{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T12:43:20Z","timestamp":1775047400915,"version":"3.50.1"},"reference-count":29,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2014,9,16]],"date-time":"2014-09-16T00:00:00Z","timestamp":1410825600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Wearable technologies for health monitoring have become a reality in the last few years. So far, most research studies have focused on assessments of the technical performance of these systems, as well as the validation of the clinical outcomes. Nevertheless, the success in the acceptance of these solutions depends not only on the technical and clinical effectiveness, but on the final user acceptance. In this work the compliance of a telehealth system for the remote monitoring of Parkinson\u2019s disease (PD) patients is presented with testing in 32 PD patients. This system, called PERFORM, is based on a Body Area Network (BAN) of sensors which has already been validated both from the technical and clinical point for view. Diverse methodologies (REBA, Borg and CRS scales in combination with a body map) are employed to study the comfort, biomechanical and physiological effects of the system. The test results allow us to conclude that the acceptance of this system is satisfactory with all the levels of effect on each component scoring in the lowest ranges. This study also provided useful insights and guidelines to lead to redesign of the system to improve patient compliance.<\/jats:p>","DOI":"10.3390\/s140917235","type":"journal-article","created":{"date-parts":[[2014,9,16]],"date-time":"2014-09-16T11:38:13Z","timestamp":1410867493000},"page":"17235-17255","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":86,"title":["Wearability Assessment of a Wearable System for Parkinson\u2019s Disease Remote Monitoring Based on a Body Area Network  of Sensors"],"prefix":"10.3390","volume":"14","author":[{"given":"Jorge","family":"Cancela","sequence":"first","affiliation":[{"name":"Life Supporting Technologies, Universidad Polit\u00e9cnica de Madrid, Avenida Complutense 30,  Madrid 28040, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1611-7919","authenticated-orcid":false,"given":"Matteo","family":"Pastorino","sequence":"additional","affiliation":[{"name":"Life Supporting Technologies, Universidad Polit\u00e9cnica de Madrid, Avenida Complutense 30,  Madrid 28040, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9043-1290","authenticated-orcid":false,"given":"Alexandros","family":"Tzallas","sequence":"additional","affiliation":[{"name":"Unit of Medical Technology and Intelligent Information Systems, Dept. of Materials Science and Engineering, University of Ioannina, 45110 Ioannina, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markos","family":"Tsipouras","sequence":"additional","affiliation":[{"name":"Unit of Medical Technology and Intelligent Information Systems, Dept. of Materials Science and Engineering, University of Ioannina, 45110 Ioannina, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgios","family":"Rigas","sequence":"additional","affiliation":[{"name":"Unit of Medical Technology and Intelligent Information Systems, Dept. of Materials Science and Engineering, University of Ioannina, 45110 Ioannina, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Arredondo","sequence":"additional","affiliation":[{"name":"Life Supporting Technologies, Universidad Polit\u00e9cnica de Madrid, Avenida Complutense 30,  Madrid 28040, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrios","family":"Fotiadis","sequence":"additional","affiliation":[{"name":"Unit of Medical Technology and Intelligent Information Systems, Dept. of Materials Science and Engineering, University of Ioannina, 45110 Ioannina, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2014,9,16]]},"reference":[{"key":"ref_1","first-page":"2411","article-title":"Automated Levodopa-induced dyskinesia assessment","volume":"2010","author":"Tsipouras","year":"2010","journal-title":"Conf. Proc. IEEE Eng. Med. Biol. Soc."},{"key":"ref_2","first-page":"1810","article-title":"Assessment of bradykinesia in Parkinson's disease patients through a multi-parametric system","volume":"2011","author":"Pastorino","year":"2011","journal-title":"Conf. Proc. IEEE Eng. Med. Biol. Soc."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1109\/TITB.2011.2182616","article-title":"Assessment of Tremor Activity in the Parkinson's Disease Using a Set of Wearable Sensors","volume":"16","author":"Rigas","year":"2012","journal-title":"IEEE Trans. Inf. Technol. Biomed."},{"key":"ref_4","first-page":"2233","article-title":"Gait assessment in Parkinson's disease patients through a network of wearable accelerometers in unsupervised environments","volume":"2011","author":"Cancela","year":"2011","journal-title":"Conf. Proc. IEEE Eng. Med. Biol. Soc."},{"key":"ref_5","unstructured":"World Health Organization The Global Burden of Disease 2004. Available online: http:\/\/www.who.int\/healthinfo\/global_burden_disease\/2004_report_update\/en\/."},{"key":"ref_6","unstructured":"WHO Atlas: Country Resources for Neurological Disorders 2004. Available online: http:\/\/www.who.int\/mental_health\/neurology\/epidemiology\/en\/."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1017\/S0266462309990201","article-title":"Home telehealth for chronic disease management: A systematic review and an analysis of economic evaluations","volume":"25","author":"Polisena","year":"2009","journal-title":"Int. J. Technol. Assess. Health Care"},{"key":"ref_8","unstructured":"Tugwell, C. (2008). Parkinson's Disease in Focus, Pharmaceutical Press."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"4618","DOI":"10.3390\/s140304618","article-title":"Feasibility Study of a Wearable System Based on a Wireless Body Area Network for Gait Assessment in Parkinson's Disease Patients","volume":"14","author":"Cancela","year":"2014","journal-title":"Sensors"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2277","DOI":"10.1212\/01.wnl.0000304039.11891.29","article-title":"Genotype-phenotype correlations between GBA mutations and Parkinson disease risk and onset","volume":"70","author":"Giladi","year":"2008","journal-title":"Neurology"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1595","DOI":"10.1212\/01.wnl.0000277637.33328.d8","article-title":"The LRRK2 G2019S mutation in Ashkenazi Jews with Parkinson disease: is there a gender effect?","volume":"69","author":"Shifrin","year":"2007","journal-title":"Neurology"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.parkreldis.2008.02.011","article-title":"Smoking and Tea Consumption Delay Onset of Parkinson's Disease","volume":"15","author":"Kandinov","year":"2009","journal-title":"Park. Relat Disord"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/S0168-0102(01)00254-1","article-title":"Parkinson disease: Etiology, pathogenesis and future of gene therapy","volume":"41","author":"Shastry","year":"2001","journal-title":"Neurosci. Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1159\/000113680","article-title":"Etiology and pathophysiology of frontotemporal dementia, Parkinson disease and Alzheimer disease: Lessons from genetic studies","volume":"5","author":"Wider","year":"2008","journal-title":"Neurodegener. Dis."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Tsipouras, M.G., Tzallas, A.T., Karvounis, E.C., Tsalikakis, D.G., Cancela, J., Pastorino, M., Waldmeyer, M.T.A., Konitsiotis, S., and Fotiadis, D.I. (2014, January 1\u20134). A wearable system for long-term ubiquitous monitoring of common motor symptoms in patients with Parkinson's disease. Valencia, Spain.","DOI":"10.1109\/BHI.2014.6864332"},{"key":"ref_16","unstructured":"PERFORM Project Website. Available online: http:\/\/www.perform-project.eu\/."},{"key":"ref_17","first-page":"738","article-title":"The Unified Parkinson's Disease Rating Scale (UPDRS): Status and Recommendations","volume":"18","author":"Goetz","year":"2003","journal-title":"Society"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Knight, J.F., Deen-Williams, D., Arvanitis, T.N., Baber, C., Sotiriou, S., Anastopoulou, S., and Gargalakos, M. (2006, January 11\u201314). Assessing the wearability of wearable computers. Montreux, Switzerland.","DOI":"10.1109\/ISWC.2006.286347"},{"key":"ref_19","unstructured":"Gemperle, F., Kasabach, C., Stivoric, J., Bauer, M., and Martin, R. Design for Wearability. Available online: http:\/\/monet.cs.columbia.edu\/courses\/mobwear\/resources\/gemperle-iswc98.pdf."},{"key":"ref_20","unstructured":"Baber, C., Wilson, J.R., and Corlett, E.N. (2005). Evaluation in Human-Computer Interaction, Taylor & Francis."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"55","DOI":"10.5271\/sjweh.1815","article-title":"Psychophysical scaling with applications in physical work and the perception of exertion","volume":"16","author":"Borg","year":"1990","journal-title":"Scand. J. Work Environ. Heal."},{"key":"ref_22","unstructured":"Hignett, S., and McAtamney, L. Rapid Entire Body Assessment (REBA). Available online: http:\/\/www. ncbi.nlm.nih.gov\/pubmed\/10711982."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1518\/0018720053653875","article-title":"A tool to assess the comfort of wearable computers","volume":"47","author":"Knight","year":"2005","journal-title":"Hum. Factors J. Hum. Factors Ergon. Soc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/0003-6870(95)00003-U","article-title":"A portable ergonomic observation method (PEO) for computerized on-line recording of postures and manual handling","volume":"26","author":"Gloria","year":"1995","journal-title":"Appl. Ergon."},{"key":"ref_25","first-page":"39","article-title":"Simple rating methods for estimation of perceived exertion","volume":"14","author":"Borg","year":"1976","journal-title":"Phys. Work Effort"},{"key":"ref_26","unstructured":"Knight, J.F., Williams, D.D., Arvanitis, T.N., Chris, B., Wichmann, A., Wittkaemper, M., Herbst, I., and Sotiriou, S. (2005, January 3\u20137). Wearability assessment of a mobile augmented reality system. Ghent, Flanders."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.3390\/s100301535","article-title":"A New Electronic Monitoring Device to Measure Medication Adherence: Usability of the Helping Hand (TM)","volume":"10","author":"Vincke","year":"2010","journal-title":"Sensors"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1080\/21577323.2013.838195","article-title":"Acceptability and usability of an ambulatory health monitoring system for use by military personnel","volume":"1","author":"Tharion","year":"2013","journal-title":"IIE Trans. Occup. Ergon. Hum. Factors"},{"key":"ref_29","first-page":"617495","article-title":"Usability Study of a Wireless Monitoring System among Alzheimer's Disease Elderly Population","volume":"2014","author":"Abbate","year":"2014","journal-title":"Int. J. Telemed. Appl."}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/14\/9\/17235\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T21:15:58Z","timestamp":1760217358000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/14\/9\/17235"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9,16]]},"references-count":29,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2014,9]]}},"alternative-id":["s140917235"],"URL":"https:\/\/doi.org\/10.3390\/s140917235","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9,16]]}}}