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Doctor, Can you See My Squats?
Understanding Bodily Communication in
Video Consultations for Physiotherapy
Deepti Aggarwal
Bernd 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. OPENING
2. COMPLAINT
3. EXAMINATION
4. DIAGNOSIS
5. TREATMENT
6. 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
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.

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

  • 1. Doctor, Can you See My Squats? Understanding Bodily Communication in Video Consultations for Physiotherapy Deepti Aggarwal Bernd Ploderer, Frank Vetere, Mark Bradford, Thuong Hoang
  • 4. Bodily Communication in Clinical Consultations
  • 6. Bodily Communication in Physiotherapy
  • 9. 2 physiotherapists & 5 patients with chronic pain Prescribed exercises: tip-toes, squats FACE TO FACE (3) VIDEO (7)
  • 10. FACE-TO-FACE VIDEO 1. OPENING 2. COMPLAINT 3. EXAMINATION 4. DIAGNOSIS 5. TREATMENT 6. CLOSING
  • 11. FACE-TO-FACE VIDEO Appearance (Full body) Posture Movement (walking) Orientation Appearance (Upper torso) Posture Movement (walking) Orientation #1. OPENING
  • 12. 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)
  • 13. 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
  • 14. 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
  • 15. VIDEO Body language Facial expressions Facial expressions Body language #6. CLOSINGFACE-TO-FACE
  • 16. Video limits a wide range of bodily cues Best suitable for follow up consultations Key Takeaways
  • 22. 22 Key references 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.