An interactive Internet-based system for tracking upper limb motion in home-based rehabilitation

In this paper, we introduce an interactive telecommunication system that supports video/audio signal acquisition, data processing, transmission, and 3D animation for post stroke rehabilitation. It is designed for stroke patients to use in their homes. It records motion exercise data, and immediately transfers this data to hospitals via the internet. A real-time videoconferencing interface is adopted for patients to observe therapy instructions from therapists. The system uses a peer-to-peer network architecture, without the need for a server. This is a potentially effective approach to reducing costs, allowing easy setup and permitting group-rehabilitation sessions. We evaluate this system using the following steps: (1) motion detection in different movement patterns, such as reach, drink, and reach-flexion; (2) online bidirectional visual telecommunication; and (3) 3D rendering using a proposed offline animation package. This evaluation has subjectively been proved to be optimal.

[1]  Emilio Bizzi,et al.  Home-Based Telerehabilitation Using a Virtual Environment System , 2003 .

[2]  H. Hoenig,et al.  Development of a teletechnology protocol for in-home rehabilitation. , 2006, Journal of rehabilitation research and development.

[3]  Pravin Nair,et al.  Individualized interactive home-based haptic telerehabilitation , 2006, IEEE MultiMedia.

[4]  M. Holden,et al.  Virtual Environment Training: A New Tool for Neurorehabilitation , 2002 .

[5]  S.J. Wu,et al.  The Telemedicine and Teleconsultation System Application in Clinical Medicine , 2004, The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[6]  S. Adamovich,et al.  Virtual reality-augmented rehabilitation for patients following stroke. , 2002, Physical therapy.

[7]  Huosheng Hu,et al.  Inertial measurements of upper limb motion , 2006, Medical and Biological Engineering and Computing.

[8]  Jeffrey A. Lewis,et al.  The Rutgers Arm: An Upper-Extremity Rehabilitation System in Virtual Reality , 2005 .

[9]  Maureen K. Holden,et al.  Use of Virtual Environments in Motor Learning and Rehabilitation , 2002 .

[10]  Giovanni Flammia Peer-to-Peer Is Not for Everyone , 2001, IEEE Intell. Syst..

[11]  Micha L. Post,et al.  TeleRehab: Stroke Teletherapy and Management Using Two‐Way Interactive Video , 2002 .

[12]  Bradford J. McFadyen,et al.  Instrumented staircase for kinetic analyses of upper-and lower-limb function during stair gait , 2005, Medical and Biological Engineering and Computing.

[13]  D.J. Reinkensmeyer,et al.  Web-based telerehabilitation for the upper extremity after stroke , 2002, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[14]  Peter H. Veltink,et al.  Measuring orientation of human body segments using miniature gyroscopes and accelerometers , 2005, Medical and Biological Engineering and Computing.

[15]  M Girone,et al.  Orthopedic rehabilitation using the "Rutgers ankle" interface. , 2000, Studies in health technology and informatics.

[16]  Emilio Bizzi,et al.  Virtual-Environment-Based Telerehabilitation in Patients with Stroke , 2005, Presence: Teleoperators & Virtual Environments.

[17]  Huosheng Hu,et al.  Applications of wearable inertial sensors in estimation of upper limb movements , 2006, Biomed. Signal Process. Control..

[18]  Huiru Zheng,et al.  Position-sensing technologies for movement analysis in stroke rehabilitation , 2005, Medical and Biological Engineering and Computing.