{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:51:47Z","timestamp":1740149507660,"version":"3.37.3"},"reference-count":20,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T00:00:00Z","timestamp":1629763200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Taipei University of Technology and Chang Gung Memorial Hospital Joint Research Program funding","award":["CGMH-CORPG3I0121"]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"In the real condition, the small sensor found it difficult to detect the position of the pressure sore because of casting displacement clinically. The large sensor will detect the incorrect pressure value due to wrinkles without close to arm. Hence, we developed a simulated arm with physiological sensors combined with an APP and a cloud storage system to detect skin pressure in real time when applying a short arm cast or splint. The participants can apply a short arm cast or splint on the simulative arm and the pressure in the cast or splint could be immediately displaced on the mobile application. The difference of pressure values from six pressure detection points of the simulated arm between the intern and the attending physician with 20-year working experience were 22.8%, \u22127.3%, 25.0%, 8.6%, 38.2%, 49.6%, respectively. It showed that the difference of pressure values in two farthest points, such as radius stab and ulnar styloid, was maximal. The pressures on the skin surface of the short arm cast were within acceptable range. Doctors would obtain reliable reference data and instantly understand the tightness of the swathed cast which would enable them to adjust it at any time to avoid complications.<\/jats:p>","DOI":"10.3390\/s21175681","type":"journal-article","created":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T08:43:43Z","timestamp":1629794623000},"page":"5681","source":"Crossref","is-referenced-by-count":1,"title":["Application of Simulated Arms with Real-Time Pressure Monitor in Casting and Splinting by Physiological Sensors"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1125-0932","authenticated-orcid":false,"given":"Hsuan-Kai","family":"Kao","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan 33305, Taiwan"},{"name":"Bone and Joint Research Center, Chang Gung Memorial Hospital, Taoyuan 33305, Taiwan"},{"name":"College of Medicine, Chang Gung University, Taoyuan 33305, Taiwan"}]},{"given":"Yi-Chao","family":"Wu","sequence":"additional","affiliation":[{"name":"Interdisciplinary Program of Green and Information Technology, National Taitung University, Taitung 95092, Taiwan"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9348-0899","authenticated-orcid":false,"given":"Chi-Heng","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Electronic Engineering, National Taipei University of Technology, Taipei 10608, Taiwan"},{"name":"Department of Radiation Oncology, Chang Gung Memorial Hospital at Linkou, Taoyuan 33305, Taiwan"}]},{"given":"Zhong","family":"Hua","sequence":"additional","affiliation":[{"name":"Department of Electronic Engineering, National Taipei University of Technology, Taipei 10608, Taiwan"}]},{"given":"Mei-Chuan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan 33305, Taiwan"}]},{"given":"Chiu-Ching","family":"Tuan","sequence":"additional","affiliation":[{"name":"Department of Electronic Engineering, National Taipei University of Technology, Taipei 10608, Taiwan"}]}],"member":"1968","published-online":{"date-parts":[[2021,8,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"30","DOI":"10.5435\/00124635-200801000-00005","article-title":"Cast and splint immobilization: Complications","volume":"16","author":"Halanski","year":"2008","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2471","DOI":"10.1111\/j.1538-7836.2005.01625.x","article-title":"Old and new risk factors for upper extremity deep venous thrombosis","volume":"3","author":"Blom","year":"2005","journal-title":"J. Thromb. Haemost. JTH"},{"key":"ref_3","first-page":"11174","article-title":"Reel-to-reel fabrication of strain sensing threads and realization of smart insole","volume":"301","author":"Francesco","year":"2020","journal-title":"Sens. Actuators A Phys."},{"key":"ref_4","first-page":"1","article-title":"Silver nanowire coated knitted wool fabrics for wearable electronic applications","volume":"14","author":"Gurarslan","year":"2019","journal-title":"J. Eng. Fibers Fabr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1007\/s10877-015-9750-3","article-title":"Evaluation of a fiber-optic technique for recording intramuscular pressure in the human leg","volume":"30","author":"Nilsson","year":"2016","journal-title":"J. Clin. Monit. Comput."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1177\/1071100715572258","article-title":"Plantar loading forces while walking in a below-knee cast with an attached loadbearing frame","volume":"36","author":"Berwin","year":"2015","journal-title":"Foot Ankle Int."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"33370","DOI":"10.1021\/acsami.9b12929","article-title":"Ultralow-cost, highly sensitive, and flexible pressure sensors based on carbon black and airlaid paper for wearable electronics","volume":"11","author":"Han","year":"2019","journal-title":"ACS Appl. Mater. Interfaces"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1016\/j.jallcom.2019.01.294","article-title":"Ultrasensitive and wearable strain sensors based on natural rubber\/graphene foam","volume":"785","author":"Zhang","year":"2019","journal-title":"J. Alloys Compd."},{"doi-asserted-by":"crossref","unstructured":"Tuan, C.C., Lu, C.H., Wu, Y.C., Yeh, W.L., Chen, M.C., Lee, T.F., and Chen, Y.J. (2019). Development of a System for Real-Time Monitoring of Pressure, Temperature, and Humidity in Casts. Sensors, 19.","key":"ref_9","DOI":"10.3390\/s19102417"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"565","DOI":"10.2106\/00004623-199704000-00013","article-title":"Skin surface pressure beneath an above-the-knee cast: Plaster casts compared with fiberglass casts","volume":"79","author":"Davids","year":"1997","journal-title":"J. Bone Jt. Surg. Am. Vol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003086-197511000-00007","article-title":"Tissue pressure measurements as a determinant for the need of fasciotomy","volume":"113","author":"Whitesides","year":"1975","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"374","DOI":"10.2106\/JBJS.N.00579","article-title":"The effectiveness of bivalving, cast spreading, and webril cutting to reduce cast pressure in a fiberglass short arm cast","volume":"97","author":"Zaino","year":"2015","journal-title":"J. Bone Jt. Surg. Am. Vol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.suc.2010.02.010","article-title":"Optimal acquisition and assessment of proficiency on simulators in surgery","volume":"90","author":"Stefanidis","year":"2010","journal-title":"Surg. Clin. N. Am."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1007\/s00402-012-1466-y","article-title":"Malunion of the distal radius","volume":"132","author":"Prommersberger","year":"2012","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1911","DOI":"10.1016\/j.jhsa.2008.10.013","article-title":"Pediatric distal radius and forearm fractures","volume":"33","author":"Bae","year":"2008","journal-title":"J. Hand Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/0020-1383(95)00136-0","article-title":"Forearm fractures in children: Avoiding redisplacement","volume":"26","author":"Haddad","year":"1995","journal-title":"Injury"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/s00264-009-0904-0","article-title":"Paediatric forearm and distal radius fractures: Risk factors and re-displacement\u2014Role of casting indices","volume":"34","year":"2010","journal-title":"Int. Orthop."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1080\/01421590500046924","article-title":"Features and uses of high-fidelity medical simulations that lead to effective learning: A BEME systematic review","volume":"27","author":"Issenberg","year":"2005","journal-title":"Med. Teach."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1097\/BPO.0000000000000713","article-title":"Reducing the Incidence of Cast-related Skin Complications in Children Treated With Cast Immobilization","volume":"37","author":"Difazio","year":"2017","journal-title":"J. Pediatr. Orthop."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"e43","DOI":"10.1097\/BPO.0000000000001117","article-title":"A Quality Improvement Initiative Reduces Cast Complications in a Pediatric Hospital","volume":"38","author":"Samora","year":"2018","journal-title":"J. Pediatr. 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