Virtepex: Virtual Remote Tele-Physical Examination System

Remote strength assessment is critical for providing accessible rehabilitation, especially in the absence of in-person meetings due to the pandemic. In this paper, we introduce "Virtepex", an immersive exergame for remote strength assessment developed through participatory design principles. We bring out the design process starting with a needs assessment to highlight the challenges for physicians in telehealth, followed by the expert guidelines for iterative system refinement. Virtepex addresses the challenges for remote strength assessment through a marker-less and an easy-to-setup strength estimation pipeline. It utilizes an RGB-D camera for motion tracking and an inverse dynamics module for force estimation. The force estimates are used for VR object interaction and can be assessed by a physician synchronously or asynchronously for an objective evaluation. Validation by external experts shows that Virtepex produces reliable force estimates for upper body joints, indicating the potential of marker-less force estimation for future remote assessment designs.