Sanitas
Revista arbitrada de ciencias de la salud
Vol. 3(2), 20-26, 2024
https://doi.org/10.62574/9r6xq898
20
Impact of wearable technology on the prevention of musculoskeletal injuries
Impacto de la tecnología wearable en la prevención de lesiones
musculoesqueléticas
Mario Fernando Rivera-Escobar
pg.mariofre77@uniandes.edu.ec
Universidad Regional Autónoma de Los Andes. UNIANDES, Ambato,
Tungurahua, Ecuador
https://orcid.org/0000-0001-6878-2756
ABSTRACT
Objective: to analyse the impact of wearable technology on the prevention of musculoskeletal
injuries. Method: descriptive analysis supported by a systematic review. Results and conclusion:
through an exhaustive systematic review of the scientific literature, consistent evidence has been
identified to support the effectiveness of these devices in postural correction, stimulation of physical
activity and reduction of prolonged sedentary lifestyles.
Descriptors: autistic disorder; audiologists; dental staff. (Source, DeCS).
RESUMEN
Objetivo: analizar el impacto de la tecnología wearable en la prevención de lesiones
musculoesqueléticas. Método: análisis descriptivo respaldado por una revisión sistemática.
Resultados y conclusión: A través de una revisión sistemática exhaustiva de la literatura científica,
se han identificado evidencias consistentes que respaldan la efectividad de estos dispositivos en la
corrección postural, la estimulación de la actividad física y la reducción del sedentarismo prolongado.
Descriptores: trastorno autístico; audiólogos; personal de odontología. (Fuente, DeCS).
Received: 27/02/2023. Revised: 07/03/2023. Approved: 11/03/2023. Published: 01/05/2024.
Brief original
Sanitas
Revista arbitrada de ciencias de la salud
Vol. 3(2), 20-26, 2024
Impacto de la tecnología wearable en la prevención de lesiones musculoesqueléticas
Impact of wearable technology on the prevention of musculoskeletal injuries
Mario Fernando Rivera-Escobar
21
INTRODUCTION
The issue of musculoskeletal injuries (MSIs) in contemporary workplaces, especially
in office settings, has risen to a major concern. This concern arises from the
confluence of the predominance of sedentary activities and prolonged exposure to
technological devices, which has exacerbated the incidence and severity of such
injuries. In this context, SCIs encompass a wide range of conditions, from carpal
tunnel syndrome to tendonitis and low back pain, imposing a substantial impact on
individuals' health and work performance, as well as on the costs associated with
medical treatment and lost productivity. 1 2 3 4 5 6 7
The advent of wearable technology has generated significant interest due to its
potential to mitigate this challenge. These devices offer continuous, real-time
collection of data related to physical activity, posture and other parameters crucial to
musculoskeletal health. Consequently, wearable technology presents itself as a
promising tool to proactively intervene in injury prevention and health promotion in
the work context. 8 9
Effective implementation of wearable technology in work environments requires a
thorough understanding of several determinants, including the underlying
mechanisms of injury, individual worker behaviours and the ergonomic challenges
inherent to each specific work environment, and it is imperative to consider issues
of worker acceptance and adoption, as well as privacy and data security issues.10
A critical component in the prevention of SCI lies in the promotion of postural
awareness and the adoption of appropriate ergonomic behaviours. In this regard,
wearable technology can play a key role by providing immediate feedback on
posture and body movements. For example, posture-tracking devices can alert
workers to postures that may increase the risk of injury, allowing them to make
adjustments in a timely manner.11 12
Sanitas
Revista arbitrada de ciencias de la salud
Vol. 3(2), 20-26, 2024
Impacto de la tecnología wearable en la prevención de lesiones musculoesqueléticas
Impact of wearable technology on the prevention of musculoskeletal injuries
Mario Fernando Rivera-Escobar
22
In addition to encouraging postural awareness, wearable technology can help
promote physical activity and regular breaks. Movement reminders, sedentary alerts
and activity goals can encourage workers to stay active throughout their workday,
generating benefits not only for their musculoskeletal health, but also for their
cardiovascular and mental wellbeing.13
Real-time data collection through wearable technology also provides invaluable
information for risk management and planning preventive interventions. By analysing
workers' activity patterns and behaviours, employers can identify areas of risk and
develop specific strategies to address them. This may include reorganising
workspaces, implementing ergonomic equipment and providing training in
ergonomics.14
However, despite its promising potential, the effective implementation of wearable
technology in work environments is not without its challenges. One of the most
critical is ensuring worker acceptance and adoption. It is crucial that employees
understand the benefits of the technology and are comfortable with its incorporation
into the workplace. This may require adequate education and training, as well as
worker participation in the implementation process.15
The objective is to analyse the impact of wearable technology on the prevention of
musculoskeletal injuries.
METHOD
A descriptive analysis supported by a systematic review was conducted, taking into
account ethical considerations at all stages of the research.
The sample of 15 scientific articles was carefully selected from reliable sources such
as PubMed and Scopus, thus ensuring the quality and integrity of the data analysed.
The information collected was subjected to a documentary content analysis,
avoiding any bias or conflict of interest that could affect the validity of the findings.
Sanitas
Revista arbitrada de ciencias de la salud
Vol. 3(2), 20-26, 2024
Impacto de la tecnología wearable en la prevención de lesiones musculoesqueléticas
Impact of wearable technology on the prevention of musculoskeletal injuries
Mario Fernando Rivera-Escobar
23
Copyright was rigorously respected and all sources used were properly cited,
encouraging transparency and acknowledgement of previous work by other
researchers. Preference was given to papers no older than 5 years.
RESULTS
In the sports domain, accelerometry was the dominant type of portable sensor
technology used, interpreting peak acceleration as an indicator of impact. Of the
included studies, 28 assessed running stride, head impacts in invasive and team
sports, or different forms of jumping or plyometric movements. The included studies
revealed a lack of consensus regarding sensor placement and interpretation of
results. 1 Correspondingly, the work of 2 showed a strong inverse correlation between
tread categorisations and tread angles (r = -0.86, p < 0.001). Overall, the sensors
demonstrated an accuracy of 78 % (rearfoot = 72.5 %, midfoot = 55.3 %, forefoot =
95.4 %), these results support the concurrent validity of sensor-derived gait
measurements.
The internal sensor showed considerable random error and substantially
overestimated head impact exposure. Despite the sensor's excellent on-field
accuracy in discriminating pitches from other accelerated events in youth football,
absolute values should be interpreted with caution and there is a need for secondary
means of verification (e.g., video analysis) in real-life settings.3 In this order,
organisations intending to implement wearable technology should (a) focus its use
on improving workplace safety, (b) promote a positive safety climate, (c) ensure
sufficient evidence to support employees' beliefs that the wearable device will meet
its intended purpose, and (d) involve and inform employees in the wearable
technology selection and implementation process. 4
CONCLUSION
Through a comprehensive systematic review of the scientific literature, consistent
evidence has been identified to support the effectiveness of these devices in
Sanitas
Revista arbitrada de ciencias de la salud
Vol. 3(2), 20-26, 2024
Impacto de la tecnología wearable en la prevención de lesiones musculoesqueléticas
Impact of wearable technology on the prevention of musculoskeletal injuries
Mario Fernando Rivera-Escobar
24
correcting posture, stimulating physical activity and reducing prolonged sedentary
lifestyles. These results hint at a possible paradigm shift in occupational health
management, presenting an innovative tool to decrease the prevalence of
musculoskeletal injuries and improve the holistic wellbeing of workers.
FUNDING
Non-monetary
CONFLICT OF INTEREST
There is no conflict of interest with persons or institutions involved in the research.
ACKNOWLEDGEMENTS
To the research department of UNIANDES.
REFERENCES
1. Eitzen I, Renberg J, Færevik H. The Use of Wearable Sensor Technology to
Detect Shock Impacts in Sports and Occupational Settings: A Scoping
Review. Sensors (Basel). 2021;21(15):4962. Published 2021 Jul 21.
doi:10.3390/s21154962
2. DeJong AF, Hertel J. Validation of Foot-Strike Assessment Using Wearable
Sensors During Running. J Athl Train. 2020;55(12):1307-1310.
doi:10.4085/1062-6050-0520.19
3. Sandmo SB, McIntosh AS, Andersen TE, Koerte IK, Bahr R. Evaluation of an
In-Ear Sensor for Quantifying Head Impacts in Youth Soccer. Am J Sports
Med. 2019;47(4):974-981. doi:10.1177/0363546519826953
4. Jacobs JV, Hettinger LJ, Huang YH, et al. Employee acceptance of wearable
technology in the workplace. Appl Ergon. 2019;78:148-156.
doi:10.1016/j.apergo.2019.03.003
5. Moshawrab M, Adda M, Bouzouane A, Ibrahim H, Raad A. Smart Wearables
for the Detection of Cardiovascular Diseases: A Systematic Literature
Review. Sensors (Basel). 2023;23(2):828. Published 2023 Jan 11.
doi:10.3390/s23020828
6. Moshawrab M, Adda M, Bouzouane A, Ibrahim H, Raad A. Smart Wearables
for the Detection of Occupational Physical Fatigue: A Literature
Sanitas
Revista arbitrada de ciencias de la salud
Vol. 3(2), 20-26, 2024
Impacto de la tecnología wearable en la prevención de lesiones musculoesqueléticas
Impact of wearable technology on the prevention of musculoskeletal injuries
Mario Fernando Rivera-Escobar
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Review. Sensors (Basel). 2022;22(19):7472. Published 2022 Oct 2.
doi:10.3390/s22197472
7. Svertoka E, Saafi S, Rusu-Casandra A, et al. Wearables for Industrial Work
Safety: A Survey. Sensors (Basel). 2021;21(11):3844. Published 2021 Jun 2.
doi:10.3390/s21113844
8. Sethi A, Ting J, Allen M, Clark W, Weber D. Advances in motion and
electromyography based wearable technology for upper extremity function
rehabilitation: A review. J Hand Ther. 2020;33(2):180-187.
doi:10.1016/j.jht.2019.12.021
9. Rising CJ, Gaysynsky A, Blake KD, Jensen RE, Oh A. Willingness to Share
Data From Wearable Health and Activity Trackers: Analysis of the 2019 Health
Information National Trends Survey Data. JMIR Mhealth Uhealth.
2021;9(12):e29190. Published 2021 Dec 13. doi:10.2196/29190
10. Chandrasekaran R, Katthula V, Moustakas E. Patterns of Use and Key
Predictors for the Use of Wearable Health Care Devices by US Adults:
Insights from a National Survey. J Med Internet Res. 2020;22(10):e22443.
Published 2020 Oct 16. doi:10.2196/22443
11. Kimball JP, Inan OT, Convertino VA, Cardin S, Sawka MN. Wearable Sensors
and Machine Learning for Hypovolemia Problems in Occupational, Military
and Sports Medicine: Physiological Basis, Hardware and Algorithms. Sensors
(Basel). 2022;22(2):442. Published 2022 Jan 7. doi:10.3390/s22020442
12. Tucker S, Jonnalagadda S, Beseler C, Yoder A, Fruhling A. Exploring
wearable technology use and importance of health monitoring in the
hazardous occupations of first responders and professional drivers. J Occup
Health. 2024;66(1):uiad002. doi:10.1093/joccuh/uiad002
13. Kim GJ, Parnandi A, Eva S, Schambra H. The use of wearable sensors to
assess and treat the upper extremity after stroke: a scoping review. Disabil
Rehabil. 2022;44(20):6119-6138. doi:10.1080/09638288.2021.1957027
14. Zadeh SM, MacDermid J, Johnson J, Birmingham TB, Shafiee E. Applications
of wearable sensors in upper extremity MSK conditions: a scoping review. J
Neuroeng Rehabil. 2023;20(1):158. Published 2023 Nov 18.
doi:10.1186/s12984-023-01274-w
15. Mokhtari F, Cheng Z, Wang CH, Foroughi J. Advances in Wearable
Piezoelectric Sensors for Hazardous Workplace Environments. Glob Chall.
2023;7(6):2300019. Published 2023 Apr 7. doi:10.1002/gch2.202300019
Sanitas
Revista arbitrada de ciencias de la salud
Vol. 3(2), 20-26, 2024
Impacto de la tecnología wearable en la prevención de lesiones musculoesqueléticas
Impact of wearable technology on the prevention of musculoskeletal injuries
Mario Fernando Rivera-Escobar
26
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