Smart clothing for remote rehab
Although Batman’s and Spider-Man’s outfits in the movies may be fancy and eye-catching, in reality smart clothing is not about that kind of flashiness. Chiang Shang-lin, director of the Department of Physical Medicine and Rehabilitation at Tri-Service General Hospital, has been working with the TTRI since 2018 on the use of smart clothing in clinical medicine. Chiang, a bronze National Healthcare Quality Award winner, shows us a wearable heart rate sensor garment for patients. Except for a short, thin transmitter on the chest, it looks virtually indistinguishable from ordinary clothing.
The predecessor of this is the heart rate strap, developed some 20 or 30 years ago. These straps use conductive rubber and are strapped around the chest, calculating heart rate using the millivolt potential changes on the skin surface when the heart beats. However, they come loose easily and create a lot of friction, making them difficult to wear for long periods. In this clothing-based version, conductive silver-plated fibers are woven into the fabric, and when worn, the garment can capture physiological data such as heart rate and exercise intensity, making it significantly more comfortable and practical.
Over the past four years, Chiang has provided this garment to more than 100 cardiopulmonary rehabilitation patients. In the traditional medical model, patients must regularly report to the hospital, have electrocardiogram leads attached while exercising, and be guided by a therapist. This puts a considerable burden on patients in terms of time, transportation, and cost. “Statistics show that among patients in need of rehab, only some 20% actually come to the hospital. That missing 80% is the niche that can be addressed by smart clothing,” says Chiang.
With smart clothing, doctors only need to prescribe an exercise regime and enter it into the corresponding app. When the patients wear the clothing, they can train by themselves and upload the data to the cloud in real time, giving the medical team immediate access and making the whole process much easier for everyone. In the past, this system was primarily used with patients who had suffered a myocardial infarction or those with heart failure. However, in the wake of the Covid-19 pandemic, Chiang predicts, with growing numbers of recovered pneumonia patients, smart clothing has the potential to significantly reduce labor costs and will undoubtedly play an important role.
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Smart textiles could revolutionize medical treatment. A doctor prescribes an exercise regime and enters it into an app, and their cardiopulmonary rehabilitation patient trains at home, using smart clothing to upload data in real time so the medical team can monitor their situation remotely.
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Dr. Chiang Shang-lin (left) of Tri-Service General Hospital expects that in the post-pandemic era, smart clothing will play an increasingly important role as a clinical tool.