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The art of human movement & technology
        a look into Kinesiology & IT convergence


                      By Ken Lim
              Tuesday, December 28th 2010




                                                   0
Table of content

1. Kinesiologydefined
 My area of focus

 Areas of convergence

 Analyzing the healthcare and fitness application market growth



2.   iWell TherX
    Rehabilitation Industry
    Product purpose
    Product Features
    Development/Competitors




                                                                   1
The art of human movement defined



ki.ne.si.ol.o.gy n . [Greek kinesis] (1894):
   "the study of the principles of mechanics and anatomy in relation to human movement.“


  The components and the processes of the human movement:

    •   Biomechanics
    •   Biochemistry
    •   Physiology
    •   Neuroscience
    •   Psychology




                                                                                           2
My area of focus: Neuroscience & Physiology
Neuroscience
o   Motor Control & Learning- skill acquisition, processes underlying the performance of motor skills
    cognitive motor skill (novice to expert) optimizing learning skills & stresses in skilled performance

o   Motor Development - acquisition of motor control from infancy through adolescence
    Reflexive. • Rudimentary. • Fundamental. • Specialized (life time changes of learning &
    performance)




Physiology
o   Cardiopulmonary Aspects of Health-Related Exercise Programs
o   Clinical Exercise Electrocardiography




                                                                                                            3
The areas of convergence




          Biomechanics                                Physiology                         Motor Control/Learning




Motion Sensors      Gait Analysis   Remote Physiological Monitoring   Biotelemetry   ?                            ?




                                                                                                                      4
Analyzing the healthcare and fitness application market growth

       Healthcare & fitness information consumers


       The # of mobile subscribers that download fitness & healthcare
       apps in North America will increase from 1.76m in 2009  7.50m
       by 2014 annual growth of 65%



                   Healthcare & fitness information consumption effect

                   Education, Prevention, Diagnosis, Preparation,
                              Intervention, Recovery, Monitoring, Managing



                                                                The empowering effect


                                                                Evidence based medicine
                                                                Experience scale learning
                                                                Ubiquitous information


Source: Juniper Research: Mobile Healthcare Opportunities
Monitoring, Applications & mHealth Strategies (04/13/2010)

                                                                                            5
Motor control / learning convergence




                                                        Application


                                       Rehabilitation




                   Motor control / Learning




                                                                      6
Idealization




               7
Physical Therapist Occupation outlook




              2010                                             2018
                      185,500                    241,700
               Current Physical Therapists   Expected Physical Therapists



                                             30% Growth
                                                   56,200
                                               New Physical Therapists




Source: U.S/ Bureau of Labor Statistics



                                                                            8
Market Correlation


 Capture                                                               Automatically Gain
Physical Therapist Market                                        Patient Market: Baby Boomers
                                                                        76 million babyboomers
                                                                         38 million will have arthritis
                                                                           21 million will be obese

                                                                      40% of falls are senior citizens with
                                                                           300,000 broken hips/year




Source: AARP. Org, CDC – National Center for Health Statistics


                                                                                                               9
The Purpose



1)   Enhance patient education process in their rehabilitation process
2)   Enhance clinical operation efficiency
3)   Enhance evidence based medicine
4)   Develop a therapist patient online community




                                                                         10
Enhancing patient education process in their rehabilitation process


    Exercise prescription is the referral of patient to a therapeutic exercise program to be
     performed at home as part of the patient treatment process

    Performing therapeutic exercise program “correctly” at home is crucial in the intervention
     & treatment process in that it affects the treatment quality, effectiveness, and duration




                                                                                                11
Current exercise prescription challenge


               The Issue                         Implication
                  Paper Based                    Paper & Printing Cost

                 Customizability           To make generics forms/templates
                                           customizable it is time consuming
                     Quality                 Unclear Directions & Pictures
                                            Requires Clear verbal directions
                Patient Education               Not knowing the benefits
                                                Motor learning feedback
               Patient Compliance                  Lost or Forgotten

                 Clinical Storage         Part of the paper based patient chart




          Solution: Digitalize & make it Interactive
                                                                                  12
Solution Approach



   Interactive Learning: Video, 3D Graphics


   Creativity: New Therapeutic Exercise Ideas



   Personalized: Template & Visual




                    Power of Customization = It’s undefined & flexible




                                                                         13
i-Well therX User interface
                                                                                                           Patient & Therapist Accessibility
                                                                                                           View, Rate, Review Therapists
                                                                                 Patient Name
                    therX                                                        Therapist Name



                                                                                                       Patient can continue with fitness
Home Exercise Programs
Condition: Rotator Cuff Repair                                                                         or wellness program recommended by
                                                                                                          the therapist and keep track of their
                                                                                                          fitness record using iWell
 Therapeutic Exercises :                          Frequency:                                 Videos:


     Cervical Stabilization Progression               2x/day/3x                                              Option: User Generated Content
      Week

                                                                                                       PTs have options to use generic iWELL therX
                                                                                                       therapeutic exercise prescription programs or
                                                                                                       generate & organize their custom
     Alternating Isometric for Trunk Stabilization   2x/day/3x Week                                   Therapeutic exercise program, even
                                                                                                       upload their own videos.

                                                                                                            Interactive Therapeutic Exercise
     Frontal Plane Stabling Exercise                 2x/day/3x                                                      Video Databases
      Week
                                                            Physical Therapist
                                                               Suggestion
     Post Exercise Comments

                                                                                                          Patients Comment is directly
                                                                                                            synchronized to SOAP or
                                                                                                               Progress Note (EMR)




                                                                                                                                            14
Enhancing clinical operation/evidence based practice




                                                       15
Therapist online patient community



                                             [ THE Patient user COMMUNITY ]


                 The Community

   Clinical Knowledge + Patient Experience



        Therapeutic Exercise Database


           User Generated Content
                                                    [ Physical Therapists ]




                                                                          16
Product Solution Overview



                                                     M.D




                                                 Database

      Physical Therapist                Fitness Exercise Database
                                                                                            Patient
 Create a Custom or Pre-made     Therapeutic Exercise Database              Access Home Exercise Prescription
  Home Exercise Prescription
                                    Exercise Prescription History/Patient
                                              Medical History                 Interactive Communication Channel
    Manage Clinical Duties

                                           Online Community




                     Long Term Potential: PHR interoperability




                                                                                                              17
Product development




                           While user generated content is the Goal

           1.   Original content (therapeutic exercise movie database) will be the
                                  catalyst for account registration
                           How Can We Develop This?

      Partnership with a leading University with a renown Physical Therapy Department




                                                                                        18
Existing Products




                    19
End of presentation

         Q&A




   Thank you for you time


                            20

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The Art of Human Movement & Technology

  • 1. The art of human movement & technology a look into Kinesiology & IT convergence By Ken Lim Tuesday, December 28th 2010 0
  • 2. Table of content 1. Kinesiologydefined  My area of focus  Areas of convergence  Analyzing the healthcare and fitness application market growth 2. iWell TherX  Rehabilitation Industry  Product purpose  Product Features  Development/Competitors 1
  • 3. The art of human movement defined ki.ne.si.ol.o.gy n . [Greek kinesis] (1894): "the study of the principles of mechanics and anatomy in relation to human movement.“ The components and the processes of the human movement: • Biomechanics • Biochemistry • Physiology • Neuroscience • Psychology 2
  • 4. My area of focus: Neuroscience & Physiology Neuroscience o Motor Control & Learning- skill acquisition, processes underlying the performance of motor skills cognitive motor skill (novice to expert) optimizing learning skills & stresses in skilled performance o Motor Development - acquisition of motor control from infancy through adolescence Reflexive. • Rudimentary. • Fundamental. • Specialized (life time changes of learning & performance) Physiology o Cardiopulmonary Aspects of Health-Related Exercise Programs o Clinical Exercise Electrocardiography 3
  • 5. The areas of convergence Biomechanics Physiology Motor Control/Learning Motion Sensors Gait Analysis Remote Physiological Monitoring Biotelemetry ? ? 4
  • 6. Analyzing the healthcare and fitness application market growth Healthcare & fitness information consumers The # of mobile subscribers that download fitness & healthcare apps in North America will increase from 1.76m in 2009  7.50m by 2014 annual growth of 65% Healthcare & fitness information consumption effect Education, Prevention, Diagnosis, Preparation, Intervention, Recovery, Monitoring, Managing The empowering effect Evidence based medicine Experience scale learning Ubiquitous information Source: Juniper Research: Mobile Healthcare Opportunities Monitoring, Applications & mHealth Strategies (04/13/2010) 5
  • 7. Motor control / learning convergence Application Rehabilitation Motor control / Learning 6
  • 9. Physical Therapist Occupation outlook 2010 2018 185,500 241,700 Current Physical Therapists Expected Physical Therapists 30% Growth 56,200 New Physical Therapists Source: U.S/ Bureau of Labor Statistics 8
  • 10. Market Correlation Capture Automatically Gain Physical Therapist Market Patient Market: Baby Boomers 76 million babyboomers 38 million will have arthritis  21 million will be obese  40% of falls are senior citizens with 300,000 broken hips/year Source: AARP. Org, CDC – National Center for Health Statistics 9
  • 11. The Purpose 1) Enhance patient education process in their rehabilitation process 2) Enhance clinical operation efficiency 3) Enhance evidence based medicine 4) Develop a therapist patient online community 10
  • 12. Enhancing patient education process in their rehabilitation process  Exercise prescription is the referral of patient to a therapeutic exercise program to be performed at home as part of the patient treatment process  Performing therapeutic exercise program “correctly” at home is crucial in the intervention & treatment process in that it affects the treatment quality, effectiveness, and duration 11
  • 13. Current exercise prescription challenge The Issue Implication Paper Based Paper & Printing Cost Customizability To make generics forms/templates customizable it is time consuming Quality Unclear Directions & Pictures Requires Clear verbal directions Patient Education Not knowing the benefits Motor learning feedback Patient Compliance Lost or Forgotten Clinical Storage Part of the paper based patient chart Solution: Digitalize & make it Interactive 12
  • 14. Solution Approach  Interactive Learning: Video, 3D Graphics  Creativity: New Therapeutic Exercise Ideas  Personalized: Template & Visual Power of Customization = It’s undefined & flexible 13
  • 15. i-Well therX User interface Patient & Therapist Accessibility View, Rate, Review Therapists Patient Name therX Therapist Name Patient can continue with fitness Home Exercise Programs Condition: Rotator Cuff Repair or wellness program recommended by the therapist and keep track of their fitness record using iWell Therapeutic Exercises : Frequency: Videos:  Cervical Stabilization Progression 2x/day/3x Option: User Generated Content Week PTs have options to use generic iWELL therX therapeutic exercise prescription programs or generate & organize their custom  Alternating Isometric for Trunk Stabilization 2x/day/3x Week Therapeutic exercise program, even upload their own videos. Interactive Therapeutic Exercise  Frontal Plane Stabling Exercise 2x/day/3x Video Databases Week Physical Therapist Suggestion Post Exercise Comments Patients Comment is directly synchronized to SOAP or Progress Note (EMR) 14
  • 17. Therapist online patient community [ THE Patient user COMMUNITY ] The Community Clinical Knowledge + Patient Experience Therapeutic Exercise Database User Generated Content [ Physical Therapists ] 16
  • 18. Product Solution Overview M.D Database Physical Therapist  Fitness Exercise Database Patient  Create a Custom or Pre-made  Therapeutic Exercise Database  Access Home Exercise Prescription Home Exercise Prescription  Exercise Prescription History/Patient Medical History  Interactive Communication Channel  Manage Clinical Duties  Online Community Long Term Potential: PHR interoperability 17
  • 19. Product development While user generated content is the Goal 1. Original content (therapeutic exercise movie database) will be the catalyst for account registration How Can We Develop This? Partnership with a leading University with a renown Physical Therapy Department 18
  • 21. End of presentation Q&A Thank you for you time 20

Editor's Notes

  1. Exercise Scientists Perspective V.S. The Sport Spectators Perspectives Scrutinizingcomponents and processes of each phase of movement  Biomechanically: ROM, Angle of projection, Torque, Power output, Force, Acceleration  Biochemically: At the cellular level: Kreb Cycle ATP production  Physiologically: Cardiology and Pulmonary functions, Endocrine and hormonal responses  Psychologically: Performance demands, Environmental conditions, Sociocultural conditions  Neurologically: Motor Control, Motor Learning, Motor Control Theories
  2. Motor Control: neuro-motor and psychological contributions in the control and acquisition of skilled performances performance-related research examining the mechanisms underlying the continuum of skill acquisition and performance (novice to expert), strategies to optimize and accelerate skill learning and the role of stress in skilled performance(cognitive motor skill) how the brain combines sensory information about the environment and one's own body movementMotor Learning: Developmental perspective of factors contributing to acquisition of motor control from infancy through adolescence
  3. The impact of the convergence: Consumers or Healthcare/Academia professionals BiomechanicsMotion Sensors: Nintendo Wii (revolutionized motion sensor utilization), GE/Intel Quiet Care (motion sensor application in geriatric care) Gait Analysis: Assess, plan, & treat individuals with conditions affecting their ability to walk. It is also commonly used in sports biomechanics to help athletes run more efficiently and to identify posture-related or movement-related problems in people with injuries (chronophotography, films; markers & sensors, EMG) PhysiologyRemote Physiological Monitoring: Vital sign data logging (core body temperature, heart rate, respiration rate and skin temperature)Biotelemetry: EKG or SPO2Motor Learning ?
  4. By 2014 in North America the % of lifestyle & healthcare apps that are fitness & healthcare related application will be 45% Of the 36.56 million individuals downloading fitness & healthcare apps globally in 2014, 7.5 millions will be in North AmericaThe # of mobile subscribers that download fitness & healthcare apps in North America will increase from 1.76m in 2009  7.50m by 2014 (annual growth of 65%, 5yrs 325% growth) What is the consumer gaining ? INFORMATION and KNOWLEDGE Health information is packaged as a product
  5. Therapeutic Exercise:Prescription of bodily movement to correct an impairment, improve musculoskeletal function, or maintain a state of well-being.To Achieve: Enable ambulationRelease contracted muscles, tendons, & fasciaMobilize jointsImprove circulationImprove respiratory capacityImprove coordinationReduce rigidityImprove balancePromote relaxation
  6. Data mining: Tracking of effectiveness of prescribed therapeutic exercises