Optimizing the setting of medical interactive rehabilitation assistant platform to improve the performance of the patients: A case study

TY - JOUR

T1 - Optimizing the setting of medical interactive rehabilitation assistant platform to improve the performance of the patients: A case study

AU - Grosan, Crina

N1 - Funding Information: The authors wish to send their appreciation to the editor and anonymous referees for their constructive comments and criticism. Thank you to Director, Dr. Hafez bin Hussain for who have helped in carrying out the research at Pusat Rehabilitation Perkeso Sdn Bhd. This work is supported by the Newton-Ungku Omar Fund from Malaysia Industry Government Group from High Technology (MIGHT) and code grant USIM/INT-NEWTON/FST/IHRAM/053000/41616. Funding Information: The authors wish to send their appreciation to the editor and anonymous referees for their constructive comments and criticism. Thank you to Director, Dr. Hafez bin Hussain for who have helped in carrying out the research at Pusat Rehabilitation Perkeso Sdn Bhd. This work is supported by the Newton-Ungku Omar Fund from Malaysia Industry Government Group from High Technology (MIGHT) and code grant USIM/INT-NEWTON/FST/IHRAM/053000/41616 . Publisher Copyright: © 2021

PY - 2021/10

Y1 - 2021/10

N2 - Tele-rehabilitation is an alternative to the conventional rehabilitation service that helps patients in remote areas to access a service that is practical in terms of logistics and cost, in a controlled environment. It includes the usage of mobile phones or other wireless devices that are applied to rehabilitation exercises. Such applications or software include exercises in the form of virtual games, treatment monitoring based on the rehabilitation progress and data analysis. However, nowadays, physiotherapists use a default profiling setting for patients carrying out rehabilitation, due to lack of information. Medical Interactive Rehabilitation Assistant (MIRA) is a computer-based (virtual reality) rehabilitation platform. The profile setting includes: a level of difficulty, percentage of tolerance and maximum range. To the best of our knowledge, there is a lack of optimization in the parameter values setting of MIRA exergames that could enhance patients' performance. Generally, non-optimal profile setting leads to reduced effectiveness. Therefore, this study aims to develop a method that optimizes the profile setting of each patient according to the estimated (desired) optimal results. The proposed method is developed using unsupervised and supervised machine learning techniques. We use Self-Organizing Map (SOM) to cluster patient records into several distinct clusters. K-fold cross validation is applied to construct the prediction models. Classification And Regression Tree (CART) is utilized to predict the patient's optimal input setting for playing the MIRA games. The combination of these techniques seems to improve the efficiency of the standard (default) way in predicting the optimal settings for exergames. To evaluate the proposed method, we conduct an experiment with data collected from a rehabilitation center. We use three metrics to quantify the quality of the results: R-squared (R 2), Mean Absolute Error (MAE) and Root Mean Square Error (RMSE). The results of experimental analysis demonstrate that the proposed method is effective in predicting the adequate parameter setting in MIRA platform. The method has potential to be implemented as an intelligent system for MIRA prediction in healthcare. Moreover, the method could be extended to similar platforms for which data is available to train our method on.

AB - Tele-rehabilitation is an alternative to the conventional rehabilitation service that helps patients in remote areas to access a service that is practical in terms of logistics and cost, in a controlled environment. It includes the usage of mobile phones or other wireless devices that are applied to rehabilitation exercises. Such applications or software include exercises in the form of virtual games, treatment monitoring based on the rehabilitation progress and data analysis. However, nowadays, physiotherapists use a default profiling setting for patients carrying out rehabilitation, due to lack of information. Medical Interactive Rehabilitation Assistant (MIRA) is a computer-based (virtual reality) rehabilitation platform. The profile setting includes: a level of difficulty, percentage of tolerance and maximum range. To the best of our knowledge, there is a lack of optimization in the parameter values setting of MIRA exergames that could enhance patients' performance. Generally, non-optimal profile setting leads to reduced effectiveness. Therefore, this study aims to develop a method that optimizes the profile setting of each patient according to the estimated (desired) optimal results. The proposed method is developed using unsupervised and supervised machine learning techniques. We use Self-Organizing Map (SOM) to cluster patient records into several distinct clusters. K-fold cross validation is applied to construct the prediction models. Classification And Regression Tree (CART) is utilized to predict the patient's optimal input setting for playing the MIRA games. The combination of these techniques seems to improve the efficiency of the standard (default) way in predicting the optimal settings for exergames. To evaluate the proposed method, we conduct an experiment with data collected from a rehabilitation center. We use three metrics to quantify the quality of the results: R-squared (R 2), Mean Absolute Error (MAE) and Root Mean Square Error (RMSE). The results of experimental analysis demonstrate that the proposed method is effective in predicting the adequate parameter setting in MIRA platform. The method has potential to be implemented as an intelligent system for MIRA prediction in healthcare. Moreover, the method could be extended to similar platforms for which data is available to train our method on.

UR - http://www.scopus.com/inward/record.url?scp=85114984743&partnerID=8YFLogxK

U2 - https://doi.org/10.1016/j.artmed.2021.102151

DO - https://doi.org/10.1016/j.artmed.2021.102151

M3 - Article

SN - 0933-3657

VL - 120

JO - Artificial Intelligence in Medicine

JF - Artificial Intelligence in Medicine

M1 - 102151

ER -