In recent years, the need to contain healthcare costs due to the growing public debt of many coun... more In recent years, the need to contain healthcare costs due to the growing public debt of many countries, combined with the need to reduce costly travel by patients unable to move autonomously, have captured the attention of public administrators towards tele-rehabilitation. This trend has been consolidated overwhelmingly following the Covid-19 pandemic, which has made it precarious, difficult and even dangerous for patients to access hospital facilities. We present an approach based on the rapid prototyping of virtual reality, cognitive tele-rehabilitation exercises, which reinforce the group of exercises available in the Nu!reha platform. Patients who experienced injury or pathology need to practice continuous training in order to recover functional abilities, and the therapist needs to monitor the outcomes of such practices. The group of new exercises based on the rapid prototyping approach, become crucial especially in this pandemic period. The Virtual Reality exercises are design...
MHS'96 Proceedings of the Seventh International Symposium on Micro Machine and Human Science
... requires a sensor system able to measure and calculate accurately the 6 force and torque comp... more ... requires a sensor system able to measure and calculate accurately the 6 force and torque components at the contact point; and b) by a less accurate, but probably more robust, procedure involving the estimation of 3 force components at the contact point and the ...
Computational Science and Its Applications – ICCSA 2019, 2019
We implemented a system able to locate people indoor, with the purpose of providing assistive ser... more We implemented a system able to locate people indoor, with the purpose of providing assistive services. Such approach is particularly important for the Art, for providing information on exhibitions, art galleries and museums, and to allow the access to the cultural heritage patrimony to people with disabilities.
In the present work we propose a methodology for improving tele-rehabilitation practices adopting... more In the present work we propose a methodology for improving tele-rehabilitation practices adopting mixed reality techniques. The implemented system analyzes the scene of a tele-rehabilitation practice acquired by a RGB-D optical sensor, and detects the objects present in the scene, identifying the type of object, its position and rotation. Furthermore we adopted Mixed Reality techniques to implement more complex rehabilitation exercises.
A technical assessment activity has been conducted by Istituto Superiore di Sanità (ISS) in the E... more A technical assessment activity has been conducted by Istituto Superiore di Sanità (ISS) in the European project HELLODOC (Healthcare service linking tele-rehabilitation to disabled people and clinicians) for evaluating the tele-rehabilitation service. The activity was mainly focussed on architectural aspects and a step by step monitoring of the service. It was mainly related to the following aspects: service implementation, service performances, service integration and fault management. The technical assessment analysis demonstrated that the service worked in a quite satisfactory way, also considering the pioneering aspect of the project; the set of malfunctioning occurred, which had a low impact on the service continuity, are typical of a post-debug phase.
During the last decade we assisted to relevant progress in rehabilitation studies and in technolo... more During the last decade we assisted to relevant progress in rehabilitation studies and in technological development. From the combination of these issues rises the tele-rehabilitation--a subfield of telemedicine consisting of a system to control rehabilitation "at distance"--as an actual possibility of application and a promising development in the future. The present paper offers a short review of the state of the art in the field of tele-rehabilitation, with a special focus on upper limb tele-rehabilitation. The experience is also briefly reported of the preliminary application of the H-CAD (home care activity desk) system and the HELLODOC (Healthcare service linking tele-rehabilitation to disabled people and clinicians) tele-rehabilitation service, conducted by the authors within two European projects in the period 2003-2005 and 2005-2007 respectively.
We conducted a randomized controlled multicentre trial to investigate the feasibility of a telere... more We conducted a randomized controlled multicentre trial to investigate the feasibility of a telerehabilitation intervention for arm/hand function (the Home Care Activity Desk [HCAD] training) in a home setting. Usual care was compared to HCAD training. The hypothesis was that the clinical outcomes of the HCAD intervention would be at least the same as those measured after a period of usual care for patients with stroke, traumatic brain injury (TBI) and multiple sclerosis (MS) with respect to their arm/hand function. Eighty-one patients with affected arm/hand function resulting from either stroke, MS or TBI were recruited in Italy, Spain and Belgium; 11 were lost during follow-up (14%). The outcome measures were the Action Research Arm Test (ARAT) and the Nine Hole Peg Test (NHPT). There were no significant differences between the two groups on the outcome measures (ARAT and NHPT); in both groups, patients maintained or even improved their arm/hand function. The HCAD training was foun...
... with the aim of implementing and validating an upper limb tele-rehabilitation service at a Eu... more ... with the aim of implementing and validating an upper limb tele-rehabilitation service at a European level with the involvement of Italy, Spain, Belgium and The Netherlands [3]. Core of the service was a home apparatus (patient unit, PU) consisting of a sensorized desk for the ...
Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), 2008
We present an application based on X3D technologies for the telerehabilitation of patients affect... more We present an application based on X3D technologies for the telerehabilitation of patients affected by neurological diseases. In particular the virtual world is designed to integrate the activity made on NU!Reha Desk product with the activities performed on the virtual world. The main target of our system are patients with heavy neurological disease (people not able to move a forced
... The patients using the HCAD system show during the month of treatment significant improvement... more ... The patients using the HCAD system show during the month of treatment significant improvements on the individual tasks measured by the execution time. ... F. 1, Spitali C. 1, Todeschini E. 1, Bernabeu M.2, Tormos JM.2, Opisso E. 2, Magni R. 3, Magnino F. 3, Huijgen BCH 4 ...
In recent years, the need to contain healthcare costs due to the growing public debt of many coun... more In recent years, the need to contain healthcare costs due to the growing public debt of many countries, combined with the need to reduce costly travel by patients unable to move autonomously, have captured the attention of public administrators towards tele-rehabilitation. This trend has been consolidated overwhelmingly following the Covid-19 pandemic, which has made it precarious, difficult and even dangerous for patients to access hospital facilities. We present an approach based on the rapid prototyping of virtual reality, cognitive tele-rehabilitation exercises, which reinforce the group of exercises available in the Nu!reha platform. Patients who experienced injury or pathology need to practice continuous training in order to recover functional abilities, and the therapist needs to monitor the outcomes of such practices. The group of new exercises based on the rapid prototyping approach, become crucial especially in this pandemic period. The Virtual Reality exercises are design...
MHS'96 Proceedings of the Seventh International Symposium on Micro Machine and Human Science
... requires a sensor system able to measure and calculate accurately the 6 force and torque comp... more ... requires a sensor system able to measure and calculate accurately the 6 force and torque components at the contact point; and b) by a less accurate, but probably more robust, procedure involving the estimation of 3 force components at the contact point and the ...
Computational Science and Its Applications – ICCSA 2019, 2019
We implemented a system able to locate people indoor, with the purpose of providing assistive ser... more We implemented a system able to locate people indoor, with the purpose of providing assistive services. Such approach is particularly important for the Art, for providing information on exhibitions, art galleries and museums, and to allow the access to the cultural heritage patrimony to people with disabilities.
In the present work we propose a methodology for improving tele-rehabilitation practices adopting... more In the present work we propose a methodology for improving tele-rehabilitation practices adopting mixed reality techniques. The implemented system analyzes the scene of a tele-rehabilitation practice acquired by a RGB-D optical sensor, and detects the objects present in the scene, identifying the type of object, its position and rotation. Furthermore we adopted Mixed Reality techniques to implement more complex rehabilitation exercises.
A technical assessment activity has been conducted by Istituto Superiore di Sanità (ISS) in the E... more A technical assessment activity has been conducted by Istituto Superiore di Sanità (ISS) in the European project HELLODOC (Healthcare service linking tele-rehabilitation to disabled people and clinicians) for evaluating the tele-rehabilitation service. The activity was mainly focussed on architectural aspects and a step by step monitoring of the service. It was mainly related to the following aspects: service implementation, service performances, service integration and fault management. The technical assessment analysis demonstrated that the service worked in a quite satisfactory way, also considering the pioneering aspect of the project; the set of malfunctioning occurred, which had a low impact on the service continuity, are typical of a post-debug phase.
During the last decade we assisted to relevant progress in rehabilitation studies and in technolo... more During the last decade we assisted to relevant progress in rehabilitation studies and in technological development. From the combination of these issues rises the tele-rehabilitation--a subfield of telemedicine consisting of a system to control rehabilitation "at distance"--as an actual possibility of application and a promising development in the future. The present paper offers a short review of the state of the art in the field of tele-rehabilitation, with a special focus on upper limb tele-rehabilitation. The experience is also briefly reported of the preliminary application of the H-CAD (home care activity desk) system and the HELLODOC (Healthcare service linking tele-rehabilitation to disabled people and clinicians) tele-rehabilitation service, conducted by the authors within two European projects in the period 2003-2005 and 2005-2007 respectively.
We conducted a randomized controlled multicentre trial to investigate the feasibility of a telere... more We conducted a randomized controlled multicentre trial to investigate the feasibility of a telerehabilitation intervention for arm/hand function (the Home Care Activity Desk [HCAD] training) in a home setting. Usual care was compared to HCAD training. The hypothesis was that the clinical outcomes of the HCAD intervention would be at least the same as those measured after a period of usual care for patients with stroke, traumatic brain injury (TBI) and multiple sclerosis (MS) with respect to their arm/hand function. Eighty-one patients with affected arm/hand function resulting from either stroke, MS or TBI were recruited in Italy, Spain and Belgium; 11 were lost during follow-up (14%). The outcome measures were the Action Research Arm Test (ARAT) and the Nine Hole Peg Test (NHPT). There were no significant differences between the two groups on the outcome measures (ARAT and NHPT); in both groups, patients maintained or even improved their arm/hand function. The HCAD training was foun...
... with the aim of implementing and validating an upper limb tele-rehabilitation service at a Eu... more ... with the aim of implementing and validating an upper limb tele-rehabilitation service at a European level with the involvement of Italy, Spain, Belgium and The Netherlands [3]. Core of the service was a home apparatus (patient unit, PU) consisting of a sensorized desk for the ...
Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), 2008
We present an application based on X3D technologies for the telerehabilitation of patients affect... more We present an application based on X3D technologies for the telerehabilitation of patients affected by neurological diseases. In particular the virtual world is designed to integrate the activity made on NU!Reha Desk product with the activities performed on the virtual world. The main target of our system are patients with heavy neurological disease (people not able to move a forced
... The patients using the HCAD system show during the month of treatment significant improvement... more ... The patients using the HCAD system show during the month of treatment significant improvements on the individual tasks measured by the execution time. ... F. 1, Spitali C. 1, Todeschini E. 1, Bernabeu M.2, Tormos JM.2, Opisso E. 2, Magni R. 3, Magnino F. 3, Huijgen BCH 4 ...
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Papers by Riccardo MAGNI