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      Monitoring Methods of Human Body Joints: State-of-the-Art and Research Challenges

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          Abstract

          The world’s population is aging: the expansion of the older adult population with multiple physical and health issues is now a huge socio-economic concern worldwide. Among these issues, the loss of mobility among older adults due to musculoskeletal disorders is especially serious as it has severe social, mental and physical consequences. Human body joint monitoring and early diagnosis of these disorders will be a strong and effective solution to this problem. A smart joint monitoring system can identify and record important musculoskeletal-related parameters. Such devices can be utilized for continuous monitoring of joint movements during the normal daily activities of older adults and the healing process of joints (hips, knees or ankles) during the post-surgery period. A viable monitoring system can be developed by combining miniaturized, durable, low-cost and compact sensors with the advanced communication technologies and data processing techniques. In this study, we have presented and compared different joint monitoring methods and sensing technologies recently reported. A discussion on sensors’ data processing, interpretation, and analysis techniques is also presented. Finally, current research focus, as well as future prospects and development challenges in joint monitoring systems are discussed.

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          Most cited references147

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          Wearable Sensors for Remote Health Monitoring

          Life expectancy in most countries has been increasing continually over the several few decades thanks to significant improvements in medicine, public health, as well as personal and environmental hygiene. However, increased life expectancy combined with falling birth rates are expected to engender a large aging demographic in the near future that would impose significant  burdens on the socio-economic structure of these countries. Therefore, it is essential to develop cost-effective, easy-to-use systems for the sake of elderly healthcare and well-being. Remote health monitoring, based on non-invasive and wearable sensors, actuators and modern communication and information technologies offers an efficient and cost-effective solution that allows the elderly to continue to live in their comfortable home environment instead of expensive healthcare facilities. These systems will also allow healthcare personnel to monitor important physiological signs of their patients in real time, assess health conditions and provide feedback from distant facilities. In this paper, we have presented and compared several low-cost and non-invasive health and activity monitoring systems that were reported in recent years. A survey on textile-based sensors that can potentially be used in wearable systems is also presented. Finally, compatibility of several communication technologies as well as future perspectives and research challenges in remote monitoring systems will be discussed.
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            Wearable Sensors for Human Activity Monitoring: A Review

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              Extremely Elastic Wearable Carbon Nanotube Fiber Strain Sensor for Monitoring of Human Motion.

              The increasing demand for wearable electronic devices has made the development of highly elastic strain sensors that can monitor various physical parameters an essential factor for realizing next generation electronics. Here, we report an ultrahigh stretchable and wearable device fabricated from dry-spun carbon nanotube (CNT) fibers. Stretching the highly oriented CNT fibers grown on a flexible substrate (Ecoflex) induces a constant decrease in the conductive pathways and contact areas between nanotubes depending on the stretching distance; this enables CNT fibers to behave as highly sensitive strain sensors. Owing to its unique structure and mechanism, this device can be stretched by over 900% while retaining high sensitivity, responsiveness, and durability. Furthermore, the device with biaxially oriented CNT fiber arrays shows independent cross-sensitivity, which facilitates simultaneous measurement of strains along multiple axes. We demonstrated potential applications of the proposed device, such as strain gauge, single and multiaxial detecting motion sensors. These devices can be incorporated into various motion detecting systems where their applications are limited to their strain.
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                Author and article information

                Journal
                Sensors (Basel)
                Sensors (Basel)
                sensors
                Sensors (Basel, Switzerland)
                MDPI
                1424-8220
                10 June 2019
                June 2019
                : 19
                : 11
                : 2629
                Affiliations
                [1 ]Department of Electrical and Computer Engineering, McMaster University, Hamilton, ON L8S 4L8, Canada; faisaa4@ 123456mcmaster.ca (A.I.F.); majums3@ 123456mcmaster.ca (S.M.); sasan_naseh@ 123456yahoo.com (S.N.)
                [2 ]Department of Pediatrics, McMaster University, Hamilton, ON L8S 4L8, Canada; mondalt@ 123456mcmaster.ca
                [3 ]Department of Medicine, St. Joseph’s Healthcare Hamilton, Hamilton, ON L8N 4A6, Canada; cowand@ 123456mcmaster.ca
                Author notes
                [* ]Correspondence: jamal@ 123456mcmaster.ca ; Tel.: +1-905-5259-140 (ext. 27137)
                Author information
                https://orcid.org/0000-0003-0517-6008
                https://orcid.org/0000-0002-6390-0933
                Article
                sensors-19-02629
                10.3390/s19112629
                6603670
                31185629
                48e5524f-05d9-40d7-933d-fb93e703e335
                © 2019 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 26 April 2019
                : 04 June 2019
                Categories
                Review

                Biomedical engineering
                wearable sensors,joint monitoring system,joint angles,range of motion (rom),skeletal tracking,goniometer,optical sensors,textile-based sensors,inertial measurement unit (imu),sensor fusion

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