Smart Offloading Boot System for Remote Patient Monitoring: Toward Adherence Reinforcement and Proper Physical Activity Prescription for Diabetic Foot Ulcer Patients
Authors' conclusion
To our knowledge, this is the first smart offloading system that enables remote patient monitoring and real-time adherence and activity reporting. The SmartBoot enhanced balance performance, likely due to somatosensory feedback. Questionnaire results highlight SmartBoot's technical and clinical potential. Future studies warrant clinical validation of real-time non-adherence alerting to improve wound healing outcomes in people with diabetic foot ulcers.
Study context
- Population
- Healthy volunteers (31.6±8.7 years; 64% female) performing natural activities with and without the SmartBoot for ≈30 minutes
- Participants
- 14 volunteers
- Comparison
- SmartBoot adherence reporting vs staff observation; with vs without SmartBoot
- Outcome
- Accuracy of real-time adherence reporting (SmartBoot vs staff observation)
Performance
As reported in the abstract
Average sensitivity for adherence and non-adherence
90.6%
Average specificity for adherence and non-adherence
88.0%
Average accuracy for adherence and non-adherence
89.3%
Further findings
Center of mass (COM) sway area (balance)
- COM sway area significantly smaller with vs without SmartBoot regardless of test condition
Step count error
- Slow walking
- 4.4%
- Normal walking
- 36.2%
- Fast walking
- 16.0%
User experience
- Most participants agreed SmartBoot is easy to use, relatively comfortable, nonintrusive and innovative
Original publication
Composed by AI from the published abstract and checked against it. How Briefs are made →