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Projects

Arthritis Patients and We Win an Inaugural Ideator Award

By | Awards, Projects

In April, “four Canadian innovators received prestigious and valuable awards from the Arthritis Society to bring to life their solutions for fighting the fire of arthritis” — one is a project that Dr. Diane Gromala and Dr. Chris Shaw collaborate on with the Arthritis Research Centre (ARC), called OPERAS.

At the inaugural Arthritis Ideator Awards, Dr. Linda Li accepted the Olga Munari Arthritis Ideator Award for OPERAS at MaRS in Toronto. The award was based partly on the originality of the innovation, potential for significant and lasting outcomes for people with arthritis, and readiness for market.

Left to right: Winners Michelle Laflamme and Alex Fuentes of KneeKG, Matthew Rosato of PROVA Innovations, Lianna Genovese of Guided Hands, and Linda Li of OPERAS.

In addition to the $50,000 grant, the Arthritis Ideator Program gives innovators access to expert advice from the Arthritis Society and the broader arthritis ecosystem as they continue to develop their innovations, as well as to people living with arthritis who can support testing or provide feedback through focus groups or surveys.

“Arthritis is a huge challenge looking for bold solutions and we want to support bright minds as they create those solutions,” says Trish Barbato, President and CEO of the Arthritis Society. “We are embracing innovation like never before because we believe it is key to changing the lives of the six million Canadians living with arthritis.”     

OPERAS is an app-based program to empower active self-care, capturing information on the go, and providing trends on symptoms, disease activity and treatments. Says creator Linda Li, “With OPERAS, people with arthritis can monitor disease activity, keep track of medications, create action plans and collect and display physical activity data through an integrated physical activity tracker. It gives a detailed picture to help users lead healthier, pain-free lives.” 

OPERAS described: https://arthritis.rehab.med.ubc.ca/ 

https://arthritis.ca/about-arthritis/arthritis-in-the-news/news/arthritis-society-awards-$200,000-in-first-ever-arthritis-ideator-awards

https://www.globenewswire.com/en/news-release/2022/04/22/2427551/0/en/Arthritis-Society-awards-200-000-in-first-ever-Arthritis-Ideator-Awards.html

FitViz: How objective data affects physiotherapist-patient conversations for arthritis patients

By | Study, Research, Projects

Dr. Linda Li, Professor Harold Robinson/Arthritis Society Chair, Canada Research Chair, UBC & Arthritis Research Centre.

We developed a web application called FitViz. It allows physiotherapists and patients to use the physical activity data collected from Fitbit fitness trackers during consultations.

Next, we conducted a four-week study with 20 patients (inflammatory and knee osteo-arthritis arthritis) and 7 physiotherapists to evaluate the feasibility of FitViz, and understand the experiences of the physiotherapists and the patients.

We used semi-structured interviews to understand how physiotherapists used FitViz, and if and how it changed the nature of their consultation.

“Oh, I didn’t do a good job: How objective data affects physiotherapist-patient conversations for arthritis patients.”

We found that the use of objective data allowed the physiotherapist-patient conversations to be patient-driven, and allowed goals to be realistic and data-driven. However, the use of objective data also caused some patients to feel guilty, which has implications on the use of pervasive healthcare technology in clinical settings.

After iterative improvements, we initiated a larger, longitudinal study.

 

References:

Ankit Gupta, Tim Heng, Chris Shaw, Diane Gromala, Jenny Leese and Linda Li. 2020.
“Oh, I didn’t do a good job: How objective data affects physiotherapist-patient conversations for arthritis patients.”
Proceedings of the 14th EAI International Conference on Pervasive Computing Technologies for Healthcare.
Association for Computing Machinery, New York, NY, USA, 156–165. DOI: https://doi.org/10.1145/3421937.3421991

Li LC., Feehan LM., Xie H., Lu N., Shaw C., Gromala D., Aviña-Zubieta JA., Koehn C., Hoens AM., English K., Tam J., Therrien S., Townsend AF., Noonan G., Backman CL. (2020). “Efficacy of a Physical Activity Counseling Program With Use of a Wearable Tracker in People With Inflammatory Arthritis: A Randomized Controlled Trial.”Arthritis Care & Research (Hoboken).
2020 Dec;72(12):1755-1765.    DOI: 10.1002/acr.24199.   PMID: 32248626 Clinical Trial.

Frontiers in Neurology publishes research results of VR work on Phantom Limb Pain

By | Research, Collaborations, Papers, Projects, Publications

“I Dreamed of My Hands and Arms Moving Again...”

Phantom limb pain (PLP) is a type of chronic pain that follows limb amputation, brachial plexus avulsion injury, or spinal cord injury. Treating it is a well-known challenge. Currently, virtual reality (VR) interventions are attracting increasing attention because they show promising analgesic effects. However, most previous studies of VR interventions were conducted with a limited number of patients in a single trial. Therefore, to investigate the effectiveness of VR interventions on patients’ phantom limb pain over time, PhD candidate Xin Tong and her supervisor Prof. Diane Gromala collaborated with Dr. Kunlin Wei from Peking University and Dr. Bifa Fan from the Chinese-Japan Friendship Hospital. They recruited five PLP patients who participated in multiple VR sessions over 6 weeks. In VR, patients “inhabited” a virtual body or avatar. Movements of their intact limbs were mirrored in their avatar, providing the illusion that their limbs responded as if both were intact and functional.
The researchers found that VR sessions repeated over time led to reduced pain — even in chronic pain that persisted for over 20 years — as well as improvements in anxiety, depression, and a sense of embodiment in the virtual body. Their findings also suggest that providing PLP patients with sensorimotor experiences involving the impaired limb in VR appears to offer long-term benefits for patients, and speculate that these benefits maybe related to changes in patients’ control of their phantom limb’s movement.
Future work to determine if such VR interventions may be detected in brain-imaging studies such as fMRI has been planned and recently funded.

Reference:

Tong, X., Wang, X., Cai, Y., Gromala, D., Fan, B., & Wei, K. (2020).
“I Dreamed of My Hands and Arms Moving Again”:
A Case Series Investigating the Effect of Immersive Virtual Reality on Phantom Limb Pain Alleviation”

Frontiers in Neurology, 11, 876.
https://www.frontiersin.org/articles/10.3389/fneur.2020.00876/full

Pain Studies Lab @ Virtual Medicine 2019 — Cedar-Sinai Medical Center

By | Demos, Conferences, Projects

Dr. Diane Gromala was invited to give a talk at Virtual Medicine 2019, a medicine and immersive virtual reality (VR) conference at Cedars-Sinai Medical Center in Los Angeles.

In her talk, “How VR Cures by Enabling Self-Awareness,” Dr. Gromala discussed her approach to developing, testing and deploying VR technology for chronic pain patients. A pioneer in Virtual Reality (VR) for long-term pain, Dr. Gromala’s approach is the result of technological innovation, user-centered design, and scientific evidence-based research she has conducted with thousands of patients since 1991.

Members of the Pain Studies Lab — Dr. Chris Shaw, Bhairavi Warke (Ph.D. student) and Ruoyu Li (M.Sc. student) — also participated in the conference. They demonstrated LumaPath, one of the lab’s scientifically-validated immersive VR systems for reducing chronic pain through exercise. The team both develops the VR technology and designs the ‘content’ of what patients see, hear and interact with.

Currently, the team is investigating the longitudinal effects of VR used at home by chronic pain patients. As VR has been termed a non-pharmacological “analgesic,” the team is also investigating what the best “VR dosage” is — that is, what the best duration in VR is for the ideal analgesic effect.

Dr. Gromala discussing Mental Health Applications of VR at Virtual Medicine 2019 with Dr. Les Posen, Dr. Skip Rizzo, Noah Robinson & Dr. Jessica Stone.

Bhairavi Warke and Ruoyu Li conducting VR demos.

Pain Studies Lab’s HQP Weina Jin attended AGE-WELL’s Summer Institute

By | Awards, Events, Other News, Projects

Weina Jin, a Ph.D. student in the Pain Studies Lab, was selected amongst a competitive group of HQPs (highly qualified personnel), as 1 of 18 recipients of AGE-WELL’s 3rd Annual EPIC Summer Institute (http://agewell-nce.ca/training/summerinstitute) in Banff, Alberta from June 18 – 22, 2018. AGE-WELL is a Canada-wide research network and National Centre of Excellence (NCE).

The theme of this year’s AGE-WELL Summer Institute was “Co-Creating Possibilities: Leisure, Recreation, and Wellness – Opportunities for Engaging the Older Adult”. In this one-week project-based learning experience, multidisciplinary teams worked through a design process, from problem definition to brainstorming solutions, developing business models and knowledge mobilization plans, to successfully pitching the projects.

Weina and her team created a project to increase seniors’ engagement in a variety of activities. They designed a mobile app they named “PlayWell.” It recommends engaging activities for newly-retired populations to fight against boredom. During the development of the projects, the team received mentorship from AGE-WELL members about defining a problem definition with stakeholders, designing a business model and developing a market strategy.

Recipients of AGE-WELL’s 3rd Annual EPIC Summer Institute at Banff.

Pain Studies Lab’s AI Research at CPS 2018

By | Collaborations, Conferences, Projects

Prof. Diane Gromala, Prof. Chris Shaw, and Weina Jin attended the Canadian Pain Society’s 39th Annual Scientific Meeting in Montreal, May 22-25, 2018.

“Automatic Pain Level Classification with Physiological Signals”
Weina Jin, Diane Gromala, Junbo Bao, Yabin Guo, Tianpeio Shen, Oliver Schulte.

Weina Jin presented results from her research study using deep learning to automatically recognize pain levels from physiological signals. This approach may help to better infer pain from patients who cannot express their pain verbally, such as infants, patients under anesthesia, or patients with dementia.

“Towards a Canadian National Pain Strategy: What We Can Learn from the Aussies.”
Dr. Owen Williamson

An esteemed collaborator with the Pain Studies Lab, Dr. Owen Williamson, FRCSC & President of Pain Physicians of BC Society, presented a talk entitled “Towards a Canadian National Pain Strategy: What We Can Learn from the Aussies.”

The Canadian Pain Society’s 39th Annual Scientific Meeting promotes competency-based education and advocates on behalf of patients with acute and chronic pain by bringing together basic scientists and health professionals who are interested in pain research and management.

Xin Tong Released FitPet App for Encouraging Physical Activities at Google Play

By | Projects

Xin Tong (game designer and developer), together with Amber Choo (game designer and artist), graduate students at Pain Studies Lab, released their App called FitPet designed for providing motivations for more physical activities. The idea is to convert the users health data grabbed by the mobile devices accelerometer (steps) into game coins, where you will need to keep your virtual pet healthy and grow up by feeding food, providing first aid, and play games with your pet. So users need to take care of their pet by taking care of their physical activities. This gamification approach was designed to promote more steps and awareness towards walking in daily routine for users who are lack of motivations and activities.

This is part of Xin Tongs Msc thesis research prototype. She is currently conducting a six-week long-term user study with 23 participants to validate her research proposal and hypothesis. Users need to set their daily activity goals and try to keep their pet in a good condition by completing goals. For more information, please contact Xin at tongxint@sfu.ca. App for iPhone is still under review process but is coming soon. Download the App to your Android phone from here: https://play.google.com/store/apps/details?id=xinAmber.FitPet.fitpet