Enrichment of a Kinect-based Physiotherapy and Assessment Platform for Parkinson’s disease Patients

Keywords: Parkinson’s disease, Rehabilitation, Augmented Reality, Microsoft Kinect


Our Kinect-based physiotherapy platform tailored to Parkinson’s disease (PD) patients employs a Kinect sensor to extract 3D skeletal data in real-time from an exercising patient. The initial collection of five exercises served by the platform has now been enriched with an additional five exercises which are also based on traditional PD-specific physiotherapy. Each exercise has been implemented in the Unity 3d game engine and employs either a linear or a circular movement pattern with very light-weight processing demands for real-time computations. During each exercise, a trainer demonstrates correct execution and patient-provided 3D joint data obtained via the Kinect sensor are compared to exercise-specific control routines in real time, in order to assess proper posture and body control. Following completion of an exercise, performance metrics appropriate for that exercise are computed and displayed on screen as feedback to the patient. In addition, they are stored to provide a historical progress record to, e.g., enable the attending physiotherapist to fine-tune the exercise to the abilities/needs of an individual patient.

Author Biographies

Ioannis Pachoulakis, Technological Educational Institute of Crete
Ioannis Pachoulakis
Dept. of Informatics Engineering
TEI of Crete
Stavromenos, Heraklion
Crete, Greece
Tel. +30.2810.379388
Email: ip@ie.teicrete.gr
Nikolaos Xilourgos, Technological Educational Institute of Crete
M.Sc. Graduate,
Dept. of Informatics Engineering
TEI of Crete
Stavromenos, Heraklion
Crete, Greece
Nikolaos Papadopoulos, Technological Educational Institute of Crete

M.Sc. Graduate,
Dept. of Informatics Engineering
TEI of Crete
Stavromenos, Heraklion
Crete, Greece

Anastasia Analyti, Foundation for Research and Technology – Hellas (FORTH)
Institute of Computer Science
Foundation for Research and Technology – Hellas (FORTH)
Vassilika Vouton, Heraklion, Crete, Greece


R. K. Chaudhuri, D. G. Healy, and A. H. V. Schapira, “Non-motor symptoms of Parkinson’s disease: diagnosis and management,” Lancet Neurol., vol. 5, no. 3, pp. 235–245, 2006.

J. Jankovic, “Parkinson’s disease: clinical features and diagnosis.,” J. Neurol. Neurosurg. Psychiatry, vol. 79, no. 4, pp. 368–376, 2008.

J. A. Opara, W. Brola, M. Leonardi, and B. Błaszczyk, “Quality of life in Parkinson’s disease.,” J. Med. Life, vol. 5, no. 4, pp. 375–381, 2012.

B. L. Den Oudsten, G. L. Van Heck, and J. De Vries, “Quality of life and related concepts in Parkinson’s disease: a systematic review.,” Mov. Disord., vol. 22, no. 11, pp. 1528–1537, 2007.

M. Horstink, E. Tolosa, U. Bonuccelli, G. Deuschl, A. Friedman, P. Kanovsky, J. P. Larsen, A. Lees, W. Oertel, W. Poewe, O. Rascol, and C. Sampaio, “Review of the therapeutic management of Parkinson’s disease. Report of a joint task force of the European Federation of Neurological Societies and the Movement Disorder Society-European Section. Part I: Early (uncomplicated) Parkinson’s disease,” Eur. J. Neurol., vol. 13, no. 11, pp. 1170–1185, 2006.

F. Rodrigues-de-Paula and L. Oliveira Lima, “Physical Therapy - Exercise and Parkinson’s Disease,” International Encyclopedia of Rehabilitation. Center for International Rehabilitation Research Information and Exchange, 2010.

G. Ebersbach, “Rehabilitative therapy in patients with Parkinson’s disease,” Basal Ganglia, vol. 4, no. 1, pp. 19–23, Jun. 2014.

L. E. Dibble, O. Addison, and E. Papa, “The Effects of Exercise on Balance in Persons with Parkinsonʼs Disease: A Systematic Review Across the Disability Spectrum,” J. Neurol. Phys. Ther., vol. 33, no. 1, pp. 14–26, Mar. 2009.

C. Redecker, A. Bilsing, I. Csoti, W. Fogel, G. Ebersbach, B. Hauptmann, B. Hellwig, and M. Müngersdorf, “Physiotherapy in Parkinson’s disease patients: Recommendations for clinical practice,” Basal Ganglia, vol. 4, no. 1, pp. 35–38, Jun. 2014.

V. A. Goodwin, S. H. Richards, R. S. Taylor, A. H. Taylor, and J. L. Campbell, “The effectiveness of exercise interventions for people with Parkinson’s disease: A systematic review and meta-analysis,” Mov. Disord., vol. 23, no. 5, pp. 631–640, 2008.

B. G. Farley and G. F. Koshland, “Training BIG to move faster: the application of the speed-amplitude relation as a rehabilitation strategy for people with Parkinson’s disease,” Exp. brain Res., vol. 167, no. 3, pp. 462–467, 2005.

I. Pachoulakis, N. Papadopoulos, and C. Spanaki, “Parkinson’s Disease Patient Rehabilitation Using Gaming Platforms: Lessons Learnt,” Int. J. Biomed. Eng. Sci., vol. 2, no. 4, pp. 1–12, Oct. 2015.

I. Pachoulakis, N. Xilourgos, N. Papadopoulos, and A. Analyti, “A Kinect-Based Physiotherapy and Assessment Platform for Parkinson’s Disease Patients,” J. Med. Eng., vol. 2016, pp. 1–8, 2016.

C. G. Goetz, W. Poewe, O. Rascol, C. Sampaio, G. T. Stebbins, C. Counsell, N. Giladi, R. G. Holloway, C. G. Moore, G. K. Wenning, M. D. Yahr, and L. Seidl, “Movement Disorder Society Task Force report on the Hoehn and Yahr staging scale: Status and recommendations The Movement Disorder Society Task Force on rating scales for Parkinson’s disease,” Mov. Disord., vol. 19, no. 9, pp. 1020–1028, Sep. 2004.