Advancements in computer‐mediated exercise put forward the feasibility of telerehabilitation, but it remains a challenge to retain patients' engagement in exercises. Building on our previous study demonstrating enhanced engagement in citizen science through social information about others' contributions, we propose a novel framework for effective telerehabilitation that integrates citizen science and social information into physical exercise. We hypothesized that social information about others' contributions would augment engagement in physical activity by encouraging people to invest more effort toward discovery of novel information in a citizen science context. We recruited healthy participants to monitor the environment of a polluted canal by tagging images using a haptic device toward gathering environmental information. Along with the images, we displayed the locations of the tags created by the previous participants. We found that participants increased both the amount and duration of physical activity when presented with a larger number of the previous tags. Further, they increased the diversity of tagged objects by avoiding the locations tagged by the previous participants, thereby generating richer information about the environment. Our results suggest that social information is a viable means to augment engagement in rehabilitation exercise by incentivizing the contribution to scientific activities.
- Award ID(s):
- 1928614
- NSF-PAR ID:
- 10332605
- Date Published:
- Journal Name:
- JMIR Serious Games
- Volume:
- 10
- Issue:
- 1
- ISSN:
- 2291-9279
- Page Range / eLocation ID:
- e27597
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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Abstract Introduction Utilization of telemedicine for health care delivery increased rapidly during the coronavirus disease 2019 (COVID‐19) pandemic. However, physical examination during telehealth visits remains limited. A novel telerehabilitation system—The Augmented Reality‐based Telerehabilitation System with Haptics (ARTESH)—shows promise for performing synchronous, remote musculoskeletal examination.
Objective To assess the potential of ARTESH in remotely examining upper extremity passive range of motion (PROM) and maximum isometric strength (MIS).
Design In this cross‐sectional pilot study, we compared the in‐person (reference standard) and remote evaluations (ARTESH) of participants' upper extremity PROM and MIS in 10 shoulder and arm movements. The evaluators were blinded to each other's results.
Setting Participants underwent in‐person evaluations at a Veterans Affairs hospital's outpatient Physical Medicine and Rehabilitation (PM&R) clinic, and underwent remote examination using ARTESH with the evaluator located at a research lab 30 miles away, connected via a high‐speed network.
Patients Fifteen participants with upper extremity pain and/or weakness.
Interventions Not applicable.
Main Outcome Measures Inter‐rater agreement between in‐person and remote evaluations on 10 PROM and MIS movements and presence/absence of pain with movement was calculated.
Results The highest inter‐rater agreements were noted in shoulder abduction and protraction PROM (kappa (
κ ) = 0.44, confidence interval (CI): −0.1 to 1.0), and in elbow flexion, shoulder abduction, and shoulder protraction MIS (κ = 0.63, CI: 0 to 1.0).Conclusions This pilot study suggests that synchronous tele‐physical examination using the ARTESH system with augmented reality and haptics has the potential to provide enhanced value to existing telemedicine platforms. With the additional technological and procedural improvements and with an adequately powered study, the accuracy of ARTESH‐enabled remote tele‐physical examinations can be better evaluated.
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Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.2196/27597
