Implementation and Validation of Engagement Monitoring in an Engagement Enhancing Rehabilitation System

Chong Li, Zoltan Rusak, Imre Horvath, Adrie Kooijman, Linhong Ji

Research output: Contribution to journalArticleScientificpeer-review

14 Citations (Scopus)


Enhancing engagement of patients during stroke rehabilitation exercises are in the focus of current research. Various methods and computer supported tools have been developed for this purpose, which try to avoid mundane exercising that is prone to become a routine or even boring for the patients and leads to ineffective training. This paper introduces an engagement enhancing cyber-physical stroke rehabilitation system (CP-SRS) aiming at enhancing the patient's engagement during rehabilitation training exercises. This paper focuses on introducing the implementation and validation of the engagement monitoring subsystem (EMS) in the CP-SRS. The EMS is expected to evaluate the patient's actual engagement levels in motor, perceptive, cognitive and emotional aspects. Experiments in these four aspects were conducted separately, in order to characterize the range and accuracy of the engagement indicators by influencing the subjects into different engaged states. During the experiments, different setups were created to mimic the situations in which the subject was engaged or not engaged. The subjects involved in the experiments were healthy subjects. Results showed that the measurement in motor, perceptive, cognitive, and emotional aspects can represent the corresponding engagement level. More experiments will be conducted in the future to validate the efficiency of the CP-SRS in enhancing the engagement with stroke patients.

Original languageEnglish
Article number7511713
Pages (from-to)726-738
Number of pages13
JournalIEEE Transactions on Neural Systems and Rehabilitation Engineering
Issue number6
Publication statusPublished - 2017


  • Cyber-physical system
  • engagement monitoring
  • stroke rehabilitation
  • system implementation
  • system validation


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