Development of telerehabilitation application with designated consultation categories.


Journal Article

Telerehabilitation (TR) is getting ever more popular because it is effective in bringing rehabilitation services to rural populations by means of audiovisual systems and its initial implementation studies presented encouraging results. TR is proven to be helpful, with benefits in terms of reduced travel time, cost, and availability of specialists' support in local communities. However, TR systems that are usable under low-bandwidth network environments are rare. This article introduces the development of a TR system with customized consultation categories for users to choose from, depending on requirements. Each category, with its preset parameter values, is discussed in detail by demonstrating relevant rehabilitation exercises. A novel bandwidth adaptation algorithm is also presented for optimal utilization of the dynamic network conditions, which ensures the system functionality even under narrow-bandwidth environments. Experiment results show that the system is able to perform effectively in each consultation category while the rehabilitation exercises are being performed. The proposed algorithm is also verified for its ability to adapt the content quality and effectively utilize the network under constrained conditions. A survey conducted on the video quality of the system under low-bandwidth conditions shows encouraging results for a large scale deployment of the application.

Full Text

Duke Authors

Cited Authors

  • Tan, KK; Narayanan, AS; Koh, GC-H; Kyaw, KKH; Hoenig, HM

Published Date

  • 2014

Published In

Volume / Issue

  • 51 / 9

Start / End Page

  • 1383 - 1396

PubMed ID

  • 25785371

Pubmed Central ID

  • 25785371

Electronic International Standard Serial Number (EISSN)

  • 1938-1352

Digital Object Identifier (DOI)

  • 10.1682/JRRD.2014.02.0052


  • eng

Conference Location

  • United States