{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T10:10:09Z","timestamp":1778148609552,"version":"3.51.4"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"value":"9781643686608","type":"electronic"}],"license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,7]]},"abstract":"<jats:p>Background: Adherence to movement precautions following sternotomy is essential for sternal healing, but patients often find it difficult to maintain the correct behavior. Methods: This study introduces a real-time computer vision-based system to evaluate movement compliance with the post-sternotomy precautions protocol. A YOLOv11 object detection model was trained using a dataset comprising real images and AI-generated images. A secondary monitoring algorithm was developed to use YOLO inference results to classify the whole action rather than a single frame. Results: The integration of synthetic data significantly enhanced YOLO model performance, achieving a mAP50 of 80.3%. In real-time validation, the monitoring algorithm correctly classified 85% of non-compliant actions without misclassifying any compliant actions. Conclusion: This work demonstrates the feasibility of a low-cost, non-invasive solution for monitoring post-sternotomy precautions. Furthermore, the use of Generative AI proved effective in overcoming data scarcity.<\/jats:p>","DOI":"10.3233\/shti260083","type":"book-chapter","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T09:12:06Z","timestamp":1778145126000},"source":"Crossref","is-referenced-by-count":0,"title":["Monitoring Adherence to Post-Sternotomy Movement Precautions: A Computer Vision and Generative AI Approach"],"prefix":"10.3233","author":[{"given":"Davide","family":"Ferrari","sequence":"first","affiliation":[{"name":"Department of Management, Information and Production Engineering, University of Bergamo, Dalmine (Bergamo), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Besana","sequence":"additional","affiliation":[{"name":"Department of Management, Information and Production Engineering, University of Bergamo, Dalmine (Bergamo), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Dotti","sequence":"additional","affiliation":[{"name":"Department of Management, Information and Production Engineering, University of Bergamo, Dalmine (Bergamo), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Gastaldello","sequence":"additional","affiliation":[{"name":"Department of Management, Information and Production Engineering, University of Bergamo, Dalmine (Bergamo), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Zamarian","sequence":"additional","affiliation":[{"name":"Department of Management, Information and Production Engineering, University of Bergamo, Dalmine (Bergamo), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Vitali","sequence":"additional","affiliation":[{"name":"Department of Management, Information and Production Engineering, University of Bergamo, Dalmine (Bergamo), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","dHealth 2026"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI260083","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T09:12:07Z","timestamp":1778145127000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI260083"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,7]]},"ISBN":["9781643686608"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti260083","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,7]]}}}