Decentralizing Rehabilitation: Using Blockchain to Store Exoskeletons’ Movement
During the 2nd Semester of 2018, at the Brazilian Aeronautics Institute of Technology (Instituto Tecnologico de Aeronautica – ITA), a successful Collaborative Interdisciplinary Problem-Based Learning (Co-IPBL) experience took place. At that time, more than 20 undergrad and graduate students from 3 different courses, within just 17 academic weeks, had the opportunity of conceptualizing, modeling, developing, and testing a Computer System involving multiple actors (Patients, Doctors, Hospitals, and Suppliers) for real-time decision making in the rehabilitation with Exoskeletons of patients suffering from Lower Limb Impairment after motorcycle accidents. Differently from other existing products from universities, research centers, governmental agencies, and other public and/or private companies, this product was developed, using the best practices of the Agile Scrum Method, along with emerging Information Technologies (ITs) such as Blockchain Hyperledger, Internet of Things (IoT), among others. This Co-IPBL was performed with the participation of a rehabilitation medical team from the Hospital of Clinics at the Faculty of Medicine of the University of Sao Paulo (HC-FMUSP). The experience described in this paper illustrates a way of dealing with the multiple challenges involved in teaching, learning, designing, and implementing complex intelligent systems to address health care issues with collaborative work involving multidisciplinary teams facing real-life problems such as exoskeletons applied to clinical recover of Patients.
KeywordsHealth care system Exoskeleton Blockchain Agile method Agile testing Collaborative problem-based learning
The authors thank: Esterel Technologies/ANSYS Inc.; Hospital of Clinics from Faculty of Medicine of University of São Paulo; Rehabilitation Hospital Lucy Montoro; Ecossistema Negocios Digitais Ltda; ITA; and FCMF, for all their general and finantial support, during the development of this TSA4MOHIBD Project.
- 1.Silva, D.A., Goncalves, G., Santos, S., Pugliese, V., Navas, J., Santana, R., et al.: Health care information systems: a crisis approach. In: 15th International Conference on Information Technology: New Generations (ITNG 2018), Las Vegas (2018)Google Scholar
- 2.Silva, D.A., Santana, R., Navas, J., Goncalves, G., Vieira, L.A., Cunha, A., et al.: Health care transformation: an academic application system case study. In: 10TH IFAC Symposium on Biological and Medical Systems – International Federation of Automatic Control (IFAC BMS 2018), São Paulo (2018)Google Scholar
- 3.de Castro Martins, J., Pinto, A.F.M., Junior, E.E.B., Goncalves, G.S., Louro, H.D.B., Gomes, J.M., et al.: Using big data, internet of things, and agile for crises management. In: Information Technology-New Generations, pp. 373–382. Springer, Cham (2018)Google Scholar
- 4.SuperInteressante: The exoskeleton changes the game (2017). Accessed in Sept 2018. Available from: https://super.abril.com.br/tecnologia/o-exoesqueleto-vira-o-jogo/
- 8.Gates, C.: Electronic Medical Record Reminder to Improve Human Papillomavirus Vaccination Rates among Adolescents (2018). http://thescholarship.ecu.edu/handle/10342/6887
- 12.Montoro, L.: Rede de Reabilitação Lucy Montoro (2018). Accessed in Sept 2018. Available from: http://www.redelucymontoro.org.br/
- 13.Sutherland, J.: SCRUM Handbook. Scrum Training Institute Press (2010). https://www.researchgate.net/publication/301685699_Jeff_Sutherland's_Scrum_Handbook
- 14.Dea, C.: An Introduction to Agile Methods. Fraunhofer Center for Experimental Software Engineering. Advances in Computers, vol. 62 (2004). http://www.cse.chalmers.se/~feldt/courses/agile/cohen_2004_intro_to_agile_methods.pdf
- 15.Cohn, M.: Succeeding with Agile: Software Development Using Scrum. Addison-Wesley, Upper Saddle River (2010)Google Scholar
- 16.Forbes: This is why blockchain will transform healthCare (2017). Accessed in June 2018. Available from: https://www.forbes.com/sites/bernardmarr/2017/11/29/this-is-why-blockchains-will-transform-healthcare/
- 17.Projects, L.F.: Blockchain Hyperledger. Accessed from in June 2018. Available from: https://www.hyperledger.org/
- 18.Cross, H.: Care supply regulatory center. Accessed from in 10 June 2018. Available from: http://www.cross.saude.sp.gov.br/
- 19.Nakamoto, S.: Bitcoin: a peer-to-peer electronic cash system (2008). Available from: https://bitcoin.org/bitcoin.pdf
- 20.Banafa, A.: IoT and blockchain convergence: benefits and challenges. IEEE Internet Things (2017). https://iot.ieee.org/newsletter/january-2017/iot-and-blockchain-convergence-benefits-and-challenges.html
- 21.Dorri, A., Kanhere, S.S., Jurdak, R., Gauravaram, P.: Blockchain for IoT security and privacy: the case study of a smart home. In: 2017 IEEE International Conference on Pervasive Computing and Communications Workshops (PerCom Workshops). IEEE, pp. 618–623 (2017)Google Scholar
- 22.IEC/DIS: Medical electrical equipment – Part 2–78: Particular requirements for the basic safety and essential performance of medical robots for rehabilitation, assessment, compensation or alleviation (2018). Accessed in Sept 2018. Available from: https://www.iso.org/standard/68474.html
- 25.Correia, P.: Aparelho locomotor: Funçõo neuromuscular e adaptações a atividade física (2012). Available from: http://www.fmh.utl.pt/indices/aparelocvol2.pdf
- 26.Project, T.: Technological solutions applicable for the management of ostensive hospital information with big data (2018). Accessed in June 2018. Available from: https://sites.google.com/site/projetointerdisciplinar2018/.
- 27.Pugh, K.: Lean-Agile Acceptance Test-Driven Development: Better Software Through Collaboration. Addison-Wesley (2011). ISBN 978-0321714084Google Scholar
- 28.GitHub: Open-source landscape map for healthcare-related blockchain (2018). Accessed in June 2018. Available from: https://www.forbes.com/sites/bernardmarr/2017/11/29/this-is-why-blockchains-will-transform-healthcare/