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. 2024 Dec 23;26:e51994. doi: 10.2196/51994

Table 2.

Key features of the studies.

Content and study Purpose Technology (number of sensors) Placement location Placement method Measurement/methodology
Motion tracking

Yu et al [27] Monitor upper limb motion function of stroke patients Accelerometer (n=2) Forearm, upper arm Straps ROMa: Bobath’s handshake and shoulder touch

Wang et al [24] Monitor compensatory movements and evaluate their applicability in a clinical setting 9-DOFb IMUc (n=2) Shoulder, torso Zipped vest, Velcro straps Compensatory movement of the shoulder girdle

Li et al [18] Evaluate upper limb motor function in hemiplegic patients 6-DOF IMU (n=2), EMGd (n=10) Wrist, forearm, upper arm Wristband, armband Movements of major upper limb joints: shoulder, elbow, wrist, and finger joints

Repnik et al [20] Quantify upper limb movement for muscle activity analysis in stroke patients 9-DOF IMU (n=7), EMG (n=2) Hand, wrist, forearm, upper arm, sternum Wristband, armband, straps Movement quantified: hand smoothness, trajectory, trunk stability, and muscle activity

Tolvanen et al [23] General motion tracking Piezoresistive strain sensor (n=1) Hand, wrist, forearm, upper arm (biceps, triceps) Reusable adhesive layer Opening-closing cycles (hand), muscle tension of the flexor sternum, biceps, upper arm, bicep curl, peck fly, and triceps

Bai et al [13] Monitor different body movements, muscle contraction, and relaxation GYSe sensor Upper arm, fingers Direct winding ROM: instant tensing, bending, static motions of fingers, varied contractions of the bicep

Gu et al [15] Identify hand motions, joint bending, hand posture, gesture, and sign language Hydrogel-elastomer hybrid ionic sensor (n=10) Hand, fingers Water-borne adhesive ROM: finger bending/extending and hand gestures

Lee et al [17] Analyze data from neurologically intact individuals and the free-living environment, and develop a system to monitor stroke survivors Accelerometer (n=4) Wrists, fingers Rings, wristbands General quantification of the amount of use of upper limb function

Zhang P et al [26] Monitor human movement with the use of a flexible resistance strain sensor with a porous structure Strain sensor (n=1) Upper arm, forearm, wrist, fingers Velcro straps ROM: finger wrist and elbow bending; responses to breathing

Lee et al [16] Facilitate the clinically fitted measurement of fine-motor finger and wrist joint movements. Characterize age-related changes in hand functions 9-DOF IMU (n=7) Wrist, hand, fingers Clip-on straps ROM: finger movement (index finger, thumb flexion/extension) and wrist movement (ulnar/radial flexion)

Zhang J et al [25] Implement 3D motion velocity measurement, and propose a functional link artificial neural network model (FLANN) Microthermal flow sensor (n=2) Wrist Straps Trunk velocity, relative limb velocity, and absolute limb velocity

Schwarz et al [21] Evaluate spatiotemporal kinematic metrics for the assessment of upper limb movements after stroke 6-DOF IMU (n=8) Sternum, shoulder, upper arm, forearm, hand, fingers, thumb Medical tape/3D-printed flexible straps ROM: shoulder, elbow, thumb, index flexion/extension, and wrist supination/pronation

Formstone et al [14] Develop a comprehensive system designed for the clinical environment, and quantify hand/wrist movement 9-DOF IMU (n=3), MMGf (n=2) Sternum, upper arm, wrist, forearm 3D-printed housing cases attached with 3D-printed flexible resin straps Shoulder twist angle (range), abduction, flexion, elbow twist angle, wrist flexion, and circumduction muscle activity

Little et al [19] Analyze kinematic and physiological features for predicting elbow motion intention 9-DOF IMU (n=3), EMG (n=4), stretch sensor (n=1) Forearm, upper arm, torso Straps, direct winding Muscle activity, elbow flexion angle, and custom-made changes in muscle volume

Schwerz de Lucena et al [22] Real-time quantification of the effect of wearable feedback on hand counts for increasing hand activity 6-DOF IMU (n=1), magnetometer (n=4) Wrist, fingers Wristband, ring “Hand counts”: finger flexion/extension, wrist flexion/extension, and wrist radial/ulnar deviation movement
Rehabilitation

Ding et al [39] Measure orientation and correct arm posture using vibrotactile actuators for stroke rehabilitation patients and therapists 9-DOF IMU (n=2) Forearm, upper arm Velcro straps Body segment posture; forearm and upper arm orientation; trajectory of upper arm’s yaw, pitch, and roll; elbow angle; and forearm roll

Kim et al [31] Wearable upper limb motion tracking method for stroke rehabilitation therapy at home 6-DOF IMU (n=2) Wrist, upper arm Velcro straps ROM: position and orientation of the wrist and elbow joints. Accuracy of motion estimation and motion matching

Mohammadzadeh et al [34] Develop and evaluate the feasibility of a wearable sensor-based motion-tracking system 6-DOF IMU (n=3) Forearm, upper arm, sternum Velcro straps ROM: elbow joint angle

Ploderer et al [35] Patient monitoring system to support occupational therapists in upper limb rehabilitation work with stroke patients 9-DOF IMU (n=3) Shoulder, upper arm, wrist Velcro straps, medical tape ROM of each degree of freedom

Wang et al [28] Evaluate garments equipped with sensors that support posture monitoring; used in upper extremity rehabilitation training of stroke patients 9-DOF IMU (n=3) Scapula (shoulder blade), torso Vest with Velcro straps Analytical shoulder flexion, and analytical and functional elevation in the scapular plane

Salchow-Hömmen et al [37] Part of a feedback-controlled hand neuroprosthesis for the rehabilitation of patients who experience motor impairment of the hand 9-DOF IMU (n=16) Hand, fingers, forearm Skin-friendly tape ROM: combined abduction and flexion motion

Semjonova et al [38] Evaluate the impact of the Double Aid (DAid) smart shirt; training process of patients with subacromial pain syndrome Strain sensors (n=2) Scapula Commercial elastane-based fitness shirt Perform exercise without moving the shoulders; detect movement or no movement of the shoulders

Friedman et al [29] Nonobtrusive option for monitoring wrist and hand movement; needed for stroke rehabilitation and other applications Triaxial magnetometer (n=2), accelerometer (n=1) Wrist, fingers Watch-like enclosure, small neodymium ring worn on the index finger Accuracy of monitoring finger motion, wrist flexion/extension, and wrist ulnar/radial deviation. Accuracy in estimating different levels of movement activity

Kortier et al [32] Ambulatory system using inertial sensors for hand kinematics, and evaluation of hand functioning 6-DOF IMU (n=15), 9-DOF IMU (n=6) Hand, fingers, thumb Double-sided adhesive tape/mounted on polyamide/elastane-fabricated glove Static accuracy (ROM: flexion/extension, dynamic range, and repeatability)

Kim et al [30] Identify optimal sensor locations Bending sensor (n=2) Thumb, hand Flexible fabric straps partially made of Lycra sewed on a glove structure ROM; circumduction motion

Liu et al [33] Primary use of conductive stretchable fabrics to sense skin deformation during joint motion and infer the joint rotational angle Strain sensor (n=2) Forearm Fabric ROM: elbow flexion by various degrees; repeat motion at 3 levels of speed. Repeat each motion and perform free-form motions

Pregnolato et al [36] Define the clinical features of stroke patients while performing hand movements for rehabilitation training 9-DOF IMU (n=1), EMG (n=1) Forearm Armband Detect the total muscle activity of the forearm circumference

aROM: range of motion.

bDOF: degrees of freedom.

cIMU: inertial measurement unit.

dEMG: electromyography.

eGYS: graphene thin-film yarn sensor.

fMMG: mechanomyography.