DAid pressure socks system: Performance evaluation

BACKGROUND

Plantar pressure measurement has been proven to produce crucial information for gait analysis. Socks with integrated textile pressure sensors are a promising tool for non-obtrusive plantar pressure acquisition and monitoring.

RESEARCH QUESTION

Can the DAid Pressure Socks System be employed for the measurement of plantar pressure and temporal parameters during walking?

METHOD

Plantar pressure measurement was acquired simultaneously by the DAid Pressure Socks System (DPSS) and Pedar® insole measurement system for a normal walking gait of 17 volunteers. The measurement from both systems was processed and gait temporal parameters were calculated. The calculated temporal parameters included stride time, step time, stance time, swing time, single support time, double support time, and cadence. The Intraclass Correlation Coefficient (ICC) was calculated to evaluate the agreement between the plantar pressure measurement and temporal parameters obtained from both systems.

RESULTS

For plantar pressure measurement, excellent agreement (ICC > 0.90) was achieved in approximately 23 % cases, while in roughly 37 %, 27 %, and 13 % cases the agreement was good (ICC > 0.75), moderate (ICC > 0.50), and poor (ICC < 0.50), respectively. The mean relative differences (as a percentage) between the temporal parameter values calculated from the measurement of both systems were 0.80 % (stride time), 3.06 % (step time), 3.15 % (stance time), 5.08 % (swing time / opposite single support time), 14.47 % (double support time), and 0.78 % (cadence).

SIGNIFICANCE

The ICC result calculated for the plantar pressure measurement indicated a reasonable agreement between both systems. Additionally, the relatively low mean difference was observed for 5 out of 6 calculated temporal gait parameters. Consequently, the presented DPSS could be considered as a substitute for the commercial gait analysis tools for applications that do not require great accuracy of the absolute plantar pressure measurement.

Improving the Recovery of Patients with Subacromial Pain Syndrome with the DAid Smart Textile Shirt

Wearable technologies provide many possibilities for applications in medicine, and especially in physiotherapy, where tracking and evaluation of body motion are of utmost importance. Despite the existence of multiple smart garments produced for applications in physiotherapy, there is limited information available on the actual impact of these technologies on the clinical outcomes. The objective of this paper is to evaluate the impact of the Double Aid (DAid) smart shirt, a purely textile-based system, on the training process of patients with subacromial pain syndrome. A randomized controlled trial was performed where patients with subacromial pain syndrome had to perform the assigned training exercises while employing the DAid smart shirt system. The core point of each exercise was to perform a movement while holding the shoulders stationary. The smart shirt was designed to sense even slight shoulder motion thus providing the patient with feedback on the accuracy of the motion, and allowing the patient to adjust the movement. The appropriate muscles should be strengthened through an increased effort to control the shoulder motion. The recovery of patients using the feedback system at the end of the treatment was compared to that of a reference group through standardized tests—the Disabilities of the Arm, Shoulder, and Hand score (DASH score), Closed Kinetic Chain Upper Extremity Stability test (CKCUES test), and internal/external rotation ratio. The test group that used the DAid system demonstrated significantly better results of the performed tests for all applied outcome measures compared to the reference group (p < 0.001). An overall positive impact on the patient recovery was observed from the DAid smart shirt system when applied for rehabilitation training of patients with subacromial pain syndrome.