Academic university collaboration - a win win partnership, Douglas Maxwell PAL Technologies
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Transcript of Academic university collaboration - a win win partnership, Douglas Maxwell PAL Technologies
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Who, why, where, when?
• University spin-out– Founded in 2001– Founders Dougie Maxwell, Malcolm Granat
& Nikos Mourselas– Technology developed in Bioengineering Unit the
founders and exclusively licenced to company– Traditional focus on measures of (dis)ability, our
desire was to measure participation
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Origins
Group: Goal:
PATIENT Get Better
ACADEMIC Get Famous
INDUSTRIALIST Get Rich
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(old) Model of health
World Health Organization (WHO) Rehabilitation Outcomes Model
(ICIDH, 1980)
Disease/Condition
Impairment Disability Handicap
Model proposes a linear, left-to-right association
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I nternational Classification of Functioning, Disability and Health (I CF) Framework (WHO, 2002)
Health condition (disorder or disease)
Body Structure & Functions(Impairment)
Activity Participation
EnvironmentalFactors
PersonalFactors
(New) Model of health
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Ability or Participation?
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GAPS project physical activity monitoring datainpatient ~1 month post-stroke (n = 41)
-5%
0%
5%
10%
15%
20%
25%
30%
35%
40%
18 35 15 5 40 12 10 29 4 2 8 24 28 1 13 22 11 3 26 6 27 32 25 30 14 41 36 21 9 19 16 39 7 31 38 17 23 33 20 34 37subject's ranked by increasing upright time
Tim
e sp
ent u
pri
gh
t (%
of w
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ay)
upright% standard physio augmented physio
The Glasgow Augmented Physiotherapy Study (GAPS) group (2004) Can augmented physiotherapy input enhance recovery of mobility after stroke? A randomized controlled trial. Clin Rehabil. 2004 Aug;18(5):529-37
Background – stroke rehab
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Ability or participation?
Age = 80Walking speed = 0.28m/s
Data source: Dr Margaret Grant, Glasgow Caledonian University
Age = 75Walking speed = 0.14m/s
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Easily understood outcomes
pensioner
stroke patient
taxi driver
teacher
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“by jove, the taxi driver doesn’t do much”
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Peer to peer
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Customers
• 35 Clinical trials
• 95 Intervention studies
• 211 Validation/descriptive studies
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Cardiometobolic research
“TV viewing time may have adverse health consequences that rival those of lack of physical activity, obesity and smoking; every single hour
of TV viewed may shorten life by as much as 22 min.”
Veerman JLet al. Br J Sports Med (2011) doi:10.1136/bjsm.2011.085662
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Sedentary behaviour modification
• Self monitoring has been demonstrated as most effective intervention for increasing physical activity
• What are the options for sedentary behaviour modification?– Chair based – Screen based– Self monitoring
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Sitting disease
Increased sendentary time associated with increased risk of:• Cardiovascular disease• Diabetes• Obesity• Stroke• Metabolic syndrome
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First Step Award
Development of novel metrics for the assessment of free-living physical behaviourDr Jason Gill, Institute of Cardiovascular and Medical SciencesUniversity of Glasgow
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First Steps
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Behaviour (change)
•Anatomy•Physiology•Psychology
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HAPTIC ENGAGEMENT
• activPAL VT (vibro-tactile)• Self-monitoring of sedentary bout
duration• Changing sedentary behaviour
one tickle at a time• “a PAL in your pants”
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EuroFIT - sitFIT
SitFITTo enable self-monitoring of free-living sedentary behaviour and physical activity. Cumulative sitting time is given context by visualising alongside upright time
microUSBfor download of detailed performance measures and battery charging
Steps Cumulative daily total
Sitting time Cumulative daily total
Upright time Cumulative daily total
Sedentary Behaviour IndexThe index reflects duration of sitting bouts, short bouts are better
Sitting bout timerVibro-tactile feedback tells the wearer how long they have been sitting for
Bluetooth SMARTfor connection to BT 4.0 enabled smartphones and displays and integration with other software, for example MatchFIT
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EuroFIT – keeping fit at the fitba