Asynchronous Telemedicine Diagnosis of Musculoskeletal Injuries through a Prototype Interface in Virtual Reality Environment

Telehealth provides a much needed option for remote diagnosis and monitoring of various pathologies and patients. Remote provision of health care can offer a two fold support for the medical system and the patients. Primarily it could serve isolated locations and secondly it could monitor a large number of outpatient cases directly on their homes instead of the hospital premises. However in specific cases direct communication and visual data acquisition can be a major obstacle. To this end we have developed a prototype system that could enable the medical practitioners to have real-time diagnosis through 3D captured visual and motion data. This data are recreated in a Virtual Reality environment in the hospital facilities offering a unique system for remote diagnosis. This paper presents the design considerations and development process of the system and discusses the preliminary results from the system evaluation. The paper concludes with a tentative plan of future work which aims to offer the medical practitioners and the patient with a complete interface which can acquire gait data and thus analyse a large variety of musculoskeletal pathologies.

[1]  P. Bower,et al.  A comprehensive evaluation of the impact of telemonitoring in patients with long-term conditions and social care needs: protocol for the whole systems demonstrator cluster randomised trial , 2011, BMC health services research.

[2]  Alberto Leardini,et al.  Range of motion and repeatability of knee kinematics for 11 clinically relevant motor tasks. , 2010, Gait & posture.

[3]  Andrew Clarke,et al.  Capturing and Visualising Playground Games and Performance: A Wii and Kinect based motion capture system , 2011, EVA.

[4]  Harald Reiterer,et al.  NAVI - A Proof-of-Concept of a Mobile Navigational Aid for Visually Impaired Based on the Microsoft Kinect , 2011, INTERACT.

[5]  J. Perry,et al.  Comprar Gait analysis. Normal and pathological function | Burnfield, J. | 9781556427664 | Slack Incorporated , 2010 .

[6]  Chung-Hsien Kuo,et al.  Development of a web-based telemedicien system for remote ENT diagnoses , 2010, 2010 International Conference on System Science and Engineering.

[7]  Brett D Owens,et al.  Early analysis of the United States Army's telemedicine orthopaedic consultation program. , 2011, Journal of surgical orthopaedic advances.

[8]  Vassilis Charissis,et al.  Virtual Reality as Knowledge Enhancement Tool for Musculoskeletal Pathology , 2011, HCI.

[9]  Marjorie Skubic,et al.  Passive in-home measurement of stride-to-stride gait variability comparing vision and Kinect sensing , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[10]  Guang-Zhong Yang,et al.  A stereoscopic fibroscope for camera motion and 3D depth recovery during Minimally Invasive Surgery , 2009, 2009 IEEE International Conference on Robotics and Automation.

[11]  Andrew W. Fitzgibbon,et al.  KinectFusion: real-time 3D reconstruction and interaction using a moving depth camera , 2011, UIST.

[12]  Dieter Fox,et al.  RGB-D mapping: Using Kinect-style depth cameras for dense 3D modeling of indoor environments , 2012, Int. J. Robotics Res..

[13]  Huosheng Hu,et al.  Human motion tracking for rehabilitation - A survey , 2008, Biomed. Signal Process. Control..

[14]  Randall Shumaker Virtual and Mixed Reality - Systems and Applications - International Conference, Virtual and Mixed Reality 2011, Held as Part of HCI International 2011, Orlando, FL, USA, July 9-14, 2011, Proceedings, Part II , 2011, HCI.

[15]  P. Anderson,et al.  An enquiry into VR interface design for medical training: VR augmented anatomy tutorials for breast cancer , 2008, Electronic Imaging.

[16]  Michael Harrington,et al.  Constellation: a wide-range wireless motion-tracking system for augmented reality and virtual set applications , 1998, SIGGRAPH.

[17]  Tilak Dutta,et al.  Evaluation of the Kinect™ sensor for 3-D kinematic measurement in the workplace. , 2012, Applied ergonomics.