Home-based physical therapy with an interactive computer vision system

In this paper, we present ExerciseCheck. ExerciseCheck is an interactive computer vision system that is sufficiently modular to work with different sources of human pose estimates, i.e., estimates from deep or traditional models that interpret RGB or RGB-D camera input. In a pilot study, we first compare the pose estimates produced by four deep models based on RGB input with those of the MS Kinect based on RGB-D data. The results indicate a performance gap that required us to choose the MS Kinect when we tested ExerciseCheck with Parkinson’s disease patients in their homes. ExerciseCheck is capable of customizing exercises, capturing exercise information, evaluating patient performance, providing therapeutic feedback to the patient and the therapist, checking the progress of the user over the course of the physical therapy, and supporting the patient throughout this period. We conclude that ExerciseCheck is a user-friendly computer vision application that can assist patients by providing motivation and guidance to ensure correct execution of the required exercises. Our results also suggest that while there has been considerable progress in the field of pose estimation using deep learning, current deep learning models are not fully ready to replace RGB-D sensors, especially when the exercises involved are complex, and the patient population being accounted for has to be carefully tracked for its “active range of motion.”Published versio

Human gesture classification by brute-force machine learning for exergaming in physiotherapy

In this paper, a novel approach for human gesture classification on skeletal data is proposed for the application of exergaming in physiotherapy. Unlike existing methods, we propose to use a general classifier like Random Forests to recognize dynamic gestures. The temporal dimension is handled afterwards by majority voting in a sliding window over the consecutive predictions of the classifier. The gestures can have partially similar postures, such that the classifier will decide on the dissimilar postures. This brute-force classification strategy is permitted, because dynamic human gestures show sufficient dissimilar postures. Online continuous human gesture recognition can classify dynamic gestures in an early stage, which is a crucial advantage when controlling a game by automatic gesture recognition. Also, ground truth can be easily obtained, since all postures in a gesture get the same label, without any discretization into consecutive postures. This way, new gestures can be easily added, which is advantageous in adaptive game development. We evaluate our strategy by a leave-one-subject-out cross-validation on a self-captured stealth game gesture dataset and the publicly available Microsoft Research Cambridge-12 Kinect (MSRC-12) dataset. On the first dataset we achieve an excellent accuracy rate of 96.72%. Furthermore, we show that Random Forests perform better than Support Vector Machines. On the second dataset we achieve an accuracy rate of 98.37%, which is on average 3.57% better then existing methods

The Design and Implementation of a Kinect-Based Rehabilitation Exercise Monitoring and Guidance System

In preventive and rehabilitative healthcare, physical exercise is a powerful intervention. However, a program may require in the range of thousands of practice repetitions, and many people do not adhere to the program or perform their home exercises incorrectly, making the exercise ineffective, or even dangerous. This thesis research aims to develop a Kinect-based system for rehabilitation exercises monitoring and guidance. In the first step, a feasibility study was carried out on using Kinect for realtime monitoring of rehabilitation exercises while a multi-camera motion tracking system was used to establish the ground truth. In the second step, a Unity-based system was developed to provide realtime monitoring and guidance to patients. The Unity framework was chosen because it enables us to use virtual reality techniques to demonstrate detailed movements to the patient, and to facilitate examination of the quality and quantity of the patient sessions by the clinician. The avatar-based rendering of motion also preserves the privacy of the patients, which is essential for healthcare system

The Design and Implementation of a Kinect-Based Rehabilitation Exercise Monitoring and Guidance System

In preventive and rehabilitative healthcare, physical exercise is a powerful intervention. However, a program may require in the range of thousands of practice repetitions, and many people do not adhere to the program or perform their home exercises incorrectly, making the exercise ineffective, or even dangerous. This thesis research aims to develop a Kinect-based system for rehabilitation exercises monitoring and guidance. In the first step, a feasibility study was carried out on using Kinect for realtime monitoring of rehabilitation exercises while a multi-camera motion tracking system was used to establish the ground truth. In the second step, a Unity-based system was developed to provide realtime monitoring and guidance to patients. The Unity framework was chosen because it enables us to use virtual reality techniques to demonstrate detailed movements to the patient, and to facilitate examination of the quality and quantity of the patient sessions by the clinician. The avatar-based rendering of motion also preserves the privacy of the patients, which is essential for healthcare system

Fall Prediction and Prevention Systems: Recent Trends, Challenges, and Future Research Directions.

Fall prediction is a multifaceted problem that involves complex interactions between physiological, behavioral, and environmental factors. Existing fall detection and prediction systems mainly focus on physiological factors such as gait, vision, and cognition, and do not address the multifactorial nature of falls. In addition, these systems lack efficient user interfaces and feedback for preventing future falls. Recent advances in internet of things (IoT) and mobile technologies offer ample opportunities for integrating contextual information about patient behavior and environment along with physiological health data for predicting falls. This article reviews the state-of-the-art in fall detection and prediction systems. It also describes the challenges, limitations, and future directions in the design and implementation of effective fall prediction and prevention systems