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Tuesday, 25 November 2014

Web, Apps and Wearables: Tools For Joint Health


The eROAR webinar on Saturday is an annual event presented by the Patient Advisory Board of The Arthritis Research Centre. The broadcast went by so fast it was hard to absorb all of the facts, so I hope that looking at it again is useful.

Dr. Linda Li was one of the speakers. She spoke about apps and wearables and their possible use in improving joint health. Sam Bradd did a wonderful job of using his skills to turn the speaker's presentations into art and below is what Sam drew based on Dr. Li's talk.

Picture by Sam Bradd, graphic recorder.
Wearables and apps used in healthcare are a very hot topic, and I saw them in evidence at MedX in Stanford among both attendees and exhibitors. I thought that the Lumo looked interesting. It's a small device that vibrates when your posture needs adjustment, Mostly though, when I measure any aspect of my health, it's an issue of whether or not my favourite jeans are too tight, just as Susannah Fox has been quoted as saying in the past.
Dr Li takes a more scientific approach, starting by telling us that the future is here. In 2014 'wearables' are expected to generate $3 billion in sales as they move from technology enthusiasts to everyday users. With this ability to collect minute to minute information and pair it with a mobile device there is great potential to help people be active.
Not many people use them yet. Dr Li suggests use of exercise to help in osteoarthritis (OA) to improve pain and function, weight loss to decrease symptoms, and acetaminophen as the first line pain medication.
Studies like the Canadian Community Health Survey have shown that large percentages of people with OA do not meet guidelines for physical activity, which call for only 150 minutes per week.
Why is this the case? Lack of motivation is number one. When you are in pain it takes more effort to remain active. Other reasons for inactivity which people give are doubts that it will work and lack of professional advice.
Dr Linda Li and partners in the Arthritis Research Centre and other funders, are in the process of recruiting for six different studies, some in osteoarthritis and some in rheumatoid arthritis, lupus and in indigenous communities. You'll be seeing more results coming from her as this data is analyzed.
Activity trackers are looking more attractive to me as time passes. It seems there is more attention being paid to them as a way for people with chronic health problems to improve activity levels. The call for 10,000 steps a day is being modified as usage moves from the very healthy to the not so healthy.

Here is the text from one of Dr. Li's slides that describes a physical activity counselling model. This is what is happening when people join one of her current studies.

1.Physiotherapist provides information on physical activity
A brief education session
Goal-setting
2.Fitbit Flex – an activity tracker
3.Physiotherapist reviews physical activity with participants
10-minute weekly phone counseling
Progressively modify the participant’s activity

Patients may email if they have questions

A tweet about Dr Li from #eROAR Nov. 22

Dr Linda Li 2014 recipient Outstanding Inclusion Patients in Research award patient advisory board 2time win!

Exercise is necessary. Raise a little sweat.

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