Validity and Feasibility of Remote Measurement Systems for Functional Movement and Posture Assessments in People with Axial Spondylarthritis

Introduction: Axial spondylarthritis (axSpA) is a chronic inflammatory disease and commonly results in pain and joint stiffness. Using remote technology, such as a computer vision-aided system, has the potential to monitor functional movement and posture. Methods The validity of the remote technology measurement of functional movement and posture were tested cross-sectionally and compared to a standard clinical measurement by a physiotherapist. The feasibility of remote implementation was tested in a home environment. In addition, a cost-benefit analysis was conducted. Results Thirty-one participants with axSpA (42% female, 54(SD 13) years old and 27.4(SD 5.3) kg/m2) and 31 participants without back pain (65% female, 36(SD 10) years old and 25.9(3.7) kg/m2). In the axSpA group, the validity of assessment on cervical rotation, lumbar flexion, lumbar side flexion, shoulder flexion, hip abduction, tragus-to-wall and thoracic kyphosis showed significant moderate to strong correlation; in the non-back pain group, the same measures showed significant correlation ranging from weak to strong. Conclusions Remote technology systems in rehabilitation have the potential to reduce health inequality and improve cost and time effectiveness for both patients and the health system. Additionally, results show that using this Computer Vision-aided system in a home environment is a safe method.