mobiREH - Remote Rehabilitation System


Every fourth adult in the European Union requires rehabilitation. With the eldering society this number is constantly growing. The access to medical care is uneven for different countries. The main problem for the healthcare system is the insufficient number of medical specialists. Consequently, the waiting time for rehabilitation increases significantly. In Poland the average waiting time for rehabilitation services is 130 days! Therefore, remote healthcare is one of the fastest growing fields in medical healthcare.

Mobile rehabilitation currently covers less than 0.6% of the telemedical market. Nevertheless, this segment is prognosed to be the fastest growing element of the telemedical market in the next 3-5 years. It provides the patients with safety of rehabilitation, constant remote control and the supervision of the medical specialist, as well as an increased motivation to exercise. It allows medical doctors and physiotherapists to supervise the patient at the distance, to monitor the progress of rehabilitation, and to supervise large number of patients simultaneously, as well as it allows for the reduction of the cost of work and optimisation of the time of work.


mobiREH is a remote rehabilitation system allowing patients to exercise at the home settings, being at the same time under strict supervision of a medical specialist.


This project was created by the group of medical doctors, physiotherapists, programmers and engineers in 2014. In 2015 we established a company named mReh (with capital investment of 260 000 PLN) for the purpose of performing mobiReh project. During this time, in collaboration with The University of Physical Education in Kraków, Jagiellonian University Medical College, and AGH University of Science and Technology, we have developed 3 versions of prototypes of the wearable sensors for the knee joint, programmed the software (www platform, mobile applications, editor for creating exercises) and we have tested the mobiReh system.


mobiREH


mobiREH system consists of (1) wearable sensors for remote rehabilitation of the patient, (2) dedicated mobile application, and (3) web-based platform for medical specialists.


1. WEARABLE SENSORS


Wearable sensors monitor the correctness of the performed exercises. Currently we dispose of sensors for rehabilitation of the knee joint. We have used the existing technologies and combined them with our own mathematical algorithms.





Figure 1. Wearable sensors.



2. MOBILE APP FOR THE PATIENT


The application for the Android operating system presents the patient with individualised sets of exercises, and thanks to combining it with wearable sensors it verifies the correctness of the performed exercises in real time. It allows for the monitoring by the physiotherapists and for direct contact.





Figure 2. Mobile application.



3. WEB PLATFORM


Web platform allows the physiotherapist to plan individualised sets of exercises. Additionally thanks to the full analysis of the collected medical data (from the wearable sensor), it allows for monitoring of the progress and the entire process of the rehabilitation of the patient. As both patient and physiotherapist have access to the platform, it is a tool for contact between the medical specialist and the patient.





Figure 3. Exercise editor.



MobiReh increases the safety and availability of rehabilitation. Our system allows for complex care over the patient and increases patient’s motivation for performing exercises. The system assures a continuous care of the physiotherapists, even when the patient is at home. At the same time, the system provides the physiotherapist with complete medical data from the rehabilitation process and allows for a constant contact with the patient. We are offering a set of tools to support rehabilitation at the distance.




Links to references:



Publications:

Gawronska, A., Zurek-Biesiada, D., Rozkocha, S., Golec, J., Czechowska, D., & Maslon, A. (2017). Two Years of Experience in Implementation of the mobiREH Remote Rehabilitation System Supporting Patients and Physiotherapists. Journal of the International Society for Telemedicine and EHealth, 5, (GKR);e23:(1-4) (link)