Versatile GCH Control Software for Correction of Loads Applied to Forearm Crutches During Gait Recovery Through Technological Feedback: Development and Implementation Study
Measuring weight bearing is an essential aspect of clinical care for lower limb injuries such as sprains or meniscopathy surgeries. This care often involves the use of forearm crutches for partial loads progressing to full loads. Therefore, feasible methods of load monitoring for daily clinical use...
Saved in:
| Published in: | Journal of medical Internet research Vol. 23; no. 9; p. e27602 |
|---|---|
| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Canada
Gunther Eysenbach MD MPH, Associate Professor
22.09.2021
JMIR Publications |
| Subjects: | |
| ISSN: | 1438-8871, 1439-4456, 1438-8871 |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | Measuring weight bearing is an essential aspect of clinical care for lower limb injuries such as sprains or meniscopathy surgeries. This care often involves the use of forearm crutches for partial loads progressing to full loads. Therefore, feasible methods of load monitoring for daily clinical use are needed.
The main objective of this study was to design an innovative multifunctional desktop load-measuring software that complements GCH System 2.0-instrumented forearm crutches and monitors the applied loads, displaying real-time graphical and numerical information, and enabling the correction of inaccuracies through feedback technology during assisted gait. The secondary objective was to perform a preliminary implementation trial.
The software was designed for indoor use (clinics/laboratories). This software translates the crutch sensor signal in millivolts into force units, records and analyzes data (10-80 Hz), and provides real-time effective curves of the loads exerted on crutches. It covers numerous types of extrinsic feedback, including visual, acoustic (verbal/beeps), concurrent, terminal, and descriptive feedback, and includes a clinical and research use database. An observational descriptive pilot study was performed with 10 healthy subjects experienced in bilateral assisted gait. The Wilcoxon matched-pairs signed-rank test was used to evaluate the load accuracy evolution of each subject (ie, changes in the loads exerted on crutches for each support) among various walks, which was interpreted at the 95% confidence level.
GCH Control Software was developed as a multifunctional desktop tool complementing GCH System 2.0-instrumented forearm crutches. The pilot implementation of the feedback mechanism observed 96/100 load errors at baseline (walk 0, no feedback) with 7/10 subjects exhibiting crutch overloading. Errors ranged from 61.09% to 203.98%, demonstrating heterogeneity. The double-bar feedback found 54/100 errors in walk 1, 28/100 in walk 2, and 14/100 in walk 3. The first walk with double-bar feedback (walk 1) began with errors similar to the baseline walk, generally followed by attempts at correction. The Wilcoxon matched-pairs signed-rank test used to evaluate each subject's progress showed that all participants steadily improved the accuracy of the loads applied to the crutches. In particular, Subject 9 required extra feedback with two single-bar walks to focus on the total load. The participants also corrected the load balance between crutches and fluency errors. Three subjects made one error of load balance and one subject made six fluctuation errors during the three double-bar walks. The latter subject performed additional feedback with two balance-bar walks to focus on the load balance.
GCH Control Software proved to be useful for monitoring the loads exerted on forearm crutches, providing a variety of feedback for correcting load accuracy, load balance between crutches, and fluency. The findings of the complementary implementation were satisfactory, although clinical trials with larger samples are needed to assess the efficacy of the different feedback mechanisms and to select the best alternatives in each case. |
|---|---|
| AbstractList | Measuring weight bearing is an essential aspect of clinical care for lower limb injuries such as sprains or meniscopathy surgeries. This care often involves the use of forearm crutches for partial loads progressing to full loads. Therefore, feasible methods of load monitoring for daily clinical use are needed.
The main objective of this study was to design an innovative multifunctional desktop load-measuring software that complements GCH System 2.0-instrumented forearm crutches and monitors the applied loads, displaying real-time graphical and numerical information, and enabling the correction of inaccuracies through feedback technology during assisted gait. The secondary objective was to perform a preliminary implementation trial.
The software was designed for indoor use (clinics/laboratories). This software translates the crutch sensor signal in millivolts into force units, records and analyzes data (10-80 Hz), and provides real-time effective curves of the loads exerted on crutches. It covers numerous types of extrinsic feedback, including visual, acoustic (verbal/beeps), concurrent, terminal, and descriptive feedback, and includes a clinical and research use database. An observational descriptive pilot study was performed with 10 healthy subjects experienced in bilateral assisted gait. The Wilcoxon matched-pairs signed-rank test was used to evaluate the load accuracy evolution of each subject (ie, changes in the loads exerted on crutches for each support) among various walks, which was interpreted at the 95% confidence level.
GCH Control Software was developed as a multifunctional desktop tool complementing GCH System 2.0-instrumented forearm crutches. The pilot implementation of the feedback mechanism observed 96/100 load errors at baseline (walk 0, no feedback) with 7/10 subjects exhibiting crutch overloading. Errors ranged from 61.09% to 203.98%, demonstrating heterogeneity. The double-bar feedback found 54/100 errors in walk 1, 28/100 in walk 2, and 14/100 in walk 3. The first walk with double-bar feedback (walk 1) began with errors similar to the baseline walk, generally followed by attempts at correction. The Wilcoxon matched-pairs signed-rank test used to evaluate each subject's progress showed that all participants steadily improved the accuracy of the loads applied to the crutches. In particular, Subject 9 required extra feedback with two single-bar walks to focus on the total load. The participants also corrected the load balance between crutches and fluency errors. Three subjects made one error of load balance and one subject made six fluctuation errors during the three double-bar walks. The latter subject performed additional feedback with two balance-bar walks to focus on the load balance.
GCH Control Software proved to be useful for monitoring the loads exerted on forearm crutches, providing a variety of feedback for correcting load accuracy, load balance between crutches, and fluency. The findings of the complementary implementation were satisfactory, although clinical trials with larger samples are needed to assess the efficacy of the different feedback mechanisms and to select the best alternatives in each case. BackgroundMeasuring weight bearing is an essential aspect of clinical care for lower limb injuries such as sprains or meniscopathy surgeries. This care often involves the use of forearm crutches for partial loads progressing to full loads. Therefore, feasible methods of load monitoring for daily clinical use are needed. ObjectiveThe main objective of this study was to design an innovative multifunctional desktop load-measuring software that complements GCH System 2.0–instrumented forearm crutches and monitors the applied loads, displaying real-time graphical and numerical information, and enabling the correction of inaccuracies through feedback technology during assisted gait. The secondary objective was to perform a preliminary implementation trial. MethodsThe software was designed for indoor use (clinics/laboratories). This software translates the crutch sensor signal in millivolts into force units, records and analyzes data (10-80 Hz), and provides real-time effective curves of the loads exerted on crutches. It covers numerous types of extrinsic feedback, including visual, acoustic (verbal/beeps), concurrent, terminal, and descriptive feedback, and includes a clinical and research use database. An observational descriptive pilot study was performed with 10 healthy subjects experienced in bilateral assisted gait. The Wilcoxon matched-pairs signed-rank test was used to evaluate the load accuracy evolution of each subject (ie, changes in the loads exerted on crutches for each support) among various walks, which was interpreted at the 95% confidence level. ResultsGCH Control Software was developed as a multifunctional desktop tool complementing GCH System 2.0–instrumented forearm crutches. The pilot implementation of the feedback mechanism observed 96/100 load errors at baseline (walk 0, no feedback) with 7/10 subjects exhibiting crutch overloading. Errors ranged from 61.09% to 203.98%, demonstrating heterogeneity. The double-bar feedback found 54/100 errors in walk 1, 28/100 in walk 2, and 14/100 in walk 3. The first walk with double-bar feedback (walk 1) began with errors similar to the baseline walk, generally followed by attempts at correction. The Wilcoxon matched-pairs signed-rank test used to evaluate each subject’s progress showed that all participants steadily improved the accuracy of the loads applied to the crutches. In particular, Subject 9 required extra feedback with two single-bar walks to focus on the total load. The participants also corrected the load balance between crutches and fluency errors. Three subjects made one error of load balance and one subject made six fluctuation errors during the three double-bar walks. The latter subject performed additional feedback with two balance-bar walks to focus on the load balance. ConclusionsGCH Control Software proved to be useful for monitoring the loads exerted on forearm crutches, providing a variety of feedback for correcting load accuracy, load balance between crutches, and fluency. The findings of the complementary implementation were satisfactory, although clinical trials with larger samples are needed to assess the efficacy of the different feedback mechanisms and to select the best alternatives in each case. Background: Measuring weight bearing is an essential aspect of clinical care for lower limb injuries such as sprains or meniscopathy surgeries. This care often involves the use of forearm crutches for partial loads progressing to full loads. Therefore, feasible methods of load monitoring for daily clinical use are needed. Objective: The main objective of this study was to design an innovative multifunctional desktop load-measuring software that complements GCH System 2.0–instrumented forearm crutches and monitors the applied loads, displaying real-time graphical and numerical information, and enabling the correction of inaccuracies through feedback technology during assisted gait. The secondary objective was to perform a preliminary implementation trial. Methods: The software was designed for indoor use (clinics/laboratories). This software translates the crutch sensor signal in millivolts into force units, records and analyzes data (10-80 Hz), and provides real-time effective curves of the loads exerted on crutches. It covers numerous types of extrinsic feedback, including visual, acoustic (verbal/beeps), concurrent, terminal, and descriptive feedback, and includes a clinical and research use database. An observational descriptive pilot study was performed with 10 healthy subjects experienced in bilateral assisted gait. The Wilcoxon matched-pairs signed-rank test was used to evaluate the load accuracy evolution of each subject (ie, changes in the loads exerted on crutches for each support) among various walks, which was interpreted at the 95% confidence level. Results: GCH Control Software was developed as a multifunctional desktop tool complementing GCH System 2.0–instrumented forearm crutches. The pilot implementation of the feedback mechanism observed 96/100 load errors at baseline (walk 0, no feedback) with 7/10 subjects exhibiting crutch overloading. Errors ranged from 61.09% to 203.98%, demonstrating heterogeneity. The double-bar feedback found 54/100 errors in walk 1, 28/100 in walk 2, and 14/100 in walk 3. The first walk with double-bar feedback (walk 1) began with errors similar to the baseline walk, generally followed by attempts at correction. The Wilcoxon matched-pairs signed-rank test used to evaluate each subject’s progress showed that all participants steadily improved the accuracy of the loads applied to the crutches. In particular, Subject 9 required extra feedback with two single-bar walks to focus on the total load. The participants also corrected the load balance between crutches and fluency errors. Three subjects made one error of load balance and one subject made six fluctuation errors during the three double-bar walks. The latter subject performed additional feedback with two balance-bar walks to focus on the load balance. Conclusions: GCH Control Software proved to be useful for monitoring the loads exerted on forearm crutches, providing a variety of feedback for correcting load accuracy, load balance between crutches, and fluency. The findings of the complementary implementation were satisfactory, although clinical trials with larger samples are needed to assess the efficacy of the different feedback mechanisms and to select the best alternatives in each case. Measuring weight bearing is an essential aspect of clinical care for lower limb injuries such as sprains or meniscopathy surgeries. This care often involves the use of forearm crutches for partial loads progressing to full loads. Therefore, feasible methods of load monitoring for daily clinical use are needed.BACKGROUNDMeasuring weight bearing is an essential aspect of clinical care for lower limb injuries such as sprains or meniscopathy surgeries. This care often involves the use of forearm crutches for partial loads progressing to full loads. Therefore, feasible methods of load monitoring for daily clinical use are needed.The main objective of this study was to design an innovative multifunctional desktop load-measuring software that complements GCH System 2.0-instrumented forearm crutches and monitors the applied loads, displaying real-time graphical and numerical information, and enabling the correction of inaccuracies through feedback technology during assisted gait. The secondary objective was to perform a preliminary implementation trial.OBJECTIVEThe main objective of this study was to design an innovative multifunctional desktop load-measuring software that complements GCH System 2.0-instrumented forearm crutches and monitors the applied loads, displaying real-time graphical and numerical information, and enabling the correction of inaccuracies through feedback technology during assisted gait. The secondary objective was to perform a preliminary implementation trial.The software was designed for indoor use (clinics/laboratories). This software translates the crutch sensor signal in millivolts into force units, records and analyzes data (10-80 Hz), and provides real-time effective curves of the loads exerted on crutches. It covers numerous types of extrinsic feedback, including visual, acoustic (verbal/beeps), concurrent, terminal, and descriptive feedback, and includes a clinical and research use database. An observational descriptive pilot study was performed with 10 healthy subjects experienced in bilateral assisted gait. The Wilcoxon matched-pairs signed-rank test was used to evaluate the load accuracy evolution of each subject (ie, changes in the loads exerted on crutches for each support) among various walks, which was interpreted at the 95% confidence level.METHODSThe software was designed for indoor use (clinics/laboratories). This software translates the crutch sensor signal in millivolts into force units, records and analyzes data (10-80 Hz), and provides real-time effective curves of the loads exerted on crutches. It covers numerous types of extrinsic feedback, including visual, acoustic (verbal/beeps), concurrent, terminal, and descriptive feedback, and includes a clinical and research use database. An observational descriptive pilot study was performed with 10 healthy subjects experienced in bilateral assisted gait. The Wilcoxon matched-pairs signed-rank test was used to evaluate the load accuracy evolution of each subject (ie, changes in the loads exerted on crutches for each support) among various walks, which was interpreted at the 95% confidence level.GCH Control Software was developed as a multifunctional desktop tool complementing GCH System 2.0-instrumented forearm crutches. The pilot implementation of the feedback mechanism observed 96/100 load errors at baseline (walk 0, no feedback) with 7/10 subjects exhibiting crutch overloading. Errors ranged from 61.09% to 203.98%, demonstrating heterogeneity. The double-bar feedback found 54/100 errors in walk 1, 28/100 in walk 2, and 14/100 in walk 3. The first walk with double-bar feedback (walk 1) began with errors similar to the baseline walk, generally followed by attempts at correction. The Wilcoxon matched-pairs signed-rank test used to evaluate each subject's progress showed that all participants steadily improved the accuracy of the loads applied to the crutches. In particular, Subject 9 required extra feedback with two single-bar walks to focus on the total load. The participants also corrected the load balance between crutches and fluency errors. Three subjects made one error of load balance and one subject made six fluctuation errors during the three double-bar walks. The latter subject performed additional feedback with two balance-bar walks to focus on the load balance.RESULTSGCH Control Software was developed as a multifunctional desktop tool complementing GCH System 2.0-instrumented forearm crutches. The pilot implementation of the feedback mechanism observed 96/100 load errors at baseline (walk 0, no feedback) with 7/10 subjects exhibiting crutch overloading. Errors ranged from 61.09% to 203.98%, demonstrating heterogeneity. The double-bar feedback found 54/100 errors in walk 1, 28/100 in walk 2, and 14/100 in walk 3. The first walk with double-bar feedback (walk 1) began with errors similar to the baseline walk, generally followed by attempts at correction. The Wilcoxon matched-pairs signed-rank test used to evaluate each subject's progress showed that all participants steadily improved the accuracy of the loads applied to the crutches. In particular, Subject 9 required extra feedback with two single-bar walks to focus on the total load. The participants also corrected the load balance between crutches and fluency errors. Three subjects made one error of load balance and one subject made six fluctuation errors during the three double-bar walks. The latter subject performed additional feedback with two balance-bar walks to focus on the load balance.GCH Control Software proved to be useful for monitoring the loads exerted on forearm crutches, providing a variety of feedback for correcting load accuracy, load balance between crutches, and fluency. The findings of the complementary implementation were satisfactory, although clinical trials with larger samples are needed to assess the efficacy of the different feedback mechanisms and to select the best alternatives in each case.CONCLUSIONSGCH Control Software proved to be useful for monitoring the loads exerted on forearm crutches, providing a variety of feedback for correcting load accuracy, load balance between crutches, and fluency. The findings of the complementary implementation were satisfactory, although clinical trials with larger samples are needed to assess the efficacy of the different feedback mechanisms and to select the best alternatives in each case. |
| Author | Perez-Cabezas, V Sevillano, Jose Luis Chamorro-Moriana, Gema |
| AuthorAffiliation | 2 Department of Architecture and Technology of Computers Robotics and Technology of Computers Research Group TEP-108 University of Seville Seville Spain 3 Department of Nursing and Physiotherapy Empowering Health by Physical Activity, Exercise and Nutrition Research Group CTS-1038 University of Cadiz Cadiz Spain 1 Department of Physiotherapy Area of Physiotherapy Research Group CTS-305 University of Seville Seville Spain |
| AuthorAffiliation_xml | – name: 1 Department of Physiotherapy Area of Physiotherapy Research Group CTS-305 University of Seville Seville Spain – name: 2 Department of Architecture and Technology of Computers Robotics and Technology of Computers Research Group TEP-108 University of Seville Seville Spain – name: 3 Department of Nursing and Physiotherapy Empowering Health by Physical Activity, Exercise and Nutrition Research Group CTS-1038 University of Cadiz Cadiz Spain |
| Author_xml | – sequence: 1 givenname: Gema orcidid: 0000-0003-4592-0882 surname: Chamorro-Moriana fullname: Chamorro-Moriana, Gema – sequence: 2 givenname: Jose Luis orcidid: 0000-0002-1392-1832 surname: Sevillano fullname: Sevillano, Jose Luis – sequence: 3 givenname: V orcidid: 0000-0002-3896-357X surname: Perez-Cabezas fullname: Perez-Cabezas, V |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34550073$$D View this record in MEDLINE/PubMed |
| BookMark | eNpdkt9q2zAUxs3oWP-srzAEYzAY2WRLiuxdDEq6pIHAYM12K46l40SZbHmynJF32kPOSdrR9ErSOT--80n6LpOzxjeYJNcp_ZilxfhTJsc0e5FcpJzlozyX6dmT_Xly2XUbSjPKi_RVcs64EJRKdpH8_Ymhg2gdktnkjkx8E4N35N5X8Q8EJJUPQzEE1NH6hviKLDyYjty0rbNoSPRk6gNCqMkk9FGvsSO3fbDNiszARvIdtd9i2JHlOvh-tSZL1OvGO7-yGhyZIpoS9K_P5Ba36HxbYxMJNIbM69bh_gSHwfexN7vXycsKXIfXD-tV8mP6dTm5Gy2-zeaTm8VIcyHjiGOeM1NwhgIyWWkosGCM6rGmaSWyTGoUjFdClkO3oLrgRuc0F7lkDE2WsqtkftQ1HjaqDbaGsFMerDoUfFgpCNFqh4pWyGnFuUY-5mVhSmEgQ9AcBOQA5aD15ajV9mWNRg83CuBORE87jV2rld-qnBdC5Hsz7x8Egv_dYxdVbTuNzkGDvu9UJqRgMhOMDejbZ-jG96EZnmpPyYLRXPKBevPU0X8rj6EYgA9HQAffdQErpe3xGwaD1qmUqn3k1CFyA_3uGf0oeMr9A1Ct1tg |
| CitedBy_id | crossref_primary_10_3390_s22083006 crossref_primary_10_3390_s23084151 |
| Cites_doi | 10.1007/s40520-019-01203-9 10.1007/s00402-018-3068-9 10.1177/0363546516673837 10.1097/PEP.0b013e3181b13bca 10.23736/s0022-4707.17.06749-4 10.1590/S1413-35552012000200009 10.1589/jpts.27.1267 10.1111/dmcn.14177 10.1097/JSM.0000000000000321 10.1371/journal.pone.0155225 10.1177/2055668318793585 10.1109/jbhi.2019.2937279 10.1109/tnsre.2013.2242902 10.1016/j.apmr.2014.05.016 10.1097/MAO.0b013e31823827ec 10.1155/2019/1286864 10.2519/jospt.2016.6625 10.1016/j.gaitpost.2012.09.018 10.1080/09638288.2017.1419292 10.1109/ICORR.2019.8779565 10.1109/ICORR.2019.8779369 10.1177/0309364611429722 10.1371/journal.pone.0165199 10.3928/01477447-20100826-02 10.3390/s16060925 10.1007/s00221-007-1139-1 10.1212/01.CON.0000436159.33447.69 10.1371/journal.pone.0107323 10.1186/s12984-019-0636-3 10.1109/jbhi.2018.2873991 10.1016/j.gaitpost.2018.05.010 10.1080/00222890109601903 10.1016/j.apmr.2014.10.004 10.1589/jpts.28.1482 10.1007/s00264-019-04385-z 10.1068/p5929 10.4103/0972-2327.104334 10.1186/1743-0003-11-61 10.1115/1.4040020 10.1177/0363546518784301 10.1016/j.gaitpost.2018.12.008 10.3109/17483107.2011.556209 10.1186/s11556-019-0222-5 10.1016/j.jecm.2011.09.010 10.1186/s12938-018-0527-z 10.3389/fnhum.2019.00172 10.1038/s41598-020-57489-7 10.1186/s13018-018-0875-1 10.1016/j.rh.2014.10.002 10.1007/s00064-019-00642-x 10.1016/j.gaitpost.2017.03.011 10.1097/PHM.0000000000000264 10.1519/00139143-200608000-00006 10.1007/s00167-016-4359-8 10.3390/s18010142 10.1016/j.gaitpost.2018.04.020 10.2340/16501977-1949 10.1109/tnsre.2017.2683488 |
| ContentType | Journal Article |
| Copyright | Gema Chamorro-Moriana, Jose Luis Sevillano, V Perez-Cabezas. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 22.09.2021. 2021. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Gema Chamorro-Moriana, Jose Luis Sevillano, V Perez-Cabezas. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 22.09.2021. 2021 |
| Copyright_xml | – notice: Gema Chamorro-Moriana, Jose Luis Sevillano, V Perez-Cabezas. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 22.09.2021. – notice: 2021. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: Gema Chamorro-Moriana, Jose Luis Sevillano, V Perez-Cabezas. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 22.09.2021. 2021 |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 3V. 7QJ 7RV 7X7 7XB 8FI 8FJ 8FK ABUWG AFKRA ALSLI AZQEC BENPR CCPQU CNYFK DWQXO E3H F2A FYUFA GHDGH K9. KB0 M0S M1O NAPCQ PHGZM PHGZT PIMPY PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI PRINS PRQQA 7X8 5PM DOA |
| DOI | 10.2196/27602 |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) Applied Social Sciences Index & Abstracts (ASSIA) Nursing & Allied Health Database Health & Medical Collection ProQuest Central (purchase pre-March 2016) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central UK/Ireland Social Science Premium Collection ProQuest Central Essentials ProQuest Central ProQuest One Community College Library & Information Science Collection ProQuest Central Library & Information Sciences Abstracts (LISA) Library & Information Science Abstracts (LISA) Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Health & Medical Collection (Alumni Edition) Library Science Database Nursing & Allied Health Premium ProQuest Central Premium ProQuest One Academic (New) Publicly Available Content Database ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest Central China One Social Sciences MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Publicly Available Content Database ProQuest One Academic Middle East (New) Library and Information Science Abstracts (LISA) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing Applied Social Sciences Index and Abstracts (ASSIA) ProQuest Central China ProQuest Central ProQuest Library Science ProQuest Health & Medical Research Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Library & Information Science Collection ProQuest Central (New) Social Science Premium Collection ProQuest One Social Sciences ProQuest One Academic Eastern Edition ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest One Academic UKI Edition ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE Publicly Available Content Database MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: 7RV name: Nursing & Allied Health Database url: https://search.proquest.com/nahs sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine Library & Information Science Physical Therapy |
| EISSN | 1438-8871 |
| ExternalDocumentID | oai_doaj_org_article_0fe40f44ce464b9db5da2eac4a5a8aab PMC8495581 34550073 10_2196_27602 |
| Genre | Journal Article Observational Study |
| GroupedDBID | --- .4I .DC 29L 2WC 36B 53G 5GY 5VS 77I 77K 7RV 7X7 8FI 8FJ AAFWJ AAKPC AAWTL AAYXX ABDBF ABIVO ABUWG ACGFO ADBBV AEGXH AENEX AFFHD AFKRA AFPKN AIAGR ALMA_UNASSIGNED_HOLDINGS ALSLI AOIJS BAWUL BCNDV BENPR CCPQU CITATION CNYFK CS3 DIK DU5 DWQXO E3Z EAP EBD EBS EJD ELW EMB EMOBN ESX F5P FRP FYUFA GROUPED_DOAJ GX1 HMCUK HYE IAO KQ8 M1O M48 NAPCQ OK1 OVT P2P PGMZT PHGZM PHGZT PIMPY PPXIY PQQKQ PRQQA RNS RPM SJN SV3 TR2 UKHRP XSB ALIPV CGR CUY CVF ECM EIF NPM 3V. 7QJ 7XB 8FK AZQEC E3H F2A K9. PJZUB PKEHL PQEST PQUKI PRINS 7X8 PUEGO 5PM |
| ID | FETCH-LOGICAL-c457t-4e883d943e5a27fca9e9330c6c01f5227ce534f57b27f90c94dc80858733ed213 |
| IEDL.DBID | DOA |
| ISICitedReferencesCount | 2 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000700562700005&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1438-8871 1439-4456 |
| IngestDate | Fri Oct 03 12:51:21 EDT 2025 Tue Nov 04 02:00:06 EST 2025 Thu Oct 02 05:21:04 EDT 2025 Sat Nov 08 19:55:31 EST 2025 Thu Apr 03 07:07:29 EDT 2025 Tue Nov 18 22:13:45 EST 2025 Sat Nov 29 03:22:38 EST 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 9 |
| Keywords | functional recovery of the gait injuries assisted gait for partial weight-bearing feedback technology control and monitoring software motor control rehabilitation crutches gait lower limb physical therapy injury unloading of lower limb musculoskeletal injury |
| Language | English |
| License | Gema Chamorro-Moriana, Jose Luis Sevillano, V Perez-Cabezas. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 22.09.2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c457t-4e883d943e5a27fca9e9330c6c01f5227ce534f57b27f90c94dc80858733ed213 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 ObjectType-Undefined-3 |
| ORCID | 0000-0003-4592-0882 0000-0002-3896-357X 0000-0002-1392-1832 |
| OpenAccessLink | https://doaj.org/article/0fe40f44ce464b9db5da2eac4a5a8aab |
| PMID | 34550073 |
| PQID | 2577930874 |
| PQPubID | 2033121 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_0fe40f44ce464b9db5da2eac4a5a8aab pubmedcentral_primary_oai_pubmedcentral_nih_gov_8495581 proquest_miscellaneous_2575372533 proquest_journals_2577930874 pubmed_primary_34550073 crossref_citationtrail_10_2196_27602 crossref_primary_10_2196_27602 |
| PublicationCentury | 2000 |
| PublicationDate | 2021-09-22 |
| PublicationDateYYYYMMDD | 2021-09-22 |
| PublicationDate_xml | – month: 09 year: 2021 text: 2021-09-22 day: 22 |
| PublicationDecade | 2020 |
| PublicationPlace | Canada |
| PublicationPlace_xml | – name: Canada – name: Toronto – name: Toronto, Canada |
| PublicationTitle | Journal of medical Internet research |
| PublicationTitleAlternate | J Med Internet Res |
| PublicationYear | 2021 |
| Publisher | Gunther Eysenbach MD MPH, Associate Professor JMIR Publications |
| Publisher_xml | – name: Gunther Eysenbach MD MPH, Associate Professor – name: JMIR Publications |
| References | ref13 ref57 ref12 ref56 ref15 ref59 ref14 ref58 Bella, GP (ref55) 2012; 16 ref52 ref11 ref54 ref17 ref16 ref19 Anukoolkarn, K (ref53) 2015; 98 ref18 ref51 ref50 Fernández, R (ref7) 1998; 20 ref46 ref45 ref48 ref47 ref42 ref41 ref44 ref43 ref49 ref8 ref9 ref4 ref3 ref6 ref5 ref40 ref35 ref34 ref37 ref36 ref31 ref30 ref33 ref32 ref2 ref1 ref39 ref38 Bacon-Bastable, S (ref22) 2014 ref24 Sultan, AS (ref10) 2017; 67 ref23 ref26 ref25 ref20 ref21 ref28 ref27 ref29 ref60 ref62 ref61 |
| References_xml | – ident: ref32 doi: 10.1007/s40520-019-01203-9 – ident: ref40 doi: 10.1007/s00402-018-3068-9 – ident: ref62 doi: 10.1177/0363546516673837 – ident: ref52 doi: 10.1097/PEP.0b013e3181b13bca – ident: ref49 doi: 10.23736/s0022-4707.17.06749-4 – volume: 16 start-page: 134 issue: 2 year: 2012 ident: ref55 publication-title: Rev Bras Fisioter doi: 10.1590/S1413-35552012000200009 – ident: ref17 doi: 10.1589/jpts.27.1267 – ident: ref8 doi: 10.1111/dmcn.14177 – ident: ref37 doi: 10.1097/JSM.0000000000000321 – ident: ref1 doi: 10.1371/journal.pone.0155225 – start-page: 99 year: 2014 ident: ref22 publication-title: Nurse as Educator: Principles of Teaching and Learning for Nursing Practice. 4th edition – ident: ref50 doi: 10.1177/2055668318793585 – ident: ref54 doi: 10.1109/jbhi.2019.2937279 – ident: ref27 doi: 10.1109/tnsre.2013.2242902 – volume: 20 start-page: 3 issue: 1 year: 1998 ident: ref7 publication-title: Fisioterapia – ident: ref13 doi: 10.1016/j.apmr.2014.05.016 – volume: 67 start-page: 1078 issue: 7 year: 2017 ident: ref10 publication-title: J Pak Med Assoc – ident: ref26 doi: 10.1097/MAO.0b013e31823827ec – ident: ref58 doi: 10.1155/2019/1286864 – ident: ref4 doi: 10.2519/jospt.2016.6625 – ident: ref42 doi: 10.1016/j.gaitpost.2012.09.018 – ident: ref23 doi: 10.1080/09638288.2017.1419292 – ident: ref51 doi: 10.1109/ICORR.2019.8779565 – ident: ref21 doi: 10.1109/ICORR.2019.8779369 – ident: ref48 doi: 10.1177/0309364611429722 – ident: ref60 doi: 10.1371/journal.pone.0165199 – ident: ref34 doi: 10.3928/01477447-20100826-02 – volume: 98 start-page: 896 issue: 9 year: 2015 ident: ref53 publication-title: J Med Assoc Thai – ident: ref6 doi: 10.3390/s16060925 – ident: ref44 doi: 10.1007/s00221-007-1139-1 – ident: ref59 doi: 10.1212/01.CON.0000436159.33447.69 – ident: ref2 doi: 10.1371/journal.pone.0107323 – ident: ref29 doi: 10.1186/s12984-019-0636-3 – ident: ref30 doi: 10.1109/jbhi.2018.2873991 – ident: ref11 doi: 10.1016/j.gaitpost.2018.05.010 – ident: ref25 doi: 10.1080/00222890109601903 – ident: ref16 doi: 10.1016/j.apmr.2014.10.004 – ident: ref24 doi: 10.1589/jpts.28.1482 – ident: ref45 doi: 10.1007/s00264-019-04385-z – ident: ref12 doi: 10.1068/p5929 – ident: ref19 doi: 10.4103/0972-2327.104334 – ident: ref3 doi: 10.1186/1743-0003-11-61 – ident: ref35 doi: 10.1115/1.4040020 – ident: ref36 doi: 10.1177/0363546518784301 – ident: ref46 doi: 10.1016/j.gaitpost.2018.12.008 – ident: ref20 doi: 10.3109/17483107.2011.556209 – ident: ref31 doi: 10.1186/s11556-019-0222-5 – ident: ref47 doi: 10.1016/j.jecm.2011.09.010 – ident: ref39 doi: 10.1186/s12938-018-0527-z – ident: ref28 doi: 10.3389/fnhum.2019.00172 – ident: ref9 doi: 10.1038/s41598-020-57489-7 – ident: ref5 doi: 10.1186/s13018-018-0875-1 – ident: ref18 doi: 10.1016/j.rh.2014.10.002 – ident: ref41 doi: 10.1007/s00064-019-00642-x – ident: ref57 doi: 10.1016/j.gaitpost.2017.03.011 – ident: ref14 doi: 10.1097/PHM.0000000000000264 – ident: ref56 doi: 10.1519/00139143-200608000-00006 – ident: ref38 doi: 10.1007/s00167-016-4359-8 – ident: ref43 doi: 10.3390/s18010142 – ident: ref33 doi: 10.1016/j.gaitpost.2018.04.020 – ident: ref15 doi: 10.2340/16501977-1949 – ident: ref61 doi: 10.1109/tnsre.2017.2683488 |
| SSID | ssj0020491 |
| Score | 2.3383617 |
| Snippet | Measuring weight bearing is an essential aspect of clinical care for lower limb injuries such as sprains or meniscopathy surgeries. This care often involves... Background: Measuring weight bearing is an essential aspect of clinical care for lower limb injuries such as sprains or meniscopathy surgeries. This care often... BackgroundMeasuring weight bearing is an essential aspect of clinical care for lower limb injuries such as sprains or meniscopathy surgeries. This care often... |
| SourceID | doaj pubmedcentral proquest pubmed crossref |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Enrichment Source |
| StartPage | e27602 |
| SubjectTerms | Bars Clinical research Clinical trials Clinics Crutches Design Efficacy Errors Feedback Fluency Forearm Gait Humans Implementation Information technology Laboratories Load Numerical information Objectives Original Paper Patients Physical therapy Pilot Projects Professionals Recovery (Medical) Software Surgery Technology Weight bearing |
| SummonAdditionalLinks | – databaseName: Nursing & Allied Health Database dbid: 7RV link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9QwEB5BQRUSorAUCLSVkSpuURM_4oQLgoW2B6gqKKi3yPEDVrRJye6C-E_8SMZeb-hWiAvX2EkmyjdPzwNgVzpBK5OxVKiiSpETi7ShzKUGfRUlct0w04RhE_LoqDw9rY5jwG0a0yqXMjEIatNpHyPfQ2ghlLJS8hcX31I_NcqfrsYRGtfhRu51N-JZvv80OFxo_ebrcNunOyPQ9qgsYvRkqX9Cm_6_2ZZXUyQv6Zz9jf-l9i7cidYmebmAxz24ZtsRbMdaBfKMxGIk_3NI5PIRrL-L5-0j2DiOv5GcLLoP3IdfPsKGd5xZcjA-JONFqjv5gOL8h-otwQfixT4IUnxq58jbTpkpieYumXXEjwNV_TkZ93OPmSl5HWolyYGazIj3h5G9fuIbwwQhMgT_Ax37qG0bpb8-J5fSnYhqDQl9js9jKRV-ju-buwkf99-cjA_TOPIh1VzIWcptWTJTcWaFotJpVVkfcdGFznJEFZXaCsadkA2uVpmuuNElWo2lZMwamrMHsNZ2rX0EhKrCibIxjkrFtUU7jKFpW_HcoQfrmEhgdwmEWsd-6H4sx1mNfpHHSx3wksDOsO1i0QDk6oZXHkXDou_XHS50_ec6sn-dOcszx5EOXvCmMo0wiqLO40qoUqkmga0ljuooRKb1HxAl8HRYRvb3Zzqqtd087BFMUvyyBB4uIDtQwnzFOorwBOQKmFdIXV1pJ19Ci_ES_WZR5o__TdYTuEV9io8_pKNbsDbr53Ybburvs8m03wm8-BtKaEN3 priority: 102 providerName: ProQuest |
| Title | Versatile GCH Control Software for Correction of Loads Applied to Forearm Crutches During Gait Recovery Through Technological Feedback: Development and Implementation Study |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/34550073 https://www.proquest.com/docview/2577930874 https://www.proquest.com/docview/2575372533 https://pubmed.ncbi.nlm.nih.gov/PMC8495581 https://doaj.org/article/0fe40f44ce464b9db5da2eac4a5a8aab |
| Volume | 23 |
| WOSCitedRecordID | wos000700562700005&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVAON databaseName: DOAJ Directory of Open Access Journals customDbUrl: eissn: 1438-8871 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0020491 issn: 1438-8871 databaseCode: DOA dateStart: 19990101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals – providerCode: PRVPQU databaseName: Health & Medical Collection customDbUrl: eissn: 1438-8871 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0020491 issn: 1438-8871 databaseCode: 7X7 dateStart: 20010101 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: Library Science Database customDbUrl: eissn: 1438-8871 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0020491 issn: 1438-8871 databaseCode: M1O dateStart: 20010101 isFulltext: true titleUrlDefault: https://search.proquest.com/libraryscience providerName: ProQuest – providerCode: PRVPQU databaseName: Nursing & Allied Health Database customDbUrl: eissn: 1438-8871 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0020491 issn: 1438-8871 databaseCode: 7RV dateStart: 20010101 isFulltext: true titleUrlDefault: https://search.proquest.com/nahs providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 1438-8871 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0020491 issn: 1438-8871 databaseCode: BENPR dateStart: 20010101 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: Publicly Available Content Database customDbUrl: eissn: 1438-8871 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0020491 issn: 1438-8871 databaseCode: PIMPY dateStart: 20010101 isFulltext: true titleUrlDefault: http://search.proquest.com/publiccontent providerName: ProQuest |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrR1db9Mw0IKBJiSEYDAIbNUhTbxFS_wRJ7yxsm5ItFRjoPIUOf4QFVuK0hbEf-JHck7cqp2QeOHFDz4nsn0fvrPvg5Aj6QQtTMJiobIiRk7M4ooyFxu0VZRIdcVM1RabkKNRPpkU441SX94nrEsP3G3cceIsTxzn2vKMV4WphFEUpQVXQuVKVV76otazMqaCqYV6b7pL7ntHZySxYyqzcG-yOnnaBP1_0ypvOkdunDaDh-RBUBPhTTe9R-SWrffIYQgygFcQooj8rkJgzz2yOwwP5Y_Jb38PhuArC2f9c-h3DunwEYXuT9VYwK-xs2nFHf5i5uD9TJk5BKUUFjPwRTtVcw39ZukxO4e3bUQjnKnpArzVikzwCy67Oj-wvqL3SIcBnomV0t9ew4ZTEqjaQJuN-DoEPOHcfXbbJ-TT4PSyfx6Hwgyx5kIuYm7znJmCMysUlU6rwvp7EZ3pJEXcU6mtYNwJWSG0SHTBjc5Rt8slY9bQlO2TnXpW22cEqMqcyCvjqFSIY9SWGCqgBU8d2pmOiYgcrZBW6pC13BfPuCrRevG4LVvcRqS3Hva9S9Nxc8CJx_ga6LNqtx1Ia2WgtfJftBaRgxW9lIHV5yXKPJRxSS55RF6uwcik_uVF1Xa2bMcIJimuLCJPO_Jaz4T5uHIUtBGRW4S3NdVtSD392iYCz9G6FXn6_H-s7QW5R727jn9wowdkZ9Es7SG5q38spvOmR27Li8--nci2zXvkzsnpaHzRa_kO22H6AfvG74bjL38AdnA4CA |
| linkProvider | Directory of Open Access Journals |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1bb9MwFD4aAw0kxKDcCtsw0uAtWutLnCAhBB1dp3XVJIrUt-A4DlRsyUhbpv0nxG_k2HW6dUK87YHX2HFOku_c7HMB2Ja5oHHWYoFQYRwgJ4ZBSlkeZOirKNHWKctS12xCDgbRaBQfrcDvOhfGhlXWMtEJ6qzUdo98B6GFUGpFkr87_RHYrlH2dLVuoTGHxYE5P0OXbfJ2fxf_7ytKux-HnV7guwoEmgs5DbiJIpbFnBmhqMy1io116nWoW20knEptBOO5kCmOxi0d80xHaJhEkjGT0TbDdW_ATZTj0oaQydGFg4fWdnsN7trwagT2DpWh362p9Z1rC_A3W_ZqSOYlHddd_9--zn24561p8n4O_wewYooGbPpcDPKa-GQrCz7ipVgD1g59PEED1o88TMlwXl3hIfyyO4h4x7Ehe50e6cxD-cknVFdnqjIEF8SLlVMUuGqZk36psgnx5jyZlsS2O1XVCelUM8sTE7LrckHJnhpPifX3UXyc4xNdhySyONxwdHTRmkiV_v6GXArnIqrIiKvjfOJTxfB1bF3gR_D5Wj7vY1gtysI8BUJVmIsozXIqFdcG7UyGpnvM2zl66DkTTdiugZdoX-_dth05TtDvs_hMHD6bsLWYdjovcHJ1wgeL2sWgrUfuLpTV18SLt6SVG97KOdLBQ57GWSoyRVGncyVUpFTahI0at4kXkpPkArRNeLkYRvFmz6xUYcqZmyOYpPhmTXgyZ5EFJcxm5KOKaoJcYp4lUpdHivE3V0I94rEQUfvZv8l6Abd7w8N-0t8fHDyHO9SGM9kDSboBq9NqZjbhlv45HU-qLScHCHy5btb6A1bznow |
| linkToPdf | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1bb9MwFD4aG6qQEINyK2zDSIO3qK0vdYKEEOvWbdqoKtikvQXHcaBiS0baMu0_8Qv4dRw7blgnxNseeI0d9zj9zs0-F4BNmQkapR0WCNWLAuTEXpBQlgUp-ipKdHXC0sQ1m5DDYXhyEo2W4Nc8F8aGVc5lohPUaaHtGXkboYVQ6oSStzMfFjHaHrw7_x7YDlL2pnXeTqOCyIG5vED3bfJ2fxv_61eUDnaO-nuB7zAQaC7kNOAmDFkacWaEojLTKjLWwdc93eniJqjURjCeCZngaNTREU91iEZKKBkzKe0yXPcWrEg0MpC7VrZ2hqOPtbuHtne3AXdtsDXCvE1lz5_dzLWfaxLwN8v2eoDmFY03WP2fv9V9uOftbPK-YowHsGTyJqz7LA3ymvg0LAtL4uVbExoffKRBE1ZHHsDkqKq78BB-2rNFfOPUkN3-HulXQf7kEyqyC1Uaggviw9KpEFy1yMhhodIJ8YY-mRbENkJV5RnplzPLLROy7bJEya4aT4k9CUDBcom_6Honkfraw9ExQDsjUfrbG3Il0IuoPCWuwvOZTyLD7diKwY_g-EY-72NYzovcPAVCVS8TYZJmVCquDVqgDI36iHcz9N0zJlqwOQdhrH0leNuQ5DRGj9BiNXZYbcFGPe28Kn1yfcKWRXA9aCuVuwdF-SX2gi_uZIZ3Mo508B5PojQRqaKo7bkSKlQqacHaHMOxF5-T-A-AW_CyHkbBZ2-zVG6KmZsjmKS4sxY8qdilpoTZXH1UXi2QC4y0QOriSD7-6oqrhzwSIuw--zdZL6CBHBUf7g8PnsMdauOc7E0lXYPlaTkz63Bb_5iOJ-WGFwoEPt80b_0GtdOorQ |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Versatile+GCH+Control+Software+for+Correction+of+Loads+Applied+to+Forearm+Crutches+During+Gait+Recovery+Through+Technological+Feedback%3A+Development+and+Implementation+Study&rft.jtitle=Journal+of+medical+Internet+research&rft.au=Gema+Chamorro-Moriana&rft.au=Jose+Luis+Sevillano&rft.au=V+Perez-Cabezas&rft.date=2021-09-22&rft.pub=JMIR+Publications&rft.eissn=1438-8871&rft.volume=23&rft.issue=9&rft.spage=e27602&rft_id=info:doi/10.2196%2F27602&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_0fe40f44ce464b9db5da2eac4a5a8aab |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1438-8871&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1438-8871&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1438-8871&client=summon |