University of Applied Sciences and Arts Western Switzerland HES-SO, Institute of Information Systems HES-SO Valais-Wallis, TechnoPole 3, CH-3960 Sierre, Switzerland.
Sensors (Basel). 2020 Jan 29;20(3):746. doi: 10.3390/s20030746.
Digital rehabilitation is a novel concept that integrates state-of-the-art technologies for motion sensing and monitoring, with personalized patient-centric methodologies emerging from the field of physiotherapy. Thanks to the advances in wearable and portable sensing technologies, it is possible to provide patients with accurate monitoring devices, which simplifies the tracking of performance and effectiveness of physical exercises and treatments. Employing these approaches in everyday practice has enormous potential. Besides facilitating and improving the quality of care provided by physiotherapists, the usage of these technologies also promotes the personalization of treatments, thanks to data analytics and patient profiling (e.g., performance and behavior). However, achieving such goals implies tackling both technical and methodological challenges. In particular, (i) the capability of undertaking autonomous behaviors must comply with strict real-time constraints (e.g., scheduling, communication, and negotiation), (ii) plug-and-play sensors must seamlessly manage data and functional heterogeneity, and finally (iii) multi-device coordination must enable flexible and scalable sensor interactions. Beyond traditional top-down and best-effort solutions, unsuitable for safety-critical scenarios, we propose a novel approach for decentralized real-time compliant semantic agents. In particular, these agents can autonomously coordinate with each other, schedule sensing and data delivery tasks (complying with strict real-time constraints), while relying on ontology-based models to cope with data heterogeneity. Moreover, we present a model that represents sensors as autonomous agents able to schedule tasks and ensure interactions and negotiations compliant with strict timing constraints. Furthermore, to show the feasibility of the proposal, we present a practical study on upper and lower-limb digital rehabilitation scenarios, simulated on the MAXIM-GPRT environment for real-time compliance. Finally, we conduct an extensive evaluation of the implementation of the stream processing multi-agent architecture, which relies on existing RDF stream processing engines.
数字化康复是一种将运动感应和监测的最先进技术与物理治疗领域新兴的个性化以患者为中心的方法相结合的新概念。得益于可穿戴和便携式感应技术的进步,现在可以为患者提供准确的监测设备,从而简化了对物理治疗和治疗效果的跟踪。在日常实践中采用这些方法具有巨大的潜力。除了促进和提高物理治疗师提供的护理质量外,这些技术的使用还通过数据分析和患者分析(例如,表现和行为)促进治疗的个性化。然而,要实现这些目标,就必须应对技术和方法上的挑战。特别是:(i)自主行为的能力必须符合严格的实时约束条件(例如,调度、通信和协商);(ii)即插即用传感器必须无缝地管理数据和功能异构性;最后(iii)多设备协调必须实现灵活和可扩展的传感器交互。除了不适合安全关键场景的传统自上而下和尽力而为的解决方案之外,我们还提出了一种用于分散式实时兼容语义代理的新方法。特别是,这些代理可以自动相互协调,调度感应和数据传输任务(符合严格的实时约束条件),同时依靠基于本体的模型来处理数据异构性。此外,我们提出了一种将传感器表示为自主代理的模型,这些代理能够调度任务并确保交互和协商符合严格的时间约束。此外,为了展示该提案的可行性,我们在上肢和下肢数字化康复场景中进行了实际研究,这些研究是在 MAXIM-GPRT 环境中针对实时兼容性进行模拟的。最后,我们对基于现有 RDF 流处理引擎的流处理多代理体系结构的实现进行了广泛评估。