Abstract:

Objective To conduct a scoping review on the application of wearable motion sensing devices in exercise rehabilitation for frail older adults，and to provide a reference for subsequent related research.Methods Following the JBI scoping review methodology，a systematic search was conducted in PubMed，Embase，CINAHL，Cochrane Library，Web of Science，Scopus，IEEE Xplore，China Biomedical Literature Database，CNKI，Wanfang Data-base and VIP Database for studies on the use of wearable motion sensing devices in exercise rehabilitation for frail older adults. The search covered the period from database inception to September 10，2025. The included studies were analyzed and summarized.Results A total of 18 studies were included. Wearable motion-sensing devices were categorized as inertial measurement unit-based devices，sensory stimulation/feedback devices，and robotic devices. These devices were applied across 4 stages：assessment，training，long-term follow-up，and safety support. Outcome measures covered balance，muscle strength，gait and mobility，overall physical activity，physiological and metabolic outcomes，cognitive and neurophysiological effects，and feasibility.Conclusion Wearable motion-sensing devices have diverse applications in exercise rehabilitation for frail older adults and can support multiple stages of application. Future efforts should optimize data integration/interoperability，standardize objective outcome measures，and improve user-friendliness to facilitate broader adoption in clinical，community，and home-based settings.

Key words: Wearable Motion Sensing Device, Exercise Rehabilitation, Frailty, Aged, Scoping Review, Nursing Care

摘要：

目的 对可穿戴运动传感设备在衰弱老年人运动康复中的应用进行范围综述，为后续开展相关研究提供参考。方法 遵循澳大利亚乔安娜布里格斯研究所的范围综述方法学，系统检索PubMed、Embase、CINAHL、Cochrane Library、Web of Science、Scopus、IEEE Xplore、中国生物医学文献数据库、中国知网、万方数据库、维普数据库中有关可穿戴运动传感设备在衰弱老年人运动康复中应用的相关研究，检索时限为建库至2025年9月10日，对纳入文献进行分析和总结。结果 共纳入18篇文献，可穿戴运动传感设备分为惯性测量单元类、感觉刺激类和机器人类，应用于评估、训练、长期随访和安全支持4个环节，结局指标涵盖平衡、肌力、步伐与移动能力、综合身体活动、生理代谢、认知功能和神经效应、可行性。结论 可穿戴运动传感设备在衰弱老年人运动康复中应用类型多样，能够支持多环节的应用，未来需在数据衔接、客观结局指标规范、用户友好性方面进一步优化，以促进其在临床、社区、居家场景中的推广。

关键词: 可穿戴运动传感设备, 运动康复, 衰弱, 老年人, 范围综述, 护理