Award Abstract # 2111847
SBIR Phase I: An immersive virtual reality platform for remote physical therapy and monitoring

NSF Org: TI
Translational Impacts
Recipient: IMMERGO LABS, INC.
Initial Amendment Date: July 26, 2021
Latest Amendment Date: July 26, 2021
Award Number: 2111847
Award Instrument: Standard Grant
Program Manager: Alastair Monk
amonk@nsf.gov
 (703)292-4392
TI
 Translational Impacts
TIP
 Directorate for Technology, Innovation, and Partnerships
Start Date: September 1, 2021
End Date: August 31, 2022 (Estimated)
Total Intended Award Amount: $256,000.00
Total Awarded Amount to Date: $256,000.00
Funds Obligated to Date: FY 2021 = $256,000.00
History of Investigator:
  • Aviv Elor (Principal Investigator)
    aviv@immergolabs.com
Recipient Sponsored Research Office: IMMERGO LLC
2495 HOSPITAL DR
MOUNTAIN VIEW
CA  US  94040-4157
(925)787-7539
Sponsor Congressional District: 16
Primary Place of Performance: IMMERGO LLC
Santa Cruz
CA  US  95060-3535
Primary Place of Performance
Congressional District:
19
Unique Entity Identifier (UEI): L2LLEWADBLQ3
Parent UEI:
NSF Program(s): SBIR Phase I
Primary Program Source: 01002122DB NSF RESEARCH & RELATED ACTIVIT
Program Reference Code(s): 010E, 8018
Program Element Code(s): 537100
Award Agency Code: 4900
Fund Agency Code: 4900
Assistance Listing Number(s): 47.084

ABSTRACT

The broader impact /commercial potential of this Small Business Innovation Research (SBIR) Phase I project aims to investigate the research and development of an intelligent, immersive, virtual reality (VR) platform for remote physical therapy and patient monitoring. This innovation enhances biomechanical analysis to facilitate telerehabilitation through off-the-shelf consumer VR head-mounted displays in patient homes and clinics, effectively providing a means for in-patient success metrics and full-body exercise guidance using a centralized, remote virtual platform. Such technology may have the ability to enable greater affordability, accessibility, and accuracy of physical therapy for patients and therapists alike. Patient throughput could potentially be doubled through remote visits in virtual environments and automated physical health documentation. In addition, the platform will be designed to support therapists working in marginalized communities of "medical deserts," where patients are uninsured and care is significantly limited by hospital capacity, physical distance, doctors per population, and cost. This software-as-a-service immersive physical therapy platform may reach a projected annual revenue of $2.08M USD. With remote tools and predictive physical therapy analytics, more individuals will receive access to treatment regardless of their socio-economic and demographic background.

This Small Business Innovation Research (SBIR) Phase I project will provide an immersive virtual reality environment where therapists can meet their patient in a 3D virtual clinic and use the platform's tools to aid in patient evaluation. This technology addresses the shortcomings of widely used current telehealth platforms (most often videoconferencing) where therapists find it difficult to perform common evaluations such as movement abilities and balance coordination tests. The goal of this project is to build an updated machine learning algorithm with integration on the virtual platform to enable therapists to remotely evaluate their patients with high accuracy biomechanical metrics. The goal is to achieve remote rehabilitation of patients that is comparable to that of in-person patient rehabilitation. In addition, pilot research will be performed with healthcare organizations to assess this technology in providing patient success metrics and exercise interaction through commercial head-mounted display virtual reality systems. This technology has the potential to positively change a consumer's physical therapy experience by significantly reducing traditional clinical and insurance costs, enabling remote access for populations of low-socioeconomic backgrounds, alleviating discomfort for patients, and increasing remote recovery insights.

This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.

PROJECT OUTCOMES REPORT

Disclaimer

This Project Outcomes Report for the General Public is displayed verbatim as submitted by the Principal Investigator (PI) for this award. Any opinions, findings, and conclusions or recommendations expressed in this Report are those of the PI and do not necessarily reflect the views of the National Science Foundation; NSF has not approved or endorsed its content.


This Small Business Innovation Research (SBIR) Phase I project targeted the research and development of an immersive virtual reality telehealth platform for remote physical therapy and patient monitoring, an embodied telehealth service that connects therapists and patients, transporting the users into a 3D virtual avatar that replicates body movements from the physical world with real-time biomechanical analytics. Through this award, we have developed our customer discovery and interviews with physical therapists, built customer relationships in both independent therapy providers and large hospitals, examined channel distributions, and advanced our interactions with different market segments between outpatient physical therapy, preventative care, rehabilitation policy organizations, therapist education programs, and telehealth companies. By the end of Phase I, we amassed 200+ customer discovery interviews, 140+ survey respondents, and 50+ prototype demos of the platform with physical therapists which well positioned our prototype development. The data from Phase I interviews pointed to two major unmet market needs for outpatient physical therapy: effective full-body remote movement evaluation and a gold standard for biomechanical assessment, and in Phase II, we propose to extend our system to meet that demand.

Through the commercial development of this Phase I SBIR, we refined our value proposition and increased our validation towards a platform-as-a-service business model towards capturing our revenue stream. We built and iterated our prototype virtual reality telehealth platform with a co-design panel of over 6 physical therapists from diverse backgrounds and tested the prototype by demoing to the American Physical Therapy Association, partnering with 3 physical therapy clinics, and obtained letters of intent from the Houston Veterans Medical Affairs and Stanford Healthcare. Our prototype is well implemented into TRL4, with continued development into a proposed Phase II. Early angel investors have supported our prototyping and interactions with investors have been initiated with over $200,000 raised in under 2 months through SAFEs and Regulation Crowdfunding. A Phase II award will allow us to finalize our feature set to meet the needs of our physical therapists and move beyond a Beta Platform towards raising a Series-a, followed by carefully planned product lines in synchronous care, asynchronous continued care, and predictive health monitoring for preventative care.

In terms of technical milestones, the frontend VR environment, backend HIPAA compliant data storage, joint data estimation including analytic metrics, and patient-therapist feedback loop are now ready for large scale user testing. The biomechanical analysis has been validated through accurate measures from 3D motion tracking systems. With the conclusion of Phase 1, we are now ready to begin user testing with the therapists who asked to test our product when it was ready for preliminary trials via our partner healthcare organizations. Our Phase 2 plans build directly off of this feedback between the physician and the patient while also opening up new measures for lower-extremity movement and ensuring high-usability for patient usage experiences. Our system will be sustained to support both synchronous and asynchronous evaluation, allowing physicians and users to meet in real time, or both may look back at the session to gather feedback about movements. Validation will include comparatively analyzing physical in-person, 2D web camera, and 3D VR environment assessments. Interrater-reliability of PTs is important and can be assessed through each platform. These beta tests will help us distinguish the benefits of a 3D VR environment while keeping relations with potential customers. We will build off the foundation to provide physicians means to create their own movement tasks, with the potential to share with others. All data will be available, providing a consistent platform for multiple physicians to collaborate on both tasks for patients and subjective analysis/diagnosis on the objective data.


Last Modified: 10/30/2022
Modified by: Aviv Elor

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