Augmented Reality Personalized Motion Tracking Assessment and Improvement Technology for Fall Prevention in a Community Setting Using Mobile Phone

每年有超过四分之一的 65 岁及以上老人跌倒，导致每年的治疗支出超过 500 亿美元， 并处于上升轨道。事实证明，锻炼计划可以通过改善肌肉来降低老年人跌倒的风险 力量、平衡和步态不稳定性。 CDC、NIA 和许多其他机构都鼓励开展跌倒预防计划 组织，通常由社区组织和其他机构提供。预防跌倒的同时 计划是一种有效的干预措施，但当前计划的影响因管理成本、缺乏 可扩展性、无法覆盖服务不足的人群、缺乏持续使用的鼓励以及无法跟踪 以系统的方式坚持和健康结果。老年人通常不知道适当的锻炼方案 他们的具体需求。目前，项目团队认为没有预防跌倒的计划——无论是在社区中心， 其他机构，或在国内，在全国范围内提供，以负担得起的价格提供，并有效地管理到广泛的 实现坚持并取得有效结果的人群。 KINIMA Inc. 是一家女性拥有的公司，成立于 2016年，在宾夕法尼亚大学沃顿商学院创业计划和斯坦福大学创业计划中孵化 StartX 并已商业化提供。 THE KINIMA Seniors 最新产品是一项突破性的新颖技术，使用 无需体上传感器的计算机视觉，通过增强现实引导实现创新的并排视图 专有内容、身体关节跟踪和人工智能，加上多种形式的反馈，以提供数字化 2 向综合防跌倒运动平台。拟议的第一阶段研究旨在确定 KINIMA 老年人手机运动追踪平台支持跌倒预防的可行性、可接受性和准确性 基于社区的设置。为此，项目目标是：1) 评估 KINIMA 老年人的可接受性、参与度和参与度 受试者在很少或没有人类工作人员干预的情况下完成会话的能力； 2）确定具体形式 最能促进目标人群所需身体运动的内容，包括：指导练习、 动作、视频类型、评估、反馈、游戏化和奖励； 3) 确定有效性 KINIMA 技术可自动跟踪参与者的使用情况和运动，以支持高效预防跌倒 具有广泛接受的跌倒风险措施的活动。 KINIMA 自动评估将与跟踪进行比较 这是当今大多数临床医生评估跌倒风险所采用的方法。这些目标支持 NIA 的 任务和研究重点侧重于通过使用辅助设备和 技术。 KINIMA Seniors 辅助移动应用程序将为老年人、护理人员和治疗师提供支持 减轻与年龄相关的身体挑战，特别是在预防跌倒方面。计算机视觉和增强现实功能 无需可穿戴设备或其他设备即可实现实时用户反馈——屏幕上的视觉导轨、持续时间计数以及 重复跟踪； KINIMA 自动跟踪是即时完成的，并将根据跟踪进行测量 人类评估一致性。 KINIMA Seniors 具有巨大的商业潜力，这项 I 期研究是一项重大研究 商业化道路上的里程碑，并允许项目监督者评估用户对功能的可接受性 以及自动化措施的有效性。第二阶段将继续确定该平台的功效 通过衡量一段时间内的进展来改善跌倒风险结果。

More than 1 in 4 people 65 and older fall each year, leading to more than $50 billion in annual spending for treatment, and on an upward trajectory. Exercise programs are proven to reduce fall risk for older adults, by improving muscle strength, balance, and gait instabilities. Fall prevention programs are encouraged by the CDC, NIA, and many other organizations, and are often provided by community-based organizations and other institutions. While fall prevention programs are an effective intervention, the impact of current programs is mitigated by cost to administer, lack of scalability, inability to reach underserved populations, lack of encouragement of ongoing usage, and inability to track adherence and health outcomes in a systematic way. Older adults are typically unaware of proper exercise regimens for their specific needs. Currently, the project team believes no fall prevention programs -- either at community centers, other establishments, or at home -- are delivered nationally, affordably delivered, and efficiently administered to broad populations that achieve adherence with effective outcomes. KINIMA Inc., is a women-owned company incorporated in 2016 and incubated in both University of Pennsylvania’s Wharton Venture Initiative Program and Stanford University’s StartX and commercially offered. THE KINIMA Seniors latest offering is a ground-breaking, novel technology that uses computer vision with no on-body sensors, an innovative side-by-side view through augmented reality guidance with proprietary content, body joint tracking and artificial intelligence, plus multiple forms of feedback to provide a digital 2-way comprehensive fall prevention exercise platform.The proposed Phase I study seeks to determine the KINIMA Seniors mobile phone motion tracking platform’s feasibility, acceptability, and accuracy to support fall prevention in community-based settings. To that end, project AIMS are: 1) evaluate KINIMA Seniors acceptability, engagement and capability for subjects to complete sessions with little or no intervention by human staff; 2) determine specific forms of content that best promote the desired physical movement among the targeted populations, including: guided exercises, movements, video genres, assessments, feedback, gamification and rewards; and 3) determine the effectiveness of the KINIMA technology for automated tracking of participant usage and movement for supporting productive fall prevention activities with widely accepted fall risk measures. The KINIMA automated assessments will be compared against tracking by a human, which is the approach taken by most clinicians today to assess fall risk. These AIMS support the NIA’s mission and research priorities focused on helping senior adults age in place through the use of assistive devices and technologies. KINIMA Seniors assistive mobile application will support older adults, caregivers, and therapists in mitigating age-related physical challenges, particularly in fall prevention. Computer vision and augmented reality features enable real-time user feedback without wearables or other gear —on-screen visual guide-rails, duration counting, and repetition tracking; KINIMA automated tracking is done instantaneously and will be measured against tracking by a human to assess concordance. KINIMA Seniors has enormous commercial potential, and this Phase I study is a major milestone along that path to commercialization and allows project overseers to assess user acceptability of the features and effectiveness of the automated measures. Phase II will continue with determining the efficacy of the platform in improving fall risk outcomes through measuring progress over time.