Klinische Neurophysiologie 2021; 52(01): 10-24
DOI: 10.1055/a-1254-9616
CME-Fortbildung

Wearables in der Schlaganfallmedizin

Wearables in Stroke Medicine
Christoph Baumgartner
,
Jakob Baumgartner
,
Agnes Pirker-Kees
,
Elke Rumpl

Zusammenfassung

Unter Wearables versteht man in die Kleidung oder in tragbare Geräte integrierte Sensoren, die eine kontinuierliche Langzeitmessung von physiologischen Parametern, wie Herzfrequenz, Blutdruck, Atmung, Bewegung, Hautwiderstand usw. und/oder Bewegungsmustern ermöglichen. In der Schlaganfallmedizin eröffnen Wearables neue Optionen in der Diagnostik, Prävention und Rehabilitation.

Abstract

Wearables are sensors integrated in garments or designed as wearable accessories facilitating continuous long-term measurements of physiological parameters or movement patterns. Compared with a 12-lead ECG smartwatches showed a sensitivity of 93,0–98,9% and a specificity of 81,9–98,2% for the detection of atrial fibrillation. Compared with simultaneous recordings from an insertable cardiac monitor detection sensitivity was 97,5% and duration sensitivity was 97,7%. In the Huawei Heart Study resp. the Apple Watch Study notifications of atrial fibrillation were observed in 0,23% resp. 0,52% of study participants, atrial fibrillation was diagnosed in 0,12% resp. 0,04%. Wearables in stroke rehabilitation comprise inertial measurement units, surface EMG sensors, pressure sensors (“the intelligent shoe”), sensors integrated in garments (“intelligent garments”), robot-assisted systems, functional electrical stimulation, transcutaneous electrical stimulation, and finally home-based Rehabilitation-Internet-of-Things devices integrated with virtual reality and gaming programs.



Publication History

Publication Date:
23 February 2021 (online)

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