1,721,003 research outputs found
A Preliminary 3D Depth Camera-Based System to Assist Home Physiotherapy Rehabilitation
No full textTotal hip arthroplasty (THA) and total knee arthroplasty (TKA) have been recently heralded as the operations of the Century. Large improvements in mobility and patient-reported outcomes are typically observed compared with the small-to-moderate effects experienced with non-surgical interventions. Following surgery, physiotherapy-led exercise-based rehabilitation is often prescribed to yield better gait-related outcomes. Nevertheless, outpatient rehabilitation is expensive and heavily burden the national health service. When specific machines are not needed during the physiotherapy, patients, if assisted, can perform a home program. The purpose of this paper is to qualitatively investigate the applicability of a self-managed, home-based system for the automated evaluation of a home physiotherapy rehabilitation after TKA and THA. The system leverages the cost effectiveness and the versatility of a RGB-Depth camera system together with a commercial skeleton tracking system to analyse specific exercises. A novel computation of lower limb movements and related angles is proposed to evaluate the quality of the daily exercises. The laboratory experimental campaign, envisaged the analysis of the rotation angles of hips and knees; a lower limb schematic model is considered to estimate both knee and hip angles during ab/adductor and flex/extension movements. A novel real time calculation of the hip bone plane is proposed to assess the joint angles during specific exercises performance. A qualitative data analysis of each exercise has been performed. Results on the system usability in a domestic environment are reported as well as a visual comparison of the analysed output
Home physiotherapy rehabilitation based on RGB-D sensors: a hybrid approach to the joints angular range of motion estimation
No full textHome-based recovery is gradually being used to reduce health-care costs; however, with a shorter stay in the hospital, the risk of growing adverse clinical outcomes exists, mainly due to the lack of motivation in the patient and on the difficulties in performing a strict control by the doctors. This is particularly true for patients who went under knee arthroplasty or total knee replacement who should strictly follow the effective recovery protocols delivered by the doctors. The development of tools for measuring the functional recovery of the operated joint is therefore deemed crucial both for the patient to feel motivated in performing the right number of exercises, and for the doctor that can follow him/her up remotely. One of the most recognized methods for assessing the correctness of a series of recovery exercises, is to monitor the pose of the patient in real-time so as to evaluate its posture in his range of motion. Accordingly, in this paper a novel hybrid approach to 3D human pose estimation is proposed. A first estimation of 2D body pose of the patient in the scene is given, then the depth information coming from the RGB-D sensor is exploited to estimate the joints 3D coordinates. The proposed algorithm proved to overcome the main limitation of using a pure 3D skeleton tracking algorithm during physiotherapy rehabilitation
COMPUTER AIDED ENGINEERING (CAE) APPROACH TO TOPOLOCICAL OPTIMIZATION OF A FRAME FOR A PATIENT-SPECIFIC HAND EXOSKELETON
No full textIn this work, a complete re-design of the supporting structure for an existing hand exoskeleton has been presented, to increase the exoskeleton portability to obtain a more comfortable device to wear. A complete modeling of the supporting structure integrated with the splint was implemented using topological optimization and a complete analysis of the load conditions has been done. The forces involved were defined starting from the reaction forces due to the hand opening defined by experimental tests performed on a patient affected by a particular hand open impairment. The load conditions were computed through the application of the static equilibrium equations in the 2D schematization for the finger’s mechanism and by means of an FE analysis for the contact forces between the splint and the arm. As a result, the final configuration ensures an effective integration between the exoskeleton and the splint with a mass reduction of 59% and deformations comparable to the non-optimized solution
Rgb-d-based method for measuring the angular range of hip and knee joints during home care rehabilitation
Full text linkHome-based rehabilitation is becoming a gold standard for patient who have undergone knee arthroplasty or full knee replacement, as it helps healthcare costs to be minimized. Nevertheless, there is a chance of increasing adverse health effects in case of home care, primarily due to the patients’ lack of motivation and the doctors’ difficulty in carrying out rigorous supervision. The development of devices to assess the efficient recovery of the operated joint is highly valued both for the patient, who feels encouraged to perform the proper number of activities, and for the doctor, who can track him/her remotely. Accordingly, this paper introduces an interactive approach to angular range calculation of hip and knee joints based on the use of low-cost devices which can be operated at home. First, the patient’s body posture is estimated using a 2D acquisition method. Subsequently, the 3D posture is evaluated by using the depth information coming from an RGB-D sensor. Preliminary results show that the proposed method effectively overcomes many limitations by fusing the results obtained by the state-of-the-art robust 2D pose estimation algorithms with the 3D data of depth cameras by allowing the patient to be correctly tracked during rehabilitation exercises
Enhanced Statistical Shape Model: A Statistical-Based Tool to design Custom Orthopaedic Devices
No full textDealing with the design of personalized medical devices, mass production is not an option that can be hypothesized. Indeed, a cumbersome production process must be considered in such cases, mainly to account for a delicate design phase that needs to take into consideration, as input, an anatomy that vary each time. This article discusses the development of a statistical tool able to support the design of patient-specific devices. By expanding the classical formulation of the Statistical Shape Model (SSM) with the introduction of multiple levels of information within the same model, the authors have experimented with the concept of an “enhanced SSM”. While the traditional SSM only provides information on the variations that a class of shapes can manifest, the eSSM may include more levels of information. The article discusses two possible mathematical formulations of such statistical tool. Its application to the design of custom-made pelvic implants is discussed. Such application scenario is described starting from the generation of the eSSM for the pelvis. The features of interest considered in this paper are the centers of the acetabular regions of the pelvis, the segmentation of the anatomy in a series of semantical regions that must be considered when developing a load-bearing implant. Finally, the conclusions of this research are drawn and discussed together with possible future development of eSSMs
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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