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실시간 생체역학 모니터링을 위한 접근성 높은 원격 재활 시스템

2026년 11월 3일 업데이트: Mississippi State University

상지 재활을 위한 실시간 생체역학적 모니터링 AI 기반 카메라 시스템의 개발 및 임상 검증

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.

연구 개요

상태

아직 모집하지 않음

정황

개입 / 치료

상세 설명

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.

연구 유형

중재적

등록 (추정된)

40

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 연락처

연구 장소

    • Mississippi
      • Jackson, Mississippi, 미국, 39216
        • University of Mississippi Medical Center
        • 연락하다:
      • Starkville, Mississippi, 미국, 39759
        • Mississippi State University
        • 연락하다:
        • 수석 연구원:
          • Soroush Korivand, PhD

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

예

연구 대상 성별

모두

설명

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.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: 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.

활성 비교기: 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.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Accuracy of Camera-Based Joint Torque Estimation
기간: 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
Correlation Between Camera-Based and Clinical Biomechanical Measurements
기간: Baseline assessment session

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

2차 결과 측정

결과 측정
측정값 설명
기간
Grip Strength Improvement
기간: Baseline, 3 weeks, and 6 weeks

Change in hand grip strength measured using a clinical dynamometer during the rehabilitation program.

Baseline, 3 weeks, and 6 weeks
Range of Motion Improvement
기간: Baseline, 3 weeks, and 6 weeks

Change in hand and finger joint range of motion measured using standard clinical goniometry during the rehabilitation period.

Baseline, 3 weeks, and 6 weeks
Functional Recovery Time
기간: Up to 6 weeks

Time required for participants to regain at least 80% of their pre-injury hand function based on clinical functional assessments.

Up to 6 weeks
Patient Adherence to Rehabilitation Exercises
기간: Up to 6 weeks

Participant adherence to prescribed rehabilitation exercises measured by completion rate of assigned therapy sessions during the study period.

Up to 6 weeks

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

협력자

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (추정된)

2026년 12월 1일

기본 완료 (추정된)

2027년 9월 14일

연구 완료 (추정된)

2027년 9월 14일

연구 등록 날짜

최초 제출

2026년 3월 5일

QC 기준을 충족하는 최초 제출

2026년 3월 19일

처음 게시됨 (실제)

2026년 3월 25일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 11월 6일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 11월 3일

마지막으로 확인됨

2026년 11월 1일

추가 정보

이 연구와 관련된 용어

기타 연구 ID 번호

  • MSU-UMMC-TELE-REHAB-001
  • U54GM115428 (미국 NIH 보조금/계약)

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

미정

IPD 계획 설명

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.

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

아니

미국 FDA 규제 기기 제품 연구

아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .