The Augmented Reality Telerehabilitation System for Powered Wheelchair User’s Training

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Daniel Stefany Duarte Caetano
Caroline Valentini
Fernando Mattioli
Paulo Camargos
Thiago Sá
Alexandre Cardoso
Edgard Lamounier
Eduardo Naves


Many people worldwide have been experimenting a decrease in their mobility as a result of aging, accidents and degenerative diseases. In many cases, a Powered Wheelchair (PW) is an alternative help. Currently in Brazil, patients can receive a PW from the Unified Health System, following prescription criteria. However, they do not have an appropriate previous training for driving the PW. Consequently, users might suffer accidents since a customized training protocol is not available. Nevertheless, due to financial and/or health limitations, many users are unable to attend a rehabilitation center. To overcome these limitations, we developed an Augmented Reality Telerehabilitation System Architecture based on the Power Mobility Road Test for supporting PW user’s training. In this system, the therapists can remotely customize and evaluate training tasks and the user can perform the training in safer conditions. The video stream and data transfer between each environment were made possible through UDP (User Datagram Protocol). To evaluate and present the system architecture potential, a preliminary test was conducted with 3 spinal cord injury participants. They performed 3 basic training protocols defined by a therapist. The following metrics were adopted for evaluation: number of control commands; elapsed time; number of collisions; biosignals. Also, a questionary was used to evaluate system features. Preliminary results demonstrated the specific needs of individuals using a PW thanks to adopted metrics (qualitative and emotional). Results have shown the need for a training system with customizable protocols to fulfill these needs. User's evaluation demonstrates that the combination of AR techniques with PMRT adaptations, increases user's well-being after training sessions. Furthermore, a training experience helps users to overcome their displacement problems, as well as for appointing challenges before large scale use. This system architecture allows further studies on telerehabilitation of PW users training.

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Caetano, D. S. D., Valentini, C., Mattioli, F., Camargos, P., Sá, T., Cardoso, A., … Naves, E. (2020). The Augmented Reality Telerehabilitation System for Powered Wheelchair User’s Training. Journal of Communication and Information Systems, 35(1), 51–60.
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