Accelerometry in telemedicine

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Aging society & telemedicine & motion monitoring

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Accelerometry in telemedicine

  1. 1. HCTM/ETE-Wang | 17/06/2010 | © Robert Bosch GmbH 2010. All rights reserved, also regarding any disposal, exploitation, reproduction, editing, distribution, as well as in the event of applications for industrial property rights. 28.10.2010 Klinikum Höhenried Munich Xin Wang-BOSCH Healthcare Mobile Accelerometry in Medical & TeleHealth Applications
  2. 2. Robert BOSCH Healthcare - HCTM HCTM/ETE-Wang | 17/06/2010 | © Robert Bosch GmbH 2010. All rights reserved, also regarding any disposal, exploitation, reproduction, editing, distribution, as well as in the event of applications for industrial property rights. <ul><li>We are the preferred partner for leading healthcare providers that build networks and systems of care. </li></ul>Telemedicine overarches Telehealth, Telecare and „Tele-disciplines“ RB Healthcare provides Telehealth solutions
  3. 3. Health – Buddy Platform HCTM/ETE-Wang | 17/06/2010 | © Robert Bosch GmbH 2010. All rights reserved, also regarding any disposal, exploitation, reproduction, editing, distribution, as well as in the event of applications for industrial property rights. Patient Home Health Buddy ® Patient Interface with Peripherals Telemedical Data Center (TMDC) Workplace Application Care Provider Interface Clinical Database Clinical Programs Care Composer Clinical Program Authoring Telemedical Platform System Overview End-to-end solution to empower patients and to provide a solid base for clinical decision making
  4. 4. Physical activity emphasises from EGREPA 2010 Prague HCTM/ETE-Wang | 17/06/2010 | © Robert Bosch GmbH 2010. All rights reserved, also regarding any disposal, exploitation, reproduction, editing, distribution, as well as in the event of applications for industrial property rights. Seniors in the 21 st century – physical activity a tool for health, fitness and social integration. <ul><li>Exercise interventions program – Fit for 100 </li></ul><ul><ul><li>Implementation of preventive strength training in residence geriatric care. </li></ul></ul><ul><ul><li>Carried by Westfälische Wilhelms-Universität Münster, Institut für </li></ul></ul><ul><ul><li>Sportwissenschaft (Dr. Michael Brach) and German Sport University </li></ul></ul><ul><ul><li>Cologne ( Prof. Heinz Mechling). </li></ul></ul><ul><li>Cooperation between General Practitioners and Exercise Therapists </li></ul><ul><li>to Deliver a Home-based Exercise Programme to Elderly Patients. – HomeFit </li></ul><ul><ul><li>To develop a multidimensional home-based exercise programme </li></ul></ul><ul><ul><li>according to current guidelines (ACSM/AHA), approaching and </li></ul></ul><ul><ul><li>supporting mobility-restricted or chronically ill elderly via their GP and </li></ul></ul><ul><ul><li>an exercise therapist. </li></ul></ul><ul><ul><li>Carried by Sportmedizin und Sporternährung der Ruhr-Universität </li></ul></ul><ul><ul><li>Bochum (Dr. Timo Hinrichs) and so on. </li></ul></ul><ul><ul><li>Two important aspects for the success of such a program are : 1) motivation of elderly people to keep exercising; 2) source of education </li></ul></ul><ul><ul><li>information that allows the participants to perform exercises correctly. </li></ul></ul><ul><ul><li>Recommendation : integrating further personnel into counseling process. </li></ul></ul><ul><li>Activity Monitoring in TM platform can provide a standard tech. tool for </li></ul><ul><li>motivation and personalized exercise program counseling purposes. </li></ul>
  5. 5. Bosch Motion Monitor (BMM) HCTM/ETE-Wang | 17/06/2010 | © Robert Bosch GmbH 2010. All rights reserved, also regarding any disposal, exploitation, reproduction, editing, distribution, as well as in the event of applications for industrial property rights. Motion monitor station Charger + Data Transfer Display Device for user feedback (Optional) wireless data connection (ANT+) connection Feedback to medical expert Sensor device (data logger, attached to body) wired data connection (USB) Motion Monitor System Bosch Motion Monitor Concept Activity Monitoring has a high potential (medical & economical) to improve professional health care management, but is still not a standard tool
  6. 6. Different usage of motion capturing devices in the frame of Telemonitoring and Telehealth applications is possible: Motion Monitoring in TeleHealth HCTM/ETE-Wang | 17/06/2010 | © Robert Bosch GmbH 2010. All rights reserved, also regarding any disposal, exploitation, reproduction, editing, distribution, as well as in the event of applications for industrial property rights. <ul><li>Activity monitoring </li></ul><ul><li>Exercise and training assistance </li></ul><ul><li>Behavioural measurement </li></ul><ul><li>Falls and fall risk assessment </li></ul><ul><li>Context : The patient suffers from a disease like COPD, CHF, DM etc. </li></ul><ul><li>Patient lives in domestic environment. </li></ul><ul><li>Precondition : The patient is in chronic condition. Regular or increasing </li></ul><ul><li>physical activity is recommended by the GP. </li></ul><ul><li>Start Criteria: Patient health status is stable or healthy. </li></ul>
  7. 7. Mobile accelerometry monitoring in BOSCH Lab HCTM/ETE-Wang | 17/06/2010 | © Robert Bosch GmbH 2010. All rights reserved, also regarding any disposal, exploitation, reproduction, editing, distribution, as well as in the event of applications for industrial property rights. <ul><li>Status : ~40 different subjects </li></ul><ul><li>collected </li></ul><ul><li>Sensors: 3-D acceleration, </li></ul><ul><li>Gyro, EMG, ECG, </li></ul><ul><li>SpO2 (max.7 sensors) </li></ul><ul><li>Different scenarios to simulate </li></ul><ul><li>various kinds of application </li></ul><ul><li>Know-how from technical and </li></ul><ul><li>clinical use point for motion </li></ul><ul><li>monitoring app. will enable the </li></ul><ul><li>innovative care-management of </li></ul><ul><li>chronic diseases patients </li></ul><ul><li>(COPD, CHF, diabetes, </li></ul><ul><li>hypertension) </li></ul>
  8. 8. Motion Monitoring in Non-TM HCTM/ETE-Wang | 17/06/2010 | © Robert Bosch GmbH 2010. All rights reserved, also regarding any disposal, exploitation, reproduction, editing, distribution, as well as in the event of applications for industrial property rights. <ul><li>Post surgery therapy (e.g. Active4Life) </li></ul><ul><ul><li>Context : The patient recovers from orthopaedic surgery. </li></ul></ul><ul><ul><li>Patient lives in domestic environment. </li></ul></ul><ul><ul><li>Precondition: Operation had taken place. </li></ul></ul><ul><ul><li>Start criteria : Patient health status is discarded from rehabilitation unit. </li></ul></ul><ul><ul><li>Ambulatory rehabilitation should start. </li></ul></ul><ul><ul><li>Usage: Motion Monitor for activity monitoring and gait parameter extraction. </li></ul></ul><ul><ul><li>Optimization of rehabilitation process and qualitatively measurement </li></ul></ul><ul><ul><li>of surgery results. </li></ul></ul><ul><li>Epidemiology </li></ul><ul><ul><li>By epidemiologic research behaviour and / or typical parameters for a defined </li></ul></ul><ul><ul><li>population are evaluated. The calculated statistical data may be input to health </li></ul></ul><ul><ul><li>economic research, baseline for medical treatment evaluation etc. </li></ul></ul><ul><li>Quality assessment in medical services </li></ul>
  9. 9. <ul><li>Activity monitoring: documentation of rehabilitation process </li></ul>MEMBeR Project in Robert BOSCH Krankenhaus (RBK) HCTM/ETE-Wang | 17/06/2010 | © Robert Bosch GmbH 2010. All rights reserved, also regarding any disposal, exploitation, reproduction, editing, distribution, as well as in the event of applications for industrial property rights. <ul><li>Targets : geriatric patients after hip replacement </li></ul><ul><li>or stroke </li></ul><ul><li>Parameters : cumulated walking time or total time </li></ul><ul><li>on feet (in upright position) </li></ul><ul><li>Improvement of used parameters in activity </li></ul><ul><li>monitoring are comparable or better than other </li></ul><ul><li>functional tests (balance in unsupported standing, </li></ul><ul><li>repeated chair rising, gait speed, TUG and 2-min </li></ul><ul><li>walk) </li></ul><ul><li>Big advantage of activity monitoring : no floor or </li></ul><ul><li>ceiling effect in parameters whereas it happens in </li></ul><ul><li>all other functional tests. </li></ul><ul><li>(source: Symposium of MEMBeR Project @ RBK, Aug. 2010) </li></ul>
  10. 10. Q & A HCTM/ETE-Wang | 17/06/2010 | © Robert Bosch GmbH 2010. All rights reserved, also regarding any disposal, exploitation, reproduction, editing, distribution, as well as in the event of applications for industrial property rights. Thank you for your attention! Your questions ?

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