Sistema de Rehabilitación Remota Accesible para el Monitoreo Biomecánico en Tiempo Real
Desarrollo y Validación Clínica de un Sistema de Cámara Basado en IA para el Monitoreo Biomecánico en Tiempo Real en la Rehabilitación del Miembro Superior
This study evaluates a novel camera-based system designed to support remote rehabilitation by measuring hand and upper-limb biomechanics in real time. Many patients recovering from musculoskeletal or neurological conditions require frequent monitoring during rehabilitation, but regular clinic visits may be difficult due to distance, cost, or limited access to specialized care. Current telehealth approaches typically rely on qualitative assessments or self-reported feedback rather than objective biomechanical measurements.
The purpose of this study is to determine whether a computer vision-based system can accurately estimate biomechanical parameters such as joint angles, range of motion, muscle force, and joint torque using only a standard camera. The system analyzes hand movement using artificial intelligence and biomechanical modeling to provide real-time measurements during rehabilitation exercises.
Participants will perform guided hand-movement tasks while the system records video and extracts anatomical landmarks. These data will be used to compute biomechanical parameters and assess whether the system can reliably monitor rehabilitation progress remotely. The results will help determine whether this technology can provide clinicians with objective, continuous data to support personalized rehabilitation and improve patient outcomes.
Descripción general del estudio
Estado
Intervención / Tratamiento
Descripción detallada
This study aims to develop and validate a camera-based tele-rehabilitation platform capable of estimating biomechanical parameters of the human hand and upper limb in real time. Musculoskeletal and neurological conditions often require continuous monitoring during rehabilitation, yet many patients-particularly those in rural or underserved regions-have limited access to frequent in-person therapy sessions. Existing telehealth systems primarily rely on subjective reporting or periodic video consultations and often lack quantitative biomechanical measurements necessary for precise monitoring of recovery.
The objective of this research is to evaluate whether computer vision and biomechanical modeling can provide accurate, quantitative measurements of joint motion and force using a single camera. The central hypothesis is that artificial intelligence algorithms can detect anatomical landmarks of the hand from video data and combine them with mechanical modeling techniques to estimate joint angles, torques, and muscle forces in real time. Continuous biomechanical tracking may allow clinicians to better monitor rehabilitation progress and make timely adjustments to therapy protocols.
Participants will perform standardized hand-movement exercises while video data are captured using a consumer-grade camera such as a smartphone or laptop camera. Computer vision algorithms will identify hand landmarks and calculate joint kinematics. These measurements will then be integrated with inverse dynamics modeling to estimate biomechanical parameters including joint torque, range of motion, and force generation.
The study will evaluate the reliability and validity of the proposed system by comparing the computed biomechanical measurements with established biomechanical models and reference datasets. Key outcomes include the accuracy of landmark detection, reliability of biomechanical parameter estimation, and feasibility of remote monitoring during rehabilitation exercises.
Successful completion of this study will demonstrate the feasibility of a low-cost, accessible tele-rehabilitation platform capable of delivering objective biomechanical feedback to clinicians and patients. This approach has the potential to improve access to rehabilitation services, enhance patient engagement, and support data-driven clinical decision-making in remote healthcare settings.
Tipo de estudio
Inscripción (Estimado)
Fase
- No aplica
Contactos y Ubicaciones
Estudio Contacto
- Nombre: Soroush Korivand, PhD
- Número de teléfono: 662-325-9154
- Correo electrónico: skorivand@me.msstate.edu
Ubicaciones de estudio
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Mississippi
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Jackson, Mississippi, Estados Unidos, 39216
- University of Mississippi Medical Center
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Contacto:
- Marc Walker, MD
- Correo electrónico: mwalker6@umc.edu
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Starkville, Mississippi, Estados Unidos, 39759
- Mississippi State University
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Contacto:
- Soroush Korivand, PhD
- Número de teléfono: 662-325-9154
- Correo electrónico: skorivand@me.msstate.edu
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Investigador principal:
- Soroush Korivand, PhD
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Adults aged 18 years or older.
- Individuals undergoing or recovering from upper-limb or hand rehabilitation following musculoskeletal or neurological injury or surgery.
- Ability to perform basic hand or upper-limb movement tasks required for the rehabilitation exercises.
- Ability to understand study instructions and provide informed consent.
Exclusion Criteria:
- Severe cognitive impairment preventing understanding of study procedures.
- Medical conditions that prevent safe participation in hand or upper-limb rehabilitation exercises.
- Severe visual impairment preventing interaction with the camera-based monitoring system.
- Participation in another interventional study that could affect rehabilitation outcomes.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Experimental: Camera-Based Biomechanical Monitoring (Intervention)
Participants perform standardized hand/upper-limb rehabilitation exercises while an AI-based camera system estimates joint torque, muscle force, and range of motion in real time. Clinicians may use the biomechanical feedback to guide rehabilitation adjustments over the 6-week study period. |
A single-camera, computer vision and inverse-dynamics modeling system that estimates biomechanical parameters (joint torque, muscle force, and range of motion) from video-based hand landmark tracking during rehabilitation exercises. |
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Comparador activo: Standard Telehealth Rehabilitation (Control)
Participants receive standard telehealth rehabilitation with periodic/weekly check-ins and usual care guidance. No real-time camera-based biomechanical monitoring feedback is provided. |
Participants perform standard rehabilitation exercises and receive routine telehealth follow-up with clinicians according to usual care practices. No camera-based biomechanical monitoring system is used during the rehabilitation process. |
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Accuracy of Camera-Based Joint Torque Estimation
Periodo de tiempo: Baseline assessment session
|
Accuracy of the AI-based camera system in estimating joint torque during rehabilitation exercises compared with gold-standard dynamometer measurements. Accuracy will be evaluated using mean absolute percentage error (MAPE) between estimated torque values and reference dynamometer readings. |
Baseline assessment session
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Correlation Between Camera-Based and Clinical Biomechanical Measurements
Periodo de tiempo: Baseline assessment session
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Agreement between biomechanical parameters estimated by the camera-based system and reference clinical measurements. Pearson correlation coefficients and Bland-Altman analysis will be used to evaluate agreement between estimated joint torque and gold-standard measurements. |
Baseline assessment session
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Grip Strength Improvement
Periodo de tiempo: Baseline, 3 weeks, and 6 weeks
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Change in hand grip strength measured using a clinical dynamometer during the rehabilitation program. |
Baseline, 3 weeks, and 6 weeks
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Range of Motion Improvement
Periodo de tiempo: Baseline, 3 weeks, and 6 weeks
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Change in hand and finger joint range of motion measured using standard clinical goniometry during the rehabilitation period. |
Baseline, 3 weeks, and 6 weeks
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Functional Recovery Time
Periodo de tiempo: Up to 6 weeks
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Time required for participants to regain at least 80% of their pre-injury hand function based on clinical functional assessments. |
Up to 6 weeks
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Patient Adherence to Rehabilitation Exercises
Periodo de tiempo: Up to 6 weeks
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Participant adherence to prescribed rehabilitation exercises measured by completion rate of assigned therapy sessions during the study period. |
Up to 6 weeks
|
Colaboradores e Investigadores
Patrocinador
Colaboradores
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Estimado)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Otros números de identificación del estudio
- MSU-UMMC-TELE-REHAB-001
- U54GM115428 (Subvención/contrato del NIH de EE. UU.)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
De-identified individual participant data (IPD) from this study may be shared upon reasonable request following study completion. Data to be shared include derived biomechanical parameters (e.g., joint torque, range of motion), summary performance metrics, and associated metadata necessary for interpretation.
Raw video data will not be shared due to potential identifiability concerns. All shared data will be de-identified in accordance with institutional policies and IRB requirements.
Access will be provided to qualified researchers upon approval of a data use agreement and for purposes consistent with the original study objectives.
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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