In this paper, we present OffiStretch, a camera-based system for optimal stretching guidance at home or in the workplace. It consists of a vision-based method for real-time assessment of the user’s body pose to provide visual feedback as interactive guidance during stretching exercises. Our method compares the users’ actual pose with a pre-trained target pose to assess the quality of stretching for a number of different exercises. We utilize angular and spatial pose features to perform this comparison for each individual exercise. The result of this pose assessment is presented to the user as real-time visual feedback on an "augmented mirror" display. As our method relies simply on a single RGB camera, it can be easily utilized in everyday training scenarios. We validate our method in a user study, comparing users’ performance and motivation in stretching when receiving audio-visual guidance on a TV screen both with and without our live feedback. While participants performed equally well in both conditions, feedback boosted their motivation to perform the exercises, highlighting its potential for increasing users’ well-being. Moreover, our results suggest that participants preferred stretching exercises with our live feedback over the condition without the feedback. Finally, an expert evaluation with professional physiotherapists reveals that further work must target improvements of the feedback to ensure correct guidance during stretching.

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.

The objective of this study is to evaluate the performance of functional tests using a camera-based system and machine learning techniques. Specifically, we investigate whether OpenPose and any standard camera can be used to assess the quality of the Single Leg Squat Test and Step Down Test functional tests. We recorded these exercises performed by forty-six healthy subjects, extract motion data, and classify them to expert assessments by three independent physiotherapists using 15 binary parameters. We calculated ranges of movement in Keypoint-pair orientations, joint angles, and relative distances of the monitored segments and used machine learning algorithms to predict the physiotherapists’ assessments. Our results show that the AdaBoost classifier achieved a specificity of 0.8, a sensitivity of 0.68, and an accuracy of 0.7. Our findings suggest that a camera-based system combined with machine learning algorithms can be a simple and inexpensive tool to assess the performance quality of functional tests.

Electrical stimulation is a powerful therapeutic tool for treating neurologic and neuropsychiatric disorders. Sensing and modulating electrophysiological biomarkers of memory over extended timescales is necessary for tracking and improving memory in humans. Here, we describe results from humans in their natural home environments using a novel, investigational system enabling chronic stimulation and multi-channel recording of anterior thalamic and hippocampal local field potentials during memory tasks. Four people with focal epilepsy performed a free recall verbal memory task repeatedly for up to fifty months on a touch-screen device with wireless signal acquisition with electrophysiology and behavioral data streaming to a cloud environment. Anterior thalamic-hippocampal spectral activities in the theta frequency range were found to correlate with memory processing, to predict task performance, and to be modulated by deep brain stimulation. Our results provide a new biomarker-based technology for chronic remote tracking of memory performance and modulation of the associated neural activities. One Sentence Summary Electrical stimulation in the anterior thalamic nuclei modulates theta frequency activities and improves human verbal memory performance chronically.

Introduction Musculoskeletal disorders associated with muscular strain on the neck and shoulders affect women in administration more often than men. Ergonomic guidelines have historically been derived from male models, often ignoring biomechanical differences between the sexes. This study aims to quantify the acute mechanical response of the neck muscles of men and women to a standardized writing task at university desks of the same height and 0° inclination. Methods: The research involved 57 healthy university students (34 women, 23 men; age 19–24 years). Muscle tone (F), stiffness (S), and viscoelastic decrement (D) in the sternocleidomastoideus muscle (SCM), trapezius muscle (UT), and semispinalis capitis muscle (SSC) were assessed by the non-invasive MyotonPRO device before and after 20 min of continuous writing. Results: In the entire cohort, a significant change before and after exercise was found only in the UT decrement (p = 0.021). Gender differences were found in the change in muscle tone (ΔF), SCM (p = 0.031), and SSC (p = 0.039). On average, SCM tone increased slightly in men (+0.120 Hz) and decreased in women (−0.294 Hz), while SSC tone decreased in men (−0.374 Hz) and increased in women (+0.450 Hz). Conclusions: A twenty-minute writing task at a university desk with a fixed height was associated with measurable acute changes in selected mechanical properties of the neck muscles and with differences between the sexes in the direction of change in the tone of SCM and SSC. The clinical relevance of these findings remains unclear and should be validated in larger studies with detailed anthropometric and ergonomic evaluation and longer follow-up.