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Main Authors: Mohamed, Amin, Abdelmoreed, Hamza, Ehab, Mohamed, Shawky, Youssef, Hadhoud, Mayada, Al-Kabbany, Ahmad
Format: Preprint
Published: 2026
Subjects:
Online Access:https://arxiv.org/abs/2601.17553
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author Mohamed, Amin
Abdelmoreed, Hamza
Ehab, Mohamed
Shawky, Youssef
Hadhoud, Mayada
Al-Kabbany, Ahmad
author_facet Mohamed, Amin
Abdelmoreed, Hamza
Ehab, Mohamed
Shawky, Youssef
Hadhoud, Mayada
Al-Kabbany, Ahmad
contents Low back pain (LBP) is a pervasive global health challenge, affecting approximately 80% of adults and frequently progressing into chronic or recurrent episodes. While exercise therapy is a primary clinical intervention, traditional at-home programs suffer from low adherence rates and the absence of professional supervision. This study introduces TOSHFA, an accessible mobile VR-based rehabilitation system that bridges this gap by combining computer vision with affordable hardware. The system utilizes a laptop webcam to perform real-time pose estimation via the MediaPipe framework, tracking 33 skeletal landmarks to provide immediate biofeedback. This data is streamed via low-latency UDP protocols to a smartphone mounted in a cardboard-style VR headset, where patients interact with a gamified 3D environment. A pilot study with 20 participants evaluated the system's performance and user engagement. Quantitative results yielded a mean System Usability Scale (SUS) score of 47.4, indicating marginal usability and a need for interface optimization. However, Game Experience Questionnaire (GEQ) data revealed high scores in positive affect and enjoyment, suggesting that the gamification elements--such as coin rewards and streak tracking--successfully maintained user motivation despite technical friction. These findings validate the feasibility of a smartphone-based tele-rehabilitation model and establish a technical foundation for future clinical trials involving multi-exercise protocols.
format Preprint
id arxiv_https___arxiv_org_abs_2601_17553
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle TOSHFA: A Mobile VR-Based System for Pose-Guided Exercise Rehabilitation for Low Back Pain
Mohamed, Amin
Abdelmoreed, Hamza
Ehab, Mohamed
Shawky, Youssef
Hadhoud, Mayada
Al-Kabbany, Ahmad
Human-Computer Interaction
Low back pain (LBP) is a pervasive global health challenge, affecting approximately 80% of adults and frequently progressing into chronic or recurrent episodes. While exercise therapy is a primary clinical intervention, traditional at-home programs suffer from low adherence rates and the absence of professional supervision. This study introduces TOSHFA, an accessible mobile VR-based rehabilitation system that bridges this gap by combining computer vision with affordable hardware. The system utilizes a laptop webcam to perform real-time pose estimation via the MediaPipe framework, tracking 33 skeletal landmarks to provide immediate biofeedback. This data is streamed via low-latency UDP protocols to a smartphone mounted in a cardboard-style VR headset, where patients interact with a gamified 3D environment. A pilot study with 20 participants evaluated the system's performance and user engagement. Quantitative results yielded a mean System Usability Scale (SUS) score of 47.4, indicating marginal usability and a need for interface optimization. However, Game Experience Questionnaire (GEQ) data revealed high scores in positive affect and enjoyment, suggesting that the gamification elements--such as coin rewards and streak tracking--successfully maintained user motivation despite technical friction. These findings validate the feasibility of a smartphone-based tele-rehabilitation model and establish a technical foundation for future clinical trials involving multi-exercise protocols.
title TOSHFA: A Mobile VR-Based System for Pose-Guided Exercise Rehabilitation for Low Back Pain
topic Human-Computer Interaction
url https://arxiv.org/abs/2601.17553