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SoPhy: A Wearable Technology
for Lower Limb Assessment
in Video Consultations of
Physiotherapy
Deepti Aggarwal, Weiyi Zhang, Thuong Hoang,
Bernd Ploderer, Frank Vetere, Mark Bradford
Wednesday, 10 May 17
Video Consultations of Physiotherapy
van Dyk 2014; Yellowlees 2005
Wednesday, 10 May 17
Bodily Communication in Physiotherapy
Wednesday, 10 May 17
ACM DIS 2016
Wednesday, 10 May 17
Lower Body
Movements
Wednesday, 10 May 17
Limited Understanding of Subtle Differences
Weight Distribution Range of Movement
Wednesday, 10 May 17
Focused on the Upper Torso
Wednesday, 10 May 17
Focusing Camera Removes the Context
Wednesday, 10 May 17
Reduced confidence in
assessment
Less effective treatment
Aggarwal et al. 2016
Wednesday, 10 May 17
Research Aim
How can we design technologies
to enhance diagnostic confidence
of physiotherapists for assessing
lower limb movements during
video consultations?
Wednesday, 10 May 17
What to capture?
Wednesday, 10 May 17
Key aspects of lower body movements
Weight
Distribution
Range of
Movements
Foot
Orientation
Wednesday, 10 May 17
How to capture?
Wednesday, 10 May 17
SoPhy
SOcks for PHYsiotherapy
Socks with sensors Web interface
Wednesday, 10 May 17
SoPhy socks
IMU
Pressure
Sensors
Bluetooth
Shield
Arduino
Pro Mini
Wednesday, 10 May 17
SoPhy web-interface
Wednesday, 10 May 17
Short video available at:
https://vimeo.com/188358214
Wednesday, 10 May 17
Lab study
Clinician’s room
10 physiotherapists & 1 actor (patient)
Patient’s room
Wednesday, 10 May 17
Study Design (2x2)
Extreme pain Low pain
Factors: Consultation Technology & Pain Levels
Wednesday, 10 May 17
Study Design (2X2)
Independent
Variables
Consultation Technology - with
SoPhy & without SoPhy
Pain Levels - extreme and low
Dependent
Variables
Weight Distribution, Range of
Movement, Foot Orientation,
Confidence, #Repetitions
Data
Collection
Interviews, Questionnaire, Video
Recording
Wednesday, 10 May 17
Tasks for
Participants
Assess the patient’s exercises
Organize 4 video sessions
Fill in a questionnaire (total 4)
Wednesday, 10 May 17
Tasks for Actor
Dorsiflexion &
Plantarflexion
1-leg tip-toes &
2-leg tip-toes
Squats
Wednesday, 10 May 17
Increase in Confidence
The sock system offered confirmation to my
hypothesis. I used the strategy of first seeing
the video and then form an assessment. After
a couple of repetitions with video, I used the
interface to confirm my assessment. (P8)
Exercises with SoPhy without SoPhy
Squats
F(1,36) = 10.97, p<.01
M = 5.75,
SD = 1.06
M = 4.17,
SD = 1.13
Wednesday, 10 May 17
Fewer Repetitions of Exercises
Exercises with SoPhy
without
SoPhy
Dorsiflexion
F(1,36) = 6.99, p<.05
M = 8.10,
SD = 3.21
M = 11.25,
SD = 4.54
Plantarflexion
F(1,36) = 6.14, p<.05
M = 7.45,
SD = 3.88
M = 10.60,
SD = 4.24
Squats
F(1,36) = 8.36, p<.01
M = 6.05,
SD = 2.48
M = 8.05,
SD = 3.18
Wednesday, 10 May 17
Fewer Repetitions of Exercises
Over video, I can see the person only from
one direction. [...] The sock system provides
me this detailed information irrespective of
how the person is standing or sitting. I did not
ask the patient to turn backwards or sideways
when I had the sock data - the system was
already doing it for me. (P3)
Wednesday, 10 May 17
Deeper Insights on Weight Distribution
It’s always challenging to understand weight
bearing because the pressure points are not
visible. It’s easy in cases when the person is
putting more weight on one foot than other.
But it is difficult to understand how the
pressure is distributed across the foot, is it on
the heels, or on the balls. (P8)
Wednesday, 10 May 17
Design Considerations
Wednesday, 10 May 17
Revealing Foot Contours
Wednesday, 10 May 17
Opportunities for
Other Media
Wednesday, 10 May 17
Conclusion
Extension of video consultations beyond audio-
visual medium
First exploration to enhance the ability of
physiotherapists during video consultations
Wednesday, 10 May 17
Deployments at the Hospital
Wednesday, 10 May 17
Deepti Aggarwal
daggarwal@student.unimelb.edu.au
Wednesday, 10 May 17

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SoPhy: A wearable Technology for Lower Limb Assessment in Video Consultations of Physiotherapy