WO2011120121A1 - Animations de physiothérapie et système de gestion de la rééducation - Google Patents

Animations de physiothérapie et système de gestion de la rééducation Download PDF

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Publication number
WO2011120121A1
WO2011120121A1 PCT/CA2010/000424 CA2010000424W WO2011120121A1 WO 2011120121 A1 WO2011120121 A1 WO 2011120121A1 CA 2010000424 W CA2010000424 W CA 2010000424W WO 2011120121 A1 WO2011120121 A1 WO 2011120121A1
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WO
WIPO (PCT)
Prior art keywords
animated
physical therapy
video
patient
exercises
Prior art date
Application number
PCT/CA2010/000424
Other languages
English (en)
Inventor
Michael Sharp
Original Assignee
Collingwood Channel Healthcare Ltd.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Collingwood Channel Healthcare Ltd. filed Critical Collingwood Channel Healthcare Ltd.
Priority to PCT/CA2010/000424 priority Critical patent/WO2011120121A1/fr
Publication of WO2011120121A1 publication Critical patent/WO2011120121A1/fr

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Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising

Definitions

  • This invention relates to a novel system comprising apparatus and process in the general fields of computer animation and physical therapy , and more specifically to a 3D animation and graphical user interface system for healthcare-directed patient-specific physical therapy and patient rehabilitation management which is distributed via the internet and controlled remotely by a healthcare professional (HCP).
  • HCP healthcare professional
  • Specification is meant to include not only traditional physiotherapy treatments but any treatments or exercises that increase or are intended to increase a patient's strength, flexibility, mobility, cardio-vascular activity or capacity, aerobic activity or lung capacity, occupational skill, relaxation, weight gain or loss, digestive activity or capacity, brain activity or mental capacity.
  • HCPs Healthcare professionals
  • HCPs Healthcare professionals
  • the limitations of text only instructions contribute to compliance problems, with many patients not correctly applying or remembering sufficient details of their exercises. Also patients tend not to maintain their rehabilitation assignments for the necessary duration due to lack of supervision, feedback, or measurable results. This lack of patient understanding regarding their exercise instructions leads to longer recovery times and less favorable overall outcomes.
  • a recent patent application, "Method for Delivering Exercise Programming by Streaming Animation Video” includes software that generates digital animation exercises for sports/fitness training which are posted to a subscriber-only online website. Once subscribed, the user inputs their physical characteristics and training goals online to the service, then directly selects exercises and sets personal goals. Flash animation is then streamed to the subscriber illustrating and narrating their personalized exercise routine. As with the previous example, this is also a virtual coaching environment, wherein the prepackaged animations provided are selectable by the user, but there is no direct consultation with a trainer or health professional in their selection. Also, there is no ongoing means to monitor or govern optimal outcome, as is critical in a clinical rehabilitation setting, even if remotely employed.
  • PARMS Physiotherapy Animation and Rehabilitation Management System
  • An injured patient is referred to a healthcare professional in such fields as physiotherapy, occupational therapy, kinesiology, sports medicine, chiropractic therapy, etc. for treatment.
  • the animation provides a unique opportunity for the healthcare professional to communicate precise and detailed rehabilitation exercises by means of personalized digital animations made available to their patient via the internet. These animations are selected from a digital library of prepared animation exercises and are used by the healthcare professional to design an exercise program for their patient.
  • the patient management aspect of the system provides self-reporting tools that allow the patient to consult with, or report to, the healthcare professional about pain during exercise, correct movements, and program outcomes.
  • the healthcare professional can also monitor patient activity by means of viewing records and patient feedback.
  • the invention provides an animated exercise video and physical therapy system for healthcare professionals and remote patients, comprising a system service provider computer server, storing healthcare professional user interface software with rehabilitation management tools and a library of animated video physical therapy exercises, together with remote patient user interface software that displays animated video physical therapy exercises selected by a healthcare professional from the library for a particular patient on the patient's computer in communication with the system service provider computer server.
  • This enables improvement in a patient's condition in strength, flexibility, mobility, cardio-vascular activity , cardio-vascular capacity, aerobic activity , aerobic capacity, relaxation, occupational skill, weight gain, weight loss, digestive activity, digestive capacity, brain activity, or mental capacity.
  • the animated video physical therapy exercises are 3D in appearance, for example, with demonstrator avatars that move to illustrate the exercises from at least two viewpoints. If the camera point of view for the animated video physical therapy exercises moves around an exercise demonstrator during an exercise it can provide enhanced illustration of the exercises. It is useful for the service provider's computer server to record for monitoring by a healthcare professional how often the patient accesses the system and how far through a series of exercises a patient proceeds with the system. Another option would be to equip the remote patient computer is equipped with bio-status sensors for the patient and input lines, to enable bio-feedback review and monitoring during or after a session, by a healthcare professional via the service provider server. BRIEF DESCRIPTION OF THE DRAWINGS
  • Fig. 1 is a block diagram illustrating how animations are generated, annotated, stored, and utilized by the software, which is then stored on the internet and made accessible to stakeholders and patients.
  • Fig. 2 is a screen view from a patient's computer showing a sample animated physiotherapy exercise and visual effects.
  • Fig. 3 is a screen view from a patient's computer showing a sample animated physiotherapy exercise revealing playback controls and different viewing options.
  • Fig. 4 shows a user's laptop with an animated physiotherapy exercise playing.
  • Fig. 5 is a screen view from a patient's computer showing a sample animated physiotherapy exercise showing the repetition/steps counter.
  • FIG. 10 Figure 1 illustrates how the PARM System 10 is devised and adapted to carry out a physical rehabilitation process on a patient remote from a healthcare professional but within the guidance of the healthcare professional.
  • the system is essentially a personalized exercise and professionally guided physical therapy system comprising the following interfaced modules: a software application (SW) 12, with rehabilitation management tools (RMT) 28, an animation library (DB) 14 which stores animated physiotherapy exercises (APE) 16, together with computer server and communications and display computer hardware and software.
  • the software application module provides for distribution to a web portal (WP) 22 on the internet (IN) 20.
  • the service provider (SP) 18 by means of its computer portal (CP) 36, stores the current version of the software application (SW) 12, rehabilitation management tools (RMT) 28, and animation library (DB) 14 on the internet (IN) 20.
  • the healthcare professional (HCP) 24 goes to the online web portal (WP) 22, and by means of its login page (LP) 44, is able to access the healthcare professional portion of the web portal secure area (SA) 46.
  • SA web portal secure area
  • the healthcare professional is not only able to provide animated illustrations of appropriate exercises for a particular patient, but can also monitor and manage the progress of the patient as the system records how often the patient accesses and proceeds through the prescribed animated video at the patient terminal.
  • the patient display computer can be equipped with bio-status sensors and input lines, such as heart-rate and breathing monitors or limb extension sensors. Additionally, at the patient end, camera and video lines could provide feedback to the healthcare professional on a real-time or recorded basis.
  • the healthcare professional (HCP) 24 accesses their rehabilitation management tools (RMT) 28, and by means of their computer portal (CP) 36, inputs the relevant patient data (PD) 42 in order to select the appropriate animated physiotherapy exercises (APE) 16 from the web portal (WP) 22 in its animation library (DB) 14.
  • the HCP (24) may append additional rehabilitation directions (RD) 48, which are sent with the animated physiotherapy exercises (APE) 16 to the patient (PAT) 26 on their computer portal (36).
  • the return path may include patient feedback (FB) 38, and patient activity monitoring records (PAM) 40 for consideration and follow up by the HCP (24).
  • the HCP (24) may also send feedback (FB) 38 to the service provider (SP) 18 about suggested refinements or issues with the SW (12).
  • Animated physiotherapy exercises (APE) 16 may be generated by use of a physiotherapy model (PM) 30, which may be live or digital wireframe, but in the former will need to be recorded by means of video camera (VC) 32.
  • VC 32 data is combined with animation instructions (AI) 34, which may be text or text which is narrated, or both.
  • AI animation instructions
  • FIG. 2 illustrates the view as seen from the screen of a patient's computer portal (CP) 36, and shows a sample animated physiotherapy exercise (APE) 16.
  • the APE 16 portrays an animated demonstrator 50 performing an exercise from at least two viewpoints, in this case using a table of appropriate height as a rehabilitation support 54, and wearing an ankle weight as necessary rehabilitation equipment 56.
  • a visual effect 52 which may include any graphical effect that highlights a particular posture, result or body region.
  • a vertical line demonstrates the proper posture required while performing the selected rehabilitation exercise.
  • the side view of the same exercise highlights the area where one should expect a muscle burn when hyperextending the weighted leg. (note: in the actual animation this is illustrated by a red translucent cloud) Because this image is a paused graphical animation from a computer screen, the play to continue icon 58 is visible in the center of the screen.
  • FIG. 3 illustrates a similar view as shown in Fig. 2, but illustrating a different animated physiotherapy exercise (APE) 16.
  • translucent playback controls 72 are visible (may be hidden when not used) and include a play/pause button 60, a start over button 62, a duration bar/slider 64, a duration counter 66, a mute button 68, and a volume slider 70.
  • the animated demonstrator 50 is shown performing an exercise while using a railing as a rehabilitation support 54.
  • the second viewpoint is a target area closeup 74 as shown.
  • FIG. 4 illustrates the animated physiotherapy exercise (APE) 16 of Fig. 2 showing the animated demonstrator 50 performing an exercise on the screen of a representative computer portal 36, in this case a portable laptop.
  • APE animated physiotherapy exercise
  • FIG. 5 illustrates a repetitive walking exercise performed by the animated demonstrator 50 where the number of repetitions and steps currently taken are shown by the reps/steps counter 76.
  • the PARM System 10 may be divided into three general subcategories, namely the software application (SW) 12 including its rehabilitation management tools (RMT) 28; the animation physiotherapy exercises (APE) 16 including how they are generated and where they are stored; and its distribution system, namely any equipment required, and the web portal (WP) 22 on the internet (IN) 20.
  • SW software application
  • RTT rehabilitation management tools
  • APE animation physiotherapy exercises
  • WP web portal
  • SW software application
  • the software application (SW) 12 provides a graphical user interface to play digital video 3D animation clips and audio narration from each animated physiotherapy exercise (APE) 16 on any compatible computer portal (CP) 36.
  • the SW 12 also allows the service provider (SP) 18 to design APEs 16 to meet the medical standards of the healthcare professional (HCP) 24 to whom they are being sent.
  • SW 12 provides rehabilitation management tools (RMT) 28 that allow the HCP 24 to create a customized exercise program, with password protected privacy, and the ability to monitor patient activity by means of viewing records, self-reporting, and patient communications (secure emails).
  • RTT rehabilitation management tools
  • the SW 12 allows the patient (PAT) 26 to have password protected privacy and access to personalized 3- D animated physiotherapy exercises customized by their healthcare professional (HCP) 24, including self reporting tools about injury pain, movement, or therapy completion.
  • Animations are generated by either a motion capture video camera (VC) 32 of live actors performing each exercise, or digitally by means of animated physiotherapy models (PM) 30.
  • Individual exercise instructions (AI) 34 are derived from the original written instructions provided to the patient (PAT) 26 by the HCP 24 before the PARM System 10 was designed, but now include unique enhancements of visual and graphical illustration to extend the patient's understanding and motivation for doing their exercises. Also, the HCP 24 may amend the instructions for a patient's (PAT) 26 unique rehabilitation needs.
  • Animated physiotherapy exercises (APE) 16 are labeled by body area, type, and name.
  • APEs 16 are stored in the animation library (DB) which is then uploaded to the internet (IN) 20 when each exercise is approved for inclusion.
  • Basic video data for each APE 16 is edited and narration is created on the SP's 18 computer portal (CP) 36.
  • the animated demonstrator 50 shown in the APEs 16 is a three dimensional representation of a human being, and is fully capable of moving its animated body to perform any physiotherapy exercise possible to a live person.
  • Visual effects 52 enhance the user's understanding of the exercise by, for example, highlighting correct posture, describing where to put a limb, in what direction to move a body part, or where one should feel strain on a muscle.
  • Another feature to help motivate a patient is the provision of a repetition/steps counter 76 for walking exercises, but the counter may be used for any similar repetitive movements.
  • [Para 22] Infrastructure By connecting to or uploading (cloud computing) to the internet (IN) 20, stakeholders are able to remotely access the animation library (DB) 14 and utilize the software interface (SW) 12 by means of the secure website portal (WP) 22. Stakeholders go to the login page (LP) 44 on their computer portal (CP) 36, and are granted access to their relevant secure areas SA) 46.
  • Computer portals (CP) 36 are usually a desktop or laptop computer, but also any compatible personal data assistant, large screen cellphone, or netbook may be used. Also, once APEs 16 are downloaded, one may only need a digital projector or other computing display device to view.
  • the PARM System 10 provides internet (IN) 20 based patient (PAT) 26 animated physiotherapy exercise (APE) 16 content and rehabilitation management tools (RMT) 28 for healthcare professionals (HCP) 24.
  • APE animated physiotherapy exercise
  • RTT rehabilitation management tools
  • HCP healthcare professionals
  • Significant multidisciplinary advancements to the practice of rehabilitative medicine are made possible through the use of personalized 3D animated exercise programs sent over the internet (IN) 20 by the health care professionals (HCPs) 24 to their patients (PAT) 26.
  • HCPs health care professionals
  • PAT patients
  • HCPs 24 can monitor patient watching animated physiotherapy exercises (APEs) 16 in terms of times watched, frequency, duration and specific time of day. They can also review patient reported experience (FB) 38 with the exercises such as pain experienced, ability to perform the exercises, ease of movement, etc.
  • APEs animated physiotherapy exercises
  • FB patient reported experience
  • PAT 26 alerts and PAT 26 to HCP 24 communications can be facilitated through the secure internet connection and access to the web portal (WP) 22.
  • the web portal (WP) 22 would be located at a suitable internet domain name address, e.g. xercizplace.com[MAS l ] or exerciseplace.com.
  • the web portal (WP) 22 provides the gateway for an animated physiotherapy exercise (APE) 16 service available to healthcare professionals (HCP) 24 and their patients (PATs) 26.
  • the animation library (DB) 14 is for prescription based use only by those professionals (HCP) 24 with their patients (PAT) 26. Access to the service is by monthly subscription fee.
  • the web portal (WP) 22 is dedicated to supporting patients and healthcare professionals for better outcomes.
  • HCP healthcare professionals
  • DB animation library
  • PATs patients
  • D injury specific rehabilitation directions
  • the web portal (WP) 22 notifies patients that their[MAS3] physiotherapy program is available by email and links the APE 16 exercises back to the prescribing healthcare professional (HCP) 24, authenticating to each patient (PAT) 26 that these exercises have been sent by their healthcare professional (HCP) 24 for their personalized exercise program.
  • HCP prescribing healthcare professional
  • PAT authenticating to each patient
  • HCP healthcare professional
  • the library (DB) 14 of animated exercises (APE) 16 is created using 3D animation production techniques that feature exercises with fully synchronized movements from multiple presentation angles. This method creates a uniquely powerful visual illustration of the exercises, unsurpassed in its ability to provide proper instruction and comprehension of the exercise routines.
  • the name and identity of the healthcare professional (HCP) 24 accompanies the animation exercise (APE) 16 content sent to the patients (PAT) 26 so they have complete confidence in using them.
  • HCPs 24 log onto the web portal (WP) 22 that allows them to access an library (DB) 14 of professional quality 3D animated physiotherapy exercises (APEs) 16 for the treatment and rehabilitation of injured patients (PAT) 26.
  • the web portal (WP) 22 also contains the previously mentioned patient rehabilitation
  • the HCPs 24 enter PAT 26 name/identity data and select or compile a program of APE 16 digital videos that are personalized and specialized for each patient (PAT) 26.
  • the HCP 24 can add customized comments to the APEs 16 if required.
  • APEs 16 are then sent to the PAT 26 over the IN 20 by secure email.
  • APEs 16 Healthcare professionals (HCP) 24 traditionally use paper based drawings or verbal instruction to patients (PATs) 26 to communicate personalized exercise programs.
  • the limitations of paper exercise instructions contribute to compliance problems, with many patients (PATs) 26 not correctly applying their exercises. This lack of understanding by the patient (PAT) 26 regarding their exercise instructions leads to longer recovery times and less favorable overall outcomes.
  • enhancements include visual effects to show the exact area of the body where the effects of the exercise are to be felt, or coach the patient (PAT) 26 by highlighting the specific postures or movements required by each exercise.
  • Exercise animations (APEs) 16 can be replayed or paused to check positioning, making them an ideal learning medium for patients (PATs) 26.
  • Internet based videos and animations are a proven medium of communication with great potential for revolutionizing how exercise instructions are administered in clinical practice. This makes it of key importance to document the use of animation based exercise instructions to fully understand their role and impact in patient care, in a daily practice environment.
  • the PARM System [MAS5] provides a unique opportunity for various healthcare professionals and organizations to collaborate a) in providing optimal physical exercises to improve the condition of individual patients, b) in pilot programs and future development of the system and the services enabled; and c) in running and monitoring clinical trials.
  • PARMS provides a unique therapy platform for patients that can make far-reaching improvements to both their physiogomy and their loyalty to the healthcare professional providing the guidance.
  • the PARMS system will enable its designers to monitor and improve the effectiveness of the service by analyzing patient activity with the system and by conducting clinical research in conjunction with academic health care institutions and health care authorities. This process of ongoing monitoring, improvement and validation of the effectiveness of the PARMS exercises, a process that is enabled by the interactive data exchange inherent to PARMS will enable growth of the PARM system as other recognized healthcare professionals and institutions take note and subscribe or provide additional specialized kinds of guidance remotely to patients.
  • the PARM System [MAS6] is essentially and preferably an internet (IN) 20 based service that features high quality animated physiotherapy exercises (APEs) 16 for the professional healthcare marketplace.
  • APEs animated physiotherapy exercises
  • the system enables relationship-building among patients (PATs) 26, healthcare professionals (HCPs) 24 and the healthcare organizations that support them.
  • the PARMS web portal (WP) 22 provides a library (DB) 14 of 3-D animation exercises (APEs) 16 that are prescribed by healthcare professionals (HCPs) 24 for individual patient treatment care and injury rehabilitation. These online animated exercise programs are designed to improve patient access to treatment, compliance and recovery.
  • the exercises and supporting web portal (WP) 22 utilities deliver professional quality communications tools to enhance patient relationships and optimal care.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Biomedical Technology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Biophysics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Processing Or Creating Images (AREA)

Abstract

La présente invention concerne un système de thérapie physique ou physiothérapie destiné aux professionnels de la santé et aux patients distants. Ledit système utilise un logiciel d'interface avec des outils de gestion de la rééducation et une bibliothèque d'exercices de thérapie physique sous forme de vidéos animées, grâce auxquels il est possible d'améliorer l'état du patient sur les plans de la force, de la souplesse, de la mobilité, de l'activité cardio-vasculaire, de la capacité cardio-vasculaire, de l'activité ou de la capacité aérobie, de la relaxation, des aptitudes professionnelles, de la perte ou du gain de poids, de l'activité ou de la capacité digestive, de l'activité cérébrale ou de la capacité mentale.
PCT/CA2010/000424 2010-03-29 2010-03-29 Animations de physiothérapie et système de gestion de la rééducation WO2011120121A1 (fr)

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PCT/CA2010/000424 WO2011120121A1 (fr) 2010-03-29 2010-03-29 Animations de physiothérapie et système de gestion de la rééducation

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2013059227A1 (fr) * 2011-10-17 2013-04-25 Interactive Physical Therapy, Llc Physiothérapie interactive
WO2017087567A1 (fr) * 2015-11-16 2017-05-26 Cognifisense, Inc. Représentation du soulagement de symptômes
EP3069313A4 (fr) * 2013-11-11 2017-06-21 Breg, Inc. Systèmes et procédés de thérapie physique automatisés
US9741226B1 (en) * 2011-06-01 2017-08-22 Cox Communications, Inc System, method and device for monitoring the status of an entity based upon an established monitoring profile

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JP2008107883A (ja) * 2006-10-23 2008-05-08 Vitas:Kk 運動プログラム提供システム
WO2008134313A1 (fr) * 2007-04-26 2008-11-06 Heather Raymond Procédé et système pour développer ou suivre un programme pour un traitement médical
JP2009028459A (ja) * 2007-07-30 2009-02-12 Xing Inc 動画生成システム、動画生成方法、およびコンピュータプログラム
WO2009066239A1 (fr) * 2007-11-22 2009-05-28 Koninklijke Philips Electronics N.V. Système et procédé pour générer des films d'exercice individualisé

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008107883A (ja) * 2006-10-23 2008-05-08 Vitas:Kk 運動プログラム提供システム
WO2008134313A1 (fr) * 2007-04-26 2008-11-06 Heather Raymond Procédé et système pour développer ou suivre un programme pour un traitement médical
JP2009028459A (ja) * 2007-07-30 2009-02-12 Xing Inc 動画生成システム、動画生成方法、およびコンピュータプログラム
WO2009066239A1 (fr) * 2007-11-22 2009-05-28 Koninklijke Philips Electronics N.V. Système et procédé pour générer des films d'exercice individualisé

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9741226B1 (en) * 2011-06-01 2017-08-22 Cox Communications, Inc System, method and device for monitoring the status of an entity based upon an established monitoring profile
WO2013059227A1 (fr) * 2011-10-17 2013-04-25 Interactive Physical Therapy, Llc Physiothérapie interactive
EP3069313A4 (fr) * 2013-11-11 2017-06-21 Breg, Inc. Systèmes et procédés de thérapie physique automatisés
WO2017087567A1 (fr) * 2015-11-16 2017-05-26 Cognifisense, Inc. Représentation du soulagement de symptômes
US10249391B2 (en) 2015-11-16 2019-04-02 Cognifisense, Inc. Representation of symptom alleviation
US11024430B2 (en) 2015-11-16 2021-06-01 Cognifisense, Inc. Representation of symptom alleviation

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