Validation of a Kinect-based telerehabilitation system with total hip replacement patients

The evolving telecommunications industry combined with medical information technology has been proposed as a solution to reduce health care cost and provide remote medical services. This paper aims to validate and show the feasibility and user acceptance of using a telerehabilitation system called Kinect Rehabilitation System (KiReS) in a real scenario, with patients attending repeated rehabilitation sessions after they had a Total Hip Replacement (THR). We present the main features of KiReS, how it was set up in the considered scenario and the experimental results obtained in relation to two different perspectives: patients’ subjective perceptions (gathered through questionnaires) and the accuracy of the performed exercises (by analysing the data captured using KiReS). We made a full deployment of KiReS, defining step by step all the elements of a therapy: postures, movements, exercises and the therapy itself. Seven patients participated in this trial in a total of 19 sessions, and the system recorded 3865 exercise executions. The group showed general support for telerehabilitation and the possibilities that systems such as KiReS bring to physiotherapy treatment.

[1]  A. Illarramendi,et al.  Exercise Recognition for Kinect-based Telerehabilitation , 2014, Methods of Information in Medicine.

[2]  E. Unlu,et al.  The effect of exercise on hip muscle strength, gait speed and cadence in patients with total hip arthroplasty: a randomized controlled study , 2007, Clinical rehabilitation.

[3]  Yao-Jen Chang,et al.  A Kinect-based upper limb rehabilitation system to assist people with cerebral palsy. , 2013, Research in developmental disabilities.

[4]  Jeffrey Wood,et al.  Impact of physical telerehabilitation on functional outcomes in seniors with mobility limitations , 2012, 2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[5]  Stacy J. Morris Bamberg,et al.  A feasibility study of an upper limb rehabilitation system using kinect and computer games , 2012, 2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[6]  Arantza Illarramendi,et al.  KiReS: A Kinect-based telerehabilitation system , 2013, 2013 IEEE 15th International Conference on e-Health Networking, Applications and Services (Healthcom 2013).

[7]  H. Corriveau,et al.  A randomized controlled trial of home telerehabilitation for post-knee arthroplasty , 2011, Journal of telemedicine and telecare.

[8]  S. Kurtz,et al.  Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. , 2007, The Journal of bone and joint surgery. American volume.

[9]  Dara Meldrum,et al.  Effectiveness of conventional versus virtual reality based vestibular rehabilitation in the treatment of dizziness, gait and balance impairment in adults with unilateral peripheral vestibular loss: a randomised controlled trial , 2012, BMC Ear, Nose and Throat Disorders.

[10]  Ferran Escalada,et al.  Effectiveness of an interactive virtual telerehabilitation system in patients after total knee arthoplasty: a randomized controlled trial. , 2013, Journal of rehabilitation medicine.

[11]  Patrice L. Weiss,et al.  Video capture virtual reality: A decade of rehabilitation assessment and intervention , 2009 .

[12]  Michael T French,et al.  Economic evaluation of telemedicine: review of the literature and research guidelines for benefit-cost analysis. , 2009, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[13]  David M Brennan,et al.  Human factors in the development and implementation of telerehabilitation systems , 2008, Journal of telemedicine and telecare.

[14]  B. Parratte,et al.  A specific arm-interval exercise program could improve the health status and walking ability of elderly patients after total hip arthroplasty: a pilot study. , 2004, Journal of rehabilitation medicine.

[15]  Yu Wang,et al.  Progress toward universal interface technologies for telerehabilitation , 2004, The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[16]  Chuan-Jun Su,et al.  Kinect-enabled home-based rehabilitation system using Dynamic Time Warping and fuzzy logic , 2014, Appl. Soft Comput..

[17]  T. Ackland,et al.  Perioperative Exercise Programs Improve Early Return of Ambulatory Function After Total Hip Arthroplasty: A Randomized, Controlled Trial , 2002, American journal of physical medicine & rehabilitation.