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      A Multi-Agent System for Data Fusion Techniques Applied to the Internet of Things Enabling Physical Rehabilitation Monitoring

      , , , ,
      Applied Sciences
      MDPI AG

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          Abstract

          There are more than 800 million people in the world with chronic diseases. Many of these people do not have easy access to healthcare facilities for recovery. Telerehabilitation seeks to provide a solution to this problem. According to the researchers, the topic has been treated as medical aid, making an exchange between technological issues such as the Internet of Things and virtual reality. The main objective of this work is to design a distributed platform to monitor the patient’s movements and status during rehabilitation exercises. Later, this information can be processed and analyzed remotely by the doctor assigned to the patient. In this way, the doctor can follow the patient’s progress, enhancing the improvement and recovery process. To achieve this, a case study has been made using a PANGEA-based multi-agent system that coordinates different parts of the architecture using ubiquitous computing techniques. In addition, the system uses real-time feedback from the patient. This feedback system makes the patients aware of their errors so that they can improve their performance in later executions. An evaluation was carried out with real patients, achieving promising results.

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          Most cited references31

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          Benefits and drawbacks of telemedicine.

          N Hjelm (2004)
          Telemedicine is a vast subject, but as yet there are limited data on the clinical effectiveness and cost-effectiveness of most telemedicine applications. As a result, objective information about the benefits and drawbacks of telemedicine is limited. This review is therefore based mainly on preliminary results, opinions and predictions. Many potential benefits of telemedicine can be envisaged, including: improved access to information; provision of care not previously deliverable; improved access to services and increasing care delivery; improved professional education; quality control of screening programmes; and reduced health-care costs. Although telemedicine clearly has a wide range of potential benefits, it also has some disadvantages. The main ones that can be envisaged are: a breakdown in the relationship between health professional and patient; a breakdown in the relationship between health professionals; issues concerning the quality of health information; and organizational and bureaucratic difficulties. On balance, the benefits of telemedicine are substantial, assuming that more research will reduce or eliminate the obvious drawbacks.
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            Video games and rehabilitation: using design principles to enhance engagement in physical therapy.

            Patient nonadherence with therapy is a major barrier to rehabilitation. Recovery is often limited and requires prolonged, intensive rehabilitation that is time-consuming, expensive, and difficult. We review evidence for the potential use of video games in rehabilitation with respect to the behavioral, physiological, and motivational effects of gameplay. In this Special Interest article, we offer a method to evaluate effects of video game play on motor learning and their potential to increase patient engagement with therapy, particularly commercial games that can be interfaced with adapted control systems. We take the novel approach of integrating research across game design, motor learning, neurophysiology changes, and rehabilitation science to provide criteria by which therapists can assist patients in choosing games appropriate for rehabilitation. Research suggests that video games are beneficial for cognitive and motor skill learning in both rehabilitation science and experimental studies with healthy subjects. Physiological data suggest that gameplay can induce neuroplastic reorganization that leads to long-term retention and transfer of skill; however, more clinical research in this area is needed. There is interdisciplinary evidence suggesting that key factors in game design, including choice, reward, and goals, lead to increased motivation and engagement. We maintain that video game play could be an effective supplement to traditional therapy. Motion controllers can be used to practice rehabilitation-relevant movements, and well-designed game mechanics can augment patient engagement and motivation in rehabilitation. We recommend future research and development exploring rehabilitation-relevant motions to control games and increase time in therapy through gameplay.Video Abstract available (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A61) for more insights from the authors.
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              Mobile health: Four emerging themes of research

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                Author and article information

                Contributors
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                Journal
                ASPCC7
                Applied Sciences
                Applied Sciences
                MDPI AG
                2076-3417
                January 2021
                December 31 2020
                : 11
                : 1
                : 331
                Article
                10.3390/app11010331
                7cdbbb10-df32-4b86-9443-a17a6d9a5e95
                © 2020

                https://creativecommons.org/licenses/by/4.0/

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