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，其中每 20 人中有 1 人患有慢性疼痛 社会参与受到限制，并且面临慢性/复发性疼痛、心理障碍的高风险 疾病和晚年阿片类药物滥用。临床治疗采用身心综合干预（MBI） 包括瑜伽疗法作为放松方式、减少过度兴奋状态和分级暴露的方法 温和的全身锻炼，旨在扭转对运动和灾难性的恐惧。然而，有限 由于缺乏专门的疼痛治疗中心和中断，无法获得诊所治疗 学校/家庭生活，阻碍了大多数儿童有效地重新融入正常生活 家庭/学校活动。需要提供远程访问 MBI 的创新解决方案，例如瑜伽 疗法，这些疗法足以让儿童克服他们对家庭计划的典型依从性不佳。 这些应支持治疗师与患者的互动，以进行监督、促进依从性并鼓励 运动，同时提供表现（运动范围）、依从性和生理的定量测量 反应（心率和呼吸频率）以支持基于证据的 MBI。我们的解决方案利用了最新进展 游戏和手机中的低成本虚拟现实 (VR) 系统和计算机视觉技术 将适应开发第一个具有全身跟踪指导和监控功能的 VR 系统的行业 瑜伽姿势通过病人与治疗师的化身互动在一个引人入胜的沉浸式环境中，支持 跟踪临床结果。我们的研究小组拥有集成计算机视觉算法的经验 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渲染实时全身瑜伽放松姿势的可行性 以及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基础上 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 当儿童和成人表演临床上使用的瑜伽姿势时，启用相机。在目标 2 中我们将翻译这个 跟踪功能提供 VR 架构，将这些姿势呈现为生物力学驱动的全身 3D 头像涉及两个交互式参与者，同时跟踪运动范围和心率/呼吸频率。 Aim 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 通过沉浸式互动，有效实现全身瑜伽姿势。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，其中包括一个仪表板 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 表现、依从性和生理学。这项创新将提供首款 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。