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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
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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
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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
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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
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5. The areas of convergence
Biomechanics Physiology Motor Control/Learning
Motion Sensors Gait Analysis Remote Physiological Monitoring Biotelemetry ? ?
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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)
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7. Motor control / learning convergence
Application
Rehabilitation
Motor control / Learning
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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
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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
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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
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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
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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
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14. Solution Approach
Interactive Learning: Video, 3D Graphics
Creativity: New Therapeutic Exercise Ideas
Personalized: Template & Visual
Power of Customization = It’s undefined & flexible
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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)
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17. Therapist online patient community
[ THE Patient user COMMUNITY ]
The Community
Clinical Knowledge + Patient Experience
Therapeutic Exercise Database
User Generated Content
[ Physical Therapists ]
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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
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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
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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
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
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 ?
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
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
Data mining: Tracking of effectiveness of prescribed therapeutic exercises