Electronic monitoring of activity for diabetic foot ulcer prevention

NewsBot · Jan 24, 2009

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Electronic orthotics shoe: Preventing ulceration in diabetic patients.
Dabiri F, Vahdatpour A, Noshadi H, Hagopian H, Sarrafzadeh M.
Conf Proc IEEE Eng Med Biol Soc. 2008;1:771-774.

The improvement in processor performance through continuous breakthroughs in transistor technology has resulted in the proliferation of lightweight embedded systems. Advances in wireless technology and embedded systems have enabled remote healthcare and telemedicine. Continuous and real-time monitoring can discretely analyze how a patient's lifestyle affects his/her physiological conditions and if additional symptoms occur under various stimuli. Diabetes is one of most difficult challenges facing the healthcare industry today. One of the primary afflictions of diabetic patients is peripheral neuropathy (loss of sensation in the foot). As a direct result of this condition, the likelihood of ulcer increases which in many cases leads to to amputation. We have developed a wireless electronic orthotics composed of lightweight embedded systems and non-invasive sensors which can be used by diabetic patients suffering from peripheral neuropathy. Our proposed system monitors feet motion and pressure distribution beneath the feet in real-time and classifies the state of the patient. The proposed system detects the conditions that could potentially cause a foot ulcer. This system enables a continuous feedback mechanism for instance in case of an undesired behavior or condition a preemptive message wirelessly to the patient and the patient's caregiver.
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Admin2 · Jan 24, 2009

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cwiebelt · Jan 24, 2009

Hi
I have oftern thought that some form of electrnic monitoring and recording of real time activity and use by the client would be really helpful as to the effectiviness of differing off loading devices Porvided to the client.
it woulds also be nice to have some reliable data on activity levels and intensity of activity. Stresses placed on the foot.
This might also help validate treatment provided as being effective or not, and possibly suggest modifictions or when devices need repalcing.
The iproblems i have is i really dont know what is out there in the market place?
How one would incorarate this into a shoe or orthotic device?
The reliability?
and not to forget the cost?

Has anyone tried using these type of devices and didi it prve useful?

Chris

NewsBot · Aug 12, 2023

Preventative Sensor-Based Remote Monitoring of the Diabetic Foot in Clinical Practice
Evan Minty et al
Sensors (Basel). 2023 Jul 27;23(15):6712. doi: 10.3390/s23156712.

Diabetes and its complications, particularly diabetic foot ulcers (DFUs), pose significant challenges to healthcare systems worldwide. DFUs result in severe consequences such as amputation, increased mortality rates, reduced mobility, and substantial healthcare costs. The majority of DFUs are preventable and treatable through early detection. Sensor-based remote patient monitoring (RPM) has been proposed as a possible solution to overcome limitations, and enhance the effectiveness, of existing foot care best practices. However, there are limited frameworks available on how to approach and act on data collected through sensor-based RPM in DFU prevention. This perspective article offers insights from deploying sensor-based RPM through digital DFU prevention regimens. We summarize the data domains and technical architecture that characterize existing commercially available solutions. We then highlight key elements for effective RPM integration based on these new data domains, including appropriate patient selection and the need for detailed clinical assessments to contextualize sensor data. Guidance on establishing escalation pathways for remotely monitored at-risk patients and the importance of predictive system management is provided. DFU prevention RPM should be integrated into a comprehensive disease management strategy to mitigate foot health concerns, reduce activity-associated risks, and thereby seek to be synergistic with other components of diabetes disease management. This integrated approach has the potential to enhance disease management in diabetes, positively impacting foot health and the healthspan of patients living with diabetes.
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