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Tele-Rehabilitation platform A scalable post knee replacement prototype PhD project Tom Gerards Biomedical Engineering University of Strathclyde 1/15

RIWC_PARA_A043 Tele-Rehabilitation for older people

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Page 1: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

A scalable post knee replacement prototype

PhD project Tom GerardsBiomedical EngineeringUniversity of Strathclyde

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Page 2: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

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Page 3: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

A collection of devices and software to enable the provision of rehabilitation services over

distance using ICT

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Page 4: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

Why?

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Page 5: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

Managing long term conditions (LTC) is seen as the biggest challenge facing health systems

in the UK (Audit Scotland 2007)

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Hospital bed days

otherLTC

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Tele-Rehabilitation platform

Ward et al. 2009

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Page 7: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

Ward et al. 2009

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Page 8: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

First documented use of TR in 1959, until now no scalable technology developed!

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Page 9: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

Aim: develop and test a scalable platform

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Page 10: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

Aim: develop and test a scalable platform

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Properties:-Usability-Low cost

-High quality-Highly flexible

-minimal training-minimal tech support

Page 11: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

Aim: develop and test a scalable platform

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Properties:-Usability-Low cost

-High quality-Highly flexible

-minimal training-minimal tech support

Functions:-Real time video call

-exercise games-progress reports

-social support-biofeedback-information

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Tele-Rehabilitation platform

User centered design, taking human factors into account

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Page 13: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

Some functions:

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Page 14: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

Health professional (n=4) interviews:

+“I think you couldn’t make this much easier..”

-“My bug bear a bit; technology coming into our job is meant to save us time, but often it doesn’t.”

-“If they had an activity monitor…”

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Tele-Rehabilitation platform

Chain Linked Electro Goniometer (CLEG):

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Knee kinematics CLEG vs Vicon during one stride of level walking

CLEGVicon

Time (s)

Knee angle(degrees)

Page 16: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

Chain Linked Electro Goniometer (CLEG):-Full freedom of movement, cheap, robust

-RMS error vs pre-set angles 1.1°-relative non linearity 0.37%

-does not influence walking ROM-Validity and reliability…..LOA

-activity recognition…

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Page 17: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

Usability testing:

In progress…

Will inform need for training and tech support

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Page 18: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

Future work

15/15Adapted from Broens et al. 2007

Page 19: RIWC_PARA_A043 Tele-Rehabilitation for older people

Tele-Rehabilitation platform

Thanks for your attention!

[email protected]:

Prof. Philip RoweDr. Andrew Kerr

Collaboration:Alastair Cozens