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Doctor, Can You See My Squats?: Understanding Bodily Communication in Video Consultations for Physiotherapy.

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University of Melbourne, Australia
University of Melbourne, Australia

This is the presentations for full paper accepted in ACM DIS 2016. The paper is available here: http://dl.acm.org/citation.cfm?id=2901871

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Doctor, Can you See My Squats? Understanding Bodily Communication in Video Consultations for Physiotherapy Deepti Aggarwal Bernd Ploderer, Frank Vetere, Mark Bradford, Thuong Hoang
2 Increasing demands for healthcare
Video Consultations
Bodily Communication in Clinical Consultations
EXAMINE FEEL COMFORT DIAGNOSE Different use of Bodily Communication
Bodily Communication in Physiotherapy
Research Aims
Observational Study
2 physiotherapists & 5 patients with chronic pain Prescribed exercises: tip-toes, squats FACE TO FACE (3) VIDEO (7)
FACE-TO-FACE VIDEO 1. OPENING 2. COMPLAINT 3. EXAMINATION 4. DIAGNOSIS 5. TREATMENT 6. CLOSING
FACE-TO-FACE VIDEO Appearance (Full body) Posture Movement (walking) Orientation Appearance (Upper torso) Posture Movement (walking) Orientation #1. OPENING
VIDEO Quality of movements (depth, range, & smoothness) #2. HISTORY TAKING Quality of movements (depth and range, smoothness) FACE-TO-FACE Facial expressions (tears, red cheeks, tensed eyes) Facial expressions (tears, red cheeks, tensed eyes) Eye contact (for encouragement, willingness to engage) Eye contact (for encouragement, willingness to engage)
VIDEO Tactile feedback (body tightness, inflammation, body temperature) Response to touch (fear, protective spasm, facial expression) #3, 4. EXAMINATION & DIAGNOSIS Tactile feedback (body tightness, inflammation, body temperature) Response to touch (fear, protective spasm, facial expression) Touch on patients body Touch on own body FACE-TO-FACE
VIDEO Full body posture Efforts (fatigue, tremor) Facial expressions Tone of speech (pitch) Touch on patients body Full body posture Efforts (fatigue, trmeor) Facial expressions Tone of speech (pitch) Touch on own body #5. TREATMENTFACE-TO-FACE
VIDEO Body language Facial expressions Facial expressions Body language #6. CLOSINGFACE-TO-FACE
Video limits a wide range of bodily cues Best suitable for follow up consultations Key Takeaways
17 Increasing demands for healthcare
Design Dimensions
Visual Acuity
Field-of-view
Deepti Aggarwal Thank you.
22 Key references behaviour of general practitioners consulting in their surgeries. Her Majesty's Stationery Office, London, England. Christian Heath.1986. Body movement and speech in medical interaction. Cambridge University Press. Christian Heath. 2002. Demonstrative Suffering: The Gestural (Re)embodiment of Symptoms.Journal of Communication, 52(3), 597-616. Helena M. Mentis, Rita Shewbridge, Sharon Powell, Melissa Armstrong, Paul Fishman, and Lisa Shulman, 2015. Co-Interpreting Movement With Sensors: Assessing Parkinsons Patients Deep Brain Stimulation Programming. Human Computer Interaction 2015, 1-34. Edward Alan Miller. 2011. The continuing need to investigate the nature and content of Teleconsultation communication using interaction analysis techniques. Telemedicine and Telecare, 17(2): 55-64.

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Doctor, Can You See My Squats?: Understanding Bodily Communication in Video Consultations for Physiotherapy.

  • 1. Doctor, Can you See My Squats? Understanding Bodily Communication in Video Consultations for Physiotherapy Deepti Aggarwal Bernd Ploderer, Frank Vetere, Mark Bradford, Thuong Hoang
  • 4. Bodily Communication in Clinical Consultations
  • 6. Bodily Communication in Physiotherapy
  • 9. 2 physiotherapists & 5 patients with chronic pain Prescribed exercises: tip-toes, squats FACE TO FACE (3) VIDEO (7)
  • 10. FACE-TO-FACE VIDEO 1. OPENING 2. COMPLAINT 3. EXAMINATION 4. DIAGNOSIS 5. TREATMENT 6. CLOSING
  • 11. FACE-TO-FACE VIDEO Appearance (Full body) Posture Movement (walking) Orientation Appearance (Upper torso) Posture Movement (walking) Orientation #1. OPENING
  • 12. VIDEO Quality of movements (depth, range, & smoothness) #2. HISTORY TAKING Quality of movements (depth and range, smoothness) FACE-TO-FACE Facial expressions (tears, red cheeks, tensed eyes) Facial expressions (tears, red cheeks, tensed eyes) Eye contact (for encouragement, willingness to engage) Eye contact (for encouragement, willingness to engage)
  • 13. VIDEO Tactile feedback (body tightness, inflammation, body temperature) Response to touch (fear, protective spasm, facial expression) #3, 4. EXAMINATION & DIAGNOSIS Tactile feedback (body tightness, inflammation, body temperature) Response to touch (fear, protective spasm, facial expression) Touch on patients body Touch on own body FACE-TO-FACE
  • 14. VIDEO Full body posture Efforts (fatigue, tremor) Facial expressions Tone of speech (pitch) Touch on patients body Full body posture Efforts (fatigue, trmeor) Facial expressions Tone of speech (pitch) Touch on own body #5. TREATMENTFACE-TO-FACE
  • 15. VIDEO Body language Facial expressions Facial expressions Body language #6. CLOSINGFACE-TO-FACE
  • 16. Video limits a wide range of bodily cues Best suitable for follow up consultations Key Takeaways
  • 22. 22 Key references behaviour of general practitioners consulting in their surgeries. Her Majesty's Stationery Office, London, England. Christian Heath.1986. Body movement and speech in medical interaction. Cambridge University Press. Christian Heath. 2002. Demonstrative Suffering: The Gestural (Re)embodiment of Symptoms.Journal of Communication, 52(3), 597-616. Helena M. Mentis, Rita Shewbridge, Sharon Powell, Melissa Armstrong, Paul Fishman, and Lisa Shulman, 2015. Co-Interpreting Movement With Sensors: Assessing Parkinsons Patients Deep Brain Stimulation Programming. Human Computer Interaction 2015, 1-34. Edward Alan Miller. 2011. The continuing need to investigate the nature and content of Teleconsultation communication using interaction analysis techniques. Telemedicine and Telecare, 17(2): 55-64.