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Table 4 Studies focused on validation/development of systems/algorithms for monitoring shoulder motion

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

Jung 2010, [77]

Conference

IMU (n = 6),

ADXL 345 (acc)

LPY51 50 AL (gyr)

HMC5843 (magn)

Bilateral:

UA and FA (distal third), thorax and pelvis

Strap

Sh orientation and position

HDRT system

Arms above head

Bend arms

Bend waist

HS (n = 1)

Validate the motion tracking algorithm

El-Gohary 2011, [78]

Conference

IMU (n = 2),

APDM Opal

Unilateral:

FA (near wrist), UA (distal third)

Strap

Sh ROM,

r = 0.91–0.97

Eagle Analog System

Sh FLX-EXT

Sh AB-AD

Elb FLX-EXT

Elb PR-SU

HS (n = 1)

Validate data fusion algorithm

Zhang 2011, [79]

Full-Text

M-IMU (n = 3),

Xsens MTx

Unilateral:

UA (laterally, above the elbow), FA (lateral and flat side of the FA near the wrist), sternum

Strap, clothing

Sh ROM,

RMSE = 2.4°

(sh FLX-EXT)

RMSE = 0.9°

(sh AB-AD)

RMSE = 2.9°

(sh IER)

BTS SMART-D

Free movements

HS (n = 4)

Validate sensor fusion algorithm

El-Gohary 2012, [80]

Full-Text

IMU (n = 2),

APDM Opal

Unilateral:

UA (middle third, slightly posterior), FA (distal, near wrist)

Strap band

Sh ROM,

RMSE = 5.5°

(sh FLX-EXT)

RMSE = 4.4°

(sh AB-AD)

VICON

Sh FLX-EXT

Sh AB-AD

Elb FLX-EXT

FA PR-SU

Touching nose

Reaching for a doorknob

HS (n = 8)

Validate data fusion algorithm

Lee e Low 2012, [81]

Full-Text

Acc (n = 2), Freescale MMA7361 L

Unilateral:

UA (near elbow), FA (near wrist)

-

Sh ROM,

RMSE = 2.12°

(sh FLX-EXT)

RMSE = 3.68°

(sh rotation)

IMU

(Xsens MTx)

UA FLX-EXT and medial/lateral rotation

FA FLX-EXT

and PR-SU

(sagittal plane)

HS (n = 1)

Validate the feasibility of the proposed algorithm

Hsu 2013, [82]

Conference

M-IMU (n = 2),

LSM303DLH

(acc, magn)

L3G4200D (gyr)

Unilateral:

UA, FA

Velcro strap

Sh ROM,

RMSE = 1.34°-5.08°

Xsens MTw, (n = 2)

Sh FLX, AB, EXT, ER and IR

HS (n = 10)

8 M, 2 F

23.3 ± 1.33 Y

Validate data fusion algorithm

Lambrecht e Kirsch 2014, [16]

Full-Text

M-IMU (n = 4),

InvenSense MPU-9150 chip

Unilateral:

Sternum, UA, FA and hand

-

Sh ROM,

RMSE = 4.9°

(sh azimuth)

RMSE = 1.2°

(sh elevation)

RMSE = 2.9°

(sh IR)

Optotrack

Reaching movements

HS (n = 1)

Validate sensors’ accuracy and data fusion algorithm

Ricci 2014, [83]

Full-Text

M-IMU (n = 5),

APDM Opal

Bilateral:

Thorax, UA (latero-distally) and FA (near wrist)

Velcro strap

Sh ROM

(HT joint angles)

–

UA FLX-EXT

UA AB-AD

FA PR-SU

FA FLX-EXT Thorax rotation

Thorax FLX-EXT

Children (n = 40)

6.9 ± 0.65 Y

Develop a calibration protocol for Thorax and upper limb motion capture

Roldan-Jimenez 2015, [84]

Full-Text

Inertial sensors built-in a Smartphone (n = 1),

LG Electronics INC, iPhone4

Unilateral:

UA

Neoprene arm belt

Sh ROM

–

sh AB, EXT with wrist in neutral position and elb extended

HS (n = 10)

7 M, 3 F

24.2 ± 4.04 Y

Study humerus kinematics through six physical properties that correspond to angular mobility and acceleration in the three axes of space

Fantozzi 2016, [17]

Full-Text

M-IMU (n = 7),

APDM Opal

Bilateral:

Sternum, UA, FA, back of the hand

Velcro strap

Sh ROM

(HT joint angles),

RMSE <10° (sh FLX-EXT, AB-AD, IER)

BTS SMART-DX

Simulated front-crawl and breaststroke swimming

HS (n = 8), M

26.1 ± 3.4 Y

Validate a protocol to assess the 3D joint kinematics of the upper limb during swimming

Meng 2016, [85]

Full-Text

M-IMU (n = 2), Shimmer2r

Unilateral:

UA (distal, near elbow), FA (distal, near wrist)

Straps

Sh ROM,

Test2: RMSE = from 2.20° to 0.87°

VICON

Sh FLX-EXT

Sh AB-AD

Sh IER

Elb FLX-EXT

Elb PR-SU

Test1:

HS (n = 15), M, 19–23 Y

Test2:

HS (n = 5)

Validate an algorithm to improve accuracy on measurements of arm joint angles considering the properties of human tissue

Crabolu 2017, [86]

Full-Text

M-IMU (n = 3), Xsens, MTw2 Awinda

Unilateral:

UA, scapula,

Sternum

Velcro strap, double-sided tape, elastic band

GH joint center

MRI acquisition

Cross and star motions

(2 joint velocities,

2 range of motions)

HS (n = 5)

3 M, 2 F

36 ± 4 Y

Evaluate accuracy and precision of the GHJC estimation

Kim 2017, [87]

Conference

MYO armband (n = 1): contains 8 EMG and 1 IMU, Thalamic Labs, MYO armband

Unilateral:

UA (near elbow)

Armband

Sh ROM

–

Elb FLX (0°,45°,90°) with sh in neutral position, elb FLX (0°,45°,90°) with sh FLX 90°

(sagittal plane)

HS (n = 1)

Introduce an algorithm for upper arm and forearm motion estimation using MYO armband

Morrow 2017, [88]

Full-Text

M-IMU (n = 6), APDM Opal

Bilateral:

FA and UA (lateral), head, sternum

Velcro straps

Sh ROM

(HT joint angles), RMSE = 6.8° ± 2.7° (sh elevation)

Raptor 12 Digital Real Time Motion

Capture System

Peg transfer (to mimic minimally invasive laparoscopy)

Surgeon

HS (n = 6)

3 M, 3 F

45 ± 7 Y

Validate a M-IMU based protocol to measure shoulder EL, elbow FLX, trunk FLX-EXT and neck FLX-EXT kinematics

Rose 2017, [89]

Full-Text

IMU (n = 6), APDM Opal

Bilateral:

UA (lateral), FA (dorsal), sternum, lumbar spine

Straps

Sh ROM

(HT joint angles)

–

Diagnostic arthroscopy simulation

Surgeon

HS (n = 14)

Develop an IMU-based system to assess the performance of orthopaedic residents with different arthroscopic experiences

Tian 2017, [90]

Conference

M-IMU (n = 2), Acc: LIS3LV02D,

Magn: HMC5843,

Gyr: ITG3200

Unilateral:

UA, FA

Straps

Sh ROM

VICON

Sh FLX and elb FLX (sagittal plane)

HS (n = 1)

Validate data fusion algorithm

Pathirana 2018, [91]

Full-Text

M-IMU (n = 1)

Unilateral:

Wrist

Strap

Sh ROM

VICON,

Kinect

Forward FLX-EXT

AB-AD

Backward FLX-EXT

Horizontal FLX-EXT

HS (n = 14)

10 M, 4 F

Validate accuracy and robustness of data fusion algorithm using a single sensor to measure shoulder joint angles

  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, GH glenohumeral, Sh shoulder, elb elbow, FLX-EXT flexion-extension, PR-SU pronation-supination, AB-AD abduction-adduction, IER internal-external rotation, RMSE root mean square error, r = correlation, HS Healthy subject, M male, F female, Y Years old