Whole-Body VR for Pediatric Yoga Therapy

用于小儿瑜伽治疗的全身 VR

• 批准号: 10481791
• 负责人: Bhawna Shiwani
• 金额: $ 32.58万
• 依托单位: ALTEC, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10481791
• 关键词: 3-Dimensional; Address; Adherence; Adolescent; Adopted; Adult; Affect; Algorithms; Anxiety; Architecture; Arousal; Articular Range of Motion; Attention; Behavioral; Benchmarking; Biomechanics; Boredom; Boston; Breathing; Cellular Phone; Child; Childhood; Chronic; Clinic; Clinical; Computer Vision Systems; Continuity of Patient Care; Development; Devices; Effectiveness; Elbow joint structure; Environment; Evaluation; Exercise; Exposure to; Family; Family member; Focus Groups; Fright; General Hospitals; Gold; Heart; Heart Rate; Hip Joint; Home; Home environment; Immersion; Individual; Industry; Industry Standard; Instruction; Intervention; Interview; Joint structure of shoulder region; Joints; Knee joint; Life; Limb structure; Location; Massachusetts; Measures; Mental disorders; Mind-Body Intervention; Monitor; Morbidity - disease rate; Motion; Movement; National Center for Complementary and Integrative Health; Nature; Nervous system structure; Outcome; Outcome Measure; Pain; Pain Clinics; Pain management; Participant; Patient Self-Report; Patients; Pediatric Hospitals; Pediatrics; Performance; Persons; Phase; Physiological; Physiology; Positioning Attribute; Psychological Factors; Recurrent pain; Rehabilitation Outcome; Rehabilitation therapy; Relaxation; Research; Role; Schools; Secure; Structure; Supervision; Support System; Technology; Testing; Time; Translating; United States National Institutes of Health; Update; Vertebral column; Work; Yoga; base; body-mind; chronic pain; chronic painful condition; cloud based; community setting; cost; dashboard; data fusion; design; evidence base; experience; feasibility testing; high risk; improved outcome; innovation; instructor; interest; intervention delivery; limb movement; motor rehabilitation; opioid abuse; pain rehabilitation; pediatric patients; physical therapist; post-COVID-19; prevent; programs; prototype; real time monitoring; rehabilitation strategy; respiratory; response; social engagement; socioeconomics; treatment center; usability; virtual; virtual environment; virtual reality; virtual reality environment; virtual reality system

Chronic pain is the leading cause of morbidity in pediatrics, affecting some 25-30% of children, where 1 in 20 experience limitation to social participation and incur a high risk for chronic/recurrent pain, psychological disorders, and opioid abuse later in life. In-clinic treatment adopts an integrative mind-body intervention (MBI) approach that includes yoga therapy as a means of relaxation, reduced hyper arousal state, and graded exposure to gentle whole-body exercises designed to reverse fear of movement and catastrophizing. However, limited access to in-clinic treatment, due to the scarcity of specialized pain treatment centers and disruption to school/family life, prevents the majority of these children from achieving efficient reintegration into normal family/school activities. There is a need for innovative solutions offering remote access to MBIs, such as yoga therapy, that are sufficiently engaging for children to overcome their typical poor adherence to home programs. These should support therapist-patient interaction to allow supervision, facilitate compliance, and encourage movement while providing quantitative measures of performance (range of motion), adherence, and physiologic response (heart and respiratory rate) in support of evidence-based MBIs. Our solution leverages recent advances in low-cost Virtual Reality (VR) systems and computer vision technologies from the gaming and cellphone industries that will be adapted to develop the first VR system with whole-body tracking to instruct and monitor yoga poses through patient-therapist avatar interaction in an engaging immersive environment that supports tracking of clinical outcomes. Our research group has experience integrating computer vision algorithms for whole-body tracking from smartphone cameras into Augmented and Virtual environments. In Phase I, we will partner with pediatric pain and MBI rehabilitation experts from Boston’s Children’s Hospital and Mass General Hospital to test the feasibility of tracking and faithfully rendering real time whole-body yoga poses for relaxation and mind-body movements from child/therapist sharing a virtual environment. Aim 1 will build upon our pilot work to develop real-time algorithms that can estimate 3D whole-body core and limb movements from a depth- enabled camera while children and adults enact yoga poses used clinically. In Aim 2 we will translate this tracking capability to provide a VR architecture that renders these poses as biomechanically driven whole-body 3D avatars involving two interactive participants, while tracking range of motion and heart/respiratory rate. Aim 3 will test the VR prototype among pediatric patients and therapists to demonstrate the feasibility of safely and effectively achieving whole-body yoga poses through immersed interaction. Phase II will expand the platform to support patient-therapist and autonomous modes of VR yoga therapy that includes a dashboard for configuring additional yoga modules, movement scaling, and providing secure cloud-based outcomes of performance, adherence, and physiology. This innovation will provide the first MBI device to offer home-based yoga therapy that leverages VR to overcome current barriers for transferring an MBI from in-clinic to home use.

慢性疼痛是儿科发病的主要原因，影响约25-30%的儿童，其中1/20 经历对社会参与的限制，并产生慢性/复发性疼痛、心理 精神障碍和阿片类药物滥用。临床治疗采用身心一体化干预（MBI） 一种方法，包括瑜伽疗法作为一种放松手段，减少过度兴奋状态，并分级暴露 到温和的全身锻炼，旨在扭转对运动和灾难的恐惧。但受限 由于缺乏专门的疼痛治疗中心， 学校/家庭生活的障碍，使这些儿童中的大多数无法有效地重新融入正常社会， 家庭/学校活动。需要提供远程访问MBI（如瑜伽）的创新解决方案 治疗，这是充分参与儿童，以克服他们的典型的家庭节目坚持性差。 这些应该支持治疗师与患者的互动，以允许监督，促进依从性，并鼓励 运动，同时提供性能（活动范围）、依从性和生理 反应（心率和呼吸率），以支持循证MBIs。我们的解决方案利用了最新的进展 在游戏和手机领域的低成本虚拟现实（VR）系统和计算机视觉技术中， 行业，将适应开发第一个VR系统与全身跟踪，以指导和监测 瑜伽姿势，通过病人治疗师化身互动在一个引人入胜的沉浸式环境，支持 跟踪临床结果。我们的研究小组有经验整合计算机视觉算法， 从智能手机摄像头到增强和虚拟环境的全身跟踪。在第一阶段，我们将 与来自波士顿儿童医院和麻省总医院的儿科疼痛和MBI康复专家合作 医院测试跟踪和忠实地呈现真实的时间全身瑜伽姿势放松的可行性 以及来自共享虚拟环境的儿童/治疗师的身心运动。目标1将建立在我们的试点 致力于开发实时算法，可以从深度估计3D全身核心和肢体运动- 启用相机，而儿童和成人制定临床使用的瑜伽姿势。在目标2中，我们将翻译这一点 跟踪能力，以提供VR架构，将这些姿势呈现为生物力学驱动的全身 涉及两个交互参与者的3D化身，同时跟踪运动范围和心率/呼吸率。 目标3将在儿科患者和治疗师中测试VR原型，以证明安全的可行性 并通过沉浸式互动有效地实现全身瑜伽姿势。第二阶段将扩大 支持患者-治疗师和VR瑜伽治疗自主模式的平台，包括用于 配置额外的瑜伽模块，运动缩放，并提供安全的基于云的结果， 性能、依从性和生理学。这一创新将提供第一个MBI设备，以提供基于家庭的 瑜伽疗法，利用VR克服当前将MBI从诊所转移到家庭使用的障碍。