journal article·2022-01-13Open access

Single Camera-Based Remote Physical Therapy: Verification on a Large Video Dataset

Jindrich Adolf, Jaromir Dolezal, Patrik Kutilek, Jan Hejda, Lenka Lhotska

Applied Sciences· Volume 12· Issue 2

Abstract

In recent years, several systems have been developed to capture human motion in real-time using common RGB cameras. This approach has great potential to become widespread among the general public as it allows the remote evaluation of exercise at no additional cost. The concept of using these systems in rehabilitation in the home environment has been discussed, but no work has addressed the practical problem of detecting basic body parts under different sensing conditions on a large scale. In this study, we evaluate the ability of the OpenPose pose estimation algorithm to perform keypoint detection of anatomical landmarks under different conditions. We infer the quality of detection based on the keypoint confidence values reported by the OpenPose. We used more than two thousand unique exercises for the evaluation. We focus on the influence of the camera view and the influence of the position of the trainees, which are essential in terms of the use for home exercise. Our results show that the position of the trainee has the greatest effect, in the following increasing order of suitability across all camera views: lying position, position on the knees, sitting position, and standing position. On the other hand, the effect of the camera view was only marginal, showing that the side view is having slightly worse results. The results might also indicate that the quality of detection of lower body joints is lower across all conditions than the quality of detection of upper body joints. In this practical overview, we present the possibilities and limitations of current camera-based systems in telerehabilitation.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Human Pose and Action Recognition · Diabetic Foot Ulcer Assessment and Management · Hand Gesture Recognition Systems

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Czech Institute of Informatics, Robotics and Cybernetics, Czech Technical University in Prague, Jugoslavskych partyzanu 1580/3, 16000 Prague, Czech Republic

Faculty of Biomedical Engineering, Czech Technical University in Prague, Sitna 3105, 272 01 Kladno, Czech Republic

Funding

Government of the Czech Republic

References (36)

Show source-provided references
1. Quantitative analysis of movements in facial nerve palsy with surface electromyography and kinematic analysis10.1016/j.jelekin.2020.102485 ↗
2. Effectiveness of Telerehabilitation in Physical Therapist Practice: An Umbrella and Mapping Review With Meta–Meta-Analysis
3. Desmarais, Y., Mottet, D., Slangen, P., and Montesinos, P. (2020). A review of 3D human pose estimation algorithms for markerless motion capture. arXiv.10.1016/j.cviu.2021.103275 ↗
4. Cotton, R.J. (2020, January 16–20). Kinematic Tracking of Rehabilitation Patients With Markerless Pose Estimation Fused with Wearable Inertial Sensors. Proceedings of the 2020 15th IEEE International Conference on Automatic Face and Gesture Recognition (FG 2020), Buenos Aires, Argentina.10.1109/FG47880.2020.00092 ↗
5. Telerehabilitation: Review of the State-of-the-Art and Areas of Application10.2196/rehab.7511 ↗
6. Automatic Telerehabilitation System in a Home Environment Using Computer Vision
7. Farulla, G.A., Pianu, D., Cempini, M., Cortese, M., Russo, L., Indaco, M., Nerino, R., Chimienti, A., Oddo, C., and Vitiello, N. (2016). Vision-Based Pose Estimation for Robot-Mediated Hand Telerehabilitation. Sensors, 16.10.3390/s16020208 ↗
8. Verification of reliability and validity of motion analysis systems during bilateral squat using human pose tracking algorithm10.1016/j.gaitpost.2020.05.027 ↗
9. Hidalgo, G., Cao, Z., Simon, T., Wei, S.E., Raaj, Y., Joo, H., and Sheikh, Y. (2021, October 10). OpenPose Library, CMU-Perceptual-Computing-Lab. Available online: https://github.com/CMU-Perceptual-Computing-Lab/openpose.
10. He, K., Gkioxari, G., Dollar, P., and Girshick, R. (2017, January 22–29). Mask R-CNN. Proceedings of the IEEE International Conference on Computer Vision (ICCV), Venice, Italy.10.1109/ICCV.2017.322 ↗
11. Ahmadyan, A., Hou, T., Wei, J., Zhang, L., Ablavatski, A., and Grundmann, M. (2020). Instant 3D Object Tracking with Applications in Augmented Reality. arXiv.
12. Fang, H.S., Xie, S., Tai, Y.W., and Lu, C. (2017, January 22–29). RMPE: Regional Multi-person Pose Estimation. Proceedings of the IEEE International Conference on Computer Vision (ICCV), Venice, Italy.10.1109/ICCV.2017.256 ↗
13. A Review of the Evolution of Vision-Based Motion Analysis and the Integration of Advanced Computer Vision Methods Towards Developing a Markerless System10.1186/s40798-018-0139-y ↗
14. Deep neural networks enable quantitative movement analysis using single-camera videos10.1038/s41467-020-17807-z ↗
15. Why is telerehabilitation necessary? A pre-post COVID-19 comparative study of ICF activity and participation10.1108/JET-11-2020-0047 ↗
16. Chua, J., Ong, L.Y., and Leow, M.C. (2021). Telehealth Using PoseNet-Based System for In-Home Rehabilitation. Future Internet, 13.10.3390/fi13070173 ↗
17. Hernández, Ó.G., Morell, V., Ramon, J.L., and Jara, C.A. (2021). Human Pose Detection for Robotic-Assisted and Rehabilitation Environments. Appl. Sci., 11.10.3390/app11094183 ↗
18. Artificial Intelligence-Assisted motion capture for medical applications: A comparative study between markerless and passive marker motion capture10.1080/10255842.2020.1856372 ↗
19. Stenum, J., Rossi, C., and Roemmich, R.T. (2021). Two-dimensional video-based analysis of human gait using pose estimation. PLoS Comput. Biol., 17.10.1371/journal.pcbi.1008935 ↗
20. Evaluation of 3D Markerless Motion Capture Accuracy Using OpenPose With Multiple Video Cameras10.3389/fspor.2020.00050 ↗
21. PhysioTools© Product ID RG-PT1ENG. General Exercises, PhysioTools©. [2nd ed.]. (In English).
22. Optimal primary care management of clinical osteoarthritis and joint pain in older people: A mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials10.3310/pgfar06040 ↗
23. Badiola-Bengoa, A., and Mendez-Zorrilla, A. (2021). A Systematic Review of the Application of Camera-Based Human Pose Estimation in the Field of Sport and Physical Exercise. Sensors, 21.10.3390/s21185996 ↗
24. (2021, November 03). Anatomical Planes. Available online: https://teachmeanatomy.info/the-basics/anatomical-terminology/planes/.
25. Cao, Z., Simon, T., Wei, S.E., and Sheikh, Y. (2017, January 21–28). Realtime Multi-Person 2D Pose Estimation using Part Affinity Fields. Proceedings of the Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition (CVPR), Honolulu, HI, USA.10.1109/CVPR.2017.143 ↗
26. Stirling, D., Hesami, A., Ritz, C., Adistambha, K., and Naghdy, F. (2010). Symbolic Modelling of Dynamic Human Motions, InTech.10.5772/7215 ↗
27. Musculoskeletal model-based inverse dynamic analysis under ambulatory conditions using inertial motion capture10.1016/j.medengphy.2018.12.021 ↗
28. Lin, T.Y., Maire, M., Belongie, S., Bourdev, L., Girshick, R., Hays, J., Perona, P., Ramanan, D., Zitnick, C.L., and Dollár, P. (2014). Microsoft COCO: Common Objects in Context. arXiv.10.1007/978-3-319-10602-1_48 ↗
29. Andriluka, M., Pishchulin, L., Gehler, P., and Schiele, B. (2014, January 23–28). 2D Human Pose Estimation: New Benchmark and State of the Art Analysis. Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition (CVPR), Columbus, OH, USA.10.1109/CVPR.2014.471 ↗
30. Johnson, S., and Everingham, M. (2011, January 20–25). Learning Effective Human Pose Estimation from Inaccurate Annotation. Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, Colorado Springs, CO, USA.10.1109/CVPR.2011.5995318 ↗
31. Zhang, W., Zhu, M., and Derpanis, K.G. (2013, January 1–8). From Actemes to Action: A Strongly-Supervised Representation for Detailed Action Understanding. Proceedings of the IEEE International Conference on Computer Vision (ICCV), Sydney, Australia.10.1109/ICCV.2013.280 ↗
32. Kazemi, V., and Sullivan, J. (2012, January 3–7). Using Richer Models for Articulated Pose Estimation of Footballers. Proceedings of the BMVC, Surrey, UK.10.5244/C.26.6 ↗
33. Garcia-Salguero, M., Gonzalez-Jimenez, J., and Moreno, F.A. (2019). Human 3D Pose Estimation with a Tilting Camera for Social Mobile Robot Interaction. Sensors, 19.10.3390/s19224943 ↗
34. Slembrouck, M., Luong, H., Gerlo, J., Schütte, K., Cauwelaert, D.V., Clercq, D.D., Vanwanseele, B., Veelaert, P., and Philips, W. (2020). Multiview 3D Markerless Human Pose Estimation from OpenPose Skeletons, Springer International Publishing.10.1007/978-3-030-40605-9_15 ↗
35. Measuring Gait Variables Using Computer Vision to Assess Mobility and Fall Risk in Older Adults With Dementia10.1109/JTEHM.2020.2998326 ↗
36. Needham, L., Evans, M., Cosker, D.P., and Colyer, S.L. (2021). Can Markerless Pose Estimation Algorithms Estimate 3D Mass Centre Positions and Velocities during Linear Sprinting Activities?. Sensors, 21.10.3390/s21082889 ↗