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Collaborative virtual rehabilitation system with home treatment integration 协同虚拟康复系统与家庭治疗一体化
S. Moturu, John O. Moore, Franklin H. Moss
Patient adherence to home exercise regimens, critical in achieving ideal treatment outcomes for physical therapy, is typically poor. Further, therapists lack quantitative data to review a patient's performance. In this work, we propose a virtual rehabilitation system for home exercise with continuous monitoring and quantitative performance measurements packaged with a fun and engaging interface. The solution is a complete feedback loop where the physical therapist and patient make shared decisions about appropriate regimens, patients use a sensor-enabled gaming interface at home to perform exercises, quantitative data is fed back to the therapist, and the therapist is able to properly adjust the regimen and give reinforcing feedback and social support. The system aims to address the multi-factorial nature of poor adherence and to apply appropriate behavior change models and persuasive feedback mechanisms. In addition, it will capture critical objective data that will help to guide therapy practices on both the individual and community level.
患者对家庭锻炼方案的依从性通常较差,这对实现理想的物理治疗结果至关重要。此外,治疗师缺乏定量数据来评估病人的表现。在这项工作中,我们提出了一个用于家庭锻炼的虚拟康复系统,该系统具有连续监测和定量性能测量,并配有有趣且引人入胜的界面。解决方案是一个完整的反馈循环,物理治疗师和患者共同决定适当的治疗方案,患者在家中使用具有传感器功能的游戏界面进行锻炼,定量数据反馈给治疗师,治疗师能够适当调整治疗方案,并给予强化反馈和社会支持。该系统旨在解决不良依从性的多因素性质,并应用适当的行为改变模型和有说服力的反馈机制。此外,它将获取关键的客观数据,这些数据将有助于指导个人和社区层面的治疗实践。
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引用次数: 1
Gaming for upper extremities rehabilitation 上肢康复游戏
Ming-chun Huang, Ethan Chen, Wenyao Xu, M. Sarrafzadeh
This paper presents a hand motion capture system. Its application is a wearable controller for an upper extremities rehabilitation game. The system consists of a wearable data glove platform (SmartGlove, a customized finger pressure, bending, and 9DOM motion extraction platform) and a 3D camera vision device (Kinect [1], vision based game controller supplied by Microsoft) to extract detailed upper extremities parameters as gaming inputs. The testing application is a jewel thief game [2] implemented with C# and Unity, which requires the tester, such as a stroked patient with upper extremities disabilities to perform a series of predefined upper extremities movements to accomplish the assigned jewel grasping tasks. The parameters and timing could recorded during the gaming process for further medical analysis. This system is targeted on lowering the cost of rehabilitating impaired limbs, providing remote patient monitoring, and acting as a natural interface for gaming systems. In addition, the extracted parameters can be exploited to reconstruct of an accurate model of the patient's limbs and body. Therefore, the proposed system can provide remote medical staffs a wide variety of information to aid a patient's rehabilitation, including, but not limited to aiding in progress evaluations and direct rehabilitative exercises and entertainment.
本文提出了一种手部动作捕捉系统。它的应用是用于上肢康复游戏的可穿戴控制器。该系统由可穿戴数据手套平台(SmartGlove,定制的手指压力、弯曲和9DOM动作提取平台)和3D摄像视觉设备(Kinect[1],微软提供的基于视觉的游戏控制器)组成,用于提取上肢的详细参数作为游戏输入。测试应用程序是一个用c#和Unity实现的珠宝小偷游戏[2],它要求测试者,比如一个患有上肢残疾的中风患者,执行一系列预定义的上肢运动来完成分配的珠宝抓取任务。这些参数和时间可以在游戏过程中记录下来,以便进一步的医学分析。该系统的目标是降低残疾肢体康复的成本,提供远程患者监控,并作为游戏系统的自然接口。此外,提取的参数可以用于重建患者肢体和身体的精确模型。因此,所提出的系统可以为远程医疗人员提供各种各样的信息,以帮助患者的康复,包括但不限于帮助进行进度评估和直接康复练习和娱乐。
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引用次数: 26
Motion artifact reduction in ambulatory ECG monitoring: an integrated system approach 动态心电监测中的运动伪影减少:一种集成系统方法
I. Romero, T. Berset, Dilpreet Buxi, L. Brown, J. Penders, Sunyoung Kim, N. V. Helleputte, Hyejung Kim, C. Hoof, R. Yazicioglu
Recent advances in low-power micro-electronics are revolutionizing ECG monitoring. Wearable patches now allow comfortable monitoring over several days. Achieving reliable and high integrity recording however remains a challenge, especially under daily-life activities. In this paper we present a system approach to motion artifact reduction in ambulatory recordings. A custom ultra-low-power ECG analog front-end read-out for simultaneous measurement of ECG and electrode-tissue impedance, from the same electrode, is reported. Integrating this front-end, we describe a wireless patch for the monitoring of 3-lead ECG, electrode electrical artifact and 3D-acceleration. Beyond ECG monitoring, this wireless patch provides the additional necessary data to filter out motion artifact. Two algorithm methods are tested. The first method applies ICA for de-noising multi-lead ECG recordings. The second method is an adaptive filter that uses skin/electrode impedance as the measurement of noise. Algorithms, circuits and system provide a platform for reliable ECG monitoring on-the-move.
低功耗微电子技术的最新进展正在彻底改变心电监测。可穿戴贴片现在可以在几天内进行舒适的监测。然而,实现可靠和高完整性的记录仍然是一个挑战,特别是在日常生活活动中。在本文中,我们提出了一个系统的方法来减少运动伪影在动态记录。报道了一种定制的超低功耗ECG模拟前端读出器,用于同时测量ECG和电极组织阻抗,来自同一电极。结合这一前端,我们描述了一种用于监测三导联心电图、电极电伪影和3d加速的无线贴片。除了心电监测之外,这种无线贴片还提供了额外的必要数据来过滤掉运动伪影。对两种算法进行了测试。第一种方法应用ICA对多导联心电记录进行降噪。第二种方法是使用皮肤/电极阻抗作为噪声测量的自适应滤波器。算法、电路和系统为可靠的动态心电监测提供了平台。
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引用次数: 41
Demo of the medical device dongle: an open-source standards-based platform for interoperable medical device connectivity 医疗设备加密狗的演示:用于可互操作的医疗设备连接的基于开源标准的平台
Philip Asare, Danyang Cong, Santosh G. Vattam, Baekgyu Kim, O. Sokolsky, Insup Lee, Sha-Sha Lin, M. Mullen-Fortino
Emerging medical applications require networked coordination between medical devices. However, most of the medical devices in use today do not support wireless communication or network connectivity. Currently, hospitals interested in coordinated medical care would have replace existing devices with expensive new devices. We believe that existing medical devices can be extended to support interoperable network connectivity. We demonstrate the Medical Device Dongle (MDD), an open-source platform that enables such extensions to current medical devices. The MDD can attach to any device that has a data output interface (RS-232 or USB) and enables it to connect wirelessly and in an interoperable manner for various applications. We show how multiple medical devices, including pulse oximeters and infusion pumps, can be connected and controlled together using an open-source platform, standards-based connectivity protocols, and model-driven software. The demo setup consists of medical devices attached to an MDD Agent, an MDD Manager device, and a mobile phone running monitoring applications. The MDD components can communicate over Bluetooth, WiFi and Ethernet.
新兴的医疗应用需要医疗设备之间的网络协调。然而,目前使用的大多数医疗设备都不支持无线通信或网络连接。目前,对协调医疗服务感兴趣的医院将不得不用昂贵的新设备替换现有设备。我们相信现有的医疗设备可以扩展到支持互操作的网络连接。我们演示了医疗设备加密狗(MDD),这是一个开源平台,可以对当前的医疗设备进行此类扩展。MDD可以连接到任何具有数据输出接口(RS-232或USB)的设备,并使其能够以无线方式连接,并以可互操作的方式连接各种应用程序。我们展示了如何使用开源平台、基于标准的连接协议和模型驱动软件将多个医疗设备(包括脉搏血氧仪和输液泵)连接和控制在一起。演示设置包括附加到MDD Agent的医疗设备、MDD Manager设备和运行监视应用程序的移动电话。MDD组件可以通过蓝牙、WiFi和以太网进行通信。
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引用次数: 3
Sensor fusion for remote health assessment of first responders 用于急救人员远程健康评估的传感器融合
Tejaswi Tamminedi, Lei Zhang, P. Ganapathy
Remote physiological monitoring of first responders can become instrumental in the quick and timely detection of the onset of harmful cardiac events. This application finds use not only for first responders but for the physically susceptible senior population and recovering cardiac patients. Fusion of multiple physiological parameters has the potential to improve the overall performance of automated anomaly detection. In this demonstration, we demonstrate the improved performance achieved through the use of novel sensor fusion software integrated with a commercial physiological monitoring hardware system.
对急救人员进行远程生理监测有助于快速及时地发现有害心脏事件的发生。这个应用程序发现使用不仅为第一响应者,但对身体敏感的老年人口和恢复心脏病患者。多种生理参数的融合有可能提高自动异常检测的整体性能。在本演示中,我们展示了通过使用集成了商业生理监测硬件系统的新型传感器融合软件实现的性能改进。
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引用次数: 0
The role of peripheral energy management for wireless health applications 无线健康应用中外围设备能量管理的作用
Tejaswi Tamminedi, Aditya Kothari, A. Tiwari, A. Ganguli, S. Avadhanam
Several body worn medical sensing and physiological monitoring devices are currently on the market or are under development. For portable body worn sensor systems battery life is a critical issue. We demonstrate how intelligent energy management techniques that utilize contextual information can be used for extending battery life of wearable health monitoring devices
几种身体穿戴式医疗传感和生理监测设备目前已经上市或正在开发中。对于便携式穿戴式传感器系统,电池寿命是一个关键问题。我们展示了利用上下文信息的智能能源管理技术如何用于延长可穿戴健康监测设备的电池寿命
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引用次数: 0
Wireless non-contact biopotential electrodes 无线非接触式生物电位电极
Y. Chi, P. Ng, C. Maier, G. Cauwenberghs
Ubiquitous physiological monitoring will be a key driving force in the upcoming wireless health revolution. Cardiac and brain signals in the form of ECG and EEG are two critical health indicators that directly benefit from long-term monitoring. Despite advancements in wireless technology and electronics miniaturization, however, the use of wireless home ECG/EEG monitoring is still limited by the inconvenience and discomfort of wet adhesive electrodes. We have developed a wireless biopotential instrumentation system using non-contact capacitive electrodes that operate without skin contact. The compact, battery-powered, wireless system accepts inputs from both standard Ag/AgCl electrodes and non-contact sensors and provides live telemetry to a laptop computer. We will demonstrate the interactive, prototype ECG/EEG system for acquiring cardiac and brain signals quickly and through clothing.
无处不在的生理监测将是即将到来的无线健康革命的关键驱动力。心电和脑电图形式的心脏和大脑信号是两个重要的健康指标,直接受益于长期监测。然而,尽管无线技术和电子微型化取得了进步,但由于湿式粘接电极的不方便和不舒服,家庭无线心电/脑电图监测的使用仍然受到限制。我们开发了一种无线生物电位仪器系统,使用非接触式电容电极,无需皮肤接触即可操作。这种紧凑的、电池供电的无线系统接受来自标准Ag/AgCl电极和非接触式传感器的输入,并为笔记本电脑提供实时遥测。我们将演示交互式原型ECG/EEG系统,该系统可通过服装快速获取心脏和大脑信号。
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引用次数: 15
Social sensing: obesity, unhealthy eating and exercise in face-to-face networks 社会感知:面对面网络中的肥胖、不健康饮食和运动
Anmol Madan, S. Moturu, D. Lazer, A. Pentland
What is the role of face-to-face interactions in the diffusion of health-related behaviors- diet choices, exercise habits, and long-term weight changes? We use co-location and communication sensors in mass-market mobile phones to model the diffusion of health-related behaviors via face-to-face interactions amongst the residents of an undergraduate residence hall during the academic year of 2008--09. The dataset used in this analysis includes bluetooth proximity scans, 802.11 WLAN AP scans, calling and SMS networks and self-reported diet, exercise and weight-related information collected periodically over a nine month period. We find that the health behaviors of participants are correlated with the behaviors of peers that they are exposed to over long durations. Such exposure can be estimated using automatically captured social interactions between individuals. To better understand this adoption mechanism, we contrast the role of exposure to different sub-behaviors, i.e., exposure to peers that are obese, are inactive, have unhealthy dietary habits and those that display similar weight changes in the observation period. These results suggest that it is possible to design self-feedback tools and real-time interventions in the future. In stark contrast to previous work, we find that self-reported friends and social acquaintances do not show similar predictive ability for these social health behaviors.
面对面的互动在健康相关行为(饮食选择、运动习惯和长期体重变化)传播中的作用是什么?在2008- 09学年期间,我们使用大众市场移动电话中的共定位和通信传感器来模拟通过面对面互动在本科生宿舍居民之间传播的健康相关行为。本分析中使用的数据集包括蓝牙近距离扫描、802.11 WLAN AP扫描、通话和短信网络,以及在9个月内定期收集的自我报告的饮食、运动和体重相关信息。我们发现,参与者的健康行为与他们长期接触的同伴的行为相关。这种暴露可以使用自动捕获的个人之间的社会互动来估计。为了更好地理解这种采用机制,我们对比了暴露于不同亚行为的作用,即暴露于肥胖、不运动、有不健康饮食习惯的同龄人和在观察期间表现出类似体重变化的同龄人。这些结果表明,在未来设计自我反馈工具和实时干预是可能的。与之前的研究形成鲜明对比的是,我们发现自我报告的朋友和社会熟人对这些社会健康行为没有类似的预测能力。
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引用次数: 110
A networked system for self-management of drug therapy and wellness 一个自我管理药物治疗和健康的网络系统
K. Y. Au-Yeung, T. Robertson, H. Hafezi, G. Moon, L. DiCarlo, M. Zdeblick, G. Savage
Background: A networked wellness system is under development to document actual ingestions of oral medications, to differentiate types/doses of drugs taken simultaneously, and to provide these data along with other metrics to patients and providers for individually tailored care. Methods: After ingestion, an edible sensor (embedded in drug) is activated by stomach fluid and communicates to a wearable monitor that identifies the sensor as unique and records ingestion time/date. The monitor also collects physiologic data and communicates via mobile phone to a secure server that integrates the data with other wireless devices (e.g. blood pressure, weight). Summary reports are generated periodically for patient and physician review. Results: No adverse effects were observed in animals using repeated, exaggerated doses of sensors. Two drug-sensor form factors have been tested in 3392 human ingestions with no major and very few minor adverse effects. Sensitivity was 97.0% and specificity was 97.7% when compared to directly observed ingestion. The system identified and differentiated up to 4 simultaneously ingested sensors with an identification accuracy of 100%. Data integration with multiple devices and report generation have been piloted successfully. Conclusions: Pre-clinical and early clinical system safety appear satisfactory; data integration and communication appear to be feasible. By providing context-rich information and fostering communication, this system may enhance patient-provider relationship and care coordination.
背景:正在开发一个网络健康系统,以记录口服药物的实际摄入情况,区分同时服用的药物类型/剂量,并将这些数据与其他指标一起提供给患者和提供者,以便进行个性化护理。方法:在摄入后,一个可食用的传感器(嵌入在药物中)被胃液激活,并与可穿戴式监视器通信,该监视器识别传感器是唯一的,并记录摄入时间/日期。监测器还收集生理数据,并通过移动电话与安全服务器通信,该服务器将数据与其他无线设备(例如血压、体重)集成在一起。定期生成总结报告,供患者和医生审查。结果:使用重复、夸大剂量的传感器在动物中未观察到不良反应。已经对3392例人体摄入的药物进行了两种药物传感器形式的测试,没有严重的副作用,也很少有轻微的副作用。与直接观察摄入相比,敏感性为97.0%,特异性为97.7%。该系统可同时识别和区分多达4个被摄入的传感器,识别精度为100%。与多个设备的数据集成和报告生成已经成功地进行了试点。结论:临床前和临床早期系统安全性满意;数据集成和通信似乎是可行的。通过提供上下文丰富的信息和促进沟通,该系统可以加强医患关系和护理协调。
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引用次数: 18
Wireless non-contact cardiac and neural monitoring 无线非接触式心脏和神经监测
Y. Chi, P. Ng, E. Kang, Joseph Kang, Jennifer Fang, G. Cauwenberghs
Ubiquitous physiological monitoring will be a key driving force in the upcoming wireless health revolution. Cardiac and brain signals in the form of ECG and EEG are two critical health indicators that directly benefit from long-term monitoring. Despite advancements in wireless technology and electronics miniaturization, however, the use of wireless home ECG/EEG monitoring is still limited by the inconvenience and discomfort of wet adhesive electrodes. We have developed a wireless biopotential instrumentation system using non-contact capacitive electrodes that operate without skin contact. The sensors can be embedded within comfortable layers of fabric for unobtrusive use. All of the issues relating to the design of low noise, high performance capacitive sensors are discussed along with full technical details, circuit schematics and construction techniques. The non-contact electrode has been integrated into both a wearable ECG chest harness as well a EEG headband. We have also designed a compact, battery-powered, wireless data acquisition system to interface with multiple electrodes and monitor patient cardiac and neural signals in real time. Experimental data shows that the non-contact capacitive electrode perform comparable to Ag/AgCl electrodes using our special chest harness and head bands to ensure tight, movement-free electrode positioning.
无处不在的生理监测将是即将到来的无线健康革命的关键驱动力。心电和脑电图形式的心脏和大脑信号是两个重要的健康指标,直接受益于长期监测。然而,尽管无线技术和电子微型化取得了进步,但由于湿式粘接电极的不方便和不舒服,家庭无线心电/脑电图监测的使用仍然受到限制。我们开发了一种无线生物电位仪器系统,使用非接触式电容电极,无需皮肤接触即可操作。传感器可以嵌入舒适的织物层中,不显眼地使用。所有与低噪声,高性能电容传感器的设计有关的问题,以及完整的技术细节,电路原理图和施工技术进行了讨论。这种非接触式电极已被集成到可穿戴ECG胸带和EEG头带中。我们还设计了一个紧凑的,电池供电的无线数据采集系统,与多个电极接口,实时监测患者的心脏和神经信号。实验数据表明,使用我们特殊的胸带和头带,非接触式电容电极的性能可与Ag/AgCl电极相比较,以确保紧密,无运动的电极定位。
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引用次数: 89
期刊
Proceedings Wireless Health ... [electronic resource]. Wireless Health (Conference)
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