion of the arthroplasty shoulder with that of the contralateral asymptomatic joint and compare the daily motion of TSA and RTSA shoulders

  1. acc accelerometer, gyr gyroscope, magn magnetometer, IMU Inertial Measurement Unit, M-IMU Magneto and Inertial Measurement Unit, UA Upper Arm, FA Forearm, ROM Range of motion, HT humerothoracic, ST scapulothoracic, GH glenohumeral, Sh shoulder, wri wrist, elb elbow, FLX-EXT flexion-extension, AB-AD abduction-adduction, IER internal-external rotation, RMSE root mean square error, r = correlation, r2, coefficient of determination, HS Healthy subject, CG Control Group, P patient, M male, F female, RC Rotator Cuff, OA Osteoarthritis, Y Years old, SST Simple Shoulder test, DASH Disability of the Arm, Shoulder and Hand, CMS Constant Murley Score