Assistance System for Rehabilitation and Valuation of Motor Skills

Quevedo, Washington X.; Ortiz, Jessica S.; Velasco, Paola M.; Sánchez, Jorge Sanjurjo; Álvarez, Víctor; Rivas, David; Andaluz, Víctor H.

doi:10.1007/978-3-319-60928-7_14

Cited by 13 publications

(10 citation statements)

References 24 publications

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“…Of these, 18 articles refer to a specific target group for their use [ 20 , 23 , 26 , 36 , 37 , 45 , 47 - 50 , 52 , 54 , 58 , 62 , 68 , 71 , 73 , 77 ]. In 11 articles, the HET is recommended for several target groups [ 19 , 30 , 31 , 42 , 53 , 55 , 60 , 75 , 76 , 81 , 83 ]. Cubukcu and Yüzgec [ 55 ], for example, address patients with shoulder joint, muscle, and tendon damage.…”

Section: Resultsmentioning

confidence: 99%

“…In total, 34 HETs use PC displays , 11 use smartphones , and 8 use televisions as hardware for output; 6 bigger screens (>40) or projectors [ 26 , 34 , 37 , 40 , 47 , 67 ] and 3 head-mounted displays [ 26 , 46 , 60 ] are also reported. Furthermore, 6 articles do not specify the hardware [ 38 , 49 , 66 , 69 , 72 , 75 ]; however, these 6 articles describe interfaces for games that require visual control by the patient.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, 3 haptic devices [ 57 , 60 , 82 ], 2 audio-biofeedback modules [ 23 , 35 ], and 3 LEDs controlled by an analog-digital converter with a microcontroller [ 53 ] are used for output.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Health-Enabling Technologies to Assist Patients With Musculoskeletal Shoulder Disorders When Exercising at Home: Scoping Review

Elgert¹,

Steiner²,

Saalfeld³

et al. 2021

JMIR Rehabil Assist Technol

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Background Health-enabling technologies (HETs) are information and communication technologies that promote individual health and well-being. An important application of HETs is telerehabilitation for patients with musculoskeletal shoulder disorders. Currently, there is no overview of HETs that assist patients with musculoskeletal shoulder disorders when exercising at home. Objective This scoping review provides a broad overview of HETs that assist patients with musculoskeletal shoulder disorders when exercising at home. It focuses on concepts and components of HETs, exercise program strategies, development phases, and reported outcomes. Methods The search strategy used Medical Subject Headings and text words related to the terms upper extremity, exercises, and information and communication technologies. The MEDLINE, Embase, IEEE Xplore, CINAHL, PEDro, and Scopus databases were searched. Two reviewers independently screened titles and abstracts and then full texts against predefined inclusion and exclusion criteria. A systematic narrative synthesis was performed. Overall, 8988 records published between 1997 and 2019 were screened. Finally, 70 articles introducing 56 HETs were included. Results Identified HETs range from simple videoconferencing systems to mobile apps with video instructions to complex sensor-based technologies. Various software, sensor hardware, and hardware for output are in use. The most common hardware for output are PC displays (in 34 HETs). Microsoft Kinect cameras in connection with related software are frequently used as sensor hardware (in 27 HETs). The identified HETs provide direct or indirect instruction, monitoring, correction, assessment, information, or a reminder to exercise. Common parameters for exercise instructions are a patient’s range of motion (in 43 HETs), starting and final position (in 32 HETs), and exercise intensity (in 20 HETs). In total, 48 HETs provide visual instructions for the exercises; 29 HETs report on telerehabilitation aspects; 34 HETs only report on prototypes; and 15 HETs are evaluated for technical feasibility, acceptance, or usability, using different assessment instruments. Efficacy or effectiveness is demonstrated for only 8 HETs. In total, 18 articles report on patients’ evaluations. An interdisciplinary contribution to the development of technologies is found in 17 HETs. Conclusions There are various HETs, ranging from simple videoconferencing systems to complex sensor-based technologies for telerehabilitation, that assist patients with musculoskeletal shoulder disorders when exercising at home. Most HETs are not ready for practical use. Comparability is complicated by varying prototype status, different measurement instruments, missing telerehabilitation aspects, and few efficacy studies. Consequently, choosing an HET for daily use is difficult for health care professionals and decision makers. Prototype testing, usability, and acceptance tests with the later target group under real-life conditions as well as efficacy or effectiveness studies with patient-relevant core outcomes for every promising HET are required. Furthermore, health care professionals and patients should be more involved in the product design cycle to consider relevant practical aspects.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Health-Enabling Technologies to Assist Patients With Musculoskeletal Shoulder Disorders When Exercising at Home: Scoping Review

Elgert¹,

Steiner²,

Saalfeld³

et al. 2021

JMIR Rehabil Assist Technol

View full text Add to dashboard Cite

show abstract

“…Except for 3 publications presenting purely application systems or approaches [ 23 , 47 , 59 ], all application systems were evaluated on at least one aspect. Frequently, this was the evaluation of technical feasibility (10 of the 27) and usability (9 of the 27) by means of pilot studies or simple informal pretests.…”

Section: Resultsmentioning

confidence: 99%

Gamification in Rehabilitation of Patients With Musculoskeletal Diseases of the Shoulder: Scoping Review

Steiner¹,

Elgert²,

Saalfeld³

et al. 2020

JMIR Serious Games

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Background Gamification has become increasingly important both in research and in practice. Particularly in long-term care processes, such as rehabilitation, playful concepts are gaining in importance to increase motivation and adherence. In addition to neurological diseases, this also affects the treatment of patients with musculoskeletal diseases such as shoulder disorders. Although it would be important to assist patients during more than one rehabilitation phase, it is hypothesized that existing systems only support a single phase. It is also unclear which game design elements are currently used in this context and how they are combined to achieve optimal positive effects on motivation. Objective This scoping review aims to identify and analyze information and communication technologies that use game design elements to support the rehabilitation processes of patients with musculoskeletal diseases of the shoulder. The state of the art with regard to fields of application, game design elements, and motivation concepts will be determined. Methods We conducted a scoping review to identify relevant application systems. The search was performed in 3 literature databases: PubMed, IEEE Xplore, and Scopus. Following the PICO (population, intervention, comparison, outcome) framework, keywords and Medical Subject Headings for shoulder, rehabilitation, and gamification were derived to define a suitable search term. Two independent reviewers, a physical therapist and a medical informatician, completed the search as specified by the search strategy. There was no restriction on year of publication. Data synthesis was done by deductive-inductive coding based on qualitative content analysis. Results A total of 1994 articles were screened; 31 articles in English, published between 2006 and 2019, were included. Within, 27 application systems that support patients with musculoskeletal diseases of the shoulder in exercising, usually at home but also in inpatient or outpatient rehabilitation clinics, were described. Only 2 application systems carried out monitoring of adherence. Almost all were based on in-house developed software. The most frequently used game components were points, tasks, and avatars. More complex game components, such as collections and teams, were rarely used. When selecting game components, patient-specific characteristics, such as age and gender, were only considered in 2 application systems. Most were described as motivating, though an evaluation of motivational effects was usually not conducted. Conclusions There are only a few application systems supporting patients with musculoskeletal diseases of the shoulder in rehabilitation by using game design elements. Almost all application systems are exergames for supporting self-exercising. Application systems for multiple rehabilitation phases seem to be nonexistent. It is also evident that only a few complex game design elements are used. Patient-specific characteristic are generally neglected when selecting and implementing game components. Consequently, a holistic approach to enhance adherence to rehabilitation is required supporting patients during the entire rehabilitation process by providing motivational game design elements based on patient-specific characteristics.

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“…Subsections 1-3. The proposed system has as its functional basis the detection of movements through the Kinect sensor as an input device [20,21], for which through specific scripts, the data provided by the tool is interpreted in order to track the patient's movements to avatar animations within the treatment scene. As an output device we consider virtual reality glasses in order to give the patient a greater immersion in the rehabilitation process.…”

Section: System Structurementioning

confidence: 99%

Alternative Treatment of Psychological Disorders Such as Spider Phobia Through Virtual Reality Environments

Armas

Andaluz

2018

Advances in Visual Computing

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This article proposes a tool to support the psychotherapist in the process of treating spider phobia through a system that combines both software and hardware elements to present immersive virtual reality environments to the treated patient. To create the feeling of immersion, environments and models created in Unity are used in conjunction with the patient's movement tracked through the Kinect motion sensor. For the development of the system, the psychotherapeutic treatment method of systematic desensitization is used, so that the patient can overcome his fear and present non-phobic interactions with spiders. The process of developing the system and redacting this document was supported and supervised by a psychologist specialized in the treatment of phobias. Finally, tests were performed to obtain feedback from specialists and potential patients with a medium degree of phobia, in which the results were very positive and satisfactory.

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Assistance System for Rehabilitation and Valuation of Motor Skills

Cited by 13 publications

References 24 publications

Health-Enabling Technologies to Assist Patients With Musculoskeletal Shoulder Disorders When Exercising at Home: Scoping Review

Health-Enabling Technologies to Assist Patients With Musculoskeletal Shoulder Disorders When Exercising at Home: Scoping Review

Gamification in Rehabilitation of Patients With Musculoskeletal Diseases of the Shoulder: Scoping Review

Alternative Treatment of Psychological Disorders Such as Spider Phobia Through Virtual Reality Environments

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