Page 165 - ITU Kaleidoscope 2016

ICTs for a Sustainable World

Improves Upper Extremity Function in Patients With Stroke,”
6. CONCLUSION IEEE, Transactions on neural system and rehabilitation
engineering, vol. 15, no. 1, pp. 36-42, 2007.
We developed a tele-rehabilitation system that enables a [6] Craig R. Carignan and Hermano I. Krebs, “Telerehabilitation
video call center operator to coach a patient in place of a robotics: Bright lights, big future?,” JRRD vol. 43, no. 5, pp.
695–710, 2006.
physiotherapist and a physiotherapist to supervise multiple [7] D.A. Bradley et al., “Nexos: Remote Rehabilitation Using an
operators. We believe the proposed system will help to Intelligent Exoskeleton,” Gerontechnology Vol. 3, No. 4, pp.
suppress the increase of medical expenses and make up for 71-80, 2005.
the shortage of young medical professions caused by low [8] Juan Enrique Garrido, Irma Marset, Victor M. R. Penichet, and
birthrates and rapidly aging populations. Maria D. Lozano, “Balance Disorder Rehabilitation through
However, there are several problems to putting TRS on Movement Interaction,” IEEE, 7th International Conference on
the market. Pervasive Computing Technologies for Healthcare and
 For healthcare insurance to cover it, TRS has to be Workshops, 2013.
approved by the government department in charge [9] Shih-Ching Yeh et al., “A study for the application of body
of healthcare. sensing in assisted rehabilitation training,” IEEE, 2012
International Symposium on Computer, Consumer and Control,
 The national healthcare insurance in Japan covers 2012.
only face-to-face rehabilitation, not tele- [10] Belinda Lange et al., “Interactive Game-Based Rehabilitation
rehabilitation. Thus, TRS will need to be licensed Using the Microsoft Kinect,” IEEE, Virtual Reality 2012,
for the national healthcare insurance to cover it. 2012.
 If a license cannot be obtained, a new business [11] Marientina Gotsis et al., “Mixed Reality Game Prototypes for
model will be needed for business operators to Upper Body Exercise and Rehabilitation,” IEEE, Virtual
Reality 2012, 2012.
continue this business. [12] WebRTC,
 Criteria for evaluation are needed to maintain http://www.webrtc.org/, [retrieved: October, 2016].
service quality. At the very least, criteria an [13] SkyWay,
operator has to learn are needed https://nttcom.github.io/skyway/en/index.html,
[retrieved: October, 2016].
Technically, we think TRS is a platform system for the
tele-rehabilitation service. Therefore, many kinds of training
contents or tools will be connected to TRS in a future. To
connect such tools to TRS, standard protocols will be
needed. We also think an operator has to speak a certain
way to patients to improve their morale and to motivate
them to continue rehabilitation. We plan to develop a
function for evaluating emotions an operator expresses
while speaking.
Because we have not found any partners to evaluate our
system, we will continue looking for evaluation partners.

REFERENCES

[1] Kotaro Suzuki, Yoshitoshi Murata, and Kazuhiro Yoshida,
“Remote Rehabilitation System for Cerebrovascular Patients
Combined with Video Call Center,” IARIA, International
Journal on Advances in Life Sciences, vol. 7 no 3 & 4, pp. 132
– 1442015, 2015.
[2] Investigation into the current state of rehabilitative care,
Ministry of Health, Labor and Welfare,
http://www.mhlw.go.jp/shingi/2007/11/dl/s1128-14h.pdf
(in Japanese), [retrieved: October, 2016].
[3] Meet Kinect for Windows,
https://developer.microsoft.com/en.-us/windows/kinect,
[retrieved: October, 2016].
[4] David M. Brennan, Sue Mawson, and Simon Brownsell,
“Telerehabilitation: Enabling the Remote Delivery of
Healthcare, Rehabilitation, and Self Management,” IOS Press,
Advanced Technologies in Rehabilitation, 2009.
[5] Maureen K. Holden, Thomas A. Dyar, and Lilian Dayan-
Cimadoro, “Telerehabilitation Using a Virtual Environment

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