A gamified system for remote non-invasive patient respiratory monitoring and pulmonary rehabilitation

Abstract

The present disclosure relates generally to medical devices, and more specifically to a home based non-invasive intelligent Pulmonary Rehabilitation (PR) system with quantified outcomes to sense and adjust the therapy levels based on patient conditions in an engaging manner so that the recovery is faster and efficient with excellent prognosis. Also, the present disclosure is a game based platform for patients with moderate to very severe chronic respiratory diseases comprising a decision support system for clinical interventions in patients to improve the quality of life.

Description

A GAMIFIED SYSTEM FOR REMOTE NON-INVASIVE PATIENT RESPIRATORY MONITORING AND PULMONARY REHABILITATIONFIELD OF THE INVENTION

[0001] The present disclosure relates generally to medical devices, and more specifically to a home based gamified non-invasive intelligent Pulmonary Rehabilitation (PR) system with quantified outcomes to sense and adjust the therapy levels based on patient conditions in an engaging manner so that the recovery is faster and efficient with excellent prognosis. Also, the present disclosure is a game based platform for patients with moderate to very severe chronic respiratory diseases comprising a decision support system for clinical interventions in patients to improve the quality of life with quantified outcomes.BACKGROUND OF THE INVENTION

[0002] Chronic obstructive pulmonary disease (COPD) is a global public health burden that needs to be addressed to reduce the substantial cost associated with the disease and improve the patient’s quality of life. COPD is the third leading cause of death worldwide. In 2016, the Global Burden of Disease study reported a prevalence of 251 million global cases of COPD that year. Research has indicated that COPD affects at least 320 million people and has a global economic cost of US $2.1 trillion.

[0003] The coronavirus disease 19 (COVID-19) pandemic has greatly impacted PR programs and their delivery to patients. Owing to fears of viral transmission and resultant outbreaks of COVID- 19, institution-based PR programs have been forced to significantly reduce enrolment or in some cases completely shut down during the pandemic. As a majority of COPD patients are elderly and have multiple co-morbidities including cardiovascular disease and diabetes, they are notably susceptible to severe complications of COVID- 19. As such, patients have been advised to stay at home and avoid social contact to the maximum extent possible. This has increased patients’ vulnerability to physical deconditioning, depression, and social isolation.

[0004] Also about half of the COVID survivors have residual functional deficits that require multidisciplinary specialist rehabilitation. The workforce to deliver the required rehabilitation input is beyond the capacity of existing healthcare system in most of the countries.

[0005] There are several challenges to pulmonary rehabilitation in India that stem from patients, society and hospitals alike. Routine pulmonary rehabilitation programs being labourintensive, time consuming and long-term are not very motivating for patients as well as Doctors to pursue. Lack of awareness or neglect among medical professionals about the positive impacts of pulmonary rehabilitation stems from the fact that they do not have enough exposure to related concepts and benefits in their undergraduate and post-graduate years - or later, during clinical practice. Diagnostic labs are so overloaded with routine tasks that they don’t appoint staff well-trained for pulmonary rehabilitation- specific assessment. Hence there exists a gap in the pulmonary rehabilitation space for efficient and quantified rehabilitation therapy for respiratory distresses.

[0006] The drop-out rate from conventional pulmonary rehabilitation programs is also quite high. The present treatment processes are not satisfactory and are ineffective in stemming the disease or the associated disability. They also do not provide adequate relief from the symptoms. Development of stage-wise effects of the disease may worsen these and lead to weight loss, weakened or dysfunctional respiratory muscles, in turn increasing disability and repeated acute exacerbations. The challenges in the current rehabilitations are less motivated, less concentrated, no correction on postures, and lack of facilities and modalities.

[0007] Thus, there is now a pressing need for high-quality different modalities Pulmonary Rehabilitation PR implementations including “smartness”, ICT and multi sensor data fusion enabled ones that facilitates both supervised and unsupervised at home Pulmonary Rehabilitation solutions which delivers the essential components of pulmonary rehabilitation, including exercise training, education, and behavior change.OBJECTS OF THE INVENTION

[0008] Objects of the present disclosure is to provide a both supervised and unsupervised at home Pulmonary Rehabilitation solutions which delivers the essential components of pulmonary rehabilitation, including exercise training, education, and behavioural changes with quantified outcomes

[0009] An object of the present disclosure is to provide a home based non-invasive intelligent Pulmonary Rehabilitation (PR) system.

[0010] An object of the present disclosure is to provide a home based non-invasive intelligent Pulmonary Rehabilitation (PR) system for increased patient compliance.

[0011] Another object of the present disclosure is to provide a home based non-invasive intelligent Pulmonary Rehabilitation (PR) system with quantifies outcomes along with continuous patient respiratory monitoring.

[0012] Yet another object of the present disclosure is to provide a method for continuous patient monitoring of respiratory system using home based non-invasive intelligent Pulmonary Rehabilitation (PR) system.SUMMARY OF THE INVENTION

[0013] This summary is provided to introduce a selection of concepts in a simplified form that is further described below in the detailed description section. This summary is not intended to identify key features or essential features of the claimed subject matter, nor is it intended to be used as an aid in determining the scope of the claimed subject matter.

[0014] Thus according to one aspect of the present disclosure, there is provided a game based platform for continuous monitoring of patients with moderate to very severe chronic respiratory diseases. If serious problems occur during the supervised sessions, the decision management module gives proper feedback and appropriate treatment to the patients according to physical activity they are doing. A decision support system is there for clinical interventions for patients to improve the quality of life. Home based rehabilitation included convenience, decreased stress of travel, increased comfort and privacy, and appropriate formulation of goals relevant to PR.

[0015] According to one aspect of the present disclosure, there is provided a home based non-invasive intelligent PR system comprising a sensor array (106) configured to non- invasively detect chronic respiratory vitals, a data fusion unit (107) which combines data or data derived from sensor array (106), a cloud processing and management unit (108) which democratizes data from data fusion unit (107), an electronic Medical Record (109), which is updated with the data from Cloud Processing Data and Management unit (108), a decision support system (110), wherein the decision support system help the patient (101) to do the rehabilitation based on health condition, and a game based rehabilitation system (118).

[0016] In an aspect of the present design, the PR system further comprises a rehabilitation team (111) in the back engine comprising Respiratory Physician (112), Physiotherapist (113), Nurse (114), Dietician (115), Occupational Therapist (116), Pharmacist (117) that decides a proper game for the patient.

[0017] In an aspect of the present design, the game based rehabilitation system (111) enables rehabilitation-compatible games to be operated on commodity hardware selected from the group consisting of mobile phones, tablets, laptops, gaming devices, and the like.

[0018] In an aspect of the present design, the game based rehabilitation system (118) comprises a game selection unit (119) and a game engine (120).

[0019] In an aspect, the present disclosure provides a method of performing non-invasive intelligent Pulmonary Rehabilitation, said method comprises the steps of:Step 1: measuring of standard pulmonary exercises of a patient (101) using sensor array measurement device (106);Step 2: transferring of data from sensor arrays measurement device (106) to data fusion unit (107) followed by storage in the cloud processing and management unit (108);Step 3: uploading of Exercise repetitions and health status data to the cloud processing and management unit (108);Step 4: processing of data from steps 2 and 3 by Custom made Algorithms followed by analysis and delivery of rehabilitation therapy levels with the support and validation of the rehab team (111) to the Decision Support System (109);Step 5: providing customizable game based platform for pulmonary rehabilitation;Step 6: selecting the right Customised Rehabilitation Exercise Regime by the Decision Support System (109) with the support of the rehab team (111); andStep 7: feeding back the Customised Rehabilitation Exercise Regime to the Display console for the patient to adapt and follow the PR.

[0020] Various objects, features, aspects and advantages of the inventive subject matter will become more apparent from the following detailed description of preferred embodiments.BRIEF DESCRIPTION OF THE DRAWINGS:

[0021] FIG. 1 represents the Flow diagram and architecture of the home based non- invasive intelligent Pulmonary Rehabilitation (PR) system to sense and adjust therapy levels based on patient conditions in an engaging manner.DETAILED DESCRIPTION OF THE INVENTION

[0022] All publications herein are incorporated by reference to the same extent as if each individual publication or patent application were specifically and individually indicated to be incorporated by reference. Where a definition or use of a term in an incorporated reference is inconsistent or contrary to the definition of that term provided herein, the definition of that term provided herein applies and the definition of that term in the reference does not apply.

[0023] Reference throughout this specification to “one embodiment” or “an embodiment” means that a particular feature, structure or characteristic described in connection with the embodiment is included in at least one embodiment. Thus, theappearances of the phrases “in one embodiment” or “in an embodiment” in various places throughout this specification are not necessarily all referring to the same embodiment. Furthermore, the particular features, structures, or characteristics may be combined in any suitable manner in one or more embodiments.

[0024] In some embodiments, numbers have been used for quantifying weight percentages, ratios, and so forth, to describe and claim certain embodiments of the invention and are to be understood as being modified in some instances by the term “about.” Accordingly, in some embodiments, the numerical parameters set forth in the written description and attached claims are approximations that can vary depending upon the desired properties sought to be obtained by a particular embodiment. In some embodiments, the numerical parameters should be construed in light of the number of reported significant digits and by applying ordinary rounding techniques. Notwithstanding that the numerical ranges and parameters setting forth the broad scope of some embodiments of the invention are approximations, the numerical values set forth in the specific examples are reported as precisely as practicable. The numerical values presented in some embodiments of the invention may contain certain errors necessarily resulting from the standard deviation found in their respective testing measurements.

[0025] Various terms as used herein are shown below. To the extent a term used in a claim is not defined below, it should be given the broadest definition persons in the pertinent art have given that term as reflected in printed publications and issued patents at the time of filing.

[0026] As used in the description herein and throughout the claims that follow, the meaning of “a,” “an,” and “the” includes plural reference unless the context clearly dictates otherwise. Also, as used in the description herein, the meaning of “in” includes “in” and “on” unless the context clearly dictates otherwise.

[0027] Unless the context requires otherwise, throughout the specification which follow, the word “comprise” and variations thereof, such as, “comprises” and “comprising” are to be construed in an open, inclusive sense that is as “including, but not limited to.”

[0028] The recitation of ranges of values herein is merely intended to serve as a shorthand method of referring individually to each separate value falling within the range. Unless otherwise indicated herein, each individual value is incorporated into the specification as if it were individually recited herein.

[0029] All methods described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The use of any andall examples, or exemplary language (e.g. “such as”) provided with respect to certain embodiments herein is intended merely to better illuminate the invention and does not pose a limitation on the scope of the invention otherwise claimed. No language in the specification should be construed as indicating any non-claimed element essential to the practice of the invention.

[0030] Groupings of alternative elements or embodiments of the invention disclosed herein are not to be construed as limitations. Each group member can be referred to and claimed individually or in any combination with other members of the group or other elements found herein. One or more members of a group can be included in, or deleted from, a group for reasons of convenience and / or patentability. When any such inclusion or deletion occurs, the specification is herein deemed to contain the group as modified.

[0031] The description that follows, and the embodiments described therein, is provided by way of illustration of an example, or examples, of particular embodiments of the principles and aspects of the present disclosure. These examples are provided for the purposes of explanation, and not of limitation, of those principles and of the disclosure.

[0032] It should also be appreciated that the present disclosure can be implemented in numerous ways, including as a system, a method or a device. In this specification, these implementations, or any other form that the invention may take, may be referred to as processes. In general, the order of the steps of the disclosed processes may be altered within the scope of the invention.

[0033] The headings and abstract of the invention provided herein are for convenience only and do not interpret the scope or meaning of the embodiments.

[0034] The following discussion provides many example embodiments of the inventive subject matter. Although each embodiment represents a single combination of inventive elements, the inventive subject matter is considered to include all possible combinations of the disclosed elements. Thus if one embodiment comprises elements a, b, and c, and a second embodiment comprises elements b and d, then the inventive subject matter is also considered to include other remaining combinations of a, b, c, or d, even if not explicitly disclosed.

[0035] While a particular form of the invention has been illustrated and described, it will be apparent that various modifications can be made without departing from the spirit and scope of the invention.

[0036] According to one embodiment of the present disclosure, there is provided a home based non-invasive intelligent PR system comprising a sensor array (106) configured to non- invasively detect chronic respiratory vitals, a data fusion unit (107) which combines data ordata derived from sensor array (106), a cloud processing and management unit (108) which democratizes data from data fusion unit (107), an electronic Medical Record (109), which is updated with the data from Cloud Processing Data and Management unit (108), a decision support system (110), wherein the decision support system help the patient (101) to do the rehabilitation based on health condition, and a game based rehabilitation system (118).

[0037] FIG. 1 is a general system overview of one aspect of the present design. This is a game based platform for patients with moderate to very severe chronic respiratory diseases. A recent advances in technology enables noval approaches to remotely guide and support these patients on an ongoing basis and increase participation in pulmonary rehabilitation program. A Game- based rehabilitation is intended to assess the degree of Lung function and suggest appropriate treatment strategies through clinical interventions with the help of decision support system for patients to improve the quality of life.

[0038] 100 is the pulmonary rehabilitation system which use combines all the wearable, flexible and non-invasive equipment and expand delivery of medical treatment so the patients at home, which empower the patints to manage their health efficiently.

[0039] The patient 101 data are taken through sensor array and equipment 106, which combines 102 wearable type like chest band, PPG unit, Activity monitoring unit etc, 103 flexible type electrochemical sensor and 104 non-invasive equipment like Inspiratory muscle training device, pulse oxymeter etc and 105 VR Headset.Table 1: Sensor array & Equipment

[0040] 107 is the data fusion unit which combines data or data derived from different disparate sources.

[0041] The measured data from 107 moves to 108, the cloud processing and management unit. Cloud computing democratizes data and gives patients control over their own health. It boosts patient participation in decisions pertaining to their own health and leads to informed decision making by acting as a tool for patient education and engagement. It ensures the restoring of randomly selected data of different users. Backups can be performed in different ways. The data from sensor arrays and equipement have fused together and store it in the respective system.

[0042] The Electronic Medical Record 109 is being updated with the data from 108 Cloud Processing Data and Management.

[0043] The data from 109 is given to a Decision support system 110, the decision support system, which help the patient 101 to do the rehabilitation based on health condition. Exercise repetitions and health status data are uploaded to said system. Both patients and medical professionals can seamlessly access the medical record when required.

[0044] In the backengine we have the rehabilitation (rehab) team 111, who decides the proper game for the patient. Rehab team (111) is combination of 112 Respiratory Physician, 113 Physiotherapist, 114 Nurse, 115 Dietician, 116 Occupational Therapist, and 117 Pharmacist.Table 2: The rehab team

[0045] 118 is the game based rehabilitation system have the potential to encourage patients. Game based rehabilitation platform which enables rehab-compatible games to be operated on commodity hardware and bring cost effective rehabilitation system to more and more patients' home for long term recovery. The game based rehabilitation consist of 119, a game selection unit and 120, a game engine as well.

[0046] In an embodiment of the present disclosure, the PR system may include a portable device configured to be taken with the user / patient, while traveling locally or long distance, and the portable device may connect with the base device such that the user may record desired information and provide the information to the central location at a later time.

[0047] In an embodiment of the present disclosure, the PR system may include a communications network, which may be server or cloud based, wherein the user / patient can store personal care information, obtain personal care information such as recommendations specific to the user, may schedule and receive reminders, and so forth.

[0048] In an embodiment of the present disclosure, the sensor array (106) may sense vitals or patient 101 data such as oxygen saturation, pulse, temperature, respiratory rate, glucose and diastolic BP and / or other pertinent measurements related to the patient.

[0049] In an embodiment of the present disclosure, the patient 101 data are taken through sensor array and equipment 106 is transmitted to the data fusion unit 107, followed by the cloud processing and management unit (108) via a wired or wireless communication system.

[0050] In an embodiment of the present disclosure, the PR system may include a display device selected from but not limited to Smart phone, computer desktop display / laptop, standalone monitor, and the like.

[0051] In an embodiment of the present disclosure, the PR system may connect wirelessly or by wire to either the internet, cloud system, a cellular service, or other communication service, and the functionality provided may include the ability to collect user data and report the user data to the device and / or obtain the patient 101 data from the PR system and / or a remote server or remote arrangement and convey the information to the user or provide the information to a rehabilitation team.

[0052] In an embodiment of the present disclosure, the lung health may be maintained and monitored, and the device may determine respiratory rate (RR), CO2 level, lung volume, pulse oximetry, breathing characteristics, jugular vein distension (JVD), pitting edema, and / or body pH level.

[0053] In an embodiment of the present disclosure, the PR system measures parameters relating to the patient (101) and collects these parameters, either locally or remotely or both, then assesses the parameters, again either locally, remotely, or both, to make a determination about the patient (101) and / or a recommendation relating to.

[0054] In an embodiment of the present disclosure, the PR system may be digital and may include artificial intelligence in addition to or rather than rules based decision making, and such artificial intelligence may be embedded in the PR system.

[0055] In an embodiment of the present disclosure, the PR system may employ blockchain functionality to motivate users, as well as track diseases and health issues generally.

[0056] In an embodiment of the present disclosure, the health related evaluations may result in a combination of a score or scores, raw data, percentile, and a chart or graph of the health of the particular site. It is to be understood that these and other relevant information (recommendations, warnings, pictures, etc.) may be determined and provided as appropriate, but that all such determinations may be made and provided when assessing health parameters.

[0057] The game based rehabilitation system (118) have the potential to encourage patients. Game based rehabilitation platform which enables rehab-compatible games to be operated on commodity hardware and bring cost effective rehabilitation system to more and more patients' home for long term recovery.

[0058] As may be appreciated, virtually any type of patient (101) data may be collected and / or provided using the device / module arrangement provided herein.

[0059] In an embodiment of the present disclosure, the Functions may differ and may depend on what is required. Any list of functions may be improved, reduced, changed, or altered depending on a variety of conditions, including but not limited to needs, health patterns, and patient capabilities, and so forth.

[0060] In an embodiment of the present disclosure, most functions may be provided either locally, i.e. at the device, or remotely, i.e. at the remote device arrangement, or a combination of both. In general, the system, including the device and remote device arrangement, receive information and queries and respond appropriately for personal care issues that arise.

[0061] In additional embodiment, the present disclosure provides a method of performing non-invasive intelligent PR, said method comprises the steps of:Step 1: measuring of standard pulmonary exercises of a patient (101) such as 6 minutes’ walk test, stress test, and the like using sensor array measurement device (106);Step 2: transferring of data from sensor arrays measurement device (106) to data fusion unit (107) followed by storage in the cloud processing and management unit (108);Step 3: uploading of Exercise repetitions and health status data (Electronic Health Record (EHR), Electronic Medical Record (EMR), and the like) to the cloud processing and management unit (108);Step 4: processing of data from steps 2 and 3 by Custom made Algorithms followed by analysis and delivery of rehabilitation therapy levels with the support and validation of the rehab team (111) to the Decision Support System (109);Step 5: providing customizable game based platform for pulmonary rehabilitation;Step 6: selecting the right Customised Rehabilitation Exercise Regime by the Decision Support System (109) with the support of the rehab team (111); andStep 7: feeding back the Customised Rehabilitation Exercise Regime to the Display console for the patient to adapt and follow the PR.

[0062] In an embodiment of the present disclosure, Custom made Algorithms not limited to Machine Learning (ML), Deep Learning (DL), and the like used for data processing, analysis and delivery of rehabilitation therapy levels with the support and validation of the Rehabilitation Team and form the Decision Support System for the platform.

[0063] In additional embodiments of the present disclosure, the PR system may further helps for assessing Digestive health using food intake, stool analysis, BMI (body mass index), and weight. Additionally, Liver health may be assessed using skin color, sclera color, ammonia levels in urine, level of consciousness, abdominal distension, weight, total bodywater, skin irritation, activity level, and / or stool color. General hormone balance may be assessed according to a hormonal profile, activity level, weight gain, EKG, heart rate, mood, level of anxiety, headaches, and / or sleep pattern. Kidney health may be assessed according to daily urine output, blood pressure, glucose level, and / or degree of edema. Muscle health may be assessed according to strength, tone, size, symmetry, fasciculations, tremors, arm / leg circumference, and activity tolerance.

[0064] In an embodiment of the present disclosure, the present design further includes an interactive function wherein the user can keep track of information and data related to his or her personal care and such information can be employed to better provide personal care for the user, either from an off-site location / central server device or arrangement or from the device itself. In such a situation, the patient (101) may be encouraged or recommended for appropriate PR procedures and / or exercise in a manner conducive to his / her ability. Recommendations may be dynamically updated and may include but not limited to recommendations on food, diet, supplements, medication, hydration, fitness and exercise, biofeedback recommendations including options such as meditation, medication recommendations

[0065] Specific implementations of the present disclosure will be described in Examples below with reference to the accompanying drawings and embodiments. The following embodiments are intended to illustrate the present disclosure, but not to limit the scope of the present disclosure.Embodiment 1

[0066] As shown in Figs. 1, the PR system obtains patient (101) data using the sensor array and measurement device (106) and is transferred to a data fusion unit for integrating and processing the patient (101) data to obtain measured data. The measured data is then sent to the cloud processing and management unit (108). Cloud computing democratizes data and gives patients control over their own health. The Electronic Medical Record (109) is being updated with the data from Cloud Processing Data and Management (108). The data from 109 is transmitted to a Decision support system (110), the decision support system, which help the patient 101 to do the rehabilitation based on health condition to the the game based rehabilitation system (118) consisting of a game selection unit (119) and a game engine (120).Embodiment 2

[0067] As shown in Figs. 1, the PR system obtains patient (101) data using the sensor array and measurement device (106) and is transferred to a data fusion unit (107) forintegrating and processing the patient (101) data to obtain measured data. The measured data is then sent to the cloud processing and management unit (108). Cloud computing democratizes data and gives patients control over their own health. The Electronic Medical Record (109) is being updated with the data from Cloud Processing Data and Management (108). The data from 109 is transmitted to a Decision support system (110), the decision support system, which help the patient 101 to do the rehabilitation based on health condition. Further, in the back engine the system collaborates with the rehab team (111), who decides the proper game for the patient and instructions are sent to the the game based rehabilitation system (118) consisting of a game selection unit (119) and a game engine (120).

[0068] The above are only preferred embodiments of the present disclosure. It should be pointed out that for an ordinary person skilled in the art, several improvements and modifications can be made without departing from the technical principles of the present disclosure. These improvements and modifications should also be considered to be within the scope of protection of the present disclosure.ADVANTAGES OF THE PRESENT INVENTION

[0069] This is a unique pulmonary rehabilitation platform for the treatment of patients with acute and chronic respiratory distress by: a) Engaging and gamified pulmonary rehabilitation therapy which improves participation with better outcomes b) Deep learning-based decision making system for intelligent sensing of pulmonary function performance levels and dynamic adjustment of therapy with physician interface and post ventilation patients which provides:• Non-invasive.• Intelligent• Game based exercise training• Deep learning based UI c) c) It improves symptoms like dyspnea, coping skills and decreases anxiety and depression in patients with respiratory illness. d) In addition, a smartphone based spirometer is integrated with the rehabilitation unit and a vital parameter monitoring system to identify and diagnoses, assess interventions, and make decisions concerning the response of patients.

[0070] The home based non-invasive intelligent Pulmonary Rehabilitation system which quantified outcomes to sense and adjust the therapy levels based on patient conditions in an engaging manner so that the recovery is faster and efficient with excellent prognosis

[0071] The Rehabilitation platform comprises of a Digital Spirometer based on smart phone & other techniques and its data analysis Module, Games based rehabilitation based on decision support system.

[0072] A vital parameter measurements module is used by the clinician to identify and diagnoses, assess interventions, and make decisions concerning the response of patient’s health condition.

[0073] Based on the health condition, with the help of decision support system the clinician can suggest the changes in rehabilitation exercise. The game based exercises are more appealing & provide personalized motivation for patients.

[0074] The decision support module is the Al / ML based system, which employed to enhance the rehabilitation Unit and help the clinician for the fine tuning of rehabilitation exercise based on patient health condition.

Claims

We Claim:

1. A home based non-invasive intelligent Pulmonary Rehabilitation (PR) system to sense and adjust therapy levels based on patient conditions in an engaging manner, said PR system comprises: a. Sensor array (106); b. Data fusion unit (107) which combines data or data derived from sensor array (106); c. cloud processing and management unit (108) which democratizes data from data fusion unit (107); d. electronic Medical Record (109), which is updated with the data from Cloud Processing Data and Management unit (108); e. decision support system (110), wherein the decision support system help the patient (101) to do the rehabilitation based on health candition; f. rehabilitation team (111) in the back engine comprising Respiratory Physician (112), Physiotherapist (113), Nurse (114), Dietitian (115), Occupational Therapist (116), Pharmacist (117) that decides a proper game for the patient; and g. game based rehabilitation system (118),2. The PR system as claimed in claim, wherein the Sensor array (106) comprises wearable type selected from the group consisting of chest band, PPG unit, Activity monitoring unit, and the like; flexible type electrochemical sensor (103); non-invasive equipment (104) selected from the group consisting of Inspiratory muscle training device, pulse oxymeter, and the like; and VR Headset (105).

3. The PR system as claimed in claim, wherein the game based rehabilitation system (118) comprises a game selection unit (119) and a game engine (120).

4. The PR system as claimed in claim, wherein the rehabilitation team (111) is combination of 112 Respiratory Physician, 113 Physiotherapist, 114 Nurse, 115 Dietician, 116 Occupational Therapist, and 117 Pharmacist.

5. The PR system as claimed in claim, wherein Game based rehabilitation system (111) enables rehabilitation-compatible games to be operated on commodity hardware selected from the group consisting of mobile phones, tablets, laptops, gaming devices, and the like.

6. A method of performing non-invasive intelligent PR, said method comprises the steps of:Step 1: measuring of standard pulmonary exercises of a patient (101) using sensor array measurement device (106);Step 2: transferring of data from sensor arrays measurement device (106) to data fusion unit (107) followed by storage in the cloud processing and management unit (108); Step 3: uploading of Exercise repetitions and health status data to the cloud processing and management unit (108);Step 4: processing of data from steps 2 and 3 by Custom made Algorithms followed by analysis and delivery of rehabilitation therapy levels with the support and validation of the rehab team (111) to the Decision Support System (109); Step 5: providing customizable game based platform for pulmonary rehabilitation;Step 6: selecting the right Customised Rehabilitation Exercise Regime by the Decision Support System (109) with the support of the rehab team (111); andStep 7: feeding back the Customised Rehabilitation Exercise Regime to the Display console for the patient to adapt and follow the PR.

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