Abstract
Home-based rehabilitation is becoming a gold standard for patient who have undergone knee arthroplasty or full knee replacement, as it helps healthcare costs to be minimized. Nevertheless, there is a chance of increasing adverse health effects in case of home care, primarily due to the patients’ lack of motivation and the doctors’ difficulty in carrying out rigorous supervision. The development of devices to assess the efficient recovery of the operated joint is highly valued both for the patient, who feels encouraged to perform the proper number of activities, and for the doctor, who can track him/her remotely. Accordingly, this paper introduces an interactive approach to angular range calculation of hip and knee joints based on the use of low-cost devices which can be operated at home. First, the patient’s body posture is estimated using a 2D acquisition method. Subsequently, the 3D posture is evaluated by using the depth information coming from an RGB-D sensor. Preliminary results show that the proposed method effectively overcomes many limitations by fusing the results obtained by the state-of-the-art robust 2D pose estimation algorithms with the 3D data of depth cameras by allowing the patient to be correctly tracked during rehabilitation exercises.
Highlights
The need for joint replacement surgery in the cases of end-stage arthritis is urgent in clinical practice today
The present paper proposes a new hybrid and interactive approach for performing a real-time measurement of lower limb joint rotation angles during post-total knee arthroplasty (TKA) and -total hip arthroplasty (THA)
Each mode can utilize a different number of neurons (IMUs), ranging from three in single-arm mode full-body, 18-neuron
Summary
The need for joint replacement surgery in the cases of end-stage arthritis is urgent in clinical practice today. Several orthopedic medical centers implemented the so-called fast-track surgical protocol [3,4], which significantly enhances post-operative healing Such a protocol allows decreasing hospital stay time from a median of five-six to three days, with reduced post-operative morbidity and no increased readmission rates. Fast-track procedures include early patient mobilization following anesthesia, early oral hydration and nutrition and removing any form of surgical treatment beyond 48 h, such as urinary catheterization or needle-tubes. This method requires an exceedingly detailed control of the candidate’s whole perioperative time for complete knee/hip arthroplasty
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