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PAL Technologies Ltd
Dougie Maxwell
founder & ceo
douglas@paltechnlogies.com
Who, why, where, when?
• University spin-out
– Founded in 2001
– Founders Dougie Maxwell, Malcolm Granat
& Nikos Mourselas
– Technology developed in Bioengineering Unit the
founders and exclusively licenced to company
– Traditional focus on measures of (dis)ability, our
desire was to measure participation
Origins
Group:

Goal:

PATIENT
ACADEMIC
INDUSTRIALIST

Get Better
Get Famous

Get Rich
(old) Model of health
World Health Organization (WHO)
Rehabilitation Outcomes Model
(ICIDH, 1980)

Disease/Condition


Impairment  Disability  Handicap
Model proposes a linear,
left-to-right association
(New) Model of health
International Classification of Functioning,
Disability and Health (ICF) Framework (WHO, 2002)
Health condition
(disorder or disease)

Body Structure
& Functions
(Impairment)

Environmental
Factors

Activity

Participation

Personal
Factors
Ability or Participation?
Background – stroke rehab
GAPS project physical activity monitoring data
inpatient ~1 month post-stroke (n = 41)

Time spent upright (% of waking day)

40%

upright%

standard physio

augmented physio

35%

30%

25%

20%

15%

10%

5%

0%
18 35 15

5

40 12 10 29

4

2

8

24 28

1

13 22 11 3 26 6 27 32 25 30 14 41 36 21
subject's ranked by increasing upright time

9

19 16 39

7

31 38 17 23 33 20 34 37

-5%

The Glasgow Augmented Physiotherapy Study (GAPS) group (2004) Can augmented physiotherapy input enhance recovery of
mobility after stroke? A randomized controlled trial. Clin Rehabil. 2004 Aug;18(5):529-37
Ability or participation?
Age = 80
Walking speed = 0.28m/s

Data source: Dr Margaret Grant, Glasgow Caledonian University

Age = 75
Walking speed = 0.14m/s
Easily understood outcomes
pensioner

teacher

taxi driver

stroke patient
“by jove, the taxi driver
doesn’t do much”
Peer to peer
Customers
Cardiometobolic research
“TV viewing time may have adverse health
consequences that rival those of lack of physical
activity, obesity and smoking; every single hour
of TV viewed may shorten life
by as much as 22 min.”
Veerman JLet al. Br J Sports Med (2011)
doi:10.1136/bjsm.2011.085662
Sedentary behaviour modification
• Self monitoring has been demonstrated as
most effective intervention for increasing
physical activity
• What are the options for sedentary behaviour
modification?
– Chair based
– Screen based
– Self monitoring
Sitting disease
Increased sendentary time associated with
increased risk of:
• Cardiovascular disease
• Diabetes
• Obesity
• Stroke
• Metabolic syndrome
First Step Award
Development of novel metrics for the assessment
of free-living physical behaviour
Dr Jason Gill,
Institute of Cardiovascular and Medical Sciences
University of Glasgow
First Steps
Behaviour (change)

•Anatomy
•Physiology
•Psychology
HAPTIC ENGAGEMENT
• activPAL VT (vibro-tactile)
• Self-monitoring of sedentary bout
duration
• Changing sedentary behaviour
one tickle at a time
• “a PAL in your pants”
EuroFIT - sitFIT
SitFIT
To enable self-monitoring of free-living
sedentary behaviour and physical activity.
Cumulative sitting time is given context by
visualising alongside upright time
microUSB
for download of detailed
performance measures and
battery charging

Bluetooth SMART
for connection to BT 4.0 enabled
smartphones and displays and integration
with other software, for example MatchFIT

Sitting time
Cumulative daily total
Upright time
Cumulative daily total
Steps
Cumulative daily total
Sedentary Behaviour Index
The index reflects duration of
sitting bouts, short bouts are
better
Sitting bout timer
Vibro-tactile feedback tells the wearer
how long they have been sitting for
EuroFIT – keeping fit at the fitba
EuroFIT

http://eurofitfp7.eu/

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Academic university collaboration - a win win partnership, Douglas Maxwell PAL Technologies

  • 1. PAL Technologies Ltd Dougie Maxwell founder & ceo douglas@paltechnlogies.com
  • 2. Who, why, where, when? • University spin-out – Founded in 2001 – Founders Dougie Maxwell, Malcolm Granat & Nikos Mourselas – Technology developed in Bioengineering Unit the founders and exclusively licenced to company – Traditional focus on measures of (dis)ability, our desire was to measure participation
  • 4. (old) Model of health World Health Organization (WHO) Rehabilitation Outcomes Model (ICIDH, 1980) Disease/Condition  Impairment  Disability  Handicap Model proposes a linear, left-to-right association
  • 5. (New) Model of health International Classification of Functioning, Disability and Health (ICF) Framework (WHO, 2002) Health condition (disorder or disease) Body Structure & Functions (Impairment) Environmental Factors Activity Participation Personal Factors
  • 7. Background – stroke rehab GAPS project physical activity monitoring data inpatient ~1 month post-stroke (n = 41) Time spent upright (% of waking day) 40% upright% standard physio augmented physio 35% 30% 25% 20% 15% 10% 5% 0% 18 35 15 5 40 12 10 29 4 2 8 24 28 1 13 22 11 3 26 6 27 32 25 30 14 41 36 21 subject's ranked by increasing upright time 9 19 16 39 7 31 38 17 23 33 20 34 37 -5% The Glasgow Augmented Physiotherapy Study (GAPS) group (2004) Can augmented physiotherapy input enhance recovery of mobility after stroke? A randomized controlled trial. Clin Rehabil. 2004 Aug;18(5):529-37
  • 8.
  • 9. Ability or participation? Age = 80 Walking speed = 0.28m/s Data source: Dr Margaret Grant, Glasgow Caledonian University Age = 75 Walking speed = 0.14m/s
  • 10.
  • 11.
  • 13. “by jove, the taxi driver doesn’t do much”
  • 16. Cardiometobolic research “TV viewing time may have adverse health consequences that rival those of lack of physical activity, obesity and smoking; every single hour of TV viewed may shorten life by as much as 22 min.” Veerman JLet al. Br J Sports Med (2011) doi:10.1136/bjsm.2011.085662
  • 17. Sedentary behaviour modification • Self monitoring has been demonstrated as most effective intervention for increasing physical activity • What are the options for sedentary behaviour modification? – Chair based – Screen based – Self monitoring
  • 18. Sitting disease Increased sendentary time associated with increased risk of: • Cardiovascular disease • Diabetes • Obesity • Stroke • Metabolic syndrome
  • 19. First Step Award Development of novel metrics for the assessment of free-living physical behaviour Dr Jason Gill, Institute of Cardiovascular and Medical Sciences University of Glasgow
  • 22. HAPTIC ENGAGEMENT • activPAL VT (vibro-tactile) • Self-monitoring of sedentary bout duration • Changing sedentary behaviour one tickle at a time • “a PAL in your pants”
  • 23. EuroFIT - sitFIT SitFIT To enable self-monitoring of free-living sedentary behaviour and physical activity. Cumulative sitting time is given context by visualising alongside upright time microUSB for download of detailed performance measures and battery charging Bluetooth SMART for connection to BT 4.0 enabled smartphones and displays and integration with other software, for example MatchFIT Sitting time Cumulative daily total Upright time Cumulative daily total Steps Cumulative daily total Sedentary Behaviour Index The index reflects duration of sitting bouts, short bouts are better Sitting bout timer Vibro-tactile feedback tells the wearer how long they have been sitting for
  • 24. EuroFIT – keeping fit at the fitba

Notas del editor

  1. Douglas physiologist, Malcolm biochemist, Nikos control engineerMulti-disiplinary experience in UnitImpairment, disability and handicapImpCan do, do doFree-living community activities
  2. Red dots get twice as much physio as blue
  3. whoopee cushion
  4. Cancer?