Mobile Telemonitoring System Research Articles

System for Tracking and Evaluating Performance (Step-App®): validation and clinical application of a mobile telemonitoring system in patients with knee and hip total arthroplasty. A prospective cohort study.

Technological advances and digital solutions have been proposed to overcome barriers to sustainable rehabilitation programs in patients with musculoskeletal disorders. However, to date, standardized telemonitoring systems able to precisely assess physical performance and functioning are still lacking. To validate a new mobile telemonitoring system, named System for Tracking and Evaluating Performance (Step-App®), to evaluate physical performance in patients undergone knee and hip total arthroplasty. Prospective cohort study. A consecutive series of older adults with knee and hip total arthroplasty participated in a comprehensive rehabilitation program. The Step-App®, a mobile telemonitoring system, was used to remotely monitor the effects of rehabilitation, and the outcomes were assessed before (T0) and after the rehabilitation treatment (T1). The primary outcomes were the 6-Minute Walk Test (6MWT), the 10-Meter Walk Test (10MWT), and the 30-Second Sit-To-Stand Test (30SST). Out of 42 patients assessed, 25 older patients were included in the present study. The correlation analysis between the Step-App® measurements and the traditional in-person assessments demonstrated a strong positive correlation for the 6MWT (T0: r2=0.9981, P<0.0001; T1: r2=0.9981, P<0.0001), 10MWT (T0: r2=0.9423, P<0.0001; T1: r2=0.8634, P<0.0001), and 30SST (T0: r2=1, P<0.0001; T1: r2=1, P<0.0001). The agreement analysis, using Bland-Altman plots, showed a good agreement between the Step-App® measurements and the in-person assessments. Therefore, we might conclude that Step-App® could be considered as a validated mobile telemonitoring system for remote assessment that might have a role in telemonitoring personalized rehabilitation programs for knee and hip replacement patients. Our findings might guide clinicians in remote monitoring of physical performance in patients with musculoskeletal conditions, providing new insight into tailored telerehabilitation programs.

An Adaptive Web-based Framework for Mobile Telemonitoring System

Mobile long distance monitoring system using web-based will be deliberated as one of the primary industry in the near future. This paper focuses on the development of the healthcare service for telemonitoring system using an adaptive web-based framework with several parameters at the same time. The proposed system is used to make easy the patient and physician for accessing healthcare system. It tries to combine many functions in healthcare services for long distance monitoring system. Physiological parameters are used such as blood pressure, blood sugar, respiration, heartbeat, pulse, temperature will be received by the system then it is sent to the clinic server immediately. All of these parameters can be inputted by patients themselves while the patients are far from the clinical environment and forward to the physician for further diagnosis and medical treatment. The advantages of the proposed system are the patient will be easy to access the system through internet and easy to connect the physician from a remote area. Smartphone with multimedia features and internet connection in mobile environment can be used to perform mobile computing anywhere and anytime. It keeps real-time recording and monitoring of physiology parameters of the patients at lowest cost and at home. The physiology parameters of patient are increased to be multimedia data. By using the good quality of the multimedia data, the physician will be more precise to perform diagnosis and medical treatment to the patient. The proposed framework can be used to develop a practical web-based mobile telemonitoring system in mobile environment.