Field Of Physical Rehabilitation Research Articles

Unlocking the potential of RNN and CNN models for accurate rehabilitation exercise classification on multi-datasets

AbstractPhysical rehabilitation is crucial in healthcare, facilitating recovery from injuries or illnesses and improving overall health. However, a notable global challenge stems from the shortage of professional physiotherapists, particularly acute in some developing countries, where the ratio can be as low as one physiotherapist per 100,000 individuals. To address these challenges and elevate patient care, the field of physical rehabilitation is progressively integrating Computer Vision and Human Activity Recognition (HAR) techniques. Numerous research efforts aim to explore methodologies that assist in rehabilitation exercises and evaluate patient movements, which is crucial as incorrect exercises can potentially worsen conditions. This study investigates applying various deep-learning models for classifying exercises using the benchmark KIMORE and UI-PRMD datasets. Employing Bi-LSTM, LSTM, CNN, and CNN-LSTM, alongside a Random Search for architectural design and Hyper-parameter tuning, our investigation reveals the (CNN) model as the top performer. After applying cross-validation, the technique achieves remarkable mean testing accuracy rates of 93.08% on the KIMORE dataset and 99.7% on the UI-PRMD dataset. This marks a slight improvement of 0.75% and 0.1%, respectively, compared to previous techniques. In addition, expanding beyond exercise classification, this study explores the KIMORE dataset’s utility for disease identification, where the (CNN) model consistently demonstrates an outstanding accuracy of 89.87%, indicating its promising role in both exercises and disease identification within the context of physical rehabilitation.

Features of clinical reasoning in physical rehabilitation

The article is devoted to the analysis of the clinical reasoning of specialists in the field of physical rehabilitation, in particular, specialists in physical therapy and occupational therapy. Despite numerous studies, the topic of "formation of clinical thinking" remains insufficiently studied and has its own peculiarities in the field of physical therapy.
 The key features influencing clinical reasoning in physical rehabilitation are revealed. They include the use of movement as one of the main means of diagnosis, rehabilitation, evaluation of effectiveness, as well as the goals of rehabilitation interventions; focus on patient activity and participation (according to the International Classification of Functioning, ICF); patient mobility; interactivity and multidisciplinarity. The autonomy extend in professional activity has a significant impact on the formation of clinical reasoning of specialists.
 Conceptually, clinical reasoning in physical rehabilitation may be defined as the combination and interaction of cognitive, affective and psychomotor skills. At the same time, effective clinical reasoning is narrative, adaptive and collaborative, contextual and it utilizes a biopsychosocial approach to the patient.

Characterization of pneumatic muscle actuators and their implementation on an elbow exoskeleton with a novel hinge design

The exoskeleton plays an essential role in the field of physical rehabilitation. Several actuators are used for the exoskeleton application, but the pneumatic muscle actuator has proved to be the best due to its high power to weight ratio, compliance, and safe operation. The objective of this paper involves the fabrication and experimental characterization of a pneumatic muscle actuator to actuate an exoskeleton for the elbow joint. This paper presents the development and testing of twelve pneumatic muscles of varying materials and sizes, to find the best combination to suit the intended application. The characterization process involved several tests, which related force, deflection, and pressure at various loading conditions. A modular test rig was developed to conduct all the tests with minor adjustments to the test setup. The study also involved designing and developing an elbow exoskeleton to test the pneumatic muscle in the real-world scenario. The exoskeleton is designed with a novel hinge to compensate for the antagonistic nature of the pneumatic muscle actuator. The tests showed the muscles with higher tensile modules bladders having a lower hysteresis and better load handling capability, but these suffered from lower contraction and force characteristics. The styrene-based muscle with a 12mm bladder (S12LB) showed the best force and deflection characteristics at various pressures and loading conditions. The styrene bladder has a modulus closer to the skeletal muscle, therefore demonstrating higher compliance and making it a preferred choice for the exoskeleton application

The Impact of COVID on Lower-Limb Exoskeleton Robotic System Patents—A Review

In recent decades, the field of physical rehabilitation, with the help of robotic systems that aid the population of any age with locomotor difficulties, has been evolving rapidly. Several robotic exoskeleton systems of the lower limbs have been proposed in the patent literature and some are even commercially available. Given the above, we are asking ourselves at the end of the COVID-19 pandemic: how much has this pandemic affected both the publication of patents and the application of new ones? How has new patents’ publication volume or application in robotic exoskeleton systems changed? We hypothesize that this pandemic has caused a reduction in the volume of new applications and possibly publications. We compare pandemic analysis and the last decade’s analysis to answer these questions. In this study, we used a set of statistical tests to see if there were any statistically significant changes. Our results show that the pandemic had at least one effect on applying for new patents based on the information analyzed from the three databases examined.

Нормативні засади професійної діяльності у сфері фізичної реабілітації, фізичної терапії, ерготерапії

The purpose of the study was to generalize and systematize the provisions of the modern regulatory framework of professional activity in the field of physical rehabilitation, physical therapy, occupational therapy and their implementation in terms of reforming the rehabilitation system in Ukraine. Materials and methods. Such methods as theoretical analysis and generalization of literary sources and the Internet, documentary method, historical method, analogy, induction were used in the study. Results and discussion. Large-scale reform of the modern education and health care system to international requirements and Ukraine's integration into world organizations have contributed to the introduction of a new profession in the Classifier of Professions DK 003: 2010 code 2229.2 Physical Therapist and the formation of a new educational specialty "Physical Therapy, Occupational Therapy" in the field of knowledge 22 "Health care". Modern specialty "Physical Therapy" in Ukraine has been developing as "Physical Rehabilitation" since the mid-90s of the last century and it was formed as a separate educational and scientific specialty in the field of knowledge 0102 "Physical Education, Sports and Human Health" and field of science 24 "Physical education and sports" in the specialty – 24.00.03 "Physical rehabilitation". Thus, the formation of the industry requires the creation of an appropriate system of scientific and empirical knowledge. Reforming Ukraine's rehabilitation system has been associated with a number of important societal challenges. The visit of the World Health Oranisation and ISPRM Evaluation Commission to Ukraine in 2015 resulted in the first registered draft Law of Ukraine "On Rehabilitation of Persons with Disabilities", based on modern international principles. In 2020, the Law of Ukraine "On Rehabilitation in the Field of Health Care" was signed, which introduces the functioning of a modern system of "rehabilitation in the field of health care". The law defines the principles of rehabilitation of citizens of Ukraine, defines the rehabilitation system and its components. At the same time, public associations of physical therapists are also trying to streamline the definitions and qualification requirements of the industry. Conclusion. Professional training of physical therapists, occupational therapists in Ukraine is carried out in higher education institutions in the field of physical education and sports, education and health care in the context of permanent reform. Reforming the higher education system in Ukraine, improving the regulatory framework, introducing a new list of fields of knowledge and specialties were the impetus for the formation of a modern rehabilitation system in Ukraine, which will operate and develop according to European Union principles and standards, minimize disability and limitations, opportunities for social integration of people with disabilities

Парадигма професійного становлення фахівця з фізичної реабілітації з огляду на формування професійно значущого досвіду спеціаліста

The aim of the research is to analyze the problem of experience in a paradigmof psychology, to outline psychological components of professionally significantexperience in general, to identify the components of professionally significantexperience of a specialist in the field of physical rehabilitation, taking intoaccount the peculiarities of his / her professional activity.were used to solve the tasks formulated in the article: a categorical method,structural and functional methods, the methods of the analysis, systematization,modeling, generalization.The results of the research. Professionally meaningful experience will havevaluable, reflexive, communicative and operational characteristics. It is this setof parameters of experience that ensures the independence of the individual,his / her creative or reflexive activity. Professionally significant experience is alsogained in situations of involuntary activity, immediate (or insight) responses,the situations which are full of automatisms, adaptive or constructive actions.It is emphasized that both personally significant and professionally meaningfulexperience is not only a scientific problem, but also a matter of life formationof personality, a problem of constructing his / her own image of the world. Aprofessionally meaningful experience allows the subject to propose a model or aplan of professional activity, to present the scale of life ideas, which will allow theperson to realize his / her own place at each more or less important moments oflife, to build a bifurcation space of personal and professional growth.The activity of the individual, his / her position according to professionallymeaningful society is not only and not so much presented that he / she thus«contributes» to something in common, integral and social, but that he / sheis able to create without direct coordination with all representatives of thesociety, his / her own system of ways of professional interaction with people, akind of social-interpretation professionally oriented complex. It is stated that theapproach to the problem of professionally meaningful experience is especiallyimportant for the field of physical rehabilitation, since the specialist has to showexceptional skills to perform professional activity in a system not of the abstractparadigm, but according to his / her own system of world.Conclusions. The components of professionally significant experience of aspecialist in a field of physical rehabilitation are defined to include: 1) valuableexperience; 2) the experience of reflecting his / her own professional activity;3) operational experience. It is stated that the valuable experience fulfills thefollowing functions: a developmental one, a differential function, the integrativeone, semantic and self-determining functions, and a function of conservation. Thefunctions of the component «experience of reflecting his / her own professionalactivity» are: subjectively updated function, a preventive one, the interpretive andthe adaptive functions, also the function of adjustment. Functions of operationalexperience include: a consultative function, a cognitive one, communicative and perceptive functions, a psychotherapeutic and a nominative ones, the functionof stating the purpose and coding the information.

ПОБУДОВА ОБРАЗУ СВІТУ ФАХІВЦЯ З ФІЗИЧНОЇ РЕАБІЛІТАЦІЇ ЯК МЕХАНІЗМ СТАНОВЛЕННЯ ЙОГО ПРОФЕСІЙНОЇ АВТЕНТИЧНОСТІ

The article deals with the characteristics of person’s image of the world and explicates their direct connections with the problem of studying the meaning of human actions. The study of values in the axiological paradigm testifies to their connections with the events which take place. The latter causes the specialist to update the problems and tasks of his/her professional activity. In this case, it is of particular importance that the responsibility of the specialist was understood as a person guaranteed to maintain a certain high level and a quality of the activity for a specific period of time, despite unforeseen difficulties, and determining the degree of coordination of these or other determinants, based on actualized personal needs, the degree of people’s awareness, as well as their own value-meaning relationships.Systematic metatheoretical development of psychology as a science allows us to see the object-object paradigm field of definitions, categories and concepts more broader and deeper, and the methodological positions are developed by psychology and they allow us to shift the emphasis of scientific consideration on the study of mental processes of the person to the analysis of how it was organized the objective world for the subject. Thus, in order to study the features of the professional development of a specialist in a field of physical rehabilitation in details, in this research the process of constructing the image of the world is shown since the very study of the features of this design leads to the understanding of the person, conditions and features of his/her personal and professional growth.In the paradigm of increasing actualization of the problem of identification of specificity, origin, development, functioning, as well as ways of researching the whole variety of individual and group cultural-historical models of the world, images of the reality and images of the world, we are interested in professionally mediated vision of the world, which significantly arises in the conditions of higher professional education, according to the process of training a specialist in a field of physical rehabilitation.The concept of professional authenticity of a specialist in a field of physical rehabilitation was formulated in a paradigm of constructs which represent the specificity of the individual or a group, promoting the indirect vision of the world. It was stated that the professional authenticity of a specialist is a multidimensional personal neoformation, which was regulated by social and professional norms and forms of the professional activity which had been arising on the basis of professional programs and professional patterns of the person’s behavior and activity. The components in the structure of professional authenticity were distinguished: qualitative characteristics of professional authenticity, which perform regulatory functions at the psychological level of providing professional activity; professionally predetermined components of professional authenticity, including those features the formation of which directly depends on the specific content of the professional activity; motivational subcomponents of professional authenticity, mainly determined by assessments of the “professional motivation” of the person.We also believe that professional authenticity is closely linked to vital productivity. It is a result of the adaptability, maturity and productivity of the person, the result of the influence of the “active mode of culture” on the professional activity of this specialist. The level of professional authenticity, in our opinion, is generally related to the positive “I-concept” of the person, the experience of authorship in the exercise of the professional activity, according to the orientation to the usage of active forms of “mastering” behavior in the professional sphere, professional productivity, professional success, sociometric status and the degree of professional self-fulfillment. In turn, professional authenticity has a negative relationship with reactive anxiety, neuroticism, passive forms of “mastering” behavior by the person.Professional authenticity allows a specialist who provides his/her professional activity in a field of physical rehabilitation to perform a professional task or different tasks fairly effectively, productively and creatively in given (necessary for the latter) conditions. The latter allows us to analyze professional authenticity from a systemic standpoint, focusing on a comprehensive study of the activity of a person in such kind of specific types of professional activities.Professional authenticity is greatly enhanced under the influence of the subject’s specific conditions of his/her professional activity. The latter seems to be “imprinting” according to the content of professional authenticity in its whole structure. In the process of mastering by a person his/her professional skills, personality traits are formed. These conditions allow people to act successfully in the complicated conditions of performing professional activity. In difficult professions connected with a great risk (such kind of profession is the profession of a person who provides his/her professional activity in a field of physical rehabilitation), the role of professional authenticity is growing significantly. However, in the most cases its development is spontaneous. Thus, this process can also have a specially organized, well-directed nature.

Scientific and pedagogical aspects of physical rehabilitation in the system of physical education of students of higher education institutions of Ukraine

The article substantiates the scientific and pedagogical aspects of training a specialist in physical rehabilitation in the system of institutions of higher education. The social significance of the activities of a qualified specialist in his practical application of the knowledge and skills of health-rehabilitation technologies in restoring and maintaining the patient’s health is determined. Purpose of work. To study the introduction of the scientific and methodological base of training and the level of competence of a specialist in physical rehabilitation into the educational process of higher educational institutions. Methodology. The work used a set of complementary methods in accordance with the task. The analysis of the curriculum of the discipline "Physical rehabilitation" of higher educational institutions. The scientific specialized literature on the problems of using physical culture aids in the comprehensive restoration of physical health is analyzed. Results. The theoretical research method is aimed at streamlining knowledge of physical rehabilitation and the formation of student skills for use in practical activities. Conclusions. The training of specialists in the field of physical rehabilitation indicates that at the level of general biological and medical knowledge, a qualified specialist should fully master the foundations of pedagogical, psychological, and sociological knowledge and apply in his practical activities. Further scientific search for ways to optimize the professional training of specialists in physical rehabilitation in Ukraine is due to the need to develop a process of continuous vocational education and to improve training programs for relevant specialists at different qualification levels. Physical rehabilitation has recently taken a leading role in the comprehensive application of restorative measures and the treatment of diseases and injuries.

"Суб’єктність як необхідна складова професійного становлення фахівця з фізичної реабілітації"

У статті описано рівні сформованості суб’єктності індивіда. Окреслено роль суб’єктності в професійній діяльності фахівця з фізичної реабілітації. Визначено найважливіші характеристики суб’єктності особистості фахівця з фізичної реабілітації. Сформульовано аспекти суб’єктності саме фахівця з фізичної реабілітації: 1) соціальний – пов’язаний із проявами суб’єкта з точки зору соціальної ідентичності, носія соціальних норм, ставлень і особливостей взаємодій; 2) акмеологічний – пов’язаний із характеристиками, що виявляються суто у професійній діяльності, в тому числі – у спеціальній, спрямованій на розвиток професійної компетентності фахівця; 3) аксіологічний аспект, спрямований на становлення аксіопсихіки фахівця з фізичної реабілітації. Із точки зору змістової характеристики суб’єктності виокремлено чотири взаємопов’язані блоки в професійній діяльності реабілітолога, розкрито їхній зміст. Зазначено, що мотиваційно-ціннісний блок уміщує мотиви і цілі професійної діяльності реабілітолога, а також структуру цінностей фахівця. Наголошено, що інтенційно-діяльнісний блок характеризується поєднанням таких структурних складових: здатностей і здібностей реабілітолога до розв’язання професійних завдань і задач; здатності до співпраці, бачення унікальності іншої людини, активності в налагодженні контактів. Підкреслено, що рефлексивно-регуляційний блок пов’язаний із професійною рефлексією, критичною оцінкою професійних знань з огляду на особливості реальної професійної діяльності фахівця з фізичної реабілітації. Зазначено, що креативно-операціональний блок містить особистісні якості та можливості професійного розвитку і самовдосконалення. У статті уточнено поняття «психотерапевтична відповідальність» фахівця з фізичної реабілітації. Зазначено, що в широкому розумінні психотерапевтична відповідальність – це, передусім, добровільне прийняття доцільного з точки зору реабілітолога рішення. Наголошено, що чинник добровільності означає, що суб’єкт самостійно, з огляду на свої переконання, спрямовує свою волю, свої особистісні ресурси на реалізацію прийнятого рішення. Підкреслено, що взяти на себе психотерапевтичну відповідальність означає зайняти відповідну позицію, ставити і розв’язувати професійні завдання та задачі з високим ступенем ефективності.

Remote Rehabilitation for Survivors of Moderate or Severe Traumatic Brain Injury: A Scoping Review

This scoping review was conducted to explore how remote supervision is being used in moderate or severe TBI rehabilitation and to identify the current gaps in the field of physical rehabilitation. Remote supervision may be used as an alternative method of rehabilitation when traditional face-to-face services cannot be accessed by patients.

Alteraciones de la huella plantar en preescolares del Centro Infantil del Buen Vivir “Francisco Chiriboga”

La forma en que se manejan los problemas biomecánicos en niños constituye un tema controversial en el campo de la rehabilitación física. Se desarrolló un proceso investigativo con el objetivo de: describir la evolución de un grupo de pacientes pediátricos mayores de dos años diagnosticados con pie plano atendidos en consulta de fisioterapia en la ciudad de Riobamba; la que fue de tipo observacional descriptivo, de corte longitudinal, cuya población de estudio estuvo constituida por las fichas de control, evaluación y valoración de 30 niños mayores de 2 años que acudieron a consulta de fisioterapia acompañados de un tutor legal por presentar signos de alteraciones de la huella plantar (pie plano). Se observó un predominio de los pacientes con edades comprendidas entre cuatro y cinco años, para un 33 y 27% respectivamente. El 93% de los participantes presentó alteraciones de la huella plantar comprobada mediante medición utilizando el plantígrafo, pero el 53% tuvo pie plano fisiológico. Luego de aplicados los ejercicios de Risser, los datos reflejaron una elevación de la cifra de huella plantar normal hasta el 33% y una disminución en el grado de afectación en el 35% de los niños diagnosticados. Los resultados de la recuperación fueron ratificados mediante el análisis del desgaste del calzado en los pacientes pediátricos en cuestión.

ФОРМУВАННЯ ІНФОРМАЦІЙНО- КОМУНІКАЦІЙНОЇ КОМПЕТЕНТНОСТІ МАЙБУТНІХ ФАХІВЦІВ З ФІЗИЧНОЇ РЕАБІЛІТАЦІЇ

It is known that the main direction of the physical rehabilitation development in Ukraine is compliance with international standards for the training of specialists in this profile. One of the main criteria a physical therapist is evaluated are professional competences that are differed in content but consistent to the general direction proclaimed by the World Confederation of Physical Therapy.Increasing the professional competence of health professionals around the world is defined as the most important factor in reforming the health care system. Along with the general requirements for a physical therapist, which could satisfy the needs of both the individual and the society as a whole, the requirements for professional education in higher education institutions are growing. One of the priority directions of the education development in the transition to an information society is the use of computers and information systems in universities.The content, essence and features of the information and communication competence of future physical therapists formation are disclosed in the article. It is noted the identification of information and communication competence as a separate component of the physical therapists professional competence is due to the active using of information and communication technologies in all spheres of human activity, including in health care system. The author notes the essence of the physical therapist information competence consists the ability to obtain knowledge about the ways of processing, transferring, storing and presenting professional information using computer technology. The article emphasizes that communication competence is also very important for a physical therapist because a specialist in the field of physical rehabilitation has to communicate directly with different people in the performance of his professional duties, using verbal and non-verbal methods of communication, to be able to establish contact, listen, build a conversation with the patient.

Nitinol for Prosthetic and Orthotic Applications

As global populations age, conditions such as stroke and diabetes require individuals to use rehabilitation technology for many years to come due to chronic musculoskeletal, sensory, and other physical impairments. One in four males currently aged 45 will experience a stroke within 40 years and will often require access to prolonged rehabilitation. In addition, worldwide, one individual loses a limb every 30 s due to the complications of diabetes. As a result, innovative ideas are required to devise more effective prosthetic and orthotic devices to enhance quality of life. While Nitinol has already found much favor within the biomedical industry, one area, which has not yet exploited its unique properties, is in the field of physical rehabilitation, ranging from prosthetic and orthotic devices to assistive technology such as wheelchairs. Improved intervention capabilities based on materials such as Nitinol have the potential to vastly improve patients’ quality of life and in the case of orthoses, may even reduce the severity of the condition over time. It is hoped that this study will spark discussion and interest for the materials community in a field which has yet to be fully exploited.

Turning training into play: Embodied gaming, seniors, physical training and motivation

Embodied gaming has been adopted and gained credibility in the field of physical rehabilitation. In this paper, we report on findings from a six-month-long study of three groups of senior citizens, and their use of Nintendo Wii Fit in a supervised physical training context. We argue that the study participants generally found physical training both fun and socially engaging, and experienced improved fitness. We also argue that embodied gaming motivates seniors to do more than they think themselves capable of, and allows seniors with different mental and physical capabilities to play together. However, there are also certain barriers, when seniors interact with the system. Speed and complexity of what is displayed on the screen are examples of barriers that affect the seniors’ satisfactory use of the technology. Based on these findings, we discuss how physical rehabilitation may be facilitated by computer gaming technology.

Critical Evaluation of Research in Physical Rehabilitation: Towards Evidence-Based Practice

Resource CornerSeptember 1, 2002Critical Evaluation of Research in Physical Rehabilitation: Towards Evidence-Based PracticeJayna M. Holroyd-Leduc, MDJayna M. Holroyd-Leduc, MDUniversity of Toronto, Toronto, Ontario, Canada (J.M.H.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/ACPJC-2002-137-2-A15 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack Citations ShareFacebookTwitterLinkedInRedditEmail Critical Evaluation of Research in Physical Rehabilitation aims to outline the tools required to search and critically evaluate evidence in the field of physical rehabilitation. Although the target audience is professionals in the field of physical rehabilitation, I believe that the topics covered in this book are applicable to all health care professionals.The book includes 9 chapters that discuss research design and how to appraise the clinical literature. The first chapter provides an overview of research design and methods. An approach to conducting a literature review, including a description of various search engines, is outlined in subsequent chapters. Additional chapters ... Author, Article, and Disclosure InformationAffiliations: University of Toronto, Toronto, Ontario, Canada (J.M.H.) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails September 1, 2002Volume 137, Issue 2Page: A15KeywordsEvidence based medicineExerciseForecastingResearch design ePublished: 9 March 2020 Issue Published: September 1, 2002 Copyright & PermissionsCopyright © 2002 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...

Inter-rater reliability and construct validity of the LaVigne Motor Recovery Assessment Scale following a cerebrovascular accident

Several authors in the field of physical rehabilitation have used the concept of motor recovery to measure the post-cerebrovascular accident motor function of the affected limbs of adult hemiplegic subjects. The LaVigne test is composed of 95 items to assess motor recovery. This test uses the seven motor recovery stages identified by Brunnstrom. The first objective of the present study was to establish inter-rater reliability for the scores of upper extremity, lower extremity and hand motor function using a scoring system devised by LaVigne. The second objective was to explore the construct validity of the LaVigne test. Thirty-six CVA subjects were assessed by two independent physiotherapists. Inter-rater reliability was found to be high for the total scores of upper extremity (R = 0.70–0.92) and hand (R = 0.88–0.96) motor recovery. Inter-rater reliability coefficients were not as high for the total scores of lower extremity motor dysfunction (R = 0.50–0.88). The seven mutually exclusive graded stages des...