Myofeedback based Teletreatment service

This project investigates the feasibility of the deployment of a prototype myofeedback based teletreatment service (MyoTel) that enables subjects with neck shoulder complaints to receive personalised adjusted remotely supervised treatment during their daily activities. The focus is on subjects with work related complaints (occupational health care) and patients with a chronic whiplash (rehabilitation care). Starting point is an on-body myofeedback treatment that has been developed within NEW (QRLT-2000-00139). Positive effect of this treatment were shown in several studies in work related complaints (n=66) and chronic whiplash (n=26). To improve access to the service and increase its efficiency, a teletreatment service was developed subsequently and tested (n=16) in the Netherlands. The IT platform is an existing platform for telemonitoring that has been developed in Mobihealth (IST-2001-36006) and further validated in HS24 (e-ten 517352).
Four main tasks are foreseen:

Consortium: Roessingh Research and Development (RRD; Coordinator), University of Twente (Netherlands), Goteborg University (Sweden), University of Gent (Belgium), Ruhr University of Bochum (Germany).

The aim of the European MyoTel project is to investigate the market potential and effectiveness of a new treatment of nonspecific neck shoulder pain (work related complaints or complaints due to chronic whiplash). The MYOfeedback based

Teletreatment service:
During the treatment patients wear a garment that can be worn underneath the clothes as shown in the picture below

Fig 1: the Myofeedback garment & Device

In this garment dry surface electromyography (sEMG) electrodes are incorporated. These electrodes enable an appropriate recording of upper trapezius muscle activity. When the patient has too few moment of muscle relaxation she receives feedback by vibration of the system attached to the garment (left picture).  The vibration is for the patient the sign to relax. Besides this vibration visual feedback about his muscle activation and relaxation is provided to the patient on a PDA. From this PDA, the muscle activity data is also send to a webbased portal via a wireless protected connection. The therapist has access to this portal and can examine the muscle activity data. The picture below shows the overall MYOfeedback based TELetreatment service

Fig 2: The Myofeedback based Teletreatment service

The patient and the therapist consult each other by telephone at least once a week. During the first consultation, the patient and professional meet in vivo to hand over the MyoTel equipment and for the patient to learn some first myofeedback principles (relaxation of the trapezius muscle). In the consecutive weeks, remote consultations between the patient and the professional will take place to discuss the progress of the MyoTel treatment by telephone. Essential information in this consultation is the patient diary and the electromyographical data which is available at the server. At the end of the MyoTel treatment, the patient and professional again meet in vivo to deliver the MyoTel equipment and evaluate the progress of the MyoTel treatment. A schematic overview of the treatment protocol is shown in the figure below.