{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T19:10:34Z","timestamp":1774725034226,"version":"3.50.1"},"reference-count":50,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T00:00:00Z","timestamp":1594944000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDB\/EEA\/50008\/2020"],"award-info":[{"award-number":["UIDB\/EEA\/50008\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Electronics"],"abstract":"<jats:p>Strokes are a constant concern for people and pose a major health concern. Tests that allow detection and the rehabilitation of patients have started to become more important and essential. There are several tests used by physiotherapists to speed up the recovery process of patients. This article presents a systematic review of existing studies using the Heel-Rise Test and sensors (i.e., accelerometers, gyroscopes, pressure and tilt sensors) to estimate the different levels and health statuses of individuals. It was found that the most measured parameter was related to the number of repetitions, and the maximum number of repetitions for a healthy adult is 25 repetitions. As for future work, the implementation of these methods with a simple mobile device will facilitate the different measurements on this subject.<\/jats:p>","DOI":"10.3390\/electronics9071154","type":"journal-article","created":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T10:22:02Z","timestamp":1594981322000},"page":"1154","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Analysis of the Results of Heel-Rise Test with Sensors: A Systematic Review"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3394-6762","authenticated-orcid":false,"given":"Ivan Miguel","family":"Pires","sequence":"first","affiliation":[{"name":"Instituto de Telecomunica\u00e7\u00f5es, Universidade da Beira Interior, 6201-001 Covilh\u00e3, Portugal"},{"name":"Department of Computer Science, Polytechnic Institute of Viseu, 3504-510 Viseu, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9317-5250","authenticated-orcid":false,"given":"Vasco","family":"Ponciano","sequence":"additional","affiliation":[{"name":"R&amp;D Unit in Digital Services, Applications and Content, Polytechnic Institute of Castelo Branco, 6000-767 Castelo Branco, Portugal"},{"name":"Altranportugal, 1990-096 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3195-3168","authenticated-orcid":false,"given":"Nuno M.","family":"Garcia","sequence":"additional","affiliation":[{"name":"Instituto de Telecomunica\u00e7\u00f5es, Universidade da Beira Interior, 6201-001 Covilh\u00e3, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7664-0168","authenticated-orcid":false,"given":"Eftim","family":"Zdravevski","sequence":"additional","affiliation":[{"name":"Faculty of Computer Science and Engineering, University Ss Cyril and Methodius, 1000 Skopje, Macedonia"}]}],"member":"1968","published-online":{"date-parts":[[2020,7,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1111\/ajag.12154","article-title":"Smart technologies to enhance social connectedness in older people who live at home: Smart technology and social connectedness","volume":"33","author":"Morris","year":"2014","journal-title":"Australas. J. Ageing"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"497","DOI":"10.3109\/09593981003710316","article-title":"The body and physiotherapy","volume":"26","author":"Nicholls","year":"2010","journal-title":"Physiother. Theory Pract."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.physio.2012.07.001","article-title":"Advancing technology in rehabilitation","volume":"98","author":"Harms","year":"2012","journal-title":"Physiotherapy"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Aggarwal, D., Zhang, W., Hoang, T., Ploderer, B., Vetere, F., and Bradford, M. (2017, January 6\u201311). SoPhy: A Wearable Technology for Lower Limb Assessment in Video Consultations of Physiotherapy. Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems, Denver, CO, USA.","DOI":"10.1145\/3025453.3025489"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1080\/03093640600983949","article-title":"Clinical applications of sensors for human posture and movement analysis: A review","volume":"31","author":"Wong","year":"2007","journal-title":"Prosthet. Orthot. Int."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1109\/JSEN.2011.2146246","article-title":"Sensors-Based Wearable Systems for Monitoring of Human Movement and Falls","volume":"12","author":"Shany","year":"2012","journal-title":"IEEE Sens. J."},{"key":"ref_7","unstructured":"Shuangquan, W., Jie, Y., Ningjiang, C., Xin, C., and Qinfeng, Z. (2005, January 13\u201315). Human Activity Recognition with User-Free Accelerometers in the Sensor Networks. Proceedings of the 2005 International Conference on Neural Networks and Brain, Beijing, China."},{"key":"ref_8","unstructured":"Pires, I.M.S. (2012). Aplica\u00e7\u00e3o M\u00f3vel e Plataforma Web Para Suporte \u00e0 Estima\u00e7\u00e3o de Gasto Energ\u00e9tico em Actividade F\u00edsica. [Master\u2019s Thesis, University of Beira Interior]."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Pires, I.M., Marques, G., Garcia, N.M., Fl\u00f3rez-Revuelta, F., Canavarro Teixeira, M., Zdravevski, E., Spinsante, S., and Coimbra, M. (2020). Pattern Recognition Techniques for the Identification of Activities of Daily Living Using a Mobile Device Accelerometer. Electronics, 9.","DOI":"10.3390\/electronics9030509"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Ferreira, J.M., Pires, I.M., Marques, G., Garc\u00eda, N.M., Zdravevski, E., Lameski, P., Fl\u00f3rez-Revuelta, F., Spinsante, S., and Xu, L. (2020). Activities of Daily Living and Environment Recognition Using Mobile Devices: A Comparative Study. Electronics, 9.","DOI":"10.3390\/electronics9010180"},{"key":"ref_11","first-page":"5","article-title":"The effects of high-velocity resistance training and detraining on functional and cognitive performance of institutionalised older adults","volume":"15","author":"Marques","year":"2019","journal-title":"Motricidade"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e166","DOI":"10.2196\/mhealth.8656","article-title":"iPhone Sensors in Tracking Outcome Variables of the 30-Second Chair Stand Test and Stair Climb Test to Evaluate Disability: Cross-Sectional Pilot Study","volume":"5","author":"Adusumilli","year":"2017","journal-title":"JMIR MHealth UHealth"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Allen, B., Derveloy, R., Fell, N., Gasior, W., Yu, G., and Sartipi, M. (2013, January 24\u201327). Telemedicine assessment of fall risk using wireless sensors. Proceedings of the 2013 IEEE International Conference on Sensing, Communications and Networking (SECON), New Orleans, LA, USA.","DOI":"10.1109\/SAHCN.2013.6644987"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1093\/ptj\/pzz173","article-title":"Inertial Sensors Embedded in Smartphones as a Tool for Fatigue Assessment Based on Acceleration in Survivors of Breast Cancer","volume":"100","author":"Pajares","year":"2020","journal-title":"Phys. Ther."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Majumder, S., and Deen, M.J. (2019). Smartphone Sensors for Health Monitoring and Diagnosis. Sensors, 19.","DOI":"10.3390\/s19092164"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Pires, I., Felizardo, V., Pombo, N., and Garcia, N.M. (2017, January 17\u201321). Limitations of energy expenditure calculation based on a mobile phone accelerometer. Proceedings of the 2017 International Conference on High Performance Computing & Simulation (HPCS), Genoa, Italy.","DOI":"10.1109\/HPCS.2017.29"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Pires, I.M., Garcia, N.M., Pombo, N., and Fl\u00f3rez-Revuelta, F. (2018). Limitations of the Use of Mobile Devices and Smart Environments for the Monitoring of Ageing People. Proceedings of the HSP, SciTePress.","DOI":"10.5220\/0006817802690275"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.1109\/JSEN.2012.2236013","article-title":"Wireless Machine-to-Machine Healthcare Solution Using Android Mobile Devices in Global Networks","volume":"13","author":"Jung","year":"2013","journal-title":"IEEE Sens. J."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1007\/978-3-030-02131-3_4","article-title":"Acceptance and Use of Mobile Devices and Apps by Elderly People","volume":"Volume 11195","author":"Simintiras","year":"2018","journal-title":"Challenges and Opportunities in the Digital Era"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"5262","DOI":"10.1109\/ACCESS.2017.2684913","article-title":"Improving Activity Recognition Accuracy in Ambient-Assisted Living Systems by Automated Feature Engineering","volume":"5","author":"Zdravevski","year":"2017","journal-title":"IEEE Access"},{"key":"ref_21","unstructured":"Pires, I.M., Andrade, M., Garcia, N.M., Cris\u00f3stomo, R., and Florez-Revuelta, F. (2015, January 21\u201324). Measurement of heel-rise test results using a mobile device. Proceedings of the Doctoral Consortium\u2014DCPhyCS (PhyCS 2015), Funchal, Madeira, Portugal."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Ponciano, V., Pires, I.M., Ribeiro, F.R., Garcia, N.M., Pombo, N., Spinsante, S., and Cris\u00f3stomo, R. (2019, January 25\u201327). Smartphone-Based automatic measurement of the results of the Timed-Up and Go test. Proceedings of the Proceedings of the 5th EAI International Conference on Smart Objects and Technologies for Social Good, Valencia, Spain.","DOI":"10.1145\/3342428.3343035"},{"key":"ref_23","unstructured":"Ponciano, V., Pires, I.M., Ribeiro, F.R., Garcia, N.M., and Pombo, N. (2019, January 25\u201328). Non-Invasive measurement of results of timed-up and go test: Preliminary results. Proceedings of the Ageing Congress, Coimbra, Portugal."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.jsams.2008.12.628","article-title":"Raising the standards of the calf-raise test: A systematic review","volume":"12","author":"Schneiders","year":"2009","journal-title":"J. Sci. Med. Sport"},{"key":"ref_25","first-page":"18","article-title":"The standing heel-rise test: Relation to chronic venous disorders and balance, gait, and walk time in injection drug users","volume":"54","author":"Pieper","year":"2008","journal-title":"Ostomy. Wound Manage"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/978-3-030-10752-9_1","article-title":"Automation in Systematic, Scoping and Rapid Reviews by an NLP Toolkit: A Case Study in Enhanced Living Environments","volume":"Volume 11369","author":"Ganchev","year":"2019","journal-title":"Enhanced Living Environments"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"2579","DOI":"10.1111\/sms.13269","article-title":"Role of tissue perfusion, muscle strength recovery, and pain in rehabilitation after acute muscle strain injury: A randomized controlled trial comparing early and delayed rehabilitation","volume":"28","author":"Bayer","year":"2018","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"2492","DOI":"10.1177\/0363546518781826","article-title":"The Ruptured Achilles Tendon Elongates for 6 Months after Surgical Repair Regardless of Early or Late Weightbearing in Combination with Ankle Mobilization: A Randomized Clinical Trial","volume":"46","author":"Eliasson","year":"2018","journal-title":"Am. J. Sports Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.jelekin.2017.07.004","article-title":"Intrarater reliability and agreement of linear encoder derived heel-rise endurance test outcome measures in healthy adults","volume":"36","author":"Byrne","year":"2017","journal-title":"J. Electromyogr. Kinesiol. Off. J. Int. Soc. Electrophysiol. Kinesiol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1111\/sms.12533","article-title":"Recovery of calf muscle endurance 3 months after an Achilles tendon rupture: Evaluation of standardized seated heel-rises","volume":"26","author":"Brorsson","year":"2016","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1177\/1071100716638128","article-title":"Ankle Power and Endurance Outcomes Following Isolated Gastrocnemius Recession for Achilles Tendinopathy","volume":"37","author":"Nawoczenski","year":"2016","journal-title":"Foot Ankle Int."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"200","DOI":"10.3109\/21679169.2015.1078842","article-title":"Muscle fatigue after Achilles tendon rupture: A limited heel-rise test with electromyography reveals decreased endurance","volume":"17","author":"Tengman","year":"2015","journal-title":"Eur. J. Physiother."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1448","DOI":"10.1177\/0363546514527409","article-title":"Predictors of Clinical Outcome after Acute Achilles Tendon Ruptures","volume":"42","author":"Olsson","year":"2014","journal-title":"Am. J. Sports Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1177\/1071100712460181","article-title":"Total and Distributed Plantar Loading in Subjects with Stage II Tibialis Posterior Tendon Dysfunction during Terminal Stance","volume":"34","author":"Neville","year":"2013","journal-title":"Foot Ankle Int."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1016\/j.jelekin.2012.11.015","article-title":"The influence of whole body vibration on the plantarflexors during heel raise exercise","volume":"23","author":"Robbins","year":"2013","journal-title":"J. Electromyogr. Kinesiol."},{"key":"ref_36","first-page":"154","article-title":"Effect of athletic taping and kinesiotaping\u00ae on measurements of functional performance in basketball players with chronic inversion ankle sprains","volume":"7","author":"Bicici","year":"2012","journal-title":"Int. J. Sports Phys. Ther."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1564","DOI":"10.1177\/0363546512447926","article-title":"Deficits in heel-rise height and achilles tendon elongation occur in patients recovering from an Achilles tendon rupture","volume":"40","author":"Silbernagel","year":"2012","journal-title":"Am. J. Sports Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1007\/s00167-011-1511-3","article-title":"Major functional deficits persist 2 years after acute Achilles tendon rupture","volume":"19","author":"Olsson","year":"2011","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"2186","DOI":"10.1177\/0363546510376052","article-title":"Acute achilles tendon rupture: A randomized, controlled study comparing surgical and nonsurgical treatments using validated outcome measures","volume":"38","author":"Silbernagel","year":"2010","journal-title":"Am. J. Sports Med."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1007\/s00167-009-0889-7","article-title":"A new measurement of heel-rise endurance with the ability to detect functional deficits in patients with Achilles tendon rupture","volume":"18","author":"Silbernagel","year":"2010","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1007\/s00421-010-1449-z","article-title":"Changes in the relative contribution of each leg to the control of quiet two-legged stance following unilateral plantar\u2013flexor muscles fatigue","volume":"110","author":"Vuillerme","year":"2010","journal-title":"Eur. J. Appl. Physiol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"S280","DOI":"10.1097\/00005768-199905001-01374","article-title":"The musclelab\u00ae\u2014A new method for the evaluation of dynamic muscle action","volume":"31","author":"Gaasvaer","year":"1999","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Steele, R. (December, January 28). Social media, mobile devices and sensors: Categorizing new techniques for health communication. Proceedings of the 2011 Fifth International Conference on Sensing Technology, Palmerston North, New Zealand.","DOI":"10.1109\/ICSensT.2011.6136960"},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Pires, I.M., Marques, G., Garcia, N.M., Pombo, N., Fl\u00f3rez-Revuelta, F., Spinsante, S., Teixeira, M.C., and Zdravevski, E. (2019). Recognition of Activities of Daily Living and Environments Using Acoustic Sensors Embedded on Mobile Devices. Electronics, 8.","DOI":"10.3390\/electronics8121499"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"83","DOI":"10.4018\/IJMHCI.2016040105","article-title":"Understanding the Challenges and Opportunities of Smart Mobile Devices among the Oldest Old","volume":"8","author":"Piper","year":"2016","journal-title":"Int. J. Mob. Hum. Comput. Interact."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1093\/ptj\/75.8.694","article-title":"The Standing Heel-Rise Test for Ankle Plantar Flexion: Criterion for Normal","volume":"75","author":"Lunsford","year":"1995","journal-title":"Phys. Ther."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.ptsp.2009.07.001","article-title":"Scientific bases and clinical utilisation of the calf-raise test","volume":"10","author":"Schneiders","year":"2009","journal-title":"Phys. Ther. Sport"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.2522\/ptj.20100141","article-title":"Test-Retest Reliability and Minimal Detectable Change Scores for Sit-to-Stand-to-Sit Tests, the Six-Minute Walk Test, the One-Leg Heel-Rise Test, and Handgrip Strength in People Undergoing Hemodialysis","volume":"91","year":"2011","journal-title":"Phys. Ther."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Felizardo, V., Sousa, P., Sabugueiro, D., Alexandre, C., Couto, R., Garcia, N., and Pires, I. (2015). E-Health: Current status and future trends. Handbook of Research on Democratic Strategies and Citizen-Centered E-Government Services, IGI Global.","DOI":"10.4018\/978-1-4666-7266-6.ch016"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Ponciano, V., Pires, I.M., Ribeiro, F.R., Marques, G., Garcia, N.M., Pombo, N., Spinsante, S., and Zdravevski, E. (2020). Is the Timed-up and Go Test Feasible in Mobile Devices? A Systematic Review. Electronics, 9.","DOI":"10.3390\/electronics9030528"}],"container-title":["Electronics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2079-9292\/9\/7\/1154\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T09:49:17Z","timestamp":1760176157000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2079-9292\/9\/7\/1154"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,17]]},"references-count":50,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2020,7]]}},"alternative-id":["electronics9071154"],"URL":"https:\/\/doi.org\/10.3390\/electronics9071154","relation":{},"ISSN":["2079-9292"],"issn-type":[{"value":"2079-9292","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,17]]}}}