A Low-Cost System Using a Big-Data Deep-Learning Framework for Assessing Physical Telerehabilitation: A Proof-of-Concept

Author:

Ramírez-Sanz José1ORCID,Garrido-Labrador José1ORCID,Olivares-Gil Alicia1ORCID,García-Bustillo Álvaro2ORCID,Arnaiz-González Álvar1ORCID,Díez-Pastor José-Francisco1,Jahouh Maha3,González-Santos Josefa3,González-Bernal Jerónimo3ORCID,Allende-Río Marta4,Valiñas-Sieiro Florita4,Trejo-Gabriel-Galan Jose4,Cubo Esther4

Affiliation:

1. Escuela Politécnica Superior, Departamento de Ingeniería Informática, Universidad de Burgos, Avda. Cantabria s/n, 09006 Burgos, Spain

2. Fundación Burgos por la Investigación de la Salud, 09006 Burgos, Spain

3. Departamento de la Salud, Facultad de Ciencias de la Salud, Universidad de Burgos, Paseo Comendadores s/n, 09001 Burgos, Spain

4. Servicio de Neurología, Hospital Universitario de Burgos, 09006 Burgos, Spain

Abstract

The consolidation of telerehabilitation for the treatment of many diseases over the last decades is a consequence of its cost-effective results and its ability to offer access to rehabilitation in remote areas. Telerehabilitation operates over a distance, so vulnerable patients are never exposed to unnecessary risks. Despite its low cost, the need for a professional to assess therapeutic exercises and proper corporal movements online should also be mentioned. The focus of this paper is on a telerehabilitation system for patients suffering from Parkinson’s disease in remote villages and other less accessible locations. A full-stack is presented using big data frameworks that facilitate communication between the patient and the occupational therapist, the recording of each session, and real-time skeleton identification using artificial intelligence techniques. Big data technologies are used to process the numerous videos that are generated during the course of treating simultaneous patients. Moreover, the skeleton of each patient can be estimated using deep neural networks for automated evaluation of corporal exercises, which is of immense help to the therapists in charge of the treatment programs.

Funder

Ministerio de Ciencia, Innovación y Universidades, Instituto de Salud Carlos III, Spain

NVIDIA Corporation

European Social Fund

Conserjería de Educación de la Junta de Castilla y León

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference84 articles.

1. Stokes, M. (2004). Physical Management in Neurological Rehabilitation, Elsevier Health Sciences.

2. Global, regional, and national burden of Parkinson’s disease, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016;Dorsey;Lancet Neurol.,2018

3. Economic burden associated with Parkinson’s disease on elderly Medicare beneficiaries;Noyes;Mov. Disord.,2006

4. Canadian Institute for Health Information, Canadian Neurological Sciences Federation, and Canadian Brain and Nerve Health Coalition (2007). The Burden of Neurological Diseases, Disorders and Injuries in Canada, Canadian Neurological Sciences Federation.

5. The multiple tasks test. Strategies in Parkinson’s disease;Bloem;Exp. Brain Res.,2001

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