Advancements in Biometrics in Virtual Reality: a conversation with Firsthand Technology
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This document discusses advancements in using virtual reality (VR) for health, focusing on pain relief and improving patient experiences. It highlights the effectiveness of VR in reducing pain, stress, and opioid use, showing its potential as a non-drug alternative for pain management. The integration of biometrics enhances VR therapy, enabling real-time engagement and better patient outcomes.
Advancements in Biometrics in Virtual Reality: a conversation with Firsthand Technology
- 1. Advancements in Biometrics in Virtual Reality: a conversation with Firsthand Technology © 2018 Valencell, Inc Howard Rose CEO, Co-Founder Firsthand Technologies
- 2. Topics 1. Firsthand and VR for Health 2. VR Pain Relief 3. Hacking the Senses with VR and Biometrics
- 3. 1. Firsthand and VR for Health
- 4. Human Interface Technology Lab (HITL) Seattle
- 5. VR is: A computer generated experience that evokes the sensation the experience is real Howard’s Definition
- 8. Mental Health PTSD - Phobias Lifestyle Healthier Habits Physical Health Pain Relief - Wellness IraqWorld Our work in VR for health
- 9. Firsthand’s Mission Use technology to improve health by improving personal experience
- 10. 2. VR Pain Relief
- 11. The Patient Experience Today What if I die? I can’t afford to be here. I hate this hospital! That damn nurse! I can’t stand the PAIN! How much longer till I can get more DRUGS? When can I go HOME? I’m so bored. Where’s that @#! doctor? My family needs me. These people don’t care. I’ve got to get back to WORK. They are just ignoring me! They are too busy to help. Heart Rate Elevated and Rising
- 12. • Less Pain & Stress • Better Vital Signs • Lower Demand for Drugs • More Active & Engaged • Better Outcomes • More Satisfied Wow,my hand turned into a fish!COOL! Heart Rate is Stable. Emotions are Calm. With VR: Not just distracted, they are engaged Nurses can attend to other duties
- 13. Opioid prescriptions longer than five days in length significantly increased the likelihood of continued opioid use both one and three years later. 1-year risk increase from 6% to 12% CDC
- 14. 1) High need for non-drug pain relief alternatives 2) Interventions at the right time can have a big impact How this finding motivates us
- 15. GLOW! - Biofeedback Mindfulness Training Wearables + Real Time Hand Interactions Make GLOW! a compelling relaxing escape
- 17. MediCart VR Systems Vive/Oculus HTC All-in-one VR THERAPY VR Experiences Custom Development Clinical and Research Support PC Windows Mixed Reality Biosensors A range of quality, functionality and mobility Cell phone Drop-in (minimal but improving) Clinically Effective Firsthand: VR health care full solution
- 19. Lt. Sam Brown US Army Wounded in Afghanistan GQ Magazine: January 31, 2012
- 22. Cognitive Processing (Frontal Cortex) Positive Coping & Resilience (pACC) Less Emotional Pain Fewer Pain Signals Less Sensory Pain (ACC) Insula Thalamus Less Active Areas More Active Areas VR Changes Pain in the Brain NO VR With VR Hoffman et al. (2004, 2007)
- 23. VR worked better than drugs Pain Unpleasantness VR (-38%) Opioid (-16%) Amount of Fun VR (+983%) Opioids (-33%) Time Thinking About Pain VR (-48%) Opioids (-10%) How Does VR Compare to Drugs? Hoffman, et al. (2007) Anesthesia and Analgesia Study Compared: - No treatment - Opioids Hydromorphone - VR - VR + Opioids
- 24. How Does VR Compare to Drugs? Anterior Cingulate Cortex Insula Secondary Somatosensory Cortex Thalamus Primary Somatosensory Cortex Control HydromorphoneVR VR+Drugs Hoffman, et al. (2007) Anesthesia and Analgesia Study Compared: - No treatment - Opioids Hydromorphone - VR - VR + Opioids
- 25. VR has a profound, lasting effect – not just distraction off Chronic Pain Relief for 94% During VR - 92% After VR Jones, Moore & Choo (PLOS One, 2016) “I turned my spinal stimulator off…Every time I do the program I feel a natural high, like endorphins have been released.” Treatment Pain During VR Pain After VR 5 Min Session - 60% - 33% 20 Min (x3) - 69% - 53% Side Effects ≈0 ≈0 Matt- Veteran of Desert Storm
- 26. Follow-up implementation in progress Pain VR: 30% Reduction Costs VR: strong trend to reduce the cost of care Opioids VR: 20% Reduction Providence Cancer Center Pancreatic cancer - post invasive surgery 29 patients used VR (COOL and GLOW) Results were compared to historical data
- 27. VR Benefits for Health Stakeholders Doctors Nurses Payers Hospitals Get Care Done Faster Easier Patient Management Positive Patient Interactions Alternative to Drugs Happier Patients with Less Stress Better Healing - Less Complications Lower Risk Meaningful Data Better Patient Outcomes Reduced Addiction Risks Reduced Risk of Side Effects Higher Patient Satisfaction Improve Staff Morale Increased Efficiency Reduced Risk Exposure Branding Boost
- 28. 3. Hacking the Senses with VR and Biometrics
- 29. Mirror Box for Phantom Limb Pain Ramachandran & Ramachandran 1996
- 30. Hacking the body map
- 31. Patient immersed in GLOW! 2017
- 32. The Virtuality Manifold Human – Machine – Environment S A D B P R Display Biometrics Human - Environment Human - Machine Sensation Action Machine - Environment Perception Reach
- 33. Melzack & Wall (1965, 1999) S e n s a t i o n , D i s p l a y , P e r c e p t i o n A c t i o n , B i o m e t r i c s , R e a c h Internal Model of Pain
- 34. Self Regulation Active / Creative Sensory Learning Manipulate Body Map Mental Strategies & Resilience Therapeutic Strategies VR Channels for Health Therapeutic Targets How VR Enables “Embodied Medicine” Alter the experience of being in a body to improve health and wellness Motivation Positive Psychology Down-regulation Self-regulation Patient engagement Activation Mindfulness, Skills Habits, Knowledge Rehab, Kinesiophobia Neurological disorders Stress, Depression, Inflammation, Catharsis
- 35. - Full Immersion - Energized Focus - Full Enjoyment - Peak Performance
- 36. VR + Biosensors Flow: Awareness – Action – Response + Feel the potential to succeed Immediate closed feedback loop + Feel so engrossed that other needs become negligible + Loosen reflective self-consciousness + Merge action and awareness
- 37. Adaptive AI to maximize benefits Payers Patients Doctors Quantified Virtual Experiences Cloud Data Analytics Neuro-VR™ Analysis & Decision AI Engine Day 1 Day 15 Day 30 T1 T2 T3 T4 T5 Pain Healthy Function Optimize Each VR Session Optimize Recovery
- 38. Conclusions
- 39. • Reduce costs at the point of care • Improve current treatments and develop new ones • Improve Patient Experience • Activate patient in their own recovery • Alternative to opioids Benefits of VR and Biosensors • Transition care from clinic to home
- 40. VR therapy gives us new insight into the brain, body, and behavior and a way to affect the whole person in real time
- 41. Advancements in Biometrics in Virtual Reality: a conversation with Firsthand Technology © 2018 Valencell, Inc Howard Rose CEO, Co-Founder Firsthand Technology Thank You!