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Media adaptation framework in biofeedback system for stroke patient rehabilitation

Published: 29 September 2007 Publication History

Abstract

In this paper, we present a media adaptation framework for an immersive biofeedback system for stroke patient rehabilitation. In our biofeedback system, media adaptation refers to changes in audio/visual feedback as well as changes in physical environment. Effective media adaptation frameworks help patients recover generative plans for arm movement with potential for significantly shortened therapeutic time. The media adaptation problem has significant challenges - (a) high dimensionality of adaptation parameter space (b) variability in the patient performance across and within sessions(c) the actual rehabilitation plan is typically a non first-order Markov process, making the learning task hard.
Our key insight is to understand media adaptation as a real-time feedback control problem. We use a mixture-of-experts based Dynamic Decision Network (DDN) for online media adaptation. We train DDN mixtures per patient, per session. The mixture models address two basic questions - (a) given a specific adaptation suggested by the domain expert, predict patient performance and (b) given an expected performance, determine optimal adaptation decision. The questions are answered through an optimality criterion based search on DDN models trained in previous sessions. We have also developed new validation metrics and have very good results for both questions on actual stroke rehabilitation data.

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References

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Y. CHEN, H. HUANG, W. XU, et al. (2006). The Design Of A Real-Time, Multimodal Biofeedback System For Stroke Patient Rehabilitation, SIG ACM Multimedia, Santa Barbara, CA, Oct. 2006.
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W. XU, Y. CHEN, H. SUNDARAM, et al. (2006). Multimodal archiving, real-time collaborative annotation and information visualization in a biofeedback system for stroke patient rehabilitation, 3rd Workshop on Capture Archival, Retrieval of Personal Experiences, in Conjunction with ACMMM 06, Santa Barbara, CA, Oct. 2006.

Cited By

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  • (2024)A Hierarchical Bayesian Model for Cyber-Human Assessment of Movement in Upper Extremity Stroke RehabilitationIEEE Transactions on Neural Systems and Rehabilitation Engineering10.1109/TNSRE.2024.345000832(3157-3166)Online publication date: 2024
  • (2022)Capturing Upper Body Kinematics and Localization with Low-Cost Sensors for Rehabilitation ApplicationsSensors10.3390/s2206230022:6(2300)Online publication date: 16-Mar-2022
  • (2021)An adaptive model to support biofeedback in AmI environments: a case study in breathing training for autismPersonal and Ubiquitous Computing10.1007/s00779-020-01512-126:6(1445-1460)Online publication date: 21-Jan-2021
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Published In

cover image ACM Conferences
MM '07: Proceedings of the 15th ACM international conference on Multimedia
September 2007
1115 pages
ISBN:9781595937025
DOI:10.1145/1291233
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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Association for Computing Machinery

New York, NY, United States

Publication History

Published: 29 September 2007

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Author Tags

  1. biofeedback
  2. dynamic decision network
  3. media adaptation
  4. mixture of experts

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MM07

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Overall Acceptance Rate 2,145 of 8,556 submissions, 25%

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Cited By

View all
  • (2024)A Hierarchical Bayesian Model for Cyber-Human Assessment of Movement in Upper Extremity Stroke RehabilitationIEEE Transactions on Neural Systems and Rehabilitation Engineering10.1109/TNSRE.2024.345000832(3157-3166)Online publication date: 2024
  • (2022)Capturing Upper Body Kinematics and Localization with Low-Cost Sensors for Rehabilitation ApplicationsSensors10.3390/s2206230022:6(2300)Online publication date: 16-Mar-2022
  • (2021)An adaptive model to support biofeedback in AmI environments: a case study in breathing training for autismPersonal and Ubiquitous Computing10.1007/s00779-020-01512-126:6(1445-1460)Online publication date: 21-Jan-2021
  • (2018)Semi-automated home-based therapy for the upper extremity of stroke survivorsProceedings of the 11th PErvasive Technologies Related to Assistive Environments Conference10.1145/3197768.3197777(249-256)Online publication date: 26-Jun-2018
  • (2015)CAHR: A Contextually Adaptive Home-Based Rehabilitation FrameworkIEEE Transactions on Instrumentation and Measurement10.1109/TIM.2014.234243264:2(427-438)Online publication date: Feb-2015
  • (2010)i-m-SpaceProceedings of the 18th ACM international conference on Multimedia10.1145/1873951.1874036(623-626)Online publication date: 25-Oct-2010
  • (2010)An Adaptive Mixed Reality Training System for Stroke RehabilitationIEEE Transactions on Neural Systems and Rehabilitation Engineering10.1109/TNSRE.2010.205506118:5(531-541)Online publication date: Oct-2010
  • (2009)A dynamic Bayesian approach to computational Laban shape quality analysisAdvances in Human-Computer Interaction10.1155/2009/3626512009(1-17)Online publication date: 1-Jan-2009
  • (2008)A dynamic decision network framework for online media adaptation in stroke rehabilitationACM Transactions on Multimedia Computing, Communications, and Applications10.1145/1404880.14048845:1(1-38)Online publication date: 30-Oct-2008

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