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Doctor, Can You See My Squats?: Understanding Bodily Communication in Video Consultations for Physiotherapy

Published: 04 June 2016 Publication History

Abstract

This paper investigates the challenges of bodily communication during video-based clinical consultations. While previous works describe the lack of eye contact and gestures over video, it is unclear how these limitations impact the course of a clinical consultation, particularly in a domain like physiotherapy where the focus is on improving body movements and functioning. To contribute to this understanding, we conducted observations of 10 naturally occurring video and face-to-face consultations for physiotherapy. We found that clinicians rely on a variety of incidental bodily cues and fine-details of body movements to assess and examine the patient. These bodily cues were noticeable during face-to-face consultations; however, a variety of bodily cues got missed over video. Consequently, video consultations became conversational where the clinicians used verbal conduct to get a fair understanding of the patient's health. To guide design of future video consultation systems, we reflect on our understanding as 4 design sensitivities: Visual Acuity, Field-of-view, Clinical Asymmetries, and Time Sequence.

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  • (2023) “Is it Even Giving the Correct Reading or Not?”: How Trust and Relationships Mediate Blood Pressure Management in IndiaACM Transactions on Computer-Human Interaction10.1145/360932730:6(1-27)Online publication date: 25-Sep-2023
  • (2023)Intercorporeal Biofeedback for Movement LearningACM Transactions on Computer-Human Interaction10.1145/358242830:3(1-40)Online publication date: 10-Jun-2023
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    cover image ACM Conferences
    DIS '16: Proceedings of the 2016 ACM Conference on Designing Interactive Systems
    June 2016
    1374 pages
    ISBN:9781450340311
    DOI:10.1145/2901790
    Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than the author(s) must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected].

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    Published: 04 June 2016

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    Author Tags

    1. bodily communication
    2. clinical consultation
    3. health
    4. nonverbal communication
    5. physiotherapy
    6. video communication

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    DIS '16: Designing Interactive Systems Conference 2016
    June 4 - 8, 2016
    QLD, Brisbane, Australia

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    DIS '16 Paper Acceptance Rate 107 of 418 submissions, 26%;
    Overall Acceptance Rate 1,158 of 4,684 submissions, 25%

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    • (2023) “Is it Even Giving the Correct Reading or Not?”: How Trust and Relationships Mediate Blood Pressure Management in IndiaACM Transactions on Computer-Human Interaction10.1145/360932730:6(1-27)Online publication date: 25-Sep-2023
    • (2023)Intercorporeal Biofeedback for Movement LearningACM Transactions on Computer-Human Interaction10.1145/358242830:3(1-40)Online publication date: 10-Jun-2023
    • (2023)Dr.’s Eye: The Design and Evaluation of a Video Conferencing System to Support Doctor Appointments in Home SettingsProceedings of the 2023 CHI Conference on Human Factors in Computing Systems10.1145/3544548.3581350(1-18)Online publication date: 19-Apr-2023
    • (2023)Towards Intermediated Workflows for Hybrid TelemedicineProceedings of the 2023 CHI Conference on Human Factors in Computing Systems10.1145/3544548.3580653(1-17)Online publication date: 19-Apr-2023
    • (2022)A Scenario-Based Study of Doctors and Patients on Video Conferencing Appointments from HomeACM Transactions on Computer-Human Interaction10.1145/351423429:5(1-35)Online publication date: 20-Oct-2022
    • (2022)Visualizing Instructions for Physical Training: Exploring Visual Cues to Support Movement Learning from Instructional VideosProceedings of the 2022 CHI Conference on Human Factors in Computing Systems10.1145/3491102.3517735(1-16)Online publication date: 29-Apr-2022
    • (2022)Telerehabilitation for physical disabilities and movement impairment: A service evaluation in South West EnglandJournal of Evaluation in Clinical Practice10.1111/jep.1368928:6(1084-1095)Online publication date: 19-Apr-2022
    • (2021)Telerehabilitation for people with physical disabilities and movement impairment: A survey of United Kingdom practitioners (Preprint)JMIRx Med10.2196/30516Online publication date: 18-May-2021
    • (2021)Technologies to Support Assessment of Movement During Video Consultations: Exploratory StudyJMIRx Med10.2196/302332:3(e30233)Online publication date: 24-Sep-2021
    • (2021)Psykomotorisk fysioterapi & covid-19: psykisk helse og samtaler på nye måterTidsskrift for psykisk helsearbeid10.18261/issn.1504-3010-2021-02-0718:2(149-161)Online publication date: 21-May-2021
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