Towards as SAR system for personalized cardiac rehabilitation A - - PowerPoint PPT Presentation

▶
towards as sar system for personalized cardiac
SMART_READER_LITE
LIVE PREVIEW

Towards as SAR system for personalized cardiac rehabilitation A - - PowerPoint PPT Presentation

Dec 16, 2022 268 likes •449 views

C C B B - - C C e e n n t t e e r r f f o o r r B B i i o o m m e e c c h h a a t t r r o o n n i i c c s s , , E E C C I I J J G G Towards as SAR system for personalized cardiac

slide-1
SLIDE 1

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Towards as SAR system for personalized cardiac rehabilitation A patient with PCI

Jonathan A. Casas Jonathan.casas@escuelaing.edu.co

slide-2
SLIDE 2

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Problematic: High Drop-out rate

England [1]:

  • in 2001 only 14% to 23% of infarct patients actively continue with the

programme Irán [2]:

  • 1115 patients between 2000 and 2005 (44.8% completed the programme)

Australia [3]:

  • 573 patients tracked during 4 months (49.6% attended the programme)

[1]J. Bethell, C. Turner, A. Evans, and L. Rose, “Cardiac rehabilitation in the United Kingdom. How complete is the provision?,” 2001. [2] Nizal Sarrafzadegan et al., 2007. Drop-out predictors in cardiac rehabilitation programmes and the impact of sex differences among coronary heart disease patients in an Iranian sample: a cohort study. Clinical Rehabilitation Vol 21, Issue 4, pp. 362-37 [3]Worcester MU et at.,. Cardiac rehabilitation programmes:predictors of non-attendance and drop out. Eur J Cardiovasc Prev Rehabil 2004; 11: 328–35.

slide-3
SLIDE 3

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Evidence

  • According to the World Health Organization, around 17.5 million people die

each year from CVDs[1].

  • in 2015 two CVDs were leading cause of death in the world[2].
  • Cardiac rehabilitation is commonly used to prevent CVDs or to treat a

patient post a CVD event.

[1] World Heart Organization, “Cardiovascular Disease.” http://www.who.int/cardiovascular_diseases/en/, 2017. [2] Mayo Clinic,“HeartDisease.”http://www.mayoclinic.org/diseases-conditions/heart-disease/basics/definition/con-20034056, 2017.

slide-4
SLIDE 4

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Cardiac Rehabilitation (Phase II)

  • Is an outpatient phase.
  • Lasts around 3 months and consists of weekly sessions (two times per week).
  • Education program: covering risk factors, healthy habits, adhesion to the

treatment and motivation

  • Exercise (typically on a treadmill) and physiological intervention.
slide-5
SLIDE 5

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

What has been done: SAR in Rehabilitation Scenarios

Spirometry

  • K. I. Kang, S. Freedman, M. J. Matarić, M. J. Cunningham, and B. Lopez.
  • 2005. A Hands-Off Physical Therapy Assistance Robot for Cardiac Patients

stroke

  • J. Eriksson, M. J. Matarić, and C. J. Winstein. 2005. Hands-off assistive

robotics for post-stroke arm rehabilitation.

slide-6
SLIDE 6

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Embodied Agents and why to use this approach

  • James Kennedy et al., 2015. Comparing Robot Embodiments in a Guided

Discovery Learning Interaction with Children.

  • Wilma A. Bainbridge et al., 2011. The benefits of interactions with physically

present robots over video displayed agents.

slide-7
SLIDE 7

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Hypothesis

  • The robot agent reduces drop-out rates in the rehabilitation program
  • The robot behaviour has a positive impact in the patient’s performance
slide-8
SLIDE 8

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Approach

Questionnaire: 83 females and 155 males age M=62.3 years, SD=14.3), weight (M=68.46 kg, SD=12.12) height (M=1.64 m, SD=0.09) Pilot study: 1 patient with PCI Age: 63 years, weight: 70 kg, height: 1.65 m 16 sessions

slide-9
SLIDE 9

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Questionnaire

“What aspects do you like about the cardiac rehabilitation session on the treadmill?” “How would you feel about a social robot accompanying you throughout the rehabilitation process?”

slide-10
SLIDE 10

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Pilot Study: Human-Robot Interface

slide-11
SLIDE 11

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Architecture

slide-12
SLIDE 12

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Experimental Setup

slide-13
SLIDE 13

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Human-Robot Interface

slide-14
SLIDE 14

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Human-Robot Interface

Posture correction during exercise Heart rate recovery (1-2-3-4-5) min Initial and final heart rate level Response time (BS request)

slide-15
SLIDE 15

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Results

slide-16
SLIDE 16

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

Results

slide-17
SLIDE 17

C B

  • C

e n t e r f

  • r

B i

  • m

e c h a t r

  • n

i c s , E C I J G

  • A first evaluation for the system was performed with a real patient during a conventional session
  • The Human-Robot interface was validated as well as the interaction with the patient
  • Further work is required to determine the impact that the interface has in the long-term

Conclusions