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Prepared for HealthStartup.eu 5 on emerging technologies in physical therapy & rehabilitation.
October 8, Amsterdam http://bit.ly/hsu5about
Emerging Technologies in
Physical Therapy and Rehabilitation
10 opportunities
for health startups and clinicians
to make a difference
today
Why should we
care?
$849 billion
(or 7.7% U.S. GDP)
Estimated cost of musculoskeletal
injuries & diseases in the U.S., 2004
£ 8.9 billion
Estimated annual cost of treatment and
productivity loss caused by stroke in the UK.
Treatment costs account for approx. 5% of
total NHS costs.
The trouble
with physical
therapy is...
It takes a lot of time.
It requires lots of therapists.
It’s often painful & boring,
leading to poor compliance.
Image courtesy of http://www.rehabassociates.com/
Here’s
ways you can
make a difference
today
10
1
Automate exercise guidance
& progress monitoring
Researchers at the
University of
Southampton use
Microsoft Kinect to
help patients
recovering from a
stroke. A specially
devised algorithm
enables therapists to
remotely track
patients' hand and
finger movements and
guide them through
exercises.
Spain’s VirtualWare developed a ‘VirtualRehab’
system consisting of specialised games for the
Kinect and a control centre for clinicians. It enables
the clinician to plan exercises, monitor performance
and evaluate the progress of the therapy
Swiss startup YouRehab develops wearable interactive
therapy devices. YouGrabber enables training for
bimanual reaching and grabbing. YouKicker provides
training for leg and foot movements.
2
Improve motivation and
compliance through games
Dutch startup DoctorKinetic sells physiotherapy kits based
on Kinect and specialised physical therapy games, to
enhance motivation and fun factor
Lithuanian startup Devmotion develops therapeutic games
for children and transforms medical wards into virtual reality
environments
French startup Groupe Genious develops Voracy Fish, a
multiplayer serious game for physical rehabilitation of the
upper limb.
3
Change behaviour through
online digital coaching
Belgian startup
Brandnewhealth
develops digital
health coaching
programs addressing
8 health behaviour
domains (including
exercising, stress,
sleeping, weight etc)
4
Create more user-
friendly interfaces
Estonian startup
Cognuse develops
a cognitive
rehabilitation
system using
digital
‘BrainTraining’
exercises and a
dedicated
touchscreen
workstation.
5
Experiment with novel
interfaces to stimulate the
senses
Dutch startup
NYOYN creates
large interactive
sensory boards,
that stimulate the
senses (audio,
visual & tactile).
Used as
rehabilitation
tool for elderly
and people with
cognitive
disabilities
6
Enable home-based
therapy & exercises
Dutch startup Fysio24
offers live online
physiotheraphy
support.
German startup
KaasaHealth
develops
physiotherapy
software for the
iPad, PC and Wii
game console
(and Wii Balance
Board) for home-
based exercises
7
Enable clinical follow-up in a
systematic and viable way
Canadian startup Jintronix created a rehab system that
allows patients to do exercises at home using Kinect, while
their clinician is able to monitor progress and prescribe
additional exercises via a secure portal
The Mobile Health Unit
of the University of
Hasselt and Ziekenhuis
Oost Limburg in
Belgium have set up a
“clinical call center” to
support the
telemonitoring (&
rehabilitation) of
cardiac patients.
It consolidates and systematically monitors telemonitoring
data from various devices and applications (e.g.
pedometers, blood pressure, weight, heart rate,
medication) and it intervenes or alerts relevant clinicians
when necessary.
Germany’s Fraunhofer Institute FOKUS has developed a
telemedically assisted therapy and training environment
(based on Kinect) to reduce patients’ stay at clinics. It
includes a Smartphone linked mobile sensor unit to
measure vital signs such as pulse, oxygen saturation levels,
and (where applicable) ECG/EKG readings.The
physiotherapist monitors this data and can tailor therapy to
avoid dangerous levels of stress. (photo © Matthias Heyde/ Fraunhofer
FOKUS)
8 Empower the disabled
BrainControl uses a brain-computer interface technology
that interprets electrical signals corresponding with certain
brain activity and allows a computer to be controlled with
thoughts. Hence, it has potential as an assistive technology
for people suffering from ALS, Multiple Scleroris, people in
a locked-in state, etc
9
Use wearable technology to
detect and correct problems
on the fly
Launched with a KickStarter project, LUMOback is a
wearable sensor that alerts you when you’re slouching and
guides you (via the accompanying app) to a better posture
Researchers at the University of Utah developed a smart
shoe insole (called RapidRehab) to help people correct
their gait during rehabilitation. The device relies on force
sensors, accelerometers, gyroscopes, a wireless transmitter
and a smartphone app.
10
Improve diagnosis and
treatment by gathering more
data
A team at the Children’s
National Medical Center
in the U.S. are
experimenting with the
Kinect to help diagnose
and treat chronic pain
syndromes (which is
difficult to diagnose)
Mindmaze
combines motion
sensing, virtual
reality and brain
monitoring
technology for
stroke and brain
injury
rehabilitation
Need more inspiration?
Imagine
the potential of these
technologies in physical
therapy & rehabilitation...
Leap Motion Controller (an $80 consumer device) tracks
hand and finger movement in a small 3D space with a
claimed accuracy of 1/100th of a millimeter.
MYO armband (by Thalmic Labs) measures electrical
activity to detect fine movement from a wearer’s arm, which
lets the user wirelessly control a computer (and thus
anything else)
Shimmer is a small wireless sensor
platform that incorporates wireless
ECG, EMG, GSR, Accelerometer,
Gyro, Mag, GPS,Tilt and Vibration
sensors.
Microsoft’s new Xbox One Kinect can detect (or “see”)
your pulse, using a combination of the colour image feed
and the infrared sensor
Researchers at the University of Southern California use
Kinect to detect whether you are depressed, with 90%
accuracy rate
Wearable Games is a
graduation project by two
game design students that
integrates multiple
sensors (bend sensors,
heart rate) and feedback
tech (speakers, shakers,
LED screen) in a wearable
game platform.
Startup Virtuix takes
virtual reality to the
next level, allowing
gamers to move
naturally in a virtual
reality
Devices that
integrate
multiple sensors
and interfaces
Software for
changing
behaviour
(games and
digital
coaching)
Communication
networks &
tools
The #1 lesson: Look for the sweet spot as
four tech domains converge to transform
physical therapy and rehabilitation
Analytics & Big
Data
Consider
7
potential
challenges
3
1 Clinical validation
It is necessary
It takes time
It is expensive
How will you fund it?
Who will you partner with (startup
+ university + large tech/pharma)?
2 Clinical feedback loops
Clinicians won’t monitor alerts from
multiple devices & systems.
How will you make it easy,
convenient & secure for clinicians
to take part?
Work with clinicians, integrate with
their systems and interfaces.
3 Business model
Who will pay? (the answer will
differ from country to country)
Healthcare providers
Patients
Employers
Health insurance
Public health/government
What next?
Europe’s networking
conference for digital
health innovators.
Next event’s topic:
Emerging technologies in
physical therapy &
rehabilitation
Join us in Amsterdam on
October 8
http://bit.ly/hsu5about

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Emerging technologies in physical therapy and rehabilitation: 10 opportunities for health startups and clinicians

  • 1. Prepared for HealthStartup.eu 5 on emerging technologies in physical therapy & rehabilitation. October 8, Amsterdam http://bit.ly/hsu5about Emerging Technologies in Physical Therapy and Rehabilitation 10 opportunities for health startups and clinicians to make a difference today
  • 3. $849 billion (or 7.7% U.S. GDP) Estimated cost of musculoskeletal injuries & diseases in the U.S., 2004
  • 4. £ 8.9 billion Estimated annual cost of treatment and productivity loss caused by stroke in the UK. Treatment costs account for approx. 5% of total NHS costs.
  • 6. It takes a lot of time. It requires lots of therapists. It’s often painful & boring, leading to poor compliance. Image courtesy of http://www.rehabassociates.com/
  • 7. Here’s ways you can make a difference today 10
  • 8. 1 Automate exercise guidance & progress monitoring
  • 9. Researchers at the University of Southampton use Microsoft Kinect to help patients recovering from a stroke. A specially devised algorithm enables therapists to remotely track patients' hand and finger movements and guide them through exercises.
  • 10. Spain’s VirtualWare developed a ‘VirtualRehab’ system consisting of specialised games for the Kinect and a control centre for clinicians. It enables the clinician to plan exercises, monitor performance and evaluate the progress of the therapy
  • 11. Swiss startup YouRehab develops wearable interactive therapy devices. YouGrabber enables training for bimanual reaching and grabbing. YouKicker provides training for leg and foot movements.
  • 13. Dutch startup DoctorKinetic sells physiotherapy kits based on Kinect and specialised physical therapy games, to enhance motivation and fun factor
  • 14. Lithuanian startup Devmotion develops therapeutic games for children and transforms medical wards into virtual reality environments
  • 15. French startup Groupe Genious develops Voracy Fish, a multiplayer serious game for physical rehabilitation of the upper limb.
  • 17. Belgian startup Brandnewhealth develops digital health coaching programs addressing 8 health behaviour domains (including exercising, stress, sleeping, weight etc)
  • 19. Estonian startup Cognuse develops a cognitive rehabilitation system using digital ‘BrainTraining’ exercises and a dedicated touchscreen workstation.
  • 20. 5 Experiment with novel interfaces to stimulate the senses
  • 21. Dutch startup NYOYN creates large interactive sensory boards, that stimulate the senses (audio, visual & tactile). Used as rehabilitation tool for elderly and people with cognitive disabilities
  • 23. Dutch startup Fysio24 offers live online physiotheraphy support.
  • 24. German startup KaasaHealth develops physiotherapy software for the iPad, PC and Wii game console (and Wii Balance Board) for home- based exercises
  • 25. 7 Enable clinical follow-up in a systematic and viable way
  • 26. Canadian startup Jintronix created a rehab system that allows patients to do exercises at home using Kinect, while their clinician is able to monitor progress and prescribe additional exercises via a secure portal
  • 27. The Mobile Health Unit of the University of Hasselt and Ziekenhuis Oost Limburg in Belgium have set up a “clinical call center” to support the telemonitoring (& rehabilitation) of cardiac patients. It consolidates and systematically monitors telemonitoring data from various devices and applications (e.g. pedometers, blood pressure, weight, heart rate, medication) and it intervenes or alerts relevant clinicians when necessary.
  • 28. Germany’s Fraunhofer Institute FOKUS has developed a telemedically assisted therapy and training environment (based on Kinect) to reduce patients’ stay at clinics. It includes a Smartphone linked mobile sensor unit to measure vital signs such as pulse, oxygen saturation levels, and (where applicable) ECG/EKG readings.The physiotherapist monitors this data and can tailor therapy to avoid dangerous levels of stress. (photo © Matthias Heyde/ Fraunhofer FOKUS)
  • 29. 8 Empower the disabled
  • 30. BrainControl uses a brain-computer interface technology that interprets electrical signals corresponding with certain brain activity and allows a computer to be controlled with thoughts. Hence, it has potential as an assistive technology for people suffering from ALS, Multiple Scleroris, people in a locked-in state, etc
  • 31. 9 Use wearable technology to detect and correct problems on the fly
  • 32. Launched with a KickStarter project, LUMOback is a wearable sensor that alerts you when you’re slouching and guides you (via the accompanying app) to a better posture
  • 33. Researchers at the University of Utah developed a smart shoe insole (called RapidRehab) to help people correct their gait during rehabilitation. The device relies on force sensors, accelerometers, gyroscopes, a wireless transmitter and a smartphone app.
  • 34. 10 Improve diagnosis and treatment by gathering more data
  • 35. A team at the Children’s National Medical Center in the U.S. are experimenting with the Kinect to help diagnose and treat chronic pain syndromes (which is difficult to diagnose)
  • 36. Mindmaze combines motion sensing, virtual reality and brain monitoring technology for stroke and brain injury rehabilitation
  • 37. Need more inspiration? Imagine the potential of these technologies in physical therapy & rehabilitation...
  • 38. Leap Motion Controller (an $80 consumer device) tracks hand and finger movement in a small 3D space with a claimed accuracy of 1/100th of a millimeter.
  • 39. MYO armband (by Thalmic Labs) measures electrical activity to detect fine movement from a wearer’s arm, which lets the user wirelessly control a computer (and thus anything else)
  • 40. Shimmer is a small wireless sensor platform that incorporates wireless ECG, EMG, GSR, Accelerometer, Gyro, Mag, GPS,Tilt and Vibration sensors.
  • 41. Microsoft’s new Xbox One Kinect can detect (or “see”) your pulse, using a combination of the colour image feed and the infrared sensor
  • 42. Researchers at the University of Southern California use Kinect to detect whether you are depressed, with 90% accuracy rate
  • 43. Wearable Games is a graduation project by two game design students that integrates multiple sensors (bend sensors, heart rate) and feedback tech (speakers, shakers, LED screen) in a wearable game platform.
  • 44. Startup Virtuix takes virtual reality to the next level, allowing gamers to move naturally in a virtual reality
  • 45. Devices that integrate multiple sensors and interfaces Software for changing behaviour (games and digital coaching) Communication networks & tools The #1 lesson: Look for the sweet spot as four tech domains converge to transform physical therapy and rehabilitation Analytics & Big Data
  • 47. 1 Clinical validation It is necessary It takes time It is expensive How will you fund it? Who will you partner with (startup + university + large tech/pharma)?
  • 48. 2 Clinical feedback loops Clinicians won’t monitor alerts from multiple devices & systems. How will you make it easy, convenient & secure for clinicians to take part? Work with clinicians, integrate with their systems and interfaces.
  • 49. 3 Business model Who will pay? (the answer will differ from country to country) Healthcare providers Patients Employers Health insurance Public health/government
  • 51. Europe’s networking conference for digital health innovators. Next event’s topic: Emerging technologies in physical therapy & rehabilitation Join us in Amsterdam on October 8 http://bit.ly/hsu5about