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Effectiveness of Wearable Devices for Posture Correction: A Systematic Review of Evidence from Randomized and Quasi-Experimental Studies

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Resumo:Introduction: The increasing development of wearable devices for postural monitoring (provide feedback on posture) or correction (mechanical or biofeedback to promote change) is partly driven by the rising prevalence of poor posture in the general population and its impact on pain perception and functional capacity. Objective: Examine the effects of wearable devices on posture correction or prevention and on related outcomes, including postural alignment, muscle activity, pain and functional performance. Methods: The review followed the PRISMA 2020 guidelines. Searches were performed in PubMed, Scopus, Web of Science, and PEDro for studies published between 2012 and 2025. Eligible studies included randomized controlled trials and quasi-experimental designs involving participants with postural deviations or at risk of developing them, who underwent interventions using wearable devices that provided vibratory, auditory, visual, or tactile biofeedback. Results: Eight studies reported immediate improvements in postural alignment, body awareness, and self-reported pain, particularly with devices providing vibratory or visual biofeedback. Functional task stability improved, and muscle activity during risky postures decreased. However, the strong heterogeneity across devices and protocols, small sample sizes, short intervention durations, and, in some cases, the lack of independent control groups limit the strength and generalizability of these findings. Conclusions: Wearable devices have potential as complementary tools in physiotherapy due to their autonomous and potentially effective nature. Nevertheless, current evidence remains insufficient to support definitive clinical recommendations.
Autores principais:Caixeiro, Diogo
Outros Autores:Cordeiro, Tomás; Constantino, Leandro; Carreira, João; Mendes, Rui; Silva, Cândida G.; Castro, Maria António
Assunto:wearable devices postural alignment postural control biofeedback physiotherapy
Ano:2025
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Instituto Politécnico de Coimbra
Idioma:inglês
Origem:Instituto Politécnico de Coimbra
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author Caixeiro, Diogo
author2 Cordeiro, Tomás
Constantino, Leandro
Carreira, João
Mendes, Rui
Silva, Cândida G.
Castro, Maria António
author2_role author
author
author
author
author
author
author_facet Caixeiro, Diogo
Cordeiro, Tomás
Constantino, Leandro
Carreira, João
Mendes, Rui
Silva, Cândida G.
Castro, Maria António
author_role author
contributor_name_str_mv Repositório Comum
country_str PT
creators_json_txt [{\"Person.name\":\"Caixeiro, Diogo\"},{\"Person.name\":\"Cordeiro, Tomás\"},{\"Person.name\":\"Constantino, Leandro\"},{\"Person.name\":\"Carreira, João\"},{\"Person.name\":\"Mendes, Rui\",\"Person.identifier.orcid\":\"0000-0002-2433-5193\"},{\"Person.name\":\"Silva, Cândida G.\"},{\"Person.name\":\"Castro, Maria António\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório Comum
datacite.creators.creator.creatorName.fl_str_mv Caixeiro, Diogo
Cordeiro, Tomás
Constantino, Leandro
Carreira, João
Mendes, Rui
Silva, Cândida G.
Castro, Maria António
datacite.date.Accepted.fl_str_mv 2025-12-01T00:00:00Z
datacite.date.available.fl_str_mv 2026-05-21T13:37:58Z
datacite.date.embargoed.fl_str_mv 2026-05-21T13:37:58Z
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datacite.subjects.subject.fl_str_mv wearable devices
postural alignment
postural control
biofeedback
physiotherapy
datacite.titles.title.fl_str_mv Effectiveness of Wearable Devices for Posture Correction: A Systematic Review of Evidence from Randomized and Quasi-Experimental Studies
dc.contributor.none.fl_str_mv Repositório Comum
dc.creator.none.fl_str_mv Caixeiro, Diogo
Cordeiro, Tomás
Constantino, Leandro
Carreira, João
Mendes, Rui
Silva, Cândida G.
Castro, Maria António
dc.date.Accepted.fl_str_mv 2025-12-01T00:00:00Z
dc.date.available.fl_str_mv 2026-05-21T13:37:58Z
dc.date.embargoed.fl_str_mv 2026-05-21T13:37:58Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10400.26/63248
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv MDPI AG
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv wearable devices
postural alignment
postural control
biofeedback
physiotherapy
dc.title.fl_str_mv Effectiveness of Wearable Devices for Posture Correction: A Systematic Review of Evidence from Randomized and Quasi-Experimental Studies
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Introduction: The increasing development of wearable devices for postural monitoring (provide feedback on posture) or correction (mechanical or biofeedback to promote change) is partly driven by the rising prevalence of poor posture in the general population and its impact on pain perception and functional capacity. Objective: Examine the effects of wearable devices on posture correction or prevention and on related outcomes, including postural alignment, muscle activity, pain and functional performance. Methods: The review followed the PRISMA 2020 guidelines. Searches were performed in PubMed, Scopus, Web of Science, and PEDro for studies published between 2012 and 2025. Eligible studies included randomized controlled trials and quasi-experimental designs involving participants with postural deviations or at risk of developing them, who underwent interventions using wearable devices that provided vibratory, auditory, visual, or tactile biofeedback. Results: Eight studies reported immediate improvements in postural alignment, body awareness, and self-reported pain, particularly with devices providing vibratory or visual biofeedback. Functional task stability improved, and muscle activity during risky postures decreased. However, the strong heterogeneity across devices and protocols, small sample sizes, short intervention durations, and, in some cases, the lack of independent control groups limit the strength and generalizability of these findings. Conclusions: Wearable devices have potential as complementary tools in physiotherapy due to their autonomous and potentially effective nature. Nevertheless, current evidence remains insufficient to support definitive clinical recommendations.
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id ipc_e30c16fc3a97c2b30c2e2a8dc3ce495b
identifier.url.fl_str_mv http://hdl.handle.net/10400.26/63248
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oai_identifier_str oai:comum.rcaap.pt:10400.26/63248
organization_str_mv urn:organizationAcronym:ipc
person_str_mv Caixeiro, Diogo
Cordeiro, Tomás
Constantino, Leandro
Carreira, João
Mendes, Rui
Mendes, Rui
https://www.ciencia-id.pt/A71F-1E22-D496
A71F-1E22-D496
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0000-0002-2433-5193
Silva, Cândida G.
Castro, Maria António
publishDate 2025
publisher.none.fl_str_mv MDPI AG
reponame_str Instituto Politécnico de Coimbra
repository_id_str urn:repositoryAcronym:ipc
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spelling engMDPI AGengIntroduction: The increasing development of wearable devices for postural monitoring (provide feedback on posture) or correction (mechanical or biofeedback to promote change) is partly driven by the rising prevalence of poor posture in the general population and its impact on pain perception and functional capacity. Objective: Examine the effects of wearable devices on posture correction or prevention and on related outcomes, including postural alignment, muscle activity, pain and functional performance. Methods: The review followed the PRISMA 2020 guidelines. Searches were performed in PubMed, Scopus, Web of Science, and PEDro for studies published between 2012 and 2025. Eligible studies included randomized controlled trials and quasi-experimental designs involving participants with postural deviations or at risk of developing them, who underwent interventions using wearable devices that provided vibratory, auditory, visual, or tactile biofeedback. Results: Eight studies reported immediate improvements in postural alignment, body awareness, and self-reported pain, particularly with devices providing vibratory or visual biofeedback. Functional task stability improved, and muscle activity during risky postures decreased. However, the strong heterogeneity across devices and protocols, small sample sizes, short intervention durations, and, in some cases, the lack of independent control groups limit the strength and generalizability of these findings. Conclusions: Wearable devices have potential as complementary tools in physiotherapy due to their autonomous and potentially effective nature. Nevertheless, current evidence remains insufficient to support definitive clinical recommendations.application/pdfengEffectiveness of Wearable Devices for Posture Correction: A Systematic Review of Evidence from Randomized and Quasi-Experimental StudiesCaixeiro, DiogoCordeiro, TomásConstantino, LeandroCarreira, JoãoPersonalMendes, RuiDSpacehttp://dspace.org/items/b75ec7e9-b217-42e1-9df0-a340e34ca0d0DSpacehttp://dspace.org/items/b75ec7e9-b217-42e1-9df0-a340e34ca0d0MendesRuiCiência IDhttps://www.ciencia-id.ptA71F-1E22-D496ORCIDhttp://orcid.org0000-0002-2433-5193Scopus Author IDhttps://www.scopus.com54881476100Silva, Cândida G.Castro, Maria AntónioHostingInstitutionOrganizationalRepositório Comume-mailmailto:comum@rcaap.ptcomum@rcaap.ptISSNIsPartOf2076-3417DOIIsPartOf10.3390/app160100812026-05-21T13:37:58Z2025-122025-12-01T00:00:00ZHandlehttp://hdl.handle.net/10400.26/63248http://purl.org/coar/access_right/c_abf2open accesswearable devicespostural alignmentpostural controlbiofeedbackphysiotherapy432077 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal article2025-12http://creativecommons.org/licenses/by/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://comum.rcaap.pt/bitstreams/c92e4e8b-d76b-49fa-b9f0-427112fef817/downloadApplied Sciences161121
spellingShingle Effectiveness of Wearable Devices for Posture Correction: A Systematic Review of Evidence from Randomized and Quasi-Experimental Studies
Caixeiro, Diogo
wearable devices
postural alignment
postural control
biofeedback
physiotherapy
status SINGLETON
subject.fl_str_mv wearable devices
postural alignment
postural control
biofeedback
physiotherapy
title Effectiveness of Wearable Devices for Posture Correction: A Systematic Review of Evidence from Randomized and Quasi-Experimental Studies
title_full Effectiveness of Wearable Devices for Posture Correction: A Systematic Review of Evidence from Randomized and Quasi-Experimental Studies
title_fullStr Effectiveness of Wearable Devices for Posture Correction: A Systematic Review of Evidence from Randomized and Quasi-Experimental Studies
title_full_unstemmed Effectiveness of Wearable Devices for Posture Correction: A Systematic Review of Evidence from Randomized and Quasi-Experimental Studies
title_short Effectiveness of Wearable Devices for Posture Correction: A Systematic Review of Evidence from Randomized and Quasi-Experimental Studies
title_sort Effectiveness of Wearable Devices for Posture Correction: A Systematic Review of Evidence from Randomized and Quasi-Experimental Studies
topic wearable devices
postural alignment
postural control
biofeedback
physiotherapy
topic_facet wearable devices
postural alignment
postural control
biofeedback
physiotherapy
url http://hdl.handle.net/10400.26/63248
visible 1