基于面部动作单元的帕金森症假性表情检测与康复系统
HypomimiaCoach: An AU-based Digital Therapy System for Hypomimia Detection & Rehabilitation with Parkinson's Disease
- 通过分析面部动作单元(AU)特征实现假性表情自动识别
- 患者训练时获实时反馈,提升自信心与参与度
- 适合帕金森病患者居家康复,医生也认可其临床潜力
假性表情是帕金森病的一种非运动症状,表现为面部动作迟缓、表情减少及发音困难。目前主要依赖神经科医生主观评估,传统康复多依赖康复师口头指导,缺乏可及、易用且科学严谨的辅助工具。为此,我们开发了基于动作单元(AU)的数字康复系统HypomimiaCoach,用于帕金森病假性表情的检测与康复。系统融合轻松与可控训练任务,结合传统面部训练方法,通过提取面部动作单元(AU)特征及其关联关系进行检测,并设计基于AU的训练方案。患者在训练中获得实时反馈,由额外的AU识别模型引导。在中国开展的7人小规模试点研究显示,参与者自我效能感显著提升,获得积极反馈;医生评估也验证了该系统在临床治疗中的适用性与应用价值。
原文摘要 · Abstract (English)
Hypomimia is a non-motor symptom of Parkinson's disease that manifests as delayed facial movements and expressions, along with challenges in articulation and emotion. Currently, subjective evaluation by neurologists is the primary method for hypomimia detection, and conventional rehabilitation approaches heavily rely on verbal prompts from rehabilitation physicians. There remains a deficiency in accessible, user-friendly and scientifically rigorous assistive tools for hypomimia treatments. To investigate this, we developed HypomimaCoach, an Action Unit (AU)-based digital therapy system for hypomimia detection and rehabilitation in Parkinson's disease. The HypomimaCoach system was designed to facilitate engagement through the incorporation of both relaxed and controlled rehabilitation exercises, while also stimulating initiative through the integration of digital therapies that incorporated traditional face training methods. We extract action unit(AU) features and their relationship for hypomimia detection. In order to facilitate rehabilitation, a series of training programmes have been devised based on the Action Units (AUs) and patients are provided with real-time feedback through an additional AU recognition model, which guides them through their training routines. A pilot study was conducted with seven participants in China, all of whom exhibited symptoms of Parkinson's disease hypomimia. The results of the pilot study demonstrated a positive impact on participants' self-efficacy, with favourable feedback received. Furthermore, physician evaluations validated the system's applicability in a therapeutic setting for patients with Parkinson's disease, as well as its potential value in clinical applications.
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