Camera-based mobile applications for movement screening in healthy adults : a systematic review

Abstract

Background: In recent years, the proliferation of mobile applications in the health and fitness sector has been rapid. Despite the enhanced accessibility of these systems, concerns regarding their validation persist, and their accuracy remains to be thoroughly evaluated compared to conventional motion analysis methodologies. Furthermore, there is a paucity of evidence regarding real-time feedback and movement quality assessment. Consequently, this systematic review aims to evaluate the current state of camera-based mobile applications for movement screening in healthy adults, focusing on specific types of movement. <br>Methods: A systematic literature search was conducted in four databases - PubMed, ScienceDirect, Web of Science, and IEEE Xplore - covering the period from 2000 to 2024. The search strategy was based on key terms related to four main concepts: screening, mobile applications, cameras, and physical activity. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. The study was registered a priori on PROSPERO (Registration ID: CRD42023444355) to ensure transparency and prevent selective reporting of outcomes. <br>Results: Of the 2,716 records initially identified, eight studies met the specified inclusion criteria. The studies were primarily concerned with fitness exercises, gait analysis, and sport-specific movements. Some studies demonstrated high reliability compared to gold standard systems, while others reported technical limitations such as camera positioning and data interpretation issues. Feedback mechanisms varied, with many applications lacking personalized real-time correction. <br>Conclusion: Despite the potential of smartphone-based movement screening applications, particularly their accessibility and affordability, challenges remain regarding accuracy and user feedback. Precise measurements comparable to established methods are crucial for application-oriented camera-based movement screening. Equally important are improving real-time feedback, expanding the types of movement that can be assessed, and ensuring broad applicability across different populations and environments to ensure sustainable use of application-based movement screening.