Enhancing Musculoskeletal Injury Rehabilitation and Prevention in Rural Areas

Abstract

Shoulder injuries, prevalent worldwide, often occur from ageing and accidents. In Western countries, these injuries primarily afflict the elderly population, while in rural regions of Bangladesh, Iran, India, and Pakistan, they affect younger individuals who are often the family's primary earners. Due to that, preventing and aiding the recovery of shoulder injuries is crucial. To address this, strain maps with vibrotactile feedback, emerge as a promising solution. However, the feedback system must be affordable, compact, comfortable, user-friendly, easily understood, and portable to suit the local environment. Vibrotactile feedback appears promising but can distract the user from work. Hence, this study seeks to investigate if vibrotactile feedback can be paired with strain maps to guide users in maintaining healthy postures and reducing the risk of shoulder injuries in rural areas, where visual feedback is used as a benchmark. To provide feedback using strain maps, shoulder angles are determined using Python's OpenCV and MediaPipe libraries. PyGame is utilized to display the strain maps, and OpenCV helps delineate boundaries between regions of high and low strain within the shoulder. Visual feedback is integrated into the strain map display, while vibrotactile feedback is delivered through a wearable haptic device. Despite challenges related to axial rotation accuracy and the camera-dependent nature of shoulder angle measurements, user experiments, conducted independently for shoulder elevation and planar elevation, reveal that vibrotactile feedback shows better performance compared to visual feedback. Consequently, this study concludes that vibrotactile feedback has the potential to prevent shoulder injuries with strain maps, but also still needs to improve for future work.