VR for Acupuncture? Exploring Needs and Opportunities for Acupuncture Training and Treatment in Virtual Reality (2312.07772v1)
Abstract: Acupuncture is a form of medicine that involves inserting needles into targeted areas of the body and requires knowledge of both Traditional Chinese Medicine (TCM) and Evidence-Based Medicine (EBM). The process of acquiring such knowledge and using it for practical treatment is challenging due to the need for a deep understanding of human anatomy and the ability to apply both TCM and EBM approaches. Visual aids have been introduced to aid in understanding the alignment of acupuncture points with key elements of the human body, and are indispensable tools for both learners and expert acupuncturists. However, they are often not enough to enable effective practice and fail to fully support the learning process. Novel approaches based on immersive visualization and Virtual Reality (VR) have shown promise in many healthcare settings due to their unique advantages in terms of realism and interactions, but it is still unknown whether and how VR can possibly be beneficial to acupuncture training and treatment. Following participatory design protocols such as observations and semi-structured interviews with eight doctors and nine students, we explore the needs and pain points of current acupuncture workflows at the intersection of EBM and TCM in China and the United States. We highlight opportunities for introducing VR in today's acupuncture training and treatment workflows, and discuss two design approaches that build on 11 specific challenges spanning education, diagnosis, treatment, and communication.
- Evaluation of surgical approaches for tumor resection in the deep infratentorial region and impact of virtual reality technique for the surgical planning and strategy. Journal of Craniofacial Surgery 31, 7 (2020), 1865–1869.
- ANATOMY 3D ATLAS. 2014. AnatomyLearning. Retrieved Jan. 7th, 2023 from https://anatomy3datlas.com/
- Ashraf Ayoub and Yeshwanth Pulijala. 2019. The application of virtual reality and augmented reality in Oral & Maxillofacial Surgery. BMC Oral Health 19 (2019), 1–8.
- Neuroimaging-Based scalp acupuncture locations for dementia. Journal of clinical medicine 9, 8 (2020), 2477.
- Towards a framework for integrating agile development and user-centred design. In International Conference on Extreme Programming and Agile Processes in Software Engineering. Springer, 143–153.
- PaperToPlace: Transforming Instruction Documents into Spatialized and Context-Aware Mixed Reality Experiences. In Proceedings of the 36th Annual ACM Symposium on User Interface Software and Technology (San Francisco, CA, USA) (UIST ’23). Association for Computing Machinery, New York, NY, USA, Article 118, 21 pages. https://doi.org/10.1145/3586183.3606832
- ExGSense: Toward Facial Gesture Sensing with a Sparse Near-Eye Sensor Array. In Proceedings of the 20th International Conference on Information Processing in Sensor Networks (Co-Located with CPS-IoT Week 2021) (Nashville, TN, USA) (IPSN ’21). Association for Computing Machinery, New York, NY, USA, 222–237. https://doi.org/10.1145/3412382.3458268
- Exploring Needs and Design Opportunities for Virtual Reality-Based Contour Delineations of Medical Structures. In Companion of the 2022 ACM SIGCHI Symposium on Engineering Interactive Computing Systems (Sophia Antipolis, France) (EICS ’22 Companion). Association for Computing Machinery, New York, NY, USA, 19–25. https://doi.org/10.1145/3531706.3536456
- VRContour: Bringing Contour Delineations of Medical Structures Into Virtual Reality. In 2022 IEEE International Symposium on Mixed and Augmented Reality (ISMAR). 64–73. https://doi.org/10.1109/ISMAR55827.2022.00020
- Application of the interaction teaching mode integrated with virtual anatomy platform in teaching Meridian and Acupoints. Zhongguo Zhen Jiu Chinese acupuncture & moxibustion 39, 11 (2019), 1235–1238.
- YM Chen. 2019. A perspective of acupuncture education in the United States. J Complement Med Alt Healthcare 9 (2019), 555773.
- A collaborative virtual reality environment for liver surgery planning. Computers & Graphics 99 (2021), 234–246.
- Designing with care: Adapting cultural probes to inform design in sensitive settings. In Proceedings of the 2004 Australasian Conference on Computer-Human Interaction (OZCHI2004). 4–13.
- A Mobile Natural Human-Robot Interaction Method for Virtual Chinese Acupuncture. IEEE Transactions on Instrumentation and Measurement (2022).
- ELSEVIER. 2023. Complete Anatomy 2023:The world’s most advanced 3D anatomy platform. Retrieved Jan. 7th, 2023 from https://3d4medical.com/
- Paul MG Emmelkamp and Katharina Meyerbröker. 2021. Virtual reality therapy in mental health. Annual review of clinical psychology 17 (2021), 495–519.
- ZenVR: Design Evaluation of a Virtual Reality Learning System for Meditation. In Proceedings of the 2022 CHI Conference on Human Factors in Computing Systems. 1–15.
- Efficacy of virtual reality exposure therapy in the treatment of PTSD: a systematic review. PloS one 7, 12 (2012), e48469.
- Virtual reality applications in chronic pain management: systematic review and meta-analysis. JMIR Serious Games 10, 2 (2022), e34402.
- ”A PET Molecular Imaging Brain Atlas of Cyclooxygenase-1 (Kim 2021)”. https://doi.org/doi:10.18112/openneuro.ds004401.v1.0.1
- The use of virtual reality simulation to improve technical skill in the undergraduate medical imaging student. Interactive Learning Environments 26, 5 (2018), 613–620.
- Jason Jishun Hao and Linda Lingzhi Hao. 2012. Review of clinical applications of scalp acupuncture for paralysis: an excerpt from chinese scalp acupuncture. Global advances in health and medicine 1, 1 (2012), 102–121.
- Virtual acupuncture human based on chinese visible human dataset. Studies in health technology and informatics 119 (2006), 194–197.
- TZ Hong. 2018. Challenges in learning and understanding traditional Chinese medicine and acupuncture. Open Acc. J. Complement. Altern. Med. Acupunct 1 (2018).
- Lasse Jensen and Flemming Konradsen. 2018. A review of the use of virtual reality head-mounted displays in education and training. Education and Information Technologies 23, 4 (2018), 1515–1529.
- The impact of virtual reality on chronic pain. PloS one 11, 12 (2016), e0167523.
- Development of an acupuncture training system using virtual reality technology. In 2008 Fifth International Conference on Fuzzy Systems and Knowledge Discovery, Vol. 4. IEEE, 665–668.
- Ted J Kaptchuk. 2002. Acupuncture: theory, efficacy, and practice. Annals of internal medicine 136, 5 (2002), 374–383.
- Jungdae Kim and Dae-In Kang. 2015. Partially automated method for localizing standardized acupuncture points on the heads of digital human models. Evidence-Based Complementary and Alternative Medicine 2015 (2015).
- Current practices, challenges, and design implications for collaborative ar/vr application development. In Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems. 1–15.
- Virtual memory palaces: immersion aids recall. Virtual reality 23, 1 (2019), 1–15.
- Analysis of Acupuncture Teaching Reform and Innovation based on Virtual Reality Technology. International Journal of Social Science and Education Research 4, 2 (2021), 358–362.
- An exploration of the needling depth in acupuncture: the safe needling depth and the needling depth of clinical efficacy. Evidence-Based Complementary and Alternative Medicine 2013 (2013).
- A review of the application of virtual reality technology in the diagnosis and treatment of cognitive impairment. Frontiers in aging neuroscience 11 (2019), 280.
- Virtual reality aided therapy towards health 4.0: a two-decade bibliometric analysis. International Journal of Environmental Research and Public Health 19, 3 (2022), 1525.
- MAI. 2017a. AcuMap: Revolutionizing the future of acupuncture training. Retrieved Jan. 7th, 2023 from https://www.mai.ai/acumap/
- MAI. 2017b. VR anatomy: The platform for everyone. Retrieved Jan. 7th, 2023 from https://www.mai.ai/
- MAI. 2021. AcuMap Promotion Video (Full). Retrieved Jan. 7th, 2023 from https://www.youtube.com/watch?v=_BMAkleXfIw
- User experiences of virtual reality technologies for healthcare in learning: An integrative review. Behaviour & Information Technology 41, 1 (2022), 1–17.
- Virtual reality and cardiac anatomy: Exploring immersive three-dimensional cardiac imaging, a pilot study in undergraduate medical anatomy education. Clinical Anatomy 32, 2 (2019), 238–243.
- The role of virtual and augmented reality in orthopedic trauma surgery: From diagnosis to rehabilitation. Computer methods and programs in biomedicine 191 (2020), 105407.
- Can virtual reality improve anatomy education? A randomised controlled study of a computer-generated three-dimensional anatomical ear model. Medical education 40, 11 (2006), 1081–1087.
- On the use of virtual reality for medical imaging visualization. Journal of Digital Imaging 34, 4 (2021), 1034–1048.
- Jack Pottle. 2019. Virtual reality and the transformation of medical education. Future healthcare journal 6, 3 (2019), 181.
- A systematic review of immersive virtual reality applications for higher education: Design elements, lessons learned, and research agenda. Computers & Education 147 (2020), 103778.
- Practical experience of virtual acupuncture and moxibustion teaching system in the operation teaching course of Acupuncture Sciences. Zhongguo Zhen jiu= Chinese Acupuncture & Moxibustion 40, 8 (2020), 877–879.
- Design of Acupuncture Controller and Dummy for Acupuncture Training System based MR. Smart Media Journal 9, 2 (2020), 86–91.
- Dr. R. Blanco Salado. 2012. AnatomyLearning. Retrieved Jan. 7th, 2023 from https://anatomylearning.com/
- Eye-acupuncture with rehabilitation therapy for stroke. Medicine 99, 18 (2020).
- SOCR. 2023. Brain Viewer: Instantly view scientific and medical imaging data in 3D using XTK. Retrieved Jan. 7th, 2023 from https://socr.umich.edu/HTML5/BrainViewer/
- Anselm Strauss and Juliet Corbin. 1994. Grounded theory methodology: An overview. (1994).
- Traditional and evidence-based acupuncture. J uth Med J 91, 12 (1998), 115.
- Collaborative learning & co-creation in XR. In Extended Abstracts of the 2020 CHI Conference on Human Factors in Computing Systems. 1–4.
- Ilza Veith. 2015. The yellow emperor’s classic of internal medicine. Univ of California Press.
- Charles Vincent. 2001. The safety of acupuncture: Acupuncture is safe in the hands of competent practitioners. , 467–468 pages.
- Sean Walsh and Emma King. 2007. Pulse Diagnosis E-Book: A Clinical Guide. Elsevier Health Sciences.
- Shu-Ming Wang and Zeev N Kain. 2001. Auricular acupuncture: a potential treatment for anxiety. Anesthesia & Analgesia 92, 2 (2001), 548–553.
- Adrian White. 2009. Western medical acupuncture: a definition. Acupuncture in Medicine 27, 1 (2009), 33–35.
- Adrian White and Edzard Ernst. 2004. A brief history of acupuncture. Rheumatology 43, 5 (2004), 662–663.
- Head-mounted and multi-surface displays support emergency medical teams. In Proceedings of the 2013 conference on Computer supported cooperative work companion. 279–282.
- A Development of an Acupoints Education Table using 3D Technology and Augmented Reality. Korean Journal of Acupuncture 38, 4 (2021), 267–274.
- A DirectX-Based DICOM Viewer for Multi-User Surgical Planning in Augmented Reality. arXiv preprint arXiv:2210.14349 (2022).
- Faceatlasar: Atlas of facial acupuncture points in augmented reality. arXiv preprint arXiv:2111.14755 (2021).
- Menghe Zhang and Jürgen P Schulze. 2021. Server-Aided 3D DICOM Viewer for Mobile Platforms. Electronic Imaging 2021, 13 (2021), 179–1.
- E-faceatlasAR: extend atlas of facial acupuncture points with auricular maps in augmented reality for self-acupressure. Virtual Reality 26, 4 (2022), 1763–1776.
- Preliminary application of gesture recognition to virtual acupuncture. In 2017 10th International Symposium on Computational Intelligence and Design (ISCID), Vol. 1. IEEE, 366–369.
- Can virtual reality simulator be used as a training aid to improve cadaver temporal bone dissection? Results of a randomized blinded control trial. The Laryngoscope 121, 4 (2011), 831–837.
- Wrist-ankle acupuncture for the treatment of pain symptoms: a systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine 2014 (2014).