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Luxi Chen
Luxi Chen

The InnoMotion system is a web-based rehabilitation system that allows patients to do therapy exercises at home and track their progress away from the clinic. It uses gesture, voice and touch interactions through a Leap Motion device. Patients can do assigned therapy exercises, receive feedback during exercises, and review their rehabilitation progress over time. Therapists can assign exercises, review patient progress, and provide feedback and instruction to patients. The system aims to help patients recover and gain self-awareness of their body away from the clinic.

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InnoMotion A Web-based Rehabilitation System Helping Patients Recover and Gain Self-awareness of Their Body Away from the Clinic Project website: http://chi-goloko-team.wix.com/innomotion CHI Student Design Competition 2014 Luxi Chen, Ni Yan, Miranda Kiang, Anna Muth, Kruthi Sabnis Krishna School of Information, University of Michigan
InnoMotion Overview Patient Therapist Do exercise Review therapy progress Homepage Review patients progress Provide instruction Exercise & Progress Patients Progress
InnoMotion Overview 1. Rich interactions through gesture, voice and touch
InnoMotion Overview 2. Practice Therapy Exercise Instant Feedback During Exercise Click and Change Assignment See Todays Progress Instruction Video To See Correct Gesture
InnoMotion Overview 3. Track Rehabilitation Progress Overview Progress Benefits from Progress
InnoMotion Overview 4. Get Exercise Instructions Receive Feedback From Therapist Receive Feedback From InnoMotion System
Process Definition Design Problem Definition Problem Scoping Evaluation Ideation Sketches Storyboards User Testing (Med-Fi) User Testing (Hi-Fi) Research Prototype User Interview Affinity Wall Building Conceptual Mapping Persona and Scenario Wireframe Med-Fi Prototype Hi-Fi Prototype
Research Interview 5 patients 1 physical therapist 1 occupational therapist student 2 professors 5 patients, 1 physical therapist, 1 occupational therapist student and 2 professors were interviewed. We concentrated on understanding the therapy process, the challenges faced while patients practiced therapy at home and the kind of communication that the patients have with the therapist. All the data collected was analyzed by building an affinity wall.
Affinity Wall Video: https://www.youtube.com/watch?v=ioqjVUBE1uc
Findings from Affinity Wall 1. Is not motivated by virtual prizes Motivation 2. Wants meaningful rewards to keep him/ her motivated 3. Pretty painful procedure to stay motivated 1. Worried about doing exercise right at home 2. Needs continuous feedback from the therapists which costs a lot of money 3. Does not want to share the exercise details with anyone other than therapist Progress Tracking Quality of Exercise 1. Cares about milestone progressing. 2. Tries to reach the end goal as soon as possible. 3. Needs a reality check at all times. 1. Needs a way to track patients progress data. 2. Doesnt want to have overloaded documentations 3. Needs a better way to teach the exercise to the patient remotely. Therapy View
Selected Personas Age: 32 Gender: Male Occupation: Business Executive Income: $200,000 a year Family status: Single (and lovin it) Technical proficiency: 4 (Very good) Length of rehab: Long term (>1 year) The Patient Insurance: 30 PT visits per year Motivation level: 2 (Below average) Self-train at home: 2 - 3 (Unlikely - neutral) Frequency of self-training: 2 (Unlikely) Other caretakers involved: None Find other patients like him: No Share story and interact with others: No Liam the Business Executive Personality/description: Liam is an ambitious young business executive who is very goal-oriented. He lives an active life and is always I make goals come to doing something - whether it is a side-venture or attending a social event. He is also an avid outdoorsman, and fruition. loves partaking in outdoor activities. Though he is smart, driven and hard-working, sometimes Liam expects everything to go his way. Having been very successful in his life/career, he is not used to major setbacks. He is currently enjoying living as a well-to-do young bachelor. Injury scenario: Liam loves rock-climbing and has of late picked up bouldering. While on a bouldering trip to Australia, Liam found himself at the edge of a precipice, hanging for his life. He had tried to use his right hand to reach up and grab a jutting ledge, but the rock on the ledge broke and instead deeply cut into his palm, rupturing his degenerative flexor tendon. Luckily, his friends were able to pull him up. However, he now has a serious tendon injury in his right hand. After undergoing a successful surgery, Liam now faces the challenge of regaining regular movement in his right hand and has to pretty much relearn all of his fine motor skills. Image Credits: http://us.123rf.com/400wm/400/400/nyul/nyul0911/nyul091101045/5983126-casual-businessman-talking-on-mobile-ph one-isolated-on-white.jpg
Selected Personas Age: 29 Gender: Female Occupation: Occupational Therapist Specialization: Hands and upper limbs Technical proficiency: 4 (Very good) Job Level: Seasoned therapist The Therapist Motivation to learn tech: 4 (Good) Other teammates: Supervisor and three other therapists on team Number of patients: 15-20 Interact with patients online: Yes Network with other professionals: Yes Access to patient data online: Yes Jenny the Therapist Persevere and you will see results. Personality/description: Jenny loves helping people - which is what led her to study therapy in the first place. Growing up, her father had lost his left hand in a logging accident. She saw how diffi- cult it was for him to do his daily tasks because he lost his left hand. Despite this diffi- cult adjustment, her dad managed to overcome his disability and ended up switching careers to become a successful businessman. Inspired by her fathers story, Jenny hopes to be able to motivate and help others cope and get their lives back on track. She is very optimistic, understanding, encouraging and empathethic. Injury scenario: Jenny, on average, sees about 15-20 different patients at one time. More often than not, many are returning patients. The clinic she is working at is expanding, but has a shortage of therapists. Everyone is expected to take on at least 5 more patients. Given this mandate, Jenny has to be as efficient as she can be, while still providing the best care. She wants to see her patients get better and adapt healthily, but often notices the inefficient appointment system her office uses. Many times a patient would be given home exercises to practice, but come in for the next appointment not ready to move on. This wastes their insurance therapy allotment, while not allowing them to progress and gain independence as soon as they can. Jenny is hoping there is a system out there that can help. Image Credits: http://static.facegfx.com/2013/sweet-smiling-female-doctor-image-download_247526736.jpg
In the initial stages, the findings from the affinity wall were mapped to the different features the application should have and a conceptual map was built. Each of the team members sketched out several different ideas using this conceptual map. Ideation Conceptual Mapping
Ideation Sketches The idea of building the real world experience into the application originated during these sketching and design brainstorm sessions.
Ideation Design Brainstroming We drew a number of sketches around the idea of data visualization and patient and therapist portal.
Exercise Music 1 Exercise Senario (Music) 3 2 4 After brainstorming for various designs for the exercises, we decided that all the exercises should be built around a common topic such as music, sports etc.
Exercise Music We choose music as our exercise design topic. Exercise Demo Exercise Design Demo: http://vimeo.com/83521662 Each exercise is a music game with notes and scores.
Sitemap The collective set of scenarios and features were mapped onto a user work flow model as shown.
Liam's hand surgeon and doctor refer him to a therapist for physical therapy. The therapist makes the decision that Liam needs to do exercises involving grasping and wrist rotation. She asks Liam to do exercises three times a day and estimates his two-week progress. When Liam goes back and starts exercises at home, the system already has an account and exercise plan set up for him. Scenario 1
Wireframe (Scenario 1: Therapist sets up for a new patient) Therapist creates a new patient profile. Therapist assigns particular exercises to the patient with estimated therapy time, frequency, and estimated next meeting time. Therapist completes profile and sends invitation to patients email.
Now Liam has set up the in-home/portable system and is ready to begin! After practicing diligently, Liam has reached his first goal/checkpoint! Our system notifies his therapist for approval to continue to the next exercise/goal. Liams therapist sees the notification, looks at his progress and approves for him to move on. Scenario 2
Wireframe (Scenario 2: Patient practises exercise) Patient chooses the exercise and practices; the system dynamically shows the exercise data which he can send to the therapist for verification.
Now that Liam knows he is doing the exercises right, he goes ahead with exercises. The system provides him encouraging words to keep continuing. The therapist can set up a meeting if the patient needs new exercises or any consultation/guidance. Scenario 3
The system detects the patient has reached the first checkpoint and displays his progress and explains what he can do to start leading a normal life like he used to before the injury. The system notifies patients that the system has sent a notification to the therapist with information about a patients progress, and requests permission for patient to move onto next exercises. Wireframe (Scenario 3: Patient tracks progress)
Another month has now passed, and Liam is getting frustrated that he hasnt reached his next checkpoint. He thinks he is doing well, and performing all the exercises correctly, but he is far from his next goal. He begins to get bored and loses motivation. Scenario 4
When the patient stops working out because of lack of motivation, the system alerts the therapist. The therapist can set an appointment to motivate the patient or send in words of encouragement. Wireframe (Scenario 4: Therapist manages patients)
His therapist receives notification that Liam is not exercising very frequently. She checks Liams current progress and sends an encouraging e-mail to Liam. Liam also receives an encouraging e-mail from his caregiver who receives notification that he didnt complete the tasks frequently. Liam sees these messages, and decides to continue his exercises. He is again motivated and ready to work hard to regain full control of his hand. Scenario 5
Patient receives alert and motivation email from our system, caregiver and therapist. InnoMotion system will try to motivate patient from different perspectives including listing benefits of continuing exercise, other patients successful case and also listing potential loss of giving up exercise...etc. Wireframe (Scenario 5: Patient is motivated to do exercises)
Med-Fi Prototype Patient Portal Interaction Demo: http://www.youtube.com/watch?v=xj75V19zdHo
Med-Fi Prototype Therapist Portal Interaction Demo: http://www.youtube.com/watch?v=A87GENYXS10
Design Evaluation For Med-Fi Prototype We performed usability tests using medium fi prototype with two patients and one therapist and we used the learnings from these tests to improve our high fidelity prototype
Design Evaluation For Med-Fi Prototype Pre-test questionnaires and post-test questionnaires gave us an idea of the features that the users like/ dislike.
Learning from Evaluation For Med-Fi Prototype Patient 1 : There is a problem understanding exercise instructions. It will be helpful to have images involved in instruction. Patient 1 Patient 1: There is no feedback on the quality of the movement during the exercise. I wish numbers would change while I do the exercise. Patient 2: It is hard to click buttons because of the injury. So it would be better to have less buttons and have more hand gestures and voice command or other possible controls for Leap Motion. Patient 2: Bar charts are boring. Users wanted to understand the exercise data and wants to see more realistic targets, more than just a doorknob. Therapist 1 Therapist 1: Want some additional space for notes on the exercises to give to patients. Patient 2
Hi-Fi Prototype Prototype Link: http://anniedream.com/InnoMotion/ Demonstration Video Link: http://chi-goloko-team.wix.com/innomotion Note: There is a difference between original interface with implemented Hi-Fi prototype
Design Evaluation For Hi-Fi Prototype In the high fidelity prototype, 1. Added a feature for the data to update dynamically while the patient performs exercises 2. Changed the instruction format 3. Added innovative exercise designs to keep the patients motivated We performed the second round of user testing with 3 patients and 2 therapists.
Learning from Evaluation For Hi-Fi Prototype P1 Patient 1: I like that I can receive messages from my therapists; that way I know I am doing the exercise right or wrong. P2 Patient 2: Real world target visualization tells me when I can actually start doing my work like I used to. That is very helpful, It keeps me motivated. P3 Patient 3: I want to be able to compare my performance against others with my condition so that I can be more motivated to complete the therapy, so I like that feature a lot. Therapist 1: Likes recommended exercises. Encourages patients to work extra hard. T1 Therapist 2: I think this is a great idea and can be used to help more people do exercises easily. T2
Design Inspiration MiChart S H Brown University of Michigan Health systems clinic data management portal Remote monitoring and quantification of upper limb and hand function in chronic disability conditions Image Credits: www.med.umich.edu www.businessinsider.com http://play2learn2play.com Leap Motion Depth Sensing Camera Play2Learn2Play
Future Work Influence Health System Patients loved the idea of the application. Say if this was to be mass produced, the ideal situation would be that the therapists provide the patient with the Leap Motion device and the web application can be easily downloaded by any patient. Explore Technology Limitation This application idea can be extended to other technologies, like Wii, so that we can extend the impact of the application to other body parts as well.

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Supplymenterial material3

  • 1. InnoMotion A Web-based Rehabilitation System Helping Patients Recover and Gain Self-awareness of Their Body Away from the Clinic Project website: http://chi-goloko-team.wix.com/innomotion CHI Student Design Competition 2014 Luxi Chen, Ni Yan, Miranda Kiang, Anna Muth, Kruthi Sabnis Krishna School of Information, University of Michigan
  • 2. InnoMotion Overview Patient Therapist Do exercise Review therapy progress Homepage Review patients progress Provide instruction Exercise & Progress Patients Progress
  • 3. InnoMotion Overview 1. Rich interactions through gesture, voice and touch
  • 4. InnoMotion Overview 2. Practice Therapy Exercise Instant Feedback During Exercise Click and Change Assignment See Todays Progress Instruction Video To See Correct Gesture
  • 5. InnoMotion Overview 3. Track Rehabilitation Progress Overview Progress Benefits from Progress
  • 6. InnoMotion Overview 4. Get Exercise Instructions Receive Feedback From Therapist Receive Feedback From InnoMotion System
  • 7. Process Definition Design Problem Definition Problem Scoping Evaluation Ideation Sketches Storyboards User Testing (Med-Fi) User Testing (Hi-Fi) Research Prototype User Interview Affinity Wall Building Conceptual Mapping Persona and Scenario Wireframe Med-Fi Prototype Hi-Fi Prototype
  • 8. Research Interview 5 patients 1 physical therapist 1 occupational therapist student 2 professors 5 patients, 1 physical therapist, 1 occupational therapist student and 2 professors were interviewed. We concentrated on understanding the therapy process, the challenges faced while patients practiced therapy at home and the kind of communication that the patients have with the therapist. All the data collected was analyzed by building an affinity wall.
  • 10. Findings from Affinity Wall 1. Is not motivated by virtual prizes Motivation 2. Wants meaningful rewards to keep him/ her motivated 3. Pretty painful procedure to stay motivated 1. Worried about doing exercise right at home 2. Needs continuous feedback from the therapists which costs a lot of money 3. Does not want to share the exercise details with anyone other than therapist Progress Tracking Quality of Exercise 1. Cares about milestone progressing. 2. Tries to reach the end goal as soon as possible. 3. Needs a reality check at all times. 1. Needs a way to track patients progress data. 2. Doesnt want to have overloaded documentations 3. Needs a better way to teach the exercise to the patient remotely. Therapy View
  • 11. Selected Personas Age: 32 Gender: Male Occupation: Business Executive Income: $200,000 a year Family status: Single (and lovin it) Technical proficiency: 4 (Very good) Length of rehab: Long term (>1 year) The Patient Insurance: 30 PT visits per year Motivation level: 2 (Below average) Self-train at home: 2 - 3 (Unlikely - neutral) Frequency of self-training: 2 (Unlikely) Other caretakers involved: None Find other patients like him: No Share story and interact with others: No Liam the Business Executive Personality/description: Liam is an ambitious young business executive who is very goal-oriented. He lives an active life and is always I make goals come to doing something - whether it is a side-venture or attending a social event. He is also an avid outdoorsman, and fruition. loves partaking in outdoor activities. Though he is smart, driven and hard-working, sometimes Liam expects everything to go his way. Having been very successful in his life/career, he is not used to major setbacks. He is currently enjoying living as a well-to-do young bachelor. Injury scenario: Liam loves rock-climbing and has of late picked up bouldering. While on a bouldering trip to Australia, Liam found himself at the edge of a precipice, hanging for his life. He had tried to use his right hand to reach up and grab a jutting ledge, but the rock on the ledge broke and instead deeply cut into his palm, rupturing his degenerative flexor tendon. Luckily, his friends were able to pull him up. However, he now has a serious tendon injury in his right hand. After undergoing a successful surgery, Liam now faces the challenge of regaining regular movement in his right hand and has to pretty much relearn all of his fine motor skills. Image Credits: http://us.123rf.com/400wm/400/400/nyul/nyul0911/nyul091101045/5983126-casual-businessman-talking-on-mobile-ph one-isolated-on-white.jpg
  • 12. Selected Personas Age: 29 Gender: Female Occupation: Occupational Therapist Specialization: Hands and upper limbs Technical proficiency: 4 (Very good) Job Level: Seasoned therapist The Therapist Motivation to learn tech: 4 (Good) Other teammates: Supervisor and three other therapists on team Number of patients: 15-20 Interact with patients online: Yes Network with other professionals: Yes Access to patient data online: Yes Jenny the Therapist Persevere and you will see results. Personality/description: Jenny loves helping people - which is what led her to study therapy in the first place. Growing up, her father had lost his left hand in a logging accident. She saw how diffi- cult it was for him to do his daily tasks because he lost his left hand. Despite this diffi- cult adjustment, her dad managed to overcome his disability and ended up switching careers to become a successful businessman. Inspired by her fathers story, Jenny hopes to be able to motivate and help others cope and get their lives back on track. She is very optimistic, understanding, encouraging and empathethic. Injury scenario: Jenny, on average, sees about 15-20 different patients at one time. More often than not, many are returning patients. The clinic she is working at is expanding, but has a shortage of therapists. Everyone is expected to take on at least 5 more patients. Given this mandate, Jenny has to be as efficient as she can be, while still providing the best care. She wants to see her patients get better and adapt healthily, but often notices the inefficient appointment system her office uses. Many times a patient would be given home exercises to practice, but come in for the next appointment not ready to move on. This wastes their insurance therapy allotment, while not allowing them to progress and gain independence as soon as they can. Jenny is hoping there is a system out there that can help. Image Credits: http://static.facegfx.com/2013/sweet-smiling-female-doctor-image-download_247526736.jpg
  • 13. In the initial stages, the findings from the affinity wall were mapped to the different features the application should have and a conceptual map was built. Each of the team members sketched out several different ideas using this conceptual map. Ideation Conceptual Mapping
  • 14. Ideation Sketches The idea of building the real world experience into the application originated during these sketching and design brainstorm sessions.
  • 15. Ideation Design Brainstroming We drew a number of sketches around the idea of data visualization and patient and therapist portal.
  • 16. Exercise Music 1 Exercise Senario (Music) 3 2 4 After brainstorming for various designs for the exercises, we decided that all the exercises should be built around a common topic such as music, sports etc.
  • 17. Exercise Music We choose music as our exercise design topic. Exercise Demo Exercise Design Demo: http://vimeo.com/83521662 Each exercise is a music game with notes and scores.
  • 18. Sitemap The collective set of scenarios and features were mapped onto a user work flow model as shown.
  • 19. Liam's hand surgeon and doctor refer him to a therapist for physical therapy. The therapist makes the decision that Liam needs to do exercises involving grasping and wrist rotation. She asks Liam to do exercises three times a day and estimates his two-week progress. When Liam goes back and starts exercises at home, the system already has an account and exercise plan set up for him. Scenario 1
  • 20. Wireframe (Scenario 1: Therapist sets up for a new patient) Therapist creates a new patient profile. Therapist assigns particular exercises to the patient with estimated therapy time, frequency, and estimated next meeting time. Therapist completes profile and sends invitation to patients email.
  • 21. Now Liam has set up the in-home/portable system and is ready to begin! After practicing diligently, Liam has reached his first goal/checkpoint! Our system notifies his therapist for approval to continue to the next exercise/goal. Liams therapist sees the notification, looks at his progress and approves for him to move on. Scenario 2
  • 22. Wireframe (Scenario 2: Patient practises exercise) Patient chooses the exercise and practices; the system dynamically shows the exercise data which he can send to the therapist for verification.
  • 23. Now that Liam knows he is doing the exercises right, he goes ahead with exercises. The system provides him encouraging words to keep continuing. The therapist can set up a meeting if the patient needs new exercises or any consultation/guidance. Scenario 3
  • 24. The system detects the patient has reached the first checkpoint and displays his progress and explains what he can do to start leading a normal life like he used to before the injury. The system notifies patients that the system has sent a notification to the therapist with information about a patients progress, and requests permission for patient to move onto next exercises. Wireframe (Scenario 3: Patient tracks progress)
  • 25. Another month has now passed, and Liam is getting frustrated that he hasnt reached his next checkpoint. He thinks he is doing well, and performing all the exercises correctly, but he is far from his next goal. He begins to get bored and loses motivation. Scenario 4
  • 26. When the patient stops working out because of lack of motivation, the system alerts the therapist. The therapist can set an appointment to motivate the patient or send in words of encouragement. Wireframe (Scenario 4: Therapist manages patients)
  • 27. His therapist receives notification that Liam is not exercising very frequently. She checks Liams current progress and sends an encouraging e-mail to Liam. Liam also receives an encouraging e-mail from his caregiver who receives notification that he didnt complete the tasks frequently. Liam sees these messages, and decides to continue his exercises. He is again motivated and ready to work hard to regain full control of his hand. Scenario 5
  • 28. Patient receives alert and motivation email from our system, caregiver and therapist. InnoMotion system will try to motivate patient from different perspectives including listing benefits of continuing exercise, other patients successful case and also listing potential loss of giving up exercise...etc. Wireframe (Scenario 5: Patient is motivated to do exercises)
  • 29. Med-Fi Prototype Patient Portal Interaction Demo: http://www.youtube.com/watch?v=xj75V19zdHo
  • 30. Med-Fi Prototype Therapist Portal Interaction Demo: http://www.youtube.com/watch?v=A87GENYXS10
  • 31. Design Evaluation For Med-Fi Prototype We performed usability tests using medium fi prototype with two patients and one therapist and we used the learnings from these tests to improve our high fidelity prototype
  • 32. Design Evaluation For Med-Fi Prototype Pre-test questionnaires and post-test questionnaires gave us an idea of the features that the users like/ dislike.
  • 33. Learning from Evaluation For Med-Fi Prototype Patient 1 : There is a problem understanding exercise instructions. It will be helpful to have images involved in instruction. Patient 1 Patient 1: There is no feedback on the quality of the movement during the exercise. I wish numbers would change while I do the exercise. Patient 2: It is hard to click buttons because of the injury. So it would be better to have less buttons and have more hand gestures and voice command or other possible controls for Leap Motion. Patient 2: Bar charts are boring. Users wanted to understand the exercise data and wants to see more realistic targets, more than just a doorknob. Therapist 1 Therapist 1: Want some additional space for notes on the exercises to give to patients. Patient 2
  • 34. Hi-Fi Prototype Prototype Link: http://anniedream.com/InnoMotion/ Demonstration Video Link: http://chi-goloko-team.wix.com/innomotion Note: There is a difference between original interface with implemented Hi-Fi prototype
  • 35. Design Evaluation For Hi-Fi Prototype In the high fidelity prototype, 1. Added a feature for the data to update dynamically while the patient performs exercises 2. Changed the instruction format 3. Added innovative exercise designs to keep the patients motivated We performed the second round of user testing with 3 patients and 2 therapists.
  • 36. Learning from Evaluation For Hi-Fi Prototype P1 Patient 1: I like that I can receive messages from my therapists; that way I know I am doing the exercise right or wrong. P2 Patient 2: Real world target visualization tells me when I can actually start doing my work like I used to. That is very helpful, It keeps me motivated. P3 Patient 3: I want to be able to compare my performance against others with my condition so that I can be more motivated to complete the therapy, so I like that feature a lot. Therapist 1: Likes recommended exercises. Encourages patients to work extra hard. T1 Therapist 2: I think this is a great idea and can be used to help more people do exercises easily. T2
  • 37. Design Inspiration MiChart S H Brown University of Michigan Health systems clinic data management portal Remote monitoring and quantification of upper limb and hand function in chronic disability conditions Image Credits: www.med.umich.edu www.businessinsider.com http://play2learn2play.com Leap Motion Depth Sensing Camera Play2Learn2Play
  • 38. Future Work Influence Health System Patients loved the idea of the application. Say if this was to be mass produced, the ideal situation would be that the therapists provide the patient with the Leap Motion device and the web application can be easily downloaded by any patient. Explore Technology Limitation This application idea can be extended to other technologies, like Wii, so that we can extend the impact of the application to other body parts as well.