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New Monitoring Technology to Objectively Assess Adherence to Prescribed Footwear and Assistive Devices During Ambulatory Activity  Sicco A. Bus, PhD,

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Presentation on theme: "New Monitoring Technology to Objectively Assess Adherence to Prescribed Footwear and Assistive Devices During Ambulatory Activity  Sicco A. Bus, PhD,"— Presentation transcript:

1 New Monitoring Technology to Objectively Assess Adherence to Prescribed Footwear and Assistive Devices During Ambulatory Activity  Sicco A. Bus, PhD, Roelof Waaijman, MSc, Frans Nollet, MD, PhD  Archives of Physical Medicine and Rehabilitation  Volume 93, Issue 11, Pages (November 2012) DOI: /j.apmr Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

2 Fig 1 (A) (B) which is fitted inside a plastazote foam pad, (C) covered with a thin layer of cellophane tape to prevent it from falling out, and (D) then taped to the inner surface of the shoe using adhesive athletic tape, at a level just distal to the lateral malleolus. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

3 Fig 2 Example readout of temperature and activity data for 1 subject during 1 day of recording. On the horizontal axis is the time of day. Dotted and dashed line curves show the raw temperature data from both temperature sensors of Continued line curve shows the temperature difference between sensors after offset correction. The vertical spikes show the weight-bearing activity data from the step activity monitor expressed in number of steps per minute. The straight horizontal lines show the periods that the shoes were on and off after data analysis. In this subject, shoes were worn between and hours and between and hours, but not during activity between 8.00 and hours. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

4 Fig 3 Example data showing adherence over a 7-day period for 1 of the diabetic patients in the study. Adherence data are expressed as percentage of steps that the patient wears the prescribed footwear. Data are shown for overall adherence, adherence at home, and adherence away from home. The dashed horizontal line represents the average adherence over 7 days. Shown are also the average number of steps per day and the at-home activity ratio (= number of steps at home/total number of steps). Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions


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