Current Directions in Biomedical Engineering 2019;5(1):257-260
Open Access. © 2019 Puian Tadayon et al., published by De Gruyter. This work is licensed under the Creative Commons Attribution 4.0 License.
Puian Tadayon*, Thomas Felderhoff, Andreas Knopp, Gerhard Staude
Mobile System for the Prevention, Diagnosis,
and Personalized Treatment of Neck Pain
Under a Patient’s Everyday Life Circum-
stances
Abstract: This work presents a new system concept for the
prevention, diagnosis and interactive treatment of neck pain.
It comprises two measurement units worn at the head and the
torso, a smartphone/tablet and a medical assistance software.
The system aims to provide mobile measurement of full neck
movement including rotatory and translatory movements
under a patients everyday life circumstances. Multiple
features including biofeedback and therapy exercises are
intended to be individually configurable according to the
specific medical indications of the patient. In addition to the
system concept the current implementation state comprising
the two measurement units and a visualization app running
on a tablet is presented.
Keywords: Neck pain, interactive therapy, biofeedback,
inertial sensors, magnetic field system
https://doi.org/10.1515/cdbme-2019-0065
1 Introduction
Chronicle or recurring neck pain is a serious and widespread
disease: complaints in the neck area are the third most
common cause of chronicle pain in Europe [2]. The main
reasons for neck pain lie in the lack of movement and rigid
neck posture in monotonous activities e.g. during work with
computers and the prolonged use of smartphone or tablets.
However, currently no technical devices exist which provide
the acquisition of a person’s neck posture and movement
under conditions of daily life. Existing approaches for mobile
measurement of neck movement are mainly based on inertial
sensors and thus only provide the acquisition of rotatory, but
not translatory movement (e.g. [3, 4]). For the determination
of translatory movement including protraction and retraction
the position of the head in relation to the torso must be
available. Especially during work in front of PC or Laptop
monitors, the head is often in a forward position compared to
the torso. This pose is disadvantageous for the neck muscles
when held over a longer period [5] and thus an important
indicator in the assessment of neck pain causes. Available
systems which provide full motion acquisition including
rotatory and translatory movements of the head in relation to
the torso are based on stationary components, e.g. multiple
cameras or ultrasonic sources with fixed distances to each
other [6, 7], and thus not suitable for mobile movement
acquisition during a patient’s everyday life circumstances.
Therefore, in the research project MEDITHENA funded by
the German Federal Ministry of Education and Research
(BMBF), a new interactive and personalizable system
concept for the prevention, diagnosis, and therapy of neck
pain is proposed which provides full neck movement
acquisition including both rotatory and translatory
movements. Section 2 of this paper describes the full system
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*Corresponding author: Puian Tadayon Research Center for
BioMedical Technology (BMT), Fachhochschule Dortmund,
Sonnenstr. 96, 44139 Dortmund, Germany, Puian.Tadayon@fh-
dortmund.de
Thomas Felderhoff: Research Center for BioMedical Technology
(BMT), Fachhochschule Dortmund, Dortmund, Germany
Gerhard Staude, Andreas Knopp: Chair of Signal Processing
(EIT 3.2), Munich University of the Bundeswehr, Neubiberg,
Ge rmany
Figure 1: System design comprising the measurement system,
the mobile terminal and the medical assistance software