Abstract
Virtual Reality technologies are slated to transform the practice of physical rehabilitation and the potential benefits have only started to be explored. We present in this paper a direct motion demonstration approach for allowing therapists to intuitively create and edit customized exercises and therapy programs that are responsive to the needs of their patients. We propose adaptive exercise models, motion processing algorithms, and delivery techniques designed to achieve exercises that effectively respond to physical limitations and recovery rates of individual patients. Remote networked solutions are also presented for allowing therapists and patients to intuitively share their motions during real-time collaborative therapy sessions. Our solutions have been implemented as a low-cost portable system based on a Kinect sensor, and as a high-end virtual reality system providing full-scale immersion. We analyze and discuss our methods and systems in light of feedback received from therapists.
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References
Anderson, F., Grossman, T., Matejka, J., Fitzmaurice, G.W.: YouMove: enhancing movement training with an augmented reality mirror. In: Proceedings of User Interface Software and Technology (UIST), pp. 311–320. ACM (2013)
American Physical Therapy Association: Guide to Physical Therapist Practice. Rev. 2nd edn. American Physical Therapy Association, Alexandria (1999)
Bonnechere, B., Jansen, B., Salvia, P., Bouzahouene, H., Omelina, L., Cornelis, J., Rooze, M., Van Sint Jan, S.: What are the current limits of the kinect sensor. In: Proceedings of the 9th International Conference on Disability, Virutal Reality & Associated Technologies, Laval, France, pp. 287–294 (2012)
Breeben, O.: Introduction to Physical Therapy for Physical Therapy Assistants. Jones and Barlett, Sudbury (2007)
Burke, J.W., McNeill, M., Charles, D., Morrow, P., Crosbie, J., McDonough, S.: Serious games for upper limb rehabilitation following stroke. In: Proceedings of the 2009 Conference in Games and Virtual Worlds for Serious Applications, VS-GAMES 2009, pp. 103–110. IEEE Computer Society, Washington, DC (2009)
Cameirao, M., Badia, B., Verschure, P.: Virtual reality based upper extremity rehabilitation following stroke: a review. J. CyberTherapy Rehabil. 1(1), 63–74 (2008)
Camporesi, C., Huang, Y., Kallmann, M.: Interactive motion modeling and parameterization by direct demonstration. In: Safonova, A. (ed.) IVA 2010. LNCS, vol. 6356, pp. 77–90. Springer, Heidelberg (2010)
Chang, C.M.: The design of a shoulder rehabilitation game system. In: 2010 IET International Conference on Frontier Computing. Theory, Technologies and Applications, pp. 151–156 (2010)
Clark, R.A., Pua, Y.H., Fortin, K., Ritchie, C., Webster, K.E., Denehy, L., Bryant, A.L.: Validity of the microsoft kinect for assessment of postural control. Gait Posture 36(3), 372–377 (2012)
Gabel, M., Gilad-Bachrach, R., Renshaw, E., Schuster, A.: Full body gait analysis with kinect. In: 2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), pp. 1964–1967. IEEE (2012)
Galna, B., Barry, G., Jackson, D., Mhiripiri, D., Olivier, P., Rochester, L.: Accuracy of the microsoft kinect sensor for measuring movement in people with parkinson’s disease. Gait Posture 39(4), 1062–1068 (2014)
Geurts, L., Vanden Abeele, V., Husson, J., Windey, F., Van Overveldt, M., Annema, J.H., Desmet, S.: Digital games for physical therapy: fulfilling the need for calibration and adaptation. In: Proceedings of the Fifth International Conference on Tangible, Embedded, and Embodied Interaction, pp. 117–124. ACM (2011)
Glardon, P., Boulic, R., Thalmann, D.: A coherent locomotion engine extrapolating beyond experimental data. In: Proceedings of Computer Animation and Social Agent, pp. 73–84 (2004)
Golomb, M.R., McDonald, B.C., Warden, S.J., Yonkman, J., Saykin, A.J., Shirley, B., Huber, M., Rabin, B., Abdelbaky, M., Nwosu, M.E., Barkat-Masih, M., Burdea, G.C.: In-home virtual reality videogame telerehabilitation in adolescents with hemiplegic cerebral palsy. Arch. Phys. Med. Rehabil. 91(1), 1–8 (2010)
Golomb, M., Barkat-Masih, M., Rabin, B., Abdelbaky, M., Huber, M., Burdea, G.: Eleven months of home virtual reality telerehabilitation - lessons learned. In: Virtual Rehabilitation International Conference, pp. 23–28 (2009)
Grassia, F.S.: Practical parameterization of rotations using the exponential map. J. Graph. Tools 3(3), 29–48 (1998)
Grealy, M., Nasser, B.: The use of virtual reality in assisting rehabilitation. Adv. Clin. Neurosci. Rehabil. 13(9), 19–20 (2013)
Gupta, A., O’Malley, M.: Robotic Exoskeletons for Upper Extremity Rehabilitation, pp. 371–396. I-Tech Education and Publishing, Vienna (2007)
Holden, M.K.: Virtual environments for motor rehabilitation: review. Cyberpsychol. Behav. 8(3), 187–211 (2005)
Holden, M.K., Dyar, T.A., Schwamm, L., Bizzi, E.: Virtual-environment-based telerehabilitation in patients with stroke. Presence Teleoper. Virtual Environ. 14(2), 214–233 (2005)
Kizony, R., Weiss, P., Feldman, Y., Shani, M., Elion, O., Kizony, R., Weiss, P., Kizony, R., Harel, S., Baum-Cohen, I.: Evaluation of a tele-health system for upper extremity stroke rehabilitation. In: 2013 International Conference on Virtual Rehabilitation (ICVR), pp. 80–86, August 2013
Kizony, R., Katz, N., et al.: Adapting an immersive virtual reality system for rehabilitation. J. Vis. Comput. Anim. 14(5), 261–268 (2003)
Kovar, L., Gleicher, M.: Automated extraction and parameterization of motions in large data sets. ACM Trans. Graph. (Proceedings of SIGGRAPH) 23(3), 559–568 (2004)
Kurillo, G., Koritnik, T., Bajd, T., Bajcsy, R.: Real-time 3d avatars for tele-rehabilitation in virtual reality. In: MMVR, pp. 290–296 (2011)
Lai, J.C., Woo, J., Hui, E., Chan, W.: Telerehabilitationa new model for community-based stroke rehabilitation. J. Telemed. Telecare 10(4), 199–205 (2004)
Lange, B., Flynn, S.M., Rizzo, A.A.: Game-based telerehabilitation. Eur. J. Phys. Rehabil. Med. 45(1), 143–151 (2009)
Lange, B., Koenig, S., Chang, C.Y., McConnell, E., Suma, E., Bolas, M., Rizzo, A.: Designing informed game-based rehabilitation tasks leveraging advances in virtual reality. Disabil. Rehabil. 34(22), 1863–1870 (2012)
Leder, R., Azcarate, G., Savage, R., Savage, S., Sucar, L., Reinkensmeyer, D., Toxtli, C., Roth, E., Molina, A.: Nintendo wii remote for computer simulated arm and wrist therapy in stroke survivors with upper extremity hemipariesis. In: Virtual Rehabilitation, 2008. p. 74 (2008)
Levac, D.E., Galvin, J.: When is virtual reality therapy? Arch. Phys. Med. Rehabil. 94(4), 795–798 (2013)
Liu, C.K., Popović, Z.: Synthesis of complex dynamic character motion from simple animations. ACM Trans. Graph. 21(3), 408–416 (2002)
Lowes, L.P., Alfano, L.N., Yetter, B.A., Worthen-Chaudhari, L., Hinchman, W., Savage, J., Samona, P., Flanigan, K.M., Mendell, J.R.: Proof of concept of the ability of the kinect to quantify upper extremity function in dystrophinopathy. PLoS Curr. 5 (2013)
Lü, H., Li, Y.: Gesture coder: a tool for programming multi-touch gestures by demonstration. In: Proceedings of the 2012 ACM Annual Conference on Human Factors in Computing Systems, pp. 2875–2884. ACM (2012)
Ma, W., Xia, S., Hodgins, J.K., Yang, X., Li, C., Wang, Z.: Modeling style and variation in human motion. In: Proceedings of the ACM SIGGRAPH/Eurographics Symposium on Computer Animation (SCA) (2010)
Mobini, A., Behzadipour, S., Saadat Foumani, M.: Accuracy of Kinect’s skeleton tracking for upper body rehabilitation applications. Disabil. Rehabil. Assist. Technol. 9(4), 344–352 (2014)
Mukai, T., Kuriyama, S.: Geostatistical motion interpolation. In: ACM SIGGRAPH, pp. 1062–1070. ACM, New York (2005)
Nixon, M., Chen, Y., Howard, A.: Quantitative evaluation of the microsoft kinect for use in an upper extremity virtual rehabilitation environment. In: International Conference on Virtual Rehabilitation (ICVR), Philadelphia, PA, USA, May 2013
Norkin, C.: Measurement of Joint Motion. A Guide to Goniometry. F.A. Davis Company, Philadelphia (2003)
Obdrzalek, S., Kurillo, G., Han, J., Abresch, T., Bajcsy, R.: Real-time human pose detection and tracking for tele-rehabilitation in virtual reality. Stud. Health Technol. Inform. 173, 320–324 (2012)
Obdrzalek, S., Kurillo, G., Ofli, F., Bajcsy, R., Seto, E., Jimison, H., Pavel, M.: Accuracy and robustness of kinect pose estimation in the context of coaching of elderly population. In: 2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), pp. 1188–1193, August 2012
Ogre3D: Object-oriented graphics rendering engine. www.ogre3d.org
Omelina, L., Jansen, B., Bonnechre, B., Van Sint Jan, S., Cornelis, J.: Serious games for physical rehabilitation: designing highly configurable and adaptable games. In: Proceedings of the 9th International Conference on Disability, Virutal Reality & Associated Technologies, Laval, France (2012)
Perry, J.C., Andureu, J., Cavallaro, F.I., Veneman, J., Carmien, S., Keller, T.: Effective game use in neurorehabilitation: user-centered perspectives. Handbook of Research on Improving Learning and Motivation through Educational Games, IGI Global (2010)
Popescu, V.G., Burdea, G.C., Bouzit, M., Hentz, V.R.: A virtual-reality-based telerehabilitation system with force feedback. Trans. Info. Tech. Biomed. 4(1), 45–51 (2000)
Reflexion Health: http://www.reflexionhealth.com
Rose, C., Bodenheimer, B., Cohen, M.F.: Verbs and adverbs: multidimensional motion interpolation. IEEE Comput. Graph. Appl. 18, 32–40 (1998)
Rose III, C.F., Sloan, P.P.J., Cohen, M.F.: Artist-directed inverse-kinematics using radial basis function interpolation. Comput. Graph. Forum (Proceedings of Eurographics) 20(3), 239–250 (2001)
Salvati, M., Le Callennec, B., Boulic, R.: A generic method for geometric contraints detection. In: Eurographics (2004)
Schönauer, C., Pintaric, T., Kaufmann, H.: Full body interaction for serious games in motor rehabilitation. In: Proceedings of the 2nd Augmented Human International Conference, AH 2011, pp. 4:1–4:8. ACM, New York (2011)
Skoglund, A., Iliev, B., Palm, R.: Programming-by-demonstration of reaching motions - a next-state-planner approach. Robot. Auton. Syst. 58(5), 607–621 (2010)
Velloso, E., Bulling, A., Gellersen, H.: Motionma: motion modelling and analysis by demonstration. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, CHI 2013, pp. 1309–1318. ACM, New York (2013)
Wollersheim, D., Merkes, M., Shields, N., Liamputtong, P., Wallis, L., Reynolds, F., Koh, L.: Physical and psychosocial effects of wii video game use among older women. Int. J. Emerg. Technol. Soc. 8(2), 85–98 (2010)
Wong, Y., Hui, E., Woo, J.: A community-based exercise programme for older persons with knee pain using telemedicine. J. Telemed. Telecare 11(6), 310–315 (2005)
Acknowledgements
This work was partially supported by CITRIS grant number 128, by NSF award CNS-1305196, and by a HSRI San Joaquin Valley eHealth Network seed grant funded by AT&T.
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Kallmann, M., Camporesi, C., Han, J. (2015). VR-Assisted Physical Rehabilitation: Adapting to the Needs of Therapists and Patients. In: Brunnett, G., Coquillart, S., van Liere, R., Welch, G., Váša, L. (eds) Virtual Realities. Lecture Notes in Computer Science(), vol 8844. Springer, Cham. https://doi.org/10.1007/978-3-319-17043-5_9
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