scholarly journals Seeking Inspiration: Examining the Validity and Reliability of a New Smartphone Respiratory Therapy Exergame App

Sensors ◽  
2021 ◽  
Vol 21 (19) ◽  
pp. 6472
Author(s):  
Clarence Baxter ◽  
Julie-Anne Carroll ◽  
Brendan Keogh ◽  
Corneel Vandelanotte

Background: Clinically valid and reliable simulated inspiratory sounds were required for the development and evaluation of a new therapeutic respiratory exergame application (i.e., QUT Inspire). This smartphone application virtualises incentive spirometry, a longstanding respiratory therapy technique. Objectives: Inspiratory flows were simulated using a 3 litre calibration syringe and validated using clinical reference devices. Syringe flow nozzles of decreasing diameter were applied to model the influence of mouth shape on audible sound levels generated. Methods: A library of calibrated audio inspiratory sounds was created to determine the reliability and range of inspiratory sound detection at increasing distances separating the sound source and smartphones running the app. Results: Simulated inspiratory sounds were reliably detected by the new application at higher air inflows (high, medium), using smaller mouth diameters (<25 mm) and where smartphones were held proximal (< = 5 cm) to the mouth (or at distances up to 50 cm for higher airflows). Performance was comparable for popular smartphone types and using different phone orientations (i.e., held horizontally, at 45° or 90°). Conclusions: These observations inform future application refinements, including prompts to reduce mouth diameter, increase inspiratory flow and maintain proximity to the phone to optimise sound detection. This library of calibrated inspiratory sounds offers reproducible non-human reference data suitable for development, evaluation and regression testing of a therapeutic respiratory exergame application for smartphones.

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Piotr F. Czempik ◽  
Agnieszka Jarosińska ◽  
Krystyna Machlowska ◽  
Michał P. Pluta

Abstract Sleep disruption is common in patients in the intensive care unit (ICU). The aim of the study was to measure sound levels during sleep-protected time in the ICU, determine sources of sound, assess the impact of sound levels and patient-related factors on duration and quality of patients' sleep. The study was performed between 2018 and 2019. A commercially available smartphone application was used to measure ambient sound levels. Sleep duration was measured using the Patient's Sleep Behaviour Observational Tool. Sleep quality was assessed using the Richards-Campbell Sleep Questionnaire (RCSQ). The study population comprised 18 (58%) men and 13 (42%) women. There were numerous sources of sound. The median duration of sleep was 5 (IQR 3.5–5.7) hours. The median score on the RCSQ was 49 (IQR 28–71) out of 100 points. Sound levels were negatively correlated with sleep duration. The cut-off peak sound level, above which sleep duration was shorter than mean sleep duration in the cohort, was 57.9 dB. Simple smartphone applications can be useful to estimate sound levels in the ICU. There are numerous sources of sound in the ICU. Individual units should identify and eliminate their own sources of sound. Sources of sound producing peak sound levels above 57.9 dB may lead to shorter sleep and should be eliminated from the ICU environment. The sound levels had no effect on sleep quality.


2020 ◽  
Vol 10 (13) ◽  
pp. 4424
Author(s):  
Estrella Armada-Cortés ◽  
Javier Peláez Barrajón ◽  
José Antonio Benítez-Muñoz ◽  
Enrique Navarro ◽  
Alejandro F. San Juan

The main purpose of this study was to compare the validity of the take-off velocity method (TOV) measured with a force platform (FP) (gold standard) versus the flight time method (FT) in a vertical jump to measure jumping performance or neuromuscular fatigue-overload in professional female football players. For this purpose, we used a FP and a validated smartphone application (APP). A total of eight healthy professional female football players (aged 27.25 ± 6.48 years) participated in this study. All performed three valid trials of a countermovement jump and squat jump and were measured at the same time with the APP and the FP. The results show that there is a lack of validity and reliability between jump height (JH) calculated through the TOV method with the FP and the FT method with the FP (r = 0.028, p > 0.84, intraclass correlation coefficient (ICC) = −0.026) and between the JH measured with the FP through the TOV method and the APP with the FT method (r = 0.116, p > 0.43, ICC = −0.094 (−0.314–0.157)). A significant difference between the JH measured through the TOV with the FP versus the APP (p < 0.05), and a trend between the JH obtained with the FP through the TOV and the FT (p = 0.052) is also shown. Finally, the JH with the FP through the FT and the APP did not differ (p > 0.05). The eta-squared of the one-way ANOVA was η2 = 0.085. It seems that only the TOV measured with a FP could guarantee the accuracy of the jump test in SJ+CMJ and SJ, so it is recommended that high-level sportswomen and men should be assessed with the FP through TOV as gold standard technology to ensure correct performance and/or fatigue-overload control during the sport season.


2013 ◽  
Vol 10 (7) ◽  
pp. 1867-1873 ◽  
Author(s):  
Ryan S. Hsi ◽  
James M. Hotaling ◽  
Andrea L. Hartzler ◽  
Sarah K. Holt ◽  
Thomas J. Walsh

Author(s):  
George Schayer Sabino ◽  
Luís Augusto Ferraz de Souza ◽  
Tainá Ribeiro ◽  
Diego Henrique Antunes Nascimento ◽  
Claysson Bruno Santos Vimieiro ◽  
...  

Sensors ◽  
2021 ◽  
Vol 21 (6) ◽  
pp. 2050
Author(s):  
Diogo Luís Marques ◽  
Henrique Pereira Neiva ◽  
Ivan Miguel Pires ◽  
Eftim Zdravevski ◽  
Martin Mihajlov ◽  
...  

Smartphone sensors have often been proposed as pervasive measurement systems to assess mobility in older adults due to their ease of use and low-cost. This study analyzes a smartphone-based application’s validity and reliability to quantify temporal variables during the single sit-to-stand test with institutionalized older adults. Forty older adults (20 women and 20 men; 78.9 ± 8.6 years) volunteered to participate in this study. All participants performed the single sit-to-stand test. Each sit-to-stand repetition was performed after an acoustic signal was emitted by the smartphone app. All data were acquired simultaneously with a smartphone and a digital video camera. The measured temporal variables were stand-up time and total time. The relative reliability and systematic bias inter-device were assessed using the intraclass correlation coefficient (ICC) and Bland-Altman plots. In contrast, absolute reliability was assessed using the standard error of measurement and coefficient of variation (CV). Inter-device concurrent validity was assessed through correlation analysis. The absolute percent error (APE) and the accuracy were also calculated. The results showed excellent reliability (ICC = 0.92–0.97; CV = 1.85–3.03) and very strong relationships inter-devices for the stand-up time (r = 0.94) and the total time (r = 0.98). The APE was lower than 6%, and the accuracy was higher than 94%. Based on our data, the findings suggest that the smartphone application is valid and reliable to collect the stand-up time and total time during the single sit-to-stand test with older adults.


Author(s):  
Do Hyun Kim

PURPOSE: We explored the test-retest reliability of pelvic rotation measured using a smartphone and established criterion-related validity by analyzing simple linear regression between pelvic rotation data obtained using the smartphone and those measured by a palpation meter. METHODS: We recruited 12 children with cerebral palsy (CP) (7 boys and 5 girls) and measured pelvic rotation using a smartphone application and a palpation meter in the sitting, standing, and one-leg standing positions. Test-retest reliability was evaluated by calculating intraclass correlation coefficients (ICCs); simple linear regression was analyzed to explore the relationships between smartphone and palpation meter data. RESULTS: In terms of the test-retest reliability of pelvic rotation measured by the smartphone, the ICCs ranged from 0.85 to 0.95. A positive linear correlation was found between smartphone and palpation meter data. CONCLUSIONS: We confirmed that measurement of pelvic rotation using a smartphone was reliable when children with CP were in the sitting, standing, and one-leg standing positions. In addition, pelvic rotation measured using the smartphone correlated significantly with that measured using a palpation meter.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Renée Keijsers ◽  
Elisa L. Zwerus ◽  
Dagmar R. M. van Lith ◽  
Koen L. M. Koenraadt ◽  
Pjotr Goossens ◽  
...  

Introduction. Range of motion (ROM) is closely monitored before and after surgery for stiff elbow and during rehabilitation. Measurements in the home environment may be helpful to increase involvement and adherence of the patient. Therefore, our objective is to investigate the validity and inter- and intraobserver reliability of 3 alternative methods to assess the ROM by the patient in a home-based situation, in comparison to the universal goniometer (UG). We hypothesize that all 3 alternative methods will be valid alternatives and show a level of reliability equivalent to UG. Methods. Goniometric measurements of elbow flexion, extension, pronation and supination using photography, movie, and a smartphone application were obtained. The validity of these measurement methods was compared to UG. The interobserver and intraobserver reliability were calculated for all measurement methods. Results. Photography and movie based goniometry of the elbow showed good validity in flexion and extension. The interobserver and intraobserver reliability were found to be good to excellent for photo and movie but moderate to poor for UG and the smartphone application. Conclusions. Photo or movie based goniometry seems to be a useful option for initial and follow-up measurement of the elbow ROM, both in the outpatient clinic and in a home environment. Based on our study, the smartphone application we used is not recommended.


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