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AN ADAPTIVE MULTIMODAL INTERFACE
TO IMPROVE ELDERLY PEOPLE'S REHABILIATION EXERCISES
Drd. Ing. Imad Alex Awada, Drd. Ing. Andra Codreanu,
Prof. Dr. Ing. Irina Mocanu, Prof. Dr. Ing. Adina Magda Florea,
Prof. Dr. Mihaela Apostu
The 13th International Scientific ConferenceeLearning and Software for Education
Bucharest, April 27-28, 2017
An Adaptive Multimodal Interface to Improve Elderly People’s Rehabilitation Exercises
Table of contents
• Introduction
• Existing Solutions
• Proposed Solution
• Evaluation
• Conclusion and Future Work
Context
IntroductionExisting Solutions
Proposed SolutionEvaluation
Conclusion and Future Work
Goals
3
1
• Assist elderly people recovering from physical affections:
• Adapt the multimodal interface according to the needs
• Monitor the performances and health condition
• Adapt the exercises difficulty levels by learning from user
feedback
• Increase:
• the usability
• the accessibility
• the efficiency of the system
Context
IntroductionExisting Solutions
Proposed SolutionEvaluation
Conclusion and Future Work
System components
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Research Report Presentation
4. Adaptation
The serious game change the
exercise levels depending on users
physical condition and results
The multimodal interface adapts
depending on user habits
2
1. Medical
Contain a set of recommended
exercises prescribed by a therapist
2. Serious Game
Tracks the user rehabilitation
exercises evolution
Inform the user about performances
or mistakes
3. Multimodal Interface
Interact with the user through the
game and give feedback like
sound or screen messages
An Adaptive Multimodal Interface to Improve Elderly People’s Rehabilitation Exercises
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Table of contents
• Introduction
• Existing Solutions
• Multimodal Interfaces
• Serious Games
• Proposed Solution
• Evaluation
• Conclusion and Future Work
IntroductionExisting SolutionsProposed Solution
EvaluationConclusion and Future Work
Existing multimodal interfaces
Multimodal InterfacesSerious Games
3
Multimodal interface Interface type Input Output
“AT&T’s MATCHKiosk”[3]
Multimodalinteractive cityguide
Speech, pen andtouch screen
Speechsynchronized withgraphics and texts
“Canesta” [4] Virtual projectedkeyboard
User’s fingermovement on theprojected surface
Projectedkeyboard and thedisplayed text onscreen
“Put That There” [5] Virtual projectedwall sized screen
Speech andpointing gesture
Speech andgraphics on screen
Gaze detectionpointing system forpeople withdisabilities [6]
Computer screen Speech andmovements of thehead
Visual
Inputs and outputs of multimodal interfaces
IntroductionExisting SolutionsProposed Solution
EvaluationConclusion and Future Work
Existing serious games
Multimodal InterfacesSerious Games
4
Serious Game Name Rehabilitation type
Input Output
“Voracy Fish” [8] Functional(upper limb)
gesture detectedby a Kinect device
Avatar displayedon a screen
“Hammer & Planks”[9]
Hemiplegic(musclesaffection)
Kinect,Wii Board,Joystik
Avatar displayedon a Smart TV
“Jewel Mine” [10] Therapeutic(physicalrestoration)
gesture detectedby a Kinect device
Graphics displayedon a screen
“Bombs&Flowers”[11]“Can” [11]
Functional(upper body)
Kinect,LeapMotion,Sifteo Cubes
Visual feedbacks,instructions andscore displayed onthe screens
Inputs and outputs of serious games
An Adaptive Multimodal Interface to Improve Elderly People’s Rehabilitation Exercises
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Table of contents
• Introduction
• Existing Solutions
• Proposed Solution
• Framework Overview
• Workflow
• Preview
• eLearning Model
• Evaluation
• Conclusion and Future Work
IntroductionExisting Solutions
Proposed SolutionEvaluation
Conclusion and Future Work
9
Application communication framework overview
Framework overviewWorkflowPrevieweLearning Model
5
Main Pages of the Interface (Romanian Version)
IntroductionExisting Solutions
Proposed SolutionEvaluation
Conclusion and Future Work
10
Framework overviewWorkflowPrevieweLearning Model
6
IntroductionExisting Solutions
Proposed SolutionEvaluation
Conclusion and Future Work
11
Multimodal Interface Preview
Framework overviewWorkflowPrevieweLearning Model
7
IntroductionExisting Solutions
Proposed SolutionEvaluation
Conclusion and Future Work
12
Multimodal Interface Preview
Framework overviewWorkflowPrevieweLearning Model
8
IntroductionExisting Solutions
Proposed SolutionEvaluation
Conclusion and Future Work
13
Multimodal Interface Preview
Framework overviewWorkflowPrevieweLearning Model
8
IntroductionExisting Solutions
Proposed SolutionEvaluation
Conclusion and Future Work
14
Model Adaptation
Framework overviewWorkflowPrevieweLearning Model
9
IntroductionExisting Solutions
Proposed SolutionEvaluation
Conclusion and Future Work
15
Game Preview
Framework overviewWorkflowPrevieweLearning Model
10
Screenshot of the game with two avatars
An Adaptive Multimodal Interface to Improve Elderly People’s Rehabilitation Exercises
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Table of contents
• Introduction
• Existing Solutions
• Proposed Solution
• Evaluation
• Conclusion and Future Work
IntroductionExisting Solutions
Proposed solutionEvaluation
Conclusion and Future Work
Speech recognition test results
11
English UtteranceAv. Lev. Score
Romanian UtteranceAv. Lev. Score
I have started exercising 81.20 Am început exercițiul 80.15
When did I do my last
exerciseMake the font size biggerPause the exercise
83.8682.3498.13
Când am făcut ultimul exercițiuMăriți dimensiunea scrisului Pauză
85.1278.16
100.00
Resume the exercise 97.25 Continuă exercițiul 95.43
An Adaptive Multimodal Interface to Improve Elderly People’s Rehabilitation Exercises
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Table of contents
• Introduction
• Existing Solutions
• Proposed Solution
• Evaluation
• Conclusion and Future Work
ConclusionFuture Work
IntroductionState Of The Art
Proposed ApproachConclusion and Future Work
Conclusions
The system:
• integrates speech and gesture as input modalities
• generates different visual and phonetic outputs
• user profile and adaptation model
• multilingual (English and Romanian)
• compatible with all the operating system
• fully responsive (adapt to any display size and orientation)
• rehabilitation shoulder exercise “Standing flexion stick”
• feedback eLearning model
• users have used the system for longer periods and achieved
effective results in an easier manner than previously
12
ConclusionFuture Work
IntroductionState Of The Art
Proposed ApproachConclusion and Future Work
Future work
• improve the multimodal interface by integrating new modes of
interactions and improving the existing ones
• improve the presented game approach by the meaning of adding
new exercises to the system
• evaluate the interface and the exercises with elderlies and people
recovering from specific diseases, in a supervised environment
• integrate the interface into an ambient assisted living system for
elderlies (health monitoring, fall detection, telepresence, supervised
physical exercises and activity planners [12])
13
Bibliography
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An Adaptive Multimodal Interface to Improve Elderly People’s Rehabilitation Exercises
[1] Friedemann Mattern, et. al., “From the Internet of Computers to the Internet of Things”, From
Active Data Management to Event-based Systems and more”, pp 242-259, Berlin 2010.
[2] Élvio Rodrigues, et. al., “Developing a Multimodal Interface for the Elderly”, Procedia Computer
Science, Volume 27, pp. 359-368, 2014.
[3] Sanya Harneja, et. al., “Human Computer Interaction: Smarter way of Communication”,
International Journal of Engineering and Technical Research, Volume 2, pp. 201-205, April 2014.
[4] Kuntal Saroha, et. al., “Human Computer Interaction: An intellectual approach”, International
Journal of Computer Science and Management Studies, Volume 11, pp 147-154, 2011.
[5] Chang-Beom Park, et. al., “Real-time 3D pointing gesture recognition for mobile robots with
cascade HMM and particle filter”, Image and Vision Computing, Volume 29, pp. 51-63, January 2011.
[6] Pradipta Biswas, et. al., “A new input system for disabled users involving eye gaze tracker and
scanning interface”, Journal of Assistive Technologies, Volume 5, pp. 58 – 66, 2011.
[7] E.Brox, L.Luque, et. al., “Exergames for elderly: Social exergames to persuade seniors to
increase physical activity”, Pervasive Computing Technologies for Healthcare, pp. 546–549, 2011.
[8] Voracy Fish Game website: www.voracy.com | accessed on: 2017-02-11.
[9] Ines Di Loreto, et. al., “Game Design for All: The Example of Hammer and Planks”, Serious
Games Development and Applications, pp. 70-75, Norway 2013.
[10] Jewel Mine website: http://ict.usc.edu/prototypes/jewel-mine | accessed on: 2017-02-11.
[11] Gabrielli S., et. al., “A Game-based solution for In-Home Rehabilitation”, Proceedings of the 2nd
International Congress on Neurotechnology, Electronics & Informatics, pp. 145-149, 2014.
[12] CAMI Project - Official Website, www.camiproject.eu/info | accessed on: 2017-02-11.
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