Towards nation-wide analytical healthcare infrastructures: A privacy-preserving augmented knee rehabilitation case study

The purpose of this paper is to contribute towards the near-future privacy-preserving big data analytical healthcare platforms, capable of processing streamed or uploaded timeseries data or videos from patients. The experimental work includes a real-life knee rehabilitation video dataset capturing a set of exercises from simple and personalised to more general and challenging movements aimed for returning to sport. To convert video from mobile into privacy-preserving diagnostic timeseries data, we employed Google MediaPipe pose estimation. The developed proof-of-concept algorithms can augment knee exercise videos by overlaying the patient with stick figure elements while updating generated timeseries plot with knee angle estimation streamed as CSV file format. For patients and physiotherapists, video with side-to-side timeseries visually indicating potential issues such as excessive knee flexion or unstable knee movements or stick figure overlay errors is possible by setting a-priori knee-angle parameters. To address adherence to rehabilitation programme and quantify exercise sets and repetitions, our adaptive algorithm can correctly identify (91.67%-100%) of all exercises from side- and front-view videos. Transparent algorithm design for adaptive visual analysis of various knee exercise patterns contributes towards the interpretable AI and will inform near-future privacy-preserving, non-vendor locking, open-source developments for both end-user computing devices and as on-premises non-proprietary cloud platforms that can be deployed within the national healthcare system.