An Adaptive Fatigue Detection Model for Virtual Reality-Based Physical Therapy †

This paper introduces a fatigue detection model specifically designed for immersive virtual reality (VR) environments, aimed at facilitating upper limb rehabilitation for individuals with spinal cord injuries (SCIs). The model’s primary application centers on the Box-and-Block Test, providing healthcare professionals with a reliable tool to monitor patient progress and adapt rehabilitation routines. At its core, the model employs data fusion techniques via ordered weighted averaging (OWA) operators to aggregate multiple metrics captured by the VR rehabilitation system. Additionally, fuzzy logic is employed to personalize fatigue assessments. Therapists are provided with a detailed classification of fatigue levels alongside a video-based visual representation that highlights critical moments of fatigue during the exercises. The experimental methodology involved testing the fatigue detection model with both healthy participants and patients, using immersive VR-based rehabilitation scenarios and validating its accuracy through self-reported fatigue levels and therapist observations. Furthermore, the model’s scalable design promotes its integration into remote rehabilitation systems, highlighting its adaptability to diverse clinical scenarios and its potential to enhance accessibility to rehabilitation services.