Publication:
An Ontology For Rehabilitation Assessment: Case Study Palestine

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Abstract

Effective tools are essential for physiotherapists to manage disabled patients. Rehabilitation knowledge, including assessments, goal setting, interventions, and outcomes, supports patient therapy plans. However, the direct applicability of controlled rehabilitation studies to diverse real-world patients is limited. Rehabilitation data comes from various sources, presenting challenges in integrating these assessments centrally and ensuring interoperability. Ontology can produce shared semantics and machine-readable, reusable, and interoperable rehabilitation knowledge, which is crucial to managing patients' disabilities. However, the existing ontologies for the rehabilitation domain are lacking in Physical Therapy (PT) and Occupational Therapy (OT) standard assessments and comprehensive rehabilitation domain knowledge. The current rehabilitation ontology, Physical Medicine and Rehabilitation (PMR) contains concepts related to PT and OT assessments. For the Palestine domain, PMR contains some knowledge that can be used for OT (Functional Independence Measure (FIM)) standard assessments. Nevertheless, many of the standard assessments used in Palestine do not exist in the PMR ontology. Rehabilitation data in Palestine consists of unstructured, semi-structured, and not well organized as well as manual rehabilitation assessment. Therefore, integrating the rehabilitation assessments with the patient’s medical reports will be helpful for medical experts. However, populating the ontology with data from patient’s profiles is the second challenge in this research. A new Rehabilitation Assessment Ontology (RAO) is proposed in this research and contains the PT and OT standard assessments and patient information for the Palestine domain. Next, the 101-ontology development method is used to develop the ontology. The development of the RAO starts with interviews with medical experts to collect knowledge about rehabilitation assessment. Expert knowledge is collected from three different rehabilitation centers in Palestine: (Specialized Al-Ibtisameh Al-Jamelah Physiotherapy Center (BJC), Hashmi for Specialized Physiotherapy and Spinal Manipulation (HSPT), and Future Magic (FM)). Patient information is extracted from 120 patient profiles. New rehabilitation gazetteers have been generated to be populated automatically into the RAO. Finally, the evaluation of the RAO is the third problem in this thesis and it was done by medical and ontology experts. Based on the evaluation, the RAO has been able to answer all the developed Competency Questions (CQs). The CQs were developed based on these interviews with medical experts, reflecting the assessment and treatment protocols they follow. Additionally, two ontology experts endorsed the RAO as having consistency, extensibility, ease of use, and completion. The proposed RAO is an effective data management system for the three rehabilitation centers. The unstructured data for rehabilitation in Palestine will be successfully organized, and queries will be successfully applied through the proposed RAO.

Description

Matric: 4182546 (FST)-Restricted until Oct 2027

Keywords

Ontology, Palestine, Rehabilitation, Rehabilitation Assessment Ontology (RAO), Disabled patients, Physical therapy

Citation

Rawia ‘Mohamed Najeeb’ Ahmed Abu Amr. (2024). An Ontology For Rehabilitation Assessment: Case Study Palestine [Doctoral dissertation, Universiti Sains Islam Malaysia]. USIM Research Repository.