A Telerehabilitation Framework for Lower-Limb Functional Recovery

Cesarini, Daniel; Buonocunto, Pasquale; Marinoni, Mauro; Buttazzo, Giorgio

doi:10.4108/icst.bodynets.2014.256995

“…Supporting the relevance and the need for such systems, in the literature we can find similar applications attempting at dealing with similar practices [2,35,41]. However, no study/application has been able to employ agents on distributed sensors for medical purposes.…”

Section: Application Of the Proposed Solution In A Knee Telerehabilitmentioning

confidence: 98%

“…Cesarini et al [41] provided a highly customizable solution for supporting therapists and patients from the pre-surgical to the rehabilitation phase. Furthermore, they presented a particular implementation of a framework, involving two wearable inertial sensors and a tablet which can precisely monitor the angular position and velocity of the knee joint.…”

Section: Wearable-based Systemsmentioning

confidence: 99%

Real-time multi-agent systems for telerehabilitation scenarios

Calvaresi

¹

,

Marinoni

²

,

Dragoni

³

et al. 2019

Artificial Intelligence in Medicine

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Telerehabilitation in older adults is most needed in the patient environments, rather than in formal ambulatories or hospitals. Supporting such practices brings significant advantages to patients, their family, formal and informal caregivers, clinicians, and researchers. This paper presents a focus group with experts in physiotherapy and telerehabilitation, debating on the requirements, current techniques and technologies developed to facilitate and enhance the effectiveness of telerehabilitation, and the still open challenges. Particular emphasis is given to (i) the body-parts requiring the most rehabilitation, (ii) the typical environments, initial causes, and general conditions, (iii) the values and parameters to be observed, (iv) common errors and limitations of current practices and technological solutions, and (v) the envisioned and desired technological support. Consequently, it has been performed a systematic review of the state of the art, investigating what types of systems and support currently cope with telerehabilitation practices and possible matches with the outcomes of the focus group. Technological solutions based on video analysis, wearable devices, robotic support, distributed sensing, and gamified telerehabilitation are examined. Particular emphasis is given to solutions implementing agent-based approaches, analyzing and discussing strength, limitations, and future challenges. By doing so, it has been possible to relate functional requirements expressed by professional physiotherapists and researchers, with the need for extending multi-agent systems (MAS) peculiarities at the sensing level in wearable solutions establishing new research challenges. In particular, to be employed in safety-critical cyber-physical scenarios with user-sensor and sensor-sensor interactions, MAS are requested to handle timing constraints, scarcity of resources and new communication means, crucial to providing real-time feedback and coaching. Therefore, MAS pillars such as the negotiation protocol and the agent's internal scheduler have been investigated, proposing solutions to achieve the aforementioned real-time compliance.

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“…For example, Cesarini et al [20] provided a highly customizable solution for supporting therapists and patients from the pre-surgical to the rehabilitation phase. Furthermore they presented a particular implementation of a framework, involving two wearable inertial sensors and a tablet, which can precisely monitor the angular position and velocity of the knee joint.…”

Section: State Of the Artmentioning

confidence: 99%

Agent-Based Systems for Telerehabilitation: Strengths, Limitations and Future Challenges

Calvaresi

¹

,

Schumacher

²

,

Marinoni

³

et al. 2017

Agents and Multi-Agent Systems for Health Care

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Telerehabilitation in older adults is most needed in the patient environments, rather than in formal ambulatories or hospitals. Supporting such practices brings significant advantages to patients, their family, formal and informal caregivers, clinicians, and researchers. Several techniques and technologies have been developed aiming at facilitating and enhancing the effectiveness of telerehabilitation. This paper gives a quick overview of the state of the art, investigating video-based, wearable, robotic, distributed, and gamified telerehabilitation solutions. In particular, agent-based solutions are analyzed and discussed addressing strength, limitations, and future challenges. Elaborating on functional requirements expressed by professional physiotherapists and researchers, the need for extending multi-agent systems (MAS) peculiarities at the sensing level in wearable solutions establishes new research challenges. Employed in cyber-physical scenarios with users-sensors and sensorssensors interactions, MAS are requested to handle timing constraints, scarcity of resources and new communication means, which are crucial for providing real-time feedback and coaching.

show abstract