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chess orientation poster esr2 rob argent

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-15 -10 -5 0 5 10 15 1 9 17 25 33 41 49 57 65 73 81 89 97 105 113 121 129 137 145 153 161 169 177 185 193 201 209 217 225 233 241 249 257 265 273 281 289 297 305 313 321 329 337 345 353 361 369 377 385 393 401 409 417 425 433 441 449 457 465 473 481 489 497 505 513 521 529 537 545 553 561 569 577 585 593 601 609 Example of Error in Seated Knee Extension THE PROBLEM: Rehabilitation plays a crucial role following joint replacement, and in the majority of cases, an exercise programme is provided to improve the strength of muscles and walking ability. Evidence suggests that adherence to these exercise programmes are alarmingly low, and patients do not feel supported once they leave hospital. The exercises are often performed incorrectly when unsupervised, therefore not gaining maximum benefit. Further challenges to healthcare economics mean an ever increasing emphasis on self-management, with reduction in face-to-face rehabilitation. THE PLAN: We will develop an app that is able to provide interactive biofeedback, and assess whether this concept can make a difference to clinical outcome following hip and knee replacement surgery. This will be tested in the clinical population at the Beacon Hospital and involve key stakeholders throughout the process. At the same time, as an ESR an opportunity exists to gain experiences across multiple sectors including, computer science, eHealth strategy and clinical settings. POSSIBLE SOLUTION: Use the inertial measurement unit within a smartphone strapped to the leg to give real- time feedback to users. A mobile app would also provide education and progress reporting, as well as send data back to the physiotherapist to monitor progress. This project has received funding from the European Union's Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement No 676201 Interactive Exercise Biofeedback in Orthopaedic Rehabilitation Rob Argent ESR 2 How sensor data looks What sensors measure How the app may look Project aims: - To understand the role of adherence in exercise rehabilitation, and how biofeedback can support this. - To highlight current state of the art with regards to home-based connected health rehabilitation aids. - To develop a prototype model of the software outlined above. - Conduct a pilot study to assess usability and highlight potential refinements of this prototype. - Conduct a clinical trial assessing functional and patient reported outcomes in a comparison to normal care. Outcomes will include WOMAC, pain, range of movement, timed walking and patient experience.

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Page 1: CHESS Orientation Poster ESR2 Rob Argent

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ExampleofErrorinSeatedKneeExtension

THEPROBLEM:Rehabilitationplaysacrucialrolefollowingjointreplacement,andinthemajorityofcases,anexerciseprogramme isprovidedtoimprovethestrengthofmusclesandwalkingability.

Evidencesuggeststhatadherencetotheseexerciseprogrammes arealarminglylow,andpatientsdonotfeelsupportedoncetheyleavehospital.Theexercisesareoftenperformedincorrectlywhenunsupervised,thereforenotgainingmaximumbenefit.

Furtherchallengestohealthcareeconomicsmeananeverincreasingemphasisonself-management,withreductioninface-to-facerehabilitation.

THEPLAN:Wewilldevelopanappthatisabletoprovideinteractivebiofeedback,andassesswhetherthisconceptcanmakeadifferencetoclinicaloutcomefollowinghipandkneereplacementsurgery.

ThiswillbetestedintheclinicalpopulationattheBeaconHospitalandinvolvekeystakeholdersthroughouttheprocess.

Atthesametime,asanESRanopportunityexiststogainexperiencesacrossmultiplesectorsincluding,computerscience,eHealthstrategyandclinicalsettings.

POSSIBLE SOLUTION:

Usetheinertialmeasurementunitwithinasmartphonestrappedtothelegtogivereal-timefeedbacktousers.Amobileappwouldalsoprovideeducationandprogressreporting,aswellassenddatabacktothephysiotherapisttomonitorprogress.

ThisprojecthasreceivedfundingfromtheEuropeanUnion's Horizon2020researchandinnovationprogrammeunderthe MarieSklodowska-CuriegrantagreementNo676201

InteractiveExerciseBiofeedbackinOrthopaedic Rehabilitation

RobArgentESR2

Howsensordatalooks

Whatsensorsmeasure

Howtheappmaylook

Project aims:- Tounderstandtheroleofadherenceinexerciserehabilitation,andhowbiofeedbackcansupportthis.- Tohighlightcurrentstateoftheartwithregardstohome-basedconnectedhealthrehabilitationaids.- Todevelopaprototypemodelofthesoftwareoutlinedabove.- Conductapilotstudytoassessusabilityandhighlightpotentialrefinementsofthisprototype.- Conductaclinicaltrialassessingfunctionalandpatientreportedoutcomesinacomparisontonormalcare.

OutcomeswillincludeWOMAC,pain,rangeofmovement,timedwalkingandpatientexperience.

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