A Smart Insole to Promote Healthy Aging for Frail Elderly Individuals: Specifications, Design, and Preliminary Results

BackgroundOlder individuals frequently experience reversible “frailty syndrome,”, increasing incidence of disability. Although physical exercise interventions may delay functional decline, there are difficulties in implementing them and performing seamless follow-up at home. Very few technological s...

Full description

Bibliographic Details
Main Authors: Piau, Antoine, Charlon, Yoann, Campo, Eric, Vellas, Bruno, Nourhashemi, Fati
Format: Article
Language:English
Published: JMIR Publications 2015-05-01
Series:JMIR Rehabilitation and Assistive Technologies
Online Access:http://rehab.jmir.org/2015/1/e5/
_version_ 1818877190138232832
author Piau, Antoine
Charlon, Yoann
Campo, Eric
Vellas, Bruno
Nourhashemi, Fati
author_facet Piau, Antoine
Charlon, Yoann
Campo, Eric
Vellas, Bruno
Nourhashemi, Fati
author_sort Piau, Antoine
collection DOAJ
description BackgroundOlder individuals frequently experience reversible “frailty syndrome,”, increasing incidence of disability. Although physical exercise interventions may delay functional decline, there are difficulties in implementing them and performing seamless follow-up at home. Very few technological solutions attempt to address this challenge and improve individual participation. ObjectiveOur objectives are to (1) develop a technological solution designed to support active aging of frail older persons, (2) conduct a first laboratory evaluation of the device, and (3) design a multidimensional clinical trial to validate our solution. MethodsWe conducted a first phase of multidisciplinary meetings to identify real end users and health professional’s unmet needs, and to produce specifications for the architecture of the solution. In a second phase, we performed laboratory tests of the first proposed prototype (a smart insole) with 3 healthy volunteers. We then designed an ongoing clinical trial to finalize the multidimensional evaluation and improvement of the solution. ResultsTo respond to the needs expressed by the stakeholders (frailty monitoring and adherence improvement), we developed a prototype of smart shoe insole to monitor key parameters of frailty during daily life and promote walking. It is a noninvasive wireless insole, which automatically measures gait parameters and transmits information to a remote terminal via a secure Internet connection. To ensure the solution’s autonomy and transparency, we developed an original energy harvesting system, which transforms mechanical energy produced by the user’s walking movement into electrical energy. The first laboratory tests of this technological solution showed good reliability measures and also a good acceptability for the users. We have planned an original iterative medical research protocol to validate our solution in real life. ConclusionsOur smart insole could support preventive strategies against disability in primary care by empowering the older patients without increasing the busy health professional’s workload. Trial RegistrationClinicaltrials.gov NCT02316600; https://clinicaltrials.gov/ct2/results?term=NCT02316600&Search=Search. Accessed: 2015-05-13 . (Archived by WebCite at http://www.webcitation.org/6YUTkObrQ).
first_indexed 2024-12-19T13:54:20Z
format Article
id doaj.art-3a47bdd026e24fab93bfb4c0bc1c10a2
institution Directory Open Access Journal
issn 2369-2529
language English
last_indexed 2024-12-19T13:54:20Z
publishDate 2015-05-01
publisher JMIR Publications
record_format Article
series JMIR Rehabilitation and Assistive Technologies
spelling doaj.art-3a47bdd026e24fab93bfb4c0bc1c10a22022-12-21T20:18:38ZengJMIR PublicationsJMIR Rehabilitation and Assistive Technologies2369-25292015-05-0121e510.2196/rehab.4084A Smart Insole to Promote Healthy Aging for Frail Elderly Individuals: Specifications, Design, and Preliminary ResultsPiau, AntoineCharlon, YoannCampo, EricVellas, BrunoNourhashemi, FatiBackgroundOlder individuals frequently experience reversible “frailty syndrome,”, increasing incidence of disability. Although physical exercise interventions may delay functional decline, there are difficulties in implementing them and performing seamless follow-up at home. Very few technological solutions attempt to address this challenge and improve individual participation. ObjectiveOur objectives are to (1) develop a technological solution designed to support active aging of frail older persons, (2) conduct a first laboratory evaluation of the device, and (3) design a multidimensional clinical trial to validate our solution. MethodsWe conducted a first phase of multidisciplinary meetings to identify real end users and health professional’s unmet needs, and to produce specifications for the architecture of the solution. In a second phase, we performed laboratory tests of the first proposed prototype (a smart insole) with 3 healthy volunteers. We then designed an ongoing clinical trial to finalize the multidimensional evaluation and improvement of the solution. ResultsTo respond to the needs expressed by the stakeholders (frailty monitoring and adherence improvement), we developed a prototype of smart shoe insole to monitor key parameters of frailty during daily life and promote walking. It is a noninvasive wireless insole, which automatically measures gait parameters and transmits information to a remote terminal via a secure Internet connection. To ensure the solution’s autonomy and transparency, we developed an original energy harvesting system, which transforms mechanical energy produced by the user’s walking movement into electrical energy. The first laboratory tests of this technological solution showed good reliability measures and also a good acceptability for the users. We have planned an original iterative medical research protocol to validate our solution in real life. ConclusionsOur smart insole could support preventive strategies against disability in primary care by empowering the older patients without increasing the busy health professional’s workload. Trial RegistrationClinicaltrials.gov NCT02316600; https://clinicaltrials.gov/ct2/results?term=NCT02316600&Search=Search. Accessed: 2015-05-13 . (Archived by WebCite at http://www.webcitation.org/6YUTkObrQ).http://rehab.jmir.org/2015/1/e5/
spellingShingle Piau, Antoine
Charlon, Yoann
Campo, Eric
Vellas, Bruno
Nourhashemi, Fati
A Smart Insole to Promote Healthy Aging for Frail Elderly Individuals: Specifications, Design, and Preliminary Results
JMIR Rehabilitation and Assistive Technologies
title A Smart Insole to Promote Healthy Aging for Frail Elderly Individuals: Specifications, Design, and Preliminary Results
title_full A Smart Insole to Promote Healthy Aging for Frail Elderly Individuals: Specifications, Design, and Preliminary Results
title_fullStr A Smart Insole to Promote Healthy Aging for Frail Elderly Individuals: Specifications, Design, and Preliminary Results
title_full_unstemmed A Smart Insole to Promote Healthy Aging for Frail Elderly Individuals: Specifications, Design, and Preliminary Results
title_short A Smart Insole to Promote Healthy Aging for Frail Elderly Individuals: Specifications, Design, and Preliminary Results
title_sort smart insole to promote healthy aging for frail elderly individuals specifications design and preliminary results
url http://rehab.jmir.org/2015/1/e5/
work_keys_str_mv AT piauantoine asmartinsoletopromotehealthyagingforfrailelderlyindividualsspecificationsdesignandpreliminaryresults
AT charlonyoann asmartinsoletopromotehealthyagingforfrailelderlyindividualsspecificationsdesignandpreliminaryresults
AT campoeric asmartinsoletopromotehealthyagingforfrailelderlyindividualsspecificationsdesignandpreliminaryresults
AT vellasbruno asmartinsoletopromotehealthyagingforfrailelderlyindividualsspecificationsdesignandpreliminaryresults
AT nourhashemifati asmartinsoletopromotehealthyagingforfrailelderlyindividualsspecificationsdesignandpreliminaryresults
AT piauantoine smartinsoletopromotehealthyagingforfrailelderlyindividualsspecificationsdesignandpreliminaryresults
AT charlonyoann smartinsoletopromotehealthyagingforfrailelderlyindividualsspecificationsdesignandpreliminaryresults
AT campoeric smartinsoletopromotehealthyagingforfrailelderlyindividualsspecificationsdesignandpreliminaryresults
AT vellasbruno smartinsoletopromotehealthyagingforfrailelderlyindividualsspecificationsdesignandpreliminaryresults
AT nourhashemifati smartinsoletopromotehealthyagingforfrailelderlyindividualsspecificationsdesignandpreliminaryresults