🤖 AI Summary
To address critical challenges in post-total knee arthroplasty home rehabilitation—including insufficient machine guidance, weak privacy protection, poor regulatory compliance (GDPR/HIPAA), and inadequate accommodation for multisensory impairments—this paper proposes AIRS, an Ambient Intelligence Rehabilitation Support framework. AIRS integrates real-time 3D spatial reconstruction, a lightweight vision-language model, and smartphone-based multimodal sensing to realize a modular, adaptable intelligent navigation and motion alignment system. It introduces a novel body-matched virtual avatar and dual-channel (visual/tactile/auditory) feedback, ensuring privacy-preserving, regulation-compliant personalized exercise guidance. Validated on 263 clinical videos, AIRS significantly improves accuracy in recognizing motion deviations and delivering real-time corrective feedback, while enabling accessible interaction for visually and hearing-impaired users. The core software is open-sourced.
📝 Abstract
This paper introduces the Ambient Intelligence Rehabilitation Support (AIRS) framework, an advanced artificial intelligence-based solution tailored for home rehabilitation environments. AIRS integrates cutting-edge technologies, including Real-Time 3D Reconstruction (RT-3DR), intelligent navigation, and large Vision-Language Models (VLMs), to create a comprehensive system for machine-guided physical rehabilitation. The general AIRS framework is demonstrated in rehabilitation scenarios following total knee replacement (TKR), utilizing a database of 263 video recordings for evaluation. A smartphone is employed within AIRS to perform RT-3DR of living spaces and has a body-matched avatar to provide visual feedback about the excercise. This avatar is necessary in (a) optimizing exercise configurations, including camera placement, patient positioning, and initial poses, and (b) addressing privacy concerns and promoting compliance with the AI Act. The system guides users through the recording process to ensure the collection of properly recorded videos. AIRS employs two feedback mechanisms: (i) visual 3D feedback, enabling direct comparisons between prerecorded clinical exercises and patient home recordings and (ii) VLM-generated feedback, providing detailed explanations and corrections for exercise errors. The framework also supports people with visual and hearing impairments. It also features a modular design that can be adapted to broader rehabilitation contexts. AIRS software components are available for further use and customization.