1. The New Game-Changer in Managing Worksite Health: Wearable Technology
Instructor:
Zack Craft, ATS,ATP,CRTS,CAPS,CEAC – VP of Rehab Solutions
A One Call Care Management Company

2. Identify what “wearable technology” is
Learning Objectives
At the end of this session, you will:
Identify what “wearable technology” is
Understand the industry sectors that wearable technology fall under
Recognize how wearable technology recommendations affect an employee or a injured workers’ level of function
Focusing in areas of prevention, wellness, compliance and functionality
Basic understanding of the various types of wearable technology
Postural Devices
Activity Bracelets
GPS Devices
Exoskeletons

3. Wearable Technology

4. Defining “Wearable Technology”
What is it exactly?
Wearable Technology: (also called wearable gadgets) is a category of technology devices that can be worn by a consumer and often include tracking information related to health and fitness. Other wearable tech gadgets include devices that have small motion sensors to take photos and sync with your mobile devices.
What was the first piece of wearable technology?
ubiquitous
sousveillance

5. Defining “Wearable Technology”
Humble Beginnings in Wearables
ubiquitous
sousveillance

6. History of Wearable Technology
One early piece of widely-adopted wearable technology was the calculator watch, introduced in the 1970s.

7. Wearable Projections
Wearable technology is already large. As the wearable electronics business powers from $20 billion in 2015 to almost $70 billion in 2025, the dominant sector will remain the healthcare sector which merges medical, fitness and wellness.
Communications
Business Connectivity
Technology Sector
Security
Fashion
Lifestyle
It has the largest number of big names such as Apple, Accenture, Adidas, Fujitsu, Nike, Philips, Reebok, Samsung, SAP and Roche behind the most promising new developments.

8. Wearable Technology Sectors

9. Industry Sectors

10. The Smartphone
The smartphone driver for the rapid development rate and early adoption

11. Wearable Technology Scenarios
Quadriplegic/Paraplegics
TBI/ ABI
Amputations
Complex
Health Monitoring
Weight Loss
Activity Compliance
Bariatric
Communication
Aging Claimants
Technology
Geriatrics
Activity Technology
Compliance
Limitations
Short Term

12. Growing Trends in Wearables

13. Complex Wearable Technology Products
Advanced Rehab Power
Power chairs
Driving control
Power Standing Chairs
Augmentative Communication
Smart phones
iPads/Tablets
Applications
Connectivity
Infra-red
Wi-Fi
Home
Community
Bluetooth
New Robotic Devices
Exoskeletons
Ergonomics
GPS
Computers
Environmental Controls
TeleHealth
Access to Devices/Mounting
Wheelchair
Beds
Desk
Backpacks

14. Augmentative Applications
Visual tools
Speaking devices
Text to speech
Hundreds of applications
Inexpensive
Quality of life
Increase cognitive skills
Increase level of independence
Map and directions
Ease of use

15. The rapid progression and adoption rate of wearable technology and the different ways it will impact claims management.
Claims cost and billing
Return to work outcomes
Quality of life
New risks to be determined

16. Activity Trackers

17. Activity Bracelets
Wellness
Prevention
Risks
Compliance
Post Injury
Post Surgery
Data Collection
Quality of Life
Recovery Tied to PT Program

18. Wearable Activity Monitors
Simple technology with a big impact.
Activity Tracking
Weight Loss
Compliance Monitoring
Ergonomic Prevention
Health Prevention

19. Location Trackers GPS Activity Tracking Location Position
Safety Environments
Work Place Safety
Employee Monitoring

20. Wearable Health Monitors
9Solutions gTag Companion The 9Solutions gTag Companion supports active elderly people and recovering patients a secure living in their familiar home environment. In case of an emergency, help can be provided regardless from time and place, also in situation when their loved ones are not able to call for help. Automatic alarms can be generated e.g. when the user is leaving the home in the night-time or does not return within the defined time frame.
Features:
Comfortable, waterproof, hygienic and easy to use indoor and outdoor locating wrist tag. 
Built on Bluetooth® Low Energy and GPS, GSM/3G technology.
Two programmable buttons and a LED.

21. Benefits of GPS Technology

22. Wearable Health Monitors
Prevention Tools
LegSys
Quantitative gait analysis in 5 minutes or less
Wireless wearable system that is portable and easy to use
Quickly analyze gait without the restraints of a gait laboratory, such as limited walking space
Proprietary technology validated using state-of-the-art camera-based motion capture
Automatically generated reports demonstrate patient progress toward measurable goals

23. Wearable Health Monitors
Prevention Tools
The SurroSense Rx system is comprised of pressure-sensing inserts worn inside of your shoes. When dangerous time and pressure thresholds are detected, you’re notified via smartwatch. The system also tracks and stores data to give you ongoing insight into what’s happening underfoot.
Foot ulcers can occur as a result of loss of protective sensation and coordination of muscle groups in the foot. Diabetic foot lesions are responsible for more hospitalizations than any other complication of diabetes.

24. Postural Devices

25. Wearable Health Monitors
Lumo Lift
Get Posture Coaching. Get vibrational reminders for your posture. Option to customize your posture coaching experience through the Lumo Lift App.
Set Custom Goals. Set custom daily posture and activity goals to fit your lifestyle.
Track Posture and Activity. View your posture hours, steps you’ve taken, distance travelled and calories burned instantly through the home screen of the Lumo Lift App.
Track Progress. Gain valuable insights into your daily and hourly progress for both posture and your activity.

26. Wearable Health Monitors
ViSi Mobile System
ViSi Mobile System, a platform for comprehensive vital signs monitoring that is designed to keep clinicians connected to their patients, whether in or out of bed, or while in transport.
With ViSi Mobile keeping a watchful eye, physicians and nurses have immediate access to vital patient parameters so they can intervene earlier and respond more rapidly – to prevent adverse events and to improve patient safety.
Featuring comfortable body-worn sensors that allow for freedom of movement, the system enables highly accurate, continuous monitoring of all vital signs.
The ViSi Mobile System is able to continuously measure and display all vital signs (ECG, Heart/Pulse Rate, SpO2, Blood Pressure (cuff-based and now also cuffless on a beat-to-beat basis), Respiration Rate, Skin Temperature) with monitoring accuracy and resolution typically found in ICUs.

27. Wearable Prosthetic Devices
i-Limb Hand
Impact Levels
Impact LevelExampleLow Impact
Daily activities involving gentle, steady walking with the use of a walking aid.
Example: Moving around at home, modest walking in the community.
Moderate Impact
Daily activities involving average walking with the ability to vary speed or walking pattern.
Example: Going to the shops, confident outdoor walking.
Features
Impact LevelExampleCARBON-X® Active Heel
EVO™
Full Length Toe Lever
Heel Height Adjustability
Proportional Response
Split Toe

28. Draws power from chair (25w) Any controller
Wearable Robotics
JACO
Draws power from chair (25w)
Any controller
Removable (move to table or stand)
Weather-proof

29. Exoskeletons
Wellness
Prevention
Compliance
Post Injury
Quality of Life
Lifestyle
Independence
Functionality
Environment

30. Approved for rehab use in USA Weight is approximately 50 lbs.
Exoskeleton-Ekso
Ekso™ by EksoBionics
Approved for rehab use in USA
Weight is approximately 50 lbs.
Backpack style for battery
User wears own shoes on
How are steps initiated?
FirstStep-PT actuates
ActiveStep-user through walker
ProStep-user through hips

31. Approved for rehab use only in Europe
Exoskeleton-Rex
Rex™ by RexBionics
Approved for rehab use only in Europe
Being studied at Univ. of Houston, TX
Weight is approximately 106 lbs
User stands on platform
How are steps initiated?
Joystick control
BMI Cap
Walks all surfaces stairs

32. ReWalk™ by ArgoMedical Approved for rehab use in USA
Exoskeleton-ReWalk
ReWalk™ by ArgoMedical
Approved for rehab use in USA
Weight is approx. 50 lbs.
Backpack style for battery
Tilt sensor on trunk piece
Foot piece extends into shoes
How are steps initiated?
Wrist watch control for modes
Posture based
Forearm Crutches only
Walks all surfaces /stairs

33. Indego® by Parker Hannifin Weight is approx. 27 lbs.
Exoskeleton-Indego
Indego® by Parker Hannifin
Weight is approx. 27 lbs.
Only device on/off/transport
From rigid frame wheelchair
Sensors/controls in thigh piece
Variable robotic assist + E-stim
Worn with Ankle Foot Orthotic
How are steps initiated?
Posture based
Use of stability aide Forearm
Crutches or Walker or Cane(s)
Walks all surfaces including stairs

34. Exoskeleton-Indego
Indego® by Parker Hannifin
Patient Requirements
Height Range: 5’1” – 6’3”
Maximum Weight: 250 lbs
Maximum Hip Width: 16.6”
Femur Length: 14” – 18.5”
Level of Injury: C5 or lower
Spasticity Score: Modified Ashworth score 3 or lower
Strength: Sufficient upper body and balance

35. Where can we go with Exoskeletons?
2012 London Marathoner Finisher – 26.2 miles Paralyzed Mom Finishes London Marathon in a ReWalk Bionic Suit

36. Wearable Technology Concerns
Education Levels
Limited Range of Motion
Access to Environment
Under Selling
Over Selling
Caretaker
Quality of Life
Service Provider Cost
Transfers
Home Modifications
Transportation
Equipment Storage
Cognitive Ability
Medical Necessity
Environment
Functional Independence

37. The Future: Where do we go from here?

38. THANK YOU! Zack Craft, ATS, ATP, CRTS, CAPS, CEAC, RTS
Vice President, Rehab Solutions and Complex Care Education
One Call Care Management |