New Internet of Medical Things for Home-Based Treatment of Anorectal Disorders

• DOI: 10.3390/s22020625
• Publication Date: 2022-01-17T01:45:21Z
• Authors: Jerry Zhou; Vincent Ho; Bahman Javadi
• Keywords: Internet; Manometry; Chemical technology; Internet of Things; Biofeedback, Psychology; Internet of Medical Things (IoMT); TP1-1185; Article; rehabilitation; 3. Good health; home healthcare; rehabilitation; biofeedback therapy; Internet of Medical Things (IoMT); medical sensors; 03 medical and health sciences; home healthcare; Rectal Diseases; 0302 clinical medicine; XXXXXX - Unknown; Humans; medical sensors; biofeedback therapy; Monitoring, Physiologic

Home-based healthcare provides a viable and cost-effective method of delivery for resource- and labour-intensive therapies, such as rehabilitation therapies, including anorectal biofeedback. However, existing systems for home anorectal biofeedback are not able to monitor patient compliance or assess the quality of exercises performed, and as a result have yet to see wide spread clinical adoption. In this paper, we propose a new Internet of Medical Things (IoMT) system to provide home-based biofeedback therapy, facilitating remote monitoring by the physician. We discuss our user-centric design process and the proposed architecture, including a new sensing probe, mobile app, and cloud-based web application. A case study involving biofeedback training exercises was performed. Data from the IoMT was compared against the clinical standard, high-definition anorectal manometry. We demonstrated the feasibility of our proposed IoMT in providing anorectal pressure profiles equivalent to clinical manometry and its application for home-based anorectal biofeedback therapy.