Strategic Management of Design and Conceptualization Factors for Wearable Postural Rehabilitation Devices: A Causal Interdependency Analysis.

The implementation of wearable systems in postural rehabilitation offers new perspectives for continuous monitoring, yet their success depends on the interaction between technical parameters and clinical requirements. This study analyzes clinical performance factors to identify strategic levers determining recovery effectiveness. It examines indicators such as postural deviation detection, sensitivity to minor motion changes, suitability for home monitoring, continuous monitoring capability, clinical relevance of extracted parameters, and the capability to assess patient progress over time. Using the DEMATEL methodology, the study highlights influences among these factors in a clinical context. This structural analysis separates primary drivers from rehabilitation outcomes. To refine the analysis, the MICMAC method classifies factors by driving and dependence power, distinguishing determinant, relay, dependent, and autonomous variables. The approach provides an objective basis for managers and designers to prioritize resources toward functionalities with the greatest systemic impact on patient progress. The combined DEMATEL-MICMAC framework enhances decision-making by linking causal relationships with clear hierarchical categorization. The findings may support the integration of wearable technologies into rehabilitation practice by identifying the clinical performance factors with the strongest influence within the system.