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. 2019 Nov 15;20:546. doi: 10.1186/s12891-019-2930-4

Table 2.

Shoulder motion monitoring for application in patients with neurological disorders

Reference, Year, Type of publication Sensors, Brand Placement and wearability Target shoulder parameters, Performance Gold standard Task executed Participants Aim

Bartalesi 2005, [8]

Conference

Strain sensor, WACKER Ltd.

(ELASTOSIL LR 3162 A/B)

Unilateral:

Sensors’ segment series along right upper limb

Shirt

Sh ROM HS Wearable garment able to reconstruct shoulder, wrist and elbow movement to correct stroke patients’ rehabilitation exercises

Hester 2006, [42]

Conference

Acc (n = 6)

Unilateral:

thumb, index, back of the hand, FA and UA (medially), thorax

Adhesive

Sh ROM Reaching, prehension, manipulation SP (n = 12) Predict clinical scores of stroke patients’ motor abilities

Zhou 2006, [43]

Full-Text

IMU (n = 2),

Xsens MT9B

Unilateral:

Wrist (inwards), elbow (outwards)

-

Sh orientation and position

FA FLX-EXT

FA PR-SU, reach test

HS (n = 1, M) Propose a data fusion algorithm to locate the shoulder joint without drift

Willmann 2007, [44]

Conference

M-IMU (n = 4),

Philips

Unilateral:

Torso, shoulder, UA, FA

Garment

Sh ROM HS Provide a home system for upper limb rehabilitation in stroke patients

Zhou 2008, [45]

Full-Text

M-IMU (n = 2),

Xsens MT9B

Unilateral:

FA (distally, near the wrist center), UA (laterally, on the line between the lateral epicondyle and the acromion process)

Velcro straps

Sh orientation and position,

RMSE = 2.5°-4.8°

CODA

reaching

shrugging

FA rotation

HS (n = 4, M)

20–40 Y

Validate data fusion algorithm

Giorgino 2009, [46]

Full-Text

Strain sensor (n = 19),

WACKER Ltd.

(ELASTOSIL LR 3162 A/B)

Unilateral:

Sensors’ sensing segments distributed over the UA, FA, shoulder, elbow, wrist

Shirt

Sh ROM

GH FLX (sagittal plane)

Lateral AB

ER

HS (n = 1) Describe a sensing garment for posture recognition in neurological rehabilitation

Lee 2010, [47]

Full-Text

Acc (n = 2),

Freescale MMA7261 QT

Unilateral:

UA, FA

Velcro strap

Sh ROM,

Mean error~0°-3.5°

gon FLX-EXT (sagittal plane) HS (n = 1) Validate performance and accuracy of the system

Chee Kian 2010, [48]

Conference

OLE (n = 1)

Acc (n = 1)

Unilateral:

UA, elbow

Adhesive patch

Sh ROM IGS-190 Cyclic movements with arm exerciser HS (n = 1) Validate feasibility and performance (accuracy, repeatability) of the proposed sensing system designed to assist stroke patients in upper limb home rehabilitation

Patel 2010, [49]

Full-Text

Acc (n = 6)

Unilateral:

thumb, index, back of the hand, FA, UA, trunk

-

Sh ROM 8 activities of FAS

SP (n = 24)

57.5 ± 11.8 Y

Evaluate accuracy of FAS score obtained via analysis of the accelerometers data comparing such estimates with scores provided by an expert clinician using this scale

Pérez 2010, [15]

Full-Text

M-IMU (n = 4),

Xsens MTi

Unilateral:

UA (18 cm from acromion), FA (25 cm from epicondyle), hand (5.5 cm from distal radio-cubital joint), back (position is not relevant)

Strap

Sh ROM,

r = 0.997 (for sh IR, after calibration)

BTS SMART-D

Sh FLX-EXT

Sh horizontal AB-AD

Sh IR

Elb FLX

Elb PR-SU

Wri FLX-EXT

Serving water from a jar

HS (n = 1, F) Validate the system

Bento 2011, [50]

Conference

M-IMU (n = 4)

Bilateral:

Shoulder, UA, wrist (affected and unaffected side)

Strap

Sh orientation and position

FA to Table

FA to box

Extend elbow

Hand to table

Hand to box

SP (n = 5, M)

35–73 Y

Preliminary validation of a system able to quantify upper limb motor function in patients after neurological trauma

Nguyen 2011, [51]

Full-Text

OLE (n = 3)

Acc (n = 3)

Unilateral:

Shoulder, elbow, wrist

Clothing module fixed with Velcro straps

Sh ROM,

Test2: RMSE = 3.8° (gon), RMSE = 3.1° (SW)

Test3: ICC = 0.975 (sh)

Test2: gon, Shape-

Wrap

Test2: Bend and

Flex elbow

Test3: reaching task

Test2:

HS (n = 3, M);

Test3:

HS (n = 5)

Validation of the proposed motion capture system

Ding 2013, [52]

Full-Text

M-IMU (n = 2),

Analog Device (acc: ADXL320), HoneyWell (magn: HMC1 053), Silicon Sensing System (gyr)

Unilateral:

UA (distal, near elbow), FA (distal, near wrist)

Velcro strap

Sh ROM Replication of 10 reference arm posture

HS (n = 5)

20–27 Y

Check the feasibility of the proposed system which measures orientation and corrects upper limb posture using vibrotactile actuators

Lee 2014, [53]

Full-Text

M-IMU (n = 7),

Analog Device (acc:ADXL 345)

InvenSense

(gyr: ITG3200)

Honeywell

(magn: HMC5883L)

Bilateral:

Back, UA, FA and hand

Strap

Sh ROM,

Test1: r = 0.963

Test2: RMSE< 5°

Test1:

gon

Test2: VICON

Sh FLX-EXT

Sh AB

Arm IER

Elb FLX

FA PR-SU

Wri FLX-EXT

Wri radial-ulnar deviation

SP (n = 5)

2 M, 3 F

Mean age: 68 Y

Introduce a smartphone centric wireless wearable system able to automate joint ROM measurements and detect the type of activities in stroke patients

Bai 2015, [54]

Full-Text

M-IMU (n = 4 or n = 1),

Xsens MTx

Unilateral

Scapula, UA, FA, back of the hand or only on UA

Velfoam, Velcro straps

Sh ROM

(upper limb segments orientation and position)

Test1:

gon

Test2:

gon, VICON

Sh FLX-EXT

Sh IER

Sh AB-AD

Elb FLX-EXT

FA PR-SU

Wri FLX-EXT

Wri radial-ulnar deviation

HS (n = 10)

8 M, 2 F

20–38 Y

P (n = 1), F

41 Y

Evaluate a four-sensor system and a one-sensor system, investigate whether these systems are able to obtain quantitative motion information from patients’ assessment during neurorehabilitation

Ertzgaard 2016, [55]

Full-Text

IMU (n = 5),

Analog Device, Adis 16,350

Bilateral:

Back (upper body), UA and FA

Strap

Sh ROM

(HT joint angles),

ICC = 0.768–0.985

Coda Movements that mimic activities of daily life

HS (n = 10)

2 M, 8 F

34.3 ± 13.1Y

SP (n = 1), F, 43 Y

Validation study to characterize elbow and shoulder motion during functional task using a modified Exposure Variation Analysis (EVA)

Lorussi 2016, [56]

Full-Text

M-IMU (n = 2),

Xsens MTw

Strain sensor (n = 1),

Smartex

Unilateral:

M-IMU sensors on sternum and UA

Textile-based strain sensor on the back (from the spine to scapula)

Shirt

Sh ROM

(HT joint angle and scapular translation)

BTS SMART-DX

UA FLX (sagittal plane)

UA AB (frontal plane)

HS (n = 5) Validate sensors and data fusion algorithm to reconstruct scapular-humeral rhythm

Mazamenos 2016, [57]

Full-Text

M-IMU (n = 2),

Shimmer2r

Unilateral:

UA (distal, near elbow), FA (distal, near wrist)

Straps

Sh ROM (segments’ orientation and position)

EXP1: Reach and retrieve, lift object to mouth, rotate an object

EXP2: preparing a cup of tea

HS (n = 18)

M, F

25–50 Y

SP (n = 4)

M, F

45–73 Y

Evaluate the performance and robustness of a detection and discrimination algorithm of arm movements

Jiang 2017, [58]

Conference

Acc (n = 4), Analog Device ADXL362

EMG (n = 4), Analog Device AD8232

Temperature (n = 1)

Unilateral:

along upper limb

Shirt

Sh ROM 4 typical joint actions performed in clinical assessment HS (n = 1), M Introduce an IoT-Bases upper limb rehabilitation assessment system for stroke patients

Li 2017, [59]

Full-Text

IMU (n = 2), InvenSense, MPU-9250

EMG (n = 10), American Imex, Dermatrode

Unilateral:

IMU: UA, wrist

EMG: FA (n = 8), UA (n = 2)

Stretchable belt

Sh ROM

11 tasks including:

Sh FLX, Sh AB

Wri FLX-EXT,

Fetch and hold a ball or a cylindric roll, finger to nose, touch the back of the sh, FA PR-SU

HS (n = 16)

10 M, 6 F

36.25 ± 15.19Y

SP (n = 18)

11 M, 7 F

55.28 ± 12.25 Y

Propose data fusion from IMU and surface EMG for quantitative motor function evaluation in stroke subjects

Newman 2017, [60]

Full-Text

IMU (n = 3), Gait Up SA Physilog4

Bilateral:

sternum, UA (posterior)

Velcro straps, adhesive patch

Sh ROM

(HT joint angles)

Reaching movements (lateral, forward, upward)

Children (n = 30)

10.6 ± 3.4 Y

17 boys, 13 girls

Test an IMU-based system to measure upper limb function in children with hemiparesis and its correlation with clinical scores

Yang e Tan 2017, [61]

Conference

M-IMU (n = 4), APDM Opal

Unilateral:

Waist, thorax, UA (distal, near elbow), FA (distal, near elbow)

Straps

Sh ROM

(HT joint angles)

Optitrack Movements related with waist joint, sh joint and elb joints to achieve joint rotation HS (n = 2) Validate the proposed motion tracking system

Daunoraviciene 2018, [62]

Full-Text

M-IMU (n = 6), Shimmer

Bilateral:

UA, FA, hand (on centres of mass)

Strap

Sh ROM FNT test (Sh EXT, sh AB, elb FLX, hand SU)

CG (n = 24)

7 M 31.14 ± 5.67

17 F

28 ± 3.97

MS-P (n = 34)

13 M

36.46 ± 13.07

21 F

42.19 ± 12.55

Test a M-IMU based system to identify quantitative parameters for evaluation of UL disability and relate it to clinical scores

Jung 2018, [63]

Conference

M-IMU (n = 5), Xsens MTw Awinda

Bilateral:

UA and FA, trunk

Velcro straps

Sh ROM

(HT join angles), RMSE = 0.32 for the estimation of movements qualities using data of the entire duration of movements

Quality of movements’ label provided by the therapist Reaching exercise

SP (n = 5), F

66.6 ± 15.9 Y

Evaluate movements quality regarding compensation and inter-joint coordination; exploiting a supervised machine learning approach, validate the hypothesis that therapists’ evaluation can be made considering only the beginning movement data

Lin 2018, [64]

Full-Text

IMU (n = 2)

Unilateral:

UA (distal, near elbow), FA (dorsal aspect of the wrist)

Strap

Sh ROM

Sh FLX-EXT

Sh AB

Sh ER

Elb FLX

FA PR-SU

SP (n = 18):

n = 9, control group (62.6 ± 7.1)

n = 9, device group (52.2 ± 10.2 Y)

Evaluate the feasibility and efficacy of an IMU-based system for upper limb rehabilitation in stroke patients and compare the intervention effects with those in a control group

Repnik 2018, [7]

Full-Text

M-IMU (n = 7),

Myo armband, n = 2_ with n = 8 EMGs built-in, Thalamic labs

Bilateral:

-M-IMU: Back of the hand, wrist, UA (distal, near elbow), sternum

-MYO: FA (in the proximity of elbow joint)

Straps, armband

Sh ROM

(HT joint angles)

ARAT tasks: 19 movements divided in 4 subtests (grasp, grip, pinch, gross arm movement)

SP (n = 28)

18 M, 10 F

57 ± 9.1 Y

HS (n = 12)

9 M, 3 F

36 ± 8 Y

Quantify UL and trunk movement in stroke patients

acc accelerometer, gyr gyroscope, magn magnetometer, OLE Optical Linear Encoder, IMU Inertial Measurement Unit, M-IMU Magneto and Inertial Measurement Unit, UA Upper Arm, FA Forearm, ROM Range of motion, HT humerothoracic, GH glenohumeral, Sh shoulder, wri wrist, elb elbow, FLX-EXT flexion-extension, PR-SU pronation-supination, AB-AD abduction-adduction, IER internal-external rotation, RMSE root mean square error, r = correlation, ICC Intraclass Correlation Coefficients, gon goniometer, HS Healthy subject, CG control group, SP Stroke Patient, MS-P Multiple Sclerosis Patient, P patient, M male, F female, Y Years old, FAS Functional Ability Scale, ARAT Action research arm test