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

每年超过四分之一的65岁及以上的人摔倒，导致每年用于治疗的支出超过500亿美元， 并处于上升轨道上。运动计划已被证明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。CDC、NIA和许多其他机构都鼓励开展预防跌倒计划 这些活动通常由社区组织和其他机构提供。在预防跌倒时 方案是一种有效的干预措施，当前方案的影响因管理成本而减轻，缺乏 可扩展性、无法接触到服务不足的人群、缺乏对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运动养生方法 他们的特定需求。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--在全国范围内交付，以负担得起的价格交付，并有效地管理广泛的 实现有效结果的坚持的人口。Kinima Inc.是一家由女性拥有的公司，成立于 2016年，并在宾夕法尼亚大学的沃顿创业计划和斯坦福大学的 StartX和商业提供。Kinima Seniors的最新产品是一项突破性的新颖技术，它使用 没有身体传感器的计算机视觉，通过增强现实导航的创新并排视图 专有内容、身体关节跟踪和人工智能，加上多种形式的反馈，提供数字 双向综合防坠演习平台。拟议的第一阶段研究旨在确定Kinima 老年人手机运动跟踪平台支持预防跌倒的可行性、可接受性和准确性 基于社区的设置。为此，项目的目标是：1)评估Kinima老年人的可接受性、参与度和 受试者能够在很少或根本不需要人工干预的情况下完成会议；2)确定具体形式的 在目标人群中最好地促进期望的身体运动的内容，包括：指导性练习， 动作、视频流派、评估、反馈、游戏化和奖励；以及3)决定 Kinima技术用于自动跟踪参与者的使用和移动，以支持高效的跌倒预防 具有被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用来评估跌倒风险的方法。这些目标支持NIA的 使命和研究重点侧重于通过使用辅助设备和 技术。Kinima老年人辅助移动应用程序将支持老年人、照顾者和治疗师 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屏幕上的可视导轨、持续时间计数和 重复跟踪；Kinima自动跟踪是即时完成的，并将通过 人类来评估协调性。Kinima Seniors具有巨大的商业潜力，而这一阶段的研究是一项重大的 这是商业化道路上里程碑，并允许项目监督员评估用户对这些功能的可接受性 以及自动化措施的有效性。第二阶段将继续确定#年平台的效力。 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.