Smart medicine makes rehabilitation and surgery easier and more efficient

Editor’s note:

Smart medicine is the future of medicine. Information technology, artificial intelligence and big data are becoming increasingly important in healthcare, which is evolving to be more human-centric and practical. This series, which covers various aspects of the field of health, aims to demonstrate what high technology, intelligent systems and inventions are capable of.

Shot by Jiang Xiaowei. Edited by Sun Chao. Subtitles by Sun Chao.

What’s your schedule an hour before you go to bed?

This question may resonate more with people who suffer from bone and muscle problems or who have had orthopedic surgery.

A good choice for them would be to open a health app, put sensors on the body, and watch videos of therapists performing rehabilitation exercises for a sore back, neck, legs and arms after a long-term work or positions that suffer from sports injuries or parts that have received orthopedic surgery.

Smart medicine now allows people to do rehabilitation at home and that too under the supervision and guidance of professional orthopedists and therapists.

“About 95% of patients who visit orthopedic departments do not need surgery. So doctors usually prescribe medication and give some advice. Without proper rehabilitation, these people come back for medication or consultations with doctors. weeks or months later,” said Dr. Lu Yiming, chief medical officer. of the Shanghai Medmotion Rehabilitation Clinic.

“After surgery, patients are usually given a piece of paper requiring them to do rehabilitation after they go home. But there are no details on how to do rehabilitation, how often and how hard.

“Every orthopedic surgeon stresses the importance of rehabilitation, which can account for half of the positive effects of surgery. But the shortage of therapists, low public awareness and the COVID-19 pandemic have had a negative impact on the need for regular patient care and good rehabilitation.”

Jiang Xiaowei / SHINE

Sensors are placed on the body to monitor rehabilitation.

There are 30 to 70 rehabilitation therapists per 100,000 people in developed countries. But the figure is only 2.6 therapists per 100,000 Chinese, with shortages severely limiting the number of patients who can benefit from the service. Additionally, the majority of therapists are located in large cities, which means that patients in rural areas or small towns do not have access to professional rehabilitation advice.

“Getting to a hospital or clinic also takes time and means going through traffic or restrictions, like during the pandemic,” he added.

Smart medicine with technologies like AI and big data is the answer, suggested Lu, whose clinic just received approval from the National Medical Products Administration, or China’s FDA, on new rehabilitation equipment. digital, which allows patients to follow rehabilitation at home under the guidance of professionals.

“After putting all the personal information and medical record into the system, our therapists and orthopedists provide online consultation, then the AI ​​system makes a rehabilitation plan, which is reviewed by the doctor. A trial confirmed that the plans made by the AI ​​system are 95% similar to those made by experts from major public hospitals,” Lu revealed.

“The information collected from the system will ultimately benefit clinical practice, improve AI capability, and offer more information and data to physicians.”

The system will then suggest videos appropriate to the patient’s condition, choosing from the approximately 200 videos in the database. All demonstrations in the videos are done by professional therapists.

Smart medicine makes rehabilitation and surgery easier and more efficient

Jiang Xiaowei / SHINE

Smart medicine makes rehabilitation more convenient.

Smart medicine makes rehabilitation and surgery easier and more efficient

Jiang Xiaowei / SHINE

A patient’s bones and muscles are displayed on the screen.

“With sensors installed on different parts of the body, the system can monitor every gesture of the patient. When the movement is not accurate or does not meet the standard, the sensors will trigger a vibration and the video will stop until that the move is performed correctly,” Lu said.

“The system can collect all the data and information for therapists to perform assessment and upgrade based on the patient’s development.”

He pointed out that a patient can receive positive results after three months of regular rehabilitation. “For patients who have undergone orthopedic surgery, three months of skilled rehabilitation can help restore primary mobility. With smart medicine, rehabilitation is no longer a cumbersome and boring task, and can be done at any time at the home.”

Smart medicine makes rehabilitation and surgery easier and more efficient

Jiang Xiaowei / SHINE

A doctor from the Shanghai United Family Hospital explains the condition of the bones to a patient.

In addition to rehabilitation, orthopedists said that smart medicine also helps to achieve individualized treatment.

“Smart medicine is able to make a patient’s bones, muscles and joints visible through 3D modeling before surgery. We can have a mirror image of the patient and discuss and try all the plans on the mirror model to help choose the most appropriate surgical format and implants,” according to Dr. Tan Jun of Shanghai United Family Hospital.

“It’s a real reform of medical practice. The 3D surgical guide plate makes surgery much easier and more precise. Doctors only have to put the plate in the surgical position and make the right cut or hole in line with the plate.”

“During surgery, AR and VR navigation technology is able to guide surgeons to perform the operation more accurately and reduce the risk of error. After surgery, smart medicine allows doctors to review the whole process,” he added.

In Tan’s clinic, the computer system shows the bones and muscles of a 64-year-old woman with poliomyelitis. The computer shows the deformed leg bones and muscles comparing them to that of the healthy leg.

“Thanks to smart technology, we are able to see every bone and muscle of the patient. This not only makes surgery much easier, but also improves communication between doctors and patients, who can have a clear view of the surgery plan,” Tan noted.

Smart medicine makes rehabilitation and surgery easier and more efficient

Jiang Xiaowei / SHINE

A man follows the health application to do rehabilitation.

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