A.V. Alpatov – Ph.D. (Eng.), Associate Professor, Department «Micro- and Nanoelectronics», V.F. Utkin Ryazan State Radio Engineering University

E-mail: alpatov-alexey@yandex.ru  

M.S. Ashapkina – Post-graduate Student, Department «Micro- and Nanoelectronics»; Assistant, Department «Automation  and Information Technologies in Management», V.F. Utkin Ryazan State Radio Engineering University

E-mail: mashaashapkina@gmail.com 

A.V. Fedoseev – Dr. Sc. (Med.), Professor, Head of the Department General Surgery, Ryazan State Medical University n.a. Acad. I.P. Pavlov

E-mail: rmi-62@rambler.ru

A.A. Chekushin – Ph.D.(Med.), Assistant, Department «General Surgery», Ryazan State Medical University n.a. Acad. I.P. Pavlov

E-mail: rmi-62@rambler.ru

One of the current applications of telemedicine technologies in health care is processes of physical rehabilitation. Rehabilitation is a long process that includes inpatient and outpatient periods. Besides, in most cases high-quality inpatient services are available only in large Russian cities and, as a rule, in private clinics which are not able to accept all patients. After inpatient treatment, patients are usually treated mainly on the outpatient basis and, as a rule, without medical supervision and, as a consequence, they are left “alone” with their problem. Since outside the hospital, the doctor cannot completely control the patient’s recovery process, effect of the physical rehabilitation decreases that leads to lack of the expected result. Current approach to the implementation of telemedicine systems in the field of outpatient physical rehabilitation requires application of available technical facilities for the objective control over the patient’s recovery process. Their tasks include quantitative estimation of the recovery exercise performance, tracking the limit of the physical load on the injured extremity of the locomotor apparatus, monitoring dynamics of the recovery process and remote consultation of the specialist. So, the task to develop telemedicine systems in the area of outpatient physical rehabilitation is topical. Basic technical facilities for tasks to control locomotor activity are two main groups of systems: systems of motion capture according to video recording data and inertial measuring systems based on the microelectromechanical technology. Advantage of inertial sensors as distinct from video capture is a possibility to control motion activity during everyday activity without usage of dimensioned premises as well as a necessity always to present within the video recording zone. Purpose of the present paper is to develop principals to construct the system of physical rehabilitation based on inertial sensors of portable devices or a smartphone equipped with complexes of exercises adapted for the mobile mode. Transfer of the physical rehabilitation process to the mobile mode implies the inclusion of new components in comparison with traditional modes of therapeutic physical training which ensure remote control and support of the rehabilitation activity. The present paper has suggested a structure to construct the system including four main interconnected functional elements: 1) compact portable device which performs independent control of recovery exercise performance correctness, monitoring of the activity mode and rehabilitation activity; 2) mobile application which should support functionality in the form of a structured set of exercises for joints in the form of a complex, pain testing mode according to clinically validated tests; 3) complex of exercises adapted for usage in the system of remote rehabilitation; 4) online office for remote control of the rehabilitation activity by the doctor in the form of the mobile site being available for smartphones and tablets on various operational systems to provide access through a standard browser on all platforms at once. The present paper has developed a core of the whole system which ensures the main function of the mobile rehabilitation – application for Apple smartphones.

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