Abstract: A patient monitoring system is provided which includes a patient monitoring device secured to a prosthetic or orthotic. The patient monitoring device includes a spatial orientation sensor, a wireless interface adapted to communicate with a remote wireless device and a processor adapted to detect a wireless device running a software application, establish communications with the detected wireless device using the wireless interface, and transmit data from the spatial orientation sensor to the software application. The data from the spatial orientation sensor can be used to determine the tilt or inclination of the prosthetic or orthotic device from which the elevation of the device can be determined. A method of monitoring a patient wearing a prosthetic or orthotic device is also provided.