UBICU: A Gamified Respiratory Incentive System for Pulmonary Re-Expansion
Pulmonary complications can arise due to trauma, postoperative conditions, or as sequelae of diseases such as COVID-19. To help patients restore lung functionality, most undergo lung re-expansion physiotherapy using a Respiratory Incentive Spirometer. However, currently available Respiratory Incenti...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
IEEE
2025-01-01
|
| Series: | IEEE Access |
| Subjects: | |
| Online Access: | https://ieeexplore.ieee.org/document/10838523/ |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832584005663326208 |
|---|---|
| author | Jaime Aguilar-Zambrano Esther C. Wilches-Luna Helberg Asencio-Santofimio Manuel Valencia Diana Riveros Andres Navarro Juan Carlos Martinez Eugenio Tamura Jose Angel Loaiza Julian Hernandez Diana Sanchez Juan David Garcia Leonardo Arzayus-Patino Valeria Perez-Hortua Elizabeth Moncada Melissa Ramirez |
| author_facet | Jaime Aguilar-Zambrano Esther C. Wilches-Luna Helberg Asencio-Santofimio Manuel Valencia Diana Riveros Andres Navarro Juan Carlos Martinez Eugenio Tamura Jose Angel Loaiza Julian Hernandez Diana Sanchez Juan David Garcia Leonardo Arzayus-Patino Valeria Perez-Hortua Elizabeth Moncada Melissa Ramirez |
| author_sort | Jaime Aguilar-Zambrano |
| collection | DOAJ |
| description | Pulmonary complications can arise due to trauma, postoperative conditions, or as sequelae of diseases such as COVID-19. To help patients restore lung functionality, most undergo lung re-expansion physiotherapy using a Respiratory Incentive Spirometer. However, currently available Respiratory Incentive Spirometers do not allow for quantitative tracking of performance during inspiration exercises, require physiotherapist supervision to ensure exercise quality, and show low treatment adherence. To address these limitations, we developed UBICU, an assistive product for lung re-expansion physiotherapy. UBICU includes a flow measurement device, an app with a video game interface to motivate exercise performance, and cloud-based software for the remote prescription and evaluation of physiotherapy. We conducted a quasi-experimental study with a sample of 30 healthy individuals, aged 18 to 65 years and balanced by age and sex. We assessed pulmonary ventilation distribution before, during, and after using two flow respiratory incentive spirometers, UBICU and TriFlo, with electrical impedance tomography. Our findings indicate that UBICU provides accurate and reliable measurements of pulmonary ventilation distribution, showing statistically significant improvements after use (p < 0.01), validating its effectiveness as a respiratory incentive spirometer. To evaluate the usability of the video game component, we conducted a perception survey, achieving an acceptance rating above 5 on a scale of 0 to 6. Notably, UBICU was shown to favor lung re-expansion more effectively than the traditional TriFlo mechanical system. |
| format | Article |
| id | doaj-art-e95b9357152a434699d703e4649aeb54 |
| institution | Kabale University |
| issn | 2169-3536 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | IEEE |
| record_format | Article |
| series | IEEE Access |
| spelling | doaj-art-e95b9357152a434699d703e4649aeb542025-01-28T00:01:40ZengIEEEIEEE Access2169-35362025-01-0113152441525210.1109/ACCESS.2025.352875410838523UBICU: A Gamified Respiratory Incentive System for Pulmonary Re-ExpansionJaime Aguilar-Zambrano0https://orcid.org/0000-0003-2200-1250Esther C. Wilches-Luna1Helberg Asencio-Santofimio2https://orcid.org/0000-0002-4135-7618Manuel Valencia3https://orcid.org/0000-0002-6324-4366Diana Riveros4https://orcid.org/0009-0001-9716-6677Andres Navarro5https://orcid.org/0000-0002-4231-8661Juan Carlos Martinez6https://orcid.org/0000-0001-8606-7107Eugenio Tamura7https://orcid.org/0000-0002-1718-1691Jose Angel Loaiza8https://orcid.org/0000-0002-8321-9571Julian Hernandez9https://orcid.org/0000-0001-5994-7467Diana Sanchez10Juan David Garcia11Leonardo Arzayus-Patino12https://orcid.org/0000-0002-7093-6221Valeria Perez-Hortua13https://orcid.org/0000-0002-4845-199XElizabeth Moncada14Melissa Ramirez15Departamento de Electrónica y Ciencias de la Computación, Pontificia Universidad Javeriana, Cali, ColombiaEscuela de Rehabilitación Humana, Universidad del Valle, Cali, ColombiaDepartamento de Ciencias Básicas de la Salud, Pontificia Universidad Javeriana, Cali, ColombiaDepartamento de Electrónica y Ciencias de la Computación, Pontificia Universidad Javeriana, Cali, ColombiaCentro de Innovación y Emprendimiento, Pontificia Universidad Javeriana, Cali, ColombiaDepartamento de Electrónica y Ciencias de la Computación, Pontificia Universidad Javeriana, Cali, ColombiaDepartamento de Electrónica y Ciencias de la Computación, Pontificia Universidad Javeriana, Cali, ColombiaDepartamento de Electrónica y Ciencias de la Computación, Pontificia Universidad Javeriana, Cali, ColombiaDepartamento de Electrónica y Ciencias de la Computación, Pontificia Universidad Javeriana, Cali, ColombiaDepartamento de Electrónica y Ciencias de la Computación, Pontificia Universidad Javeriana, Cali, ColombiaDepartamento de Electrónica y Ciencias de la Computación, Pontificia Universidad Javeriana, Cali, ColombiaDepartamento de Electrónica y Ciencias de la Computación, Pontificia Universidad Javeriana, Cali, ColombiaEscuela de Rehabilitación Humana, Universidad del Valle, Cali, ColombiaEscuela de Rehabilitación Humana, Universidad del Valle, Cali, ColombiaDepartamento de Electrónica y Ciencias de la Computación, Pontificia Universidad Javeriana, Cali, ColombiaDepartamento de Electrónica y Ciencias de la Computación, Pontificia Universidad Javeriana, Cali, ColombiaPulmonary complications can arise due to trauma, postoperative conditions, or as sequelae of diseases such as COVID-19. To help patients restore lung functionality, most undergo lung re-expansion physiotherapy using a Respiratory Incentive Spirometer. However, currently available Respiratory Incentive Spirometers do not allow for quantitative tracking of performance during inspiration exercises, require physiotherapist supervision to ensure exercise quality, and show low treatment adherence. To address these limitations, we developed UBICU, an assistive product for lung re-expansion physiotherapy. UBICU includes a flow measurement device, an app with a video game interface to motivate exercise performance, and cloud-based software for the remote prescription and evaluation of physiotherapy. We conducted a quasi-experimental study with a sample of 30 healthy individuals, aged 18 to 65 years and balanced by age and sex. We assessed pulmonary ventilation distribution before, during, and after using two flow respiratory incentive spirometers, UBICU and TriFlo, with electrical impedance tomography. Our findings indicate that UBICU provides accurate and reliable measurements of pulmonary ventilation distribution, showing statistically significant improvements after use (p < 0.01), validating its effectiveness as a respiratory incentive spirometer. To evaluate the usability of the video game component, we conducted a perception survey, achieving an acceptance rating above 5 on a scale of 0 to 6. Notably, UBICU was shown to favor lung re-expansion more effectively than the traditional TriFlo mechanical system.https://ieeexplore.ieee.org/document/10838523/Biomedical measurementspirometrytelemedicineuser-centered designvideogames |
| spellingShingle | Jaime Aguilar-Zambrano Esther C. Wilches-Luna Helberg Asencio-Santofimio Manuel Valencia Diana Riveros Andres Navarro Juan Carlos Martinez Eugenio Tamura Jose Angel Loaiza Julian Hernandez Diana Sanchez Juan David Garcia Leonardo Arzayus-Patino Valeria Perez-Hortua Elizabeth Moncada Melissa Ramirez UBICU: A Gamified Respiratory Incentive System for Pulmonary Re-Expansion IEEE Access Biomedical measurement spirometry telemedicine user-centered design videogames |
| title | UBICU: A Gamified Respiratory Incentive System for Pulmonary Re-Expansion |
| title_full | UBICU: A Gamified Respiratory Incentive System for Pulmonary Re-Expansion |
| title_fullStr | UBICU: A Gamified Respiratory Incentive System for Pulmonary Re-Expansion |
| title_full_unstemmed | UBICU: A Gamified Respiratory Incentive System for Pulmonary Re-Expansion |
| title_short | UBICU: A Gamified Respiratory Incentive System for Pulmonary Re-Expansion |
| title_sort | ubicu a gamified respiratory incentive system for pulmonary re expansion |
| topic | Biomedical measurement spirometry telemedicine user-centered design videogames |
| url | https://ieeexplore.ieee.org/document/10838523/ |
| work_keys_str_mv | AT jaimeaguilarzambrano ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT esthercwilchesluna ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT helbergasenciosantofimio ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT manuelvalencia ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT dianariveros ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT andresnavarro ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT juancarlosmartinez ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT eugeniotamura ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT joseangelloaiza ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT julianhernandez ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT dianasanchez ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT juandavidgarcia ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT leonardoarzayuspatino ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT valeriaperezhortua ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT elizabethmoncada ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion AT melissaramirez ubicuagamifiedrespiratoryincentivesystemforpulmonaryreexpansion |