KinoHaptics: An Automated, Wearable, Haptic Assisted, Physio-therapeutic System for Post-surgery Rehabilitation and Self-care

A carefully planned, structured, and supervised physiotherapy program, following a surgery, is crucial for the successful diagnosis of physical injuries. Nearly 50 % of the surgeries fail due to unsupervised, and erroneous physiotherapy. The demand for a physiotherapist for an extended period is expensive to afford, and sometimes inaccessible. Researchers have tried to leverage the advancements in wearable sensors and motion tracking by building affordable, automated, physio-therapeutic systems that direct a physiotherapy session by providing audio-visual feedback on patient’s performance. There are many aspects of automated physiotherapy program which are yet to be addressed by the existing systems: a wide classification of patients’ physiological conditions to be diagnosed, multiple demographics of the patients (blind, deaf, etc.), and the need to pursue patients to adopt the system for an extended period for self-care. In our research, we have tried to address these aspects by building a health behavior change support system called KinoHaptics, for post-surgery rehabilitation. KinoHaptics is an automated, wearable, haptic assisted, physio-therapeutic system that can be used by a wide variety of demographics and for various physiological conditions of the patients. The system provides rich and accurate vibro-haptic feedback that can be felt by the user, irrespective of the physiological limitations. KinoHaptics is built to ensure that no injuries are induced during the rehabilitation period. The persuasive nature of the system allows for personal goal-setting, progress tracking, and most importantly life-style compatibility. The system was evaluated under laboratory conditions, involving 14 users. Results show that KinoHaptics is highly convenient to use, and the vibro-haptic feedback is intuitive, accurate, and has shown to prevent accidental injuries. Also, results show that KinoHaptics is persuasive in nature as it supports behavior change and habit building. The successful acceptance of KinoHaptics, an automated, wearable, haptic assisted, physio-therapeutic system proves the need and future-scope of automated physio-therapeutic systems for self-care and behavior change. It also proves that such systems incorporated with vibro-haptic feedback encourage strong adherence to the physiotherapy program; can have profound impact on the physiotherapy experience resulting in higher acceptance rate.

[1]  Albert A. Rizzo,et al.  Towards pervasive physical rehabilitation using Microsoft Kinect , 2012, 2012 6th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth) and Workshops.

[2]  Vijay Rajanna,et al.  Step up life: a context aware health assistant , 2014, HealthGIS '14.

[3]  Jeffrey A. Lewis,et al.  Haptic effects for virtual reality-based post-stroke rehabilitation , 2003, 11th Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems, 2003. HAPTICS 2003. Proceedings..

[4]  Y. Hong Development of ICANFIT: A mobile device application to promote physical activity and access to health information among older cancer survivors , 2014 .

[5]  Takashi Masuda,et al.  KINECT applications for the physical rehabilitation , 2013, 2013 IEEE International Symposium on Medical Measurements and Applications (MeMeA).

[6]  Kitsunezaki Naofumi,et al.  KINECT applications for the physical rehabilitation , 2012 .

[7]  Craig A. Knoblock,et al.  Envisioning a future for a spatial-health CyberGIS marketplace , 2013, HealthGIS '13.

[8]  Sandra Bassett,et al.  The assessment of patient adherence to physiotherapy rehabilitation , 2003 .

[9]  Mary M Ryan Handbook of U.S. labor statistics : employment, earnings, prices, productivity, and other labor data , 2007 .

[10]  Tracy Anne Hammond,et al.  Designing Vibrotactile Codes to Communicate Verb Phrases , 2014, TOMM.

[11]  Albert A. Rizzo,et al.  Integrating Haptic-Tactile Feedback into a Video-Capture-Based Virtual Environment for Rehabilitation , 2006, Cyberpsychology Behav. Soc. Netw..

[12]  Ashish Agrawal,et al.  World of workout: a contextual mobile RPG to encourage long term fitness , 2013, HealthGIS '13.

[13]  Tracy Anne Hammond,et al.  A user centric model to design tactile codes with shapes and waveforms , 2014, 2014 IEEE Haptics Symposium (HAPTICS).

[14]  Yao-Jen Chang,et al.  A Kinect-based system for physical rehabilitation: a pilot study for young adults with motor disabilities. , 2011, Research in developmental disabilities.

[15]  L. von Wendt,et al.  Follow-up of children with cerebral palsy after selective posterior rhizotomy with intensive physiotherapy or physiotherapy alone. , 2003, Neuropediatrics.

[16]  D. Reinkensmeyer Journal of NeuroEngineering and Rehabilitation reviewer acknowledgement 2015 , 2016, Journal of NeuroEngineering and Rehabilitation.

[17]  Shih-Ching Yeh,et al.  A Study for the Application of Body Sensing in Assisted Rehabilitation Training , 2012, 2012 International Symposium on Computer, Consumer and Control.

[18]  Roger Gassert,et al.  Prototype of a VR upper-limb rehabilitation system enhanced with motion-based tactile feedback , 2013, 2013 World Haptics Conference (WHC).

[19]  Noomi Katz,et al.  Video capture virtual reality as a flexible and effective rehabilitation tool , 2004, Journal of NeuroEngineering and Rehabilitation.

[20]  Patrice L Tamar Weiss,et al.  Video-capture virtual reality system for patients with paraplegic spinal cord injury. , 2005, Journal of rehabilitation research and development.

[21]  J. Lucke,et al.  Quality of life in spinal cord injured individuals and their caregivers during the initial 6 months following rehabilitation , 2004, Quality of Life Research.

[22]  Philippe Poignet,et al.  Joint angle estimation in rehabilitation with inertial sensors and its integration with Kinect , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[23]  Jong-Hoon Kim,et al.  Robotic Exoskeleton System Controlled by Kinect and Haptic Sensors for Physical Therapy , 2013, 2013 29th Southern Biomedical Engineering Conference.

[24]  Albert A. Rizzo,et al.  Development and evaluation of low cost game-based balance rehabilitation tool using the microsoft kinect sensor , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[25]  Heidi Sveistrup,et al.  Motor rehabilitation using virtual reality , 2004, Journal of NeuroEngineering and Rehabilitation.

[26]  Tracy Anne Hammond,et al.  HaptiMoto: turn-by-turn haptic route guidance interface for motorcyclists , 2014, CHI.