Current Status and Challenge for Implementation in Clinical Application of Augmented Reality in Orthopedics Department at a Medical Center

Hsiao-Hui Chiu, Ping-Ching Wei, M. Lin, Yi-Chun Chen, Shu-Yuan Chou, Yu-Cheng Yao, Ying-Ying Yang
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Abstract

With technical development, artificial intelligence (AI) has been actively involving in the healthcare industry. Augmented reality (AR) is an interactive experience with the combination of virtual objects and a real-world environment, and the objects reside in the environment of the real world through computer-generated images for the purpose to enhance perceptual effects, which can be applied in the fields of medical education and clinical practice. Researchers have found that learning motives and interests may be raised by AR. At a medical center, the inter-specialty team from the Teaching Department and Rehabilitation Department jointly developed an AR Medical Education App, which involves 44 muscle strength and walking exercises, including 6 upper limb movements, 28 lower limb exercises, and 10 cardiorespiratory exercises. Various exercise packages can be designed by health caregivers based on patient’s needs in exercise. The Orthopedics Ward applied it in the respiration training for patients who underwent spinal surgery, preventing respiratory comorbidities. The improved postoperative pulmonary function has been found when compared with that before surgery, with statistical significance. Respiration, upper and lower limbs exercises were persistently performed in patients who underwent spinal surgery, which also has been incorporated in routine nursing care to add diverse options of patient education materials for nursing personnel. In the future, aspects that required further efforts include: expanded software equipment, simplified operation mode, increased user-friendly features for equipment, and expended plentifulness of contents.
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增强现实技术在某医疗中心骨科临床应用的现状及面临的挑战
随着技术的发展,人工智能(AI)已积极参与医疗保健行业。增强现实(Augmented reality, AR)是一种虚拟物体与现实环境相结合的交互体验,物体通过计算机生成的图像驻留在现实世界的环境中,以增强感知效果,可应用于医学教育和临床实践领域。研究人员发现,AR可以提高学习动机和兴趣。在某医疗中心,教学部和康复部的跨专业团队共同开发了AR医学教育App,涉及44项肌肉力量和步行练习,包括6项上肢运动,28项下肢运动,10项心肺运动。保健护理人员可以根据患者的运动需要设计各种运动套餐。骨科病房将其应用于脊柱手术患者的呼吸训练,预防呼吸合并症。术后肺功能较术前有所改善,差异有统计学意义。脊柱手术患者持续进行呼吸、上肢和下肢锻炼,并将其纳入日常护理,为护理人员增加患者教育材料的多样化选择。今后需要进一步努力的方面包括:软件设备的扩充、操作方式的简化、设备人性化功能的增加、内容的丰富。
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