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Smiley A, Tsai TY, Havrylchuk I, Cui W, Parvanova I, Zakashansky E, Xhakli T, Cui H, Finkelstein J. Development and Evaluation of Wireless Interfaces to Monitor and Control Cycling Exercise During Home Telerehabilitation. MEDICAL DEVICES (AUCKLAND, N.Z.) 2023; 16:1-13. [PMID: 36698919 PMCID: PMC9869914 DOI: 10.2147/mder.s392999] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 12/05/2022] [Indexed: 01/20/2023]
Abstract
Purpose This paper focuses on developing and testing three versions of interactive bike (iBikE) interfaces for remote monitoring and control of cycling exercise sessions to promote upper and lower limb rehabilitation. Methods Two versions of the system, which consisted of a portable bike and a tablet PC, were designed to communicate through either Bluetooth low energy (BLE) or Wi-Fi interfaces for real-time monitoring of exercise progress by both the users and their clinical team. The third version of the iBikE system consisted of a motorized bike and a tablet PC. It utilized conventional Bluetooth to implement remote control of the motorized bike's speed during an exercise session as well as to provide real-time visualization of the exercise progress. We developed three customized tablet PC apps with similar user interfaces but different communication protocols for all the platforms to provide a graphical representation of exercise progress. The same microcontroller unit (MCU), ESP-32, was used in all the systems. Results Each system was tested in 1-minute exercise sessions at various speeds. To evaluate the accuracy of the measured data, in addition to reading speed values from the iBikE app, the cycling speed of the bikes was measured continuously using a tachometer. The mean differences of averaged RPMs for both data sets were calculated. The calculated values were 0.38 ± 0.03, 0.25 ± 0.27, and 6.7 ± 3.3 for the BLE system, the Wi-Fi system, and the conventional Bluetooth system, respectively. Conclusion All interfaces provided sufficient accuracy for use in telerehabilitation.
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Affiliation(s)
- Aref Smiley
- Center for Biomedical and Population Health Informatics, Icahn School of Medicine at Mount Sinai, New York, NY, USA,Correspondence: Aref Smiley, Center for Biomedical and Population Health Informatics, Icahn School of Medicine at Mount Sinai, 1770 Madison Avenue, New York, NY, 10035, USA, Tel +1 212-659-9596, Email
| | - Te-Yi Tsai
- Center for Biomedical and Population Health Informatics, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Ihor Havrylchuk
- Center for Biomedical and Population Health Informatics, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Wanting Cui
- Center for Biomedical and Population Health Informatics, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Irena Parvanova
- Center for Biomedical and Population Health Informatics, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Elena Zakashansky
- Center for Biomedical and Population Health Informatics, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Taulant Xhakli
- Center for Biomedical and Population Health Informatics, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Hu Cui
- Center for Biomedical and Population Health Informatics, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Joseph Finkelstein
- Center for Biomedical and Population Health Informatics, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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Ribaya DNF, Cunningham A, Hersh LR, Salzman B, Parks SM. Acceptability of Telemedicine in a Geriatric Outpatient Practice During the COVID-19 Pandemic. Telemed J E Health 2022. [DOI: 10.1089/tmj.2022.0318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Affiliation(s)
- David Nathan F. Ribaya
- Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Amy Cunningham
- Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Lauren R. Hersh
- Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Brooke Salzman
- Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Susan M. Parks
- Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
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