Doctor, Can you See My Squats? Understanding Bodily Communication in Video Consultations for Physiotherapy
Deepti AggarwalBernd Ploderer, Frank Vetere, Mark Bradford, Thuong Hoang
2
Increasing demands for healthcare
Video Consultations
Bodily Communication in Clinical Consultations
EXAMINE
FEEL
COMFORT
DIAGNOSE
Different use of Bodily Communication
Bodily Communication in Physiotherapy
Research Aims
Observational Study
2 physiotherapists & 5 patients with chronic pain Prescribed exercises: tip-toes, squats
FACE TO FACE (3) VIDEO (7)
FACE-TO-FACE VIDEO
1. OPENING2. COMPLAINT3. EXAMINATION4. DIAGNOSIS5. TREATMENT6. CLOSING
FACE-TO-FACE VIDEO
Appearance (Full body)
Posture
Movement (walking)
Orientation
Appearance (Upper torso)
Posture
Movement (walking)
Orientation
#1. OPENING
VIDEO
Quality of movements (depth,
range, & smoothness)
#2. HISTORY TAKING
Quality of movements (depth
and range, smoothness)
FACE-TO-FACE
Facial expressions (tears, red cheeks,
tensed eyes)
Facial expressions (tears, red cheeks,
tensed eyes)
Eye contact (for encouragement,
willingness to engage)
Eye contact (for encouragement,
willingness to engage)
VIDEO
Tactile feedback (body tightness,
inflammation, body temperature)
Response to touch (fear, protective
spasm, facial expression)
#3, 4. EXAMINATION & DIAGNOSIS
Tactile feedback (body tightness,
inflammation, body temperature)
Response to touch (fear, protective
spasm, facial expression)
Touch on patient’s body Touch on own body
FACE-TO-FACE
VIDEO
Full body posture
Efforts (fatigue, tremor)
Facial expressions
Tone of speech (pitch)
Touch on patient’s body
Full body posture
Efforts (fatigue, trmeor)
Facial expressions
Tone of speech (pitch)
Touch on own body
#5. TREATMENTFACE-TO-FACE
VIDEO
Body language
Facial expressions Facial expressions
Body language
#6. CLOSINGFACE-TO-FACE
Video limits a wide range of bodily cues
Best suitable for follow up consultations
Key Takeaways
17
Increasing demands for healthcare
Design Dimensions
Visual Acuity
Field-of-view
Deepti Aggarwal
Thank you.
22
Key references
Michael Argyle. 2013. Bodily communication. Routledge. Ann Blandford, Erik Berndt, Ken Catchpole, Dominic Furniss, Astrid Mayer, Helena Mentis, Aisling Ann O’Kane, Tom Owen, Atish Rajkomar, and Rebecca Randell. 2012. Experiencing Interactive Healthcare Technologies: embracing ‘the wild’on its own terms. Invited submission to ToCHI’s special issue on ‘The Turn to the Wild. Patrick Sarsfield Byrne and Long B. E. 1976. Doctors talking to patients. A study of the verbal behaviour of general practitioners consulting in their surgeries. Her Majesty's Stationery Office, London, England.Christian Heath.1986. Body movement and speech in medical interaction. Cambridge University Press.Christian Heath. 2002. Demonstrative Suffering: The Gestural (Re)embodiment of Symptoms.Journal of Communication, 52(3), 597-616.Helena M. Mentis, Rita Shewbridge, Sharon Powell, Melissa Armstrong, Paul Fishman, and Lisa Shulman, 2015. Co-Interpreting Movement With Sensors: Assessing Parkinson’s Patients’ Deep Brain Stimulation Programming. Human Computer Interaction 2015, 1-34.Edward Alan Miller. 2011. The continuing need to investigate the nature and content of Teleconsultation communication using interaction analysis techniques. Telemedicine and Telecare, 17(2): 55-64.
