Upgrove 上肢評価アプリケーション by Xinke Coco Wu is a highly esteemed winner of the very prestigious 2026 A' Design Award 鉄賞 in モバイル技術・アプリケーション・ソフトウェアデザイン Competition Category.

鉄モバイル· 2026

Upgrove 上肢評価アプリケーション

by Xinke Coco Wu

Client: The Multiple Sclerosis Center of Georgia

A' Design Award 鉄賞 Winner in モバイル Category

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The Design

About Upgrove 上肢評価アプリケーション

Upgroveは、自宅で上肢のリハビリテーション評価を行うためのモバイルアプリケーションです。本アプリはフロントカメラを搭載した一般的なスマートフォン、タブレット、テレビでカメラベースのモーションキャプチャを利用するため、ウェアラブルセンサーは一切不要です。標準化された臨床動作テストは、農場をテーマにしたミニゲームへと置き換えられています。コンピュータビジョンが動作を解析して可動域、正確性、安定性を推定し、各アクティビティの終了後にスコアが算出されます。進捗レポートにより、患者は長期的な回復状況を把握でき、臨床医は遠隔でパフォーマンスを確認することができます。

The Recognition

About the A' Design Award 鉄賞

Upgrove 上肢評価アプリケーションは、よく設計された創造物に期待される専門的・産業的要件を満たす優れたデザインに授与される、権威ある評価である A' Design Award 鉄賞の受賞作品です。鉄賞の受賞作品は、制作者の高い技量、高度な専門性、専門家としての理解、創造的な能力を示しています。Upgrove 上肢評価アプリケーションは、高く評価され、称賛され、愛される、実用的で革新的な創造物であることが期待されます。この A' Design Award 鉄賞を受賞したデザインは、業界のベストプラクティスを統合し、ノウハウと才能に結びついた有能な技術的特性を備えています。Upgrove 上肢評価アプリケーションは、その徹底ぶりで尊敬され、世界をより良い場所にするための生活の質の向上をもたらすよう設計されています。

Behind the Design

Press Kit

Credits, team members and technical details provided by the designer.

Unique Properties: UpGrove addresses a key gap in upper-limb rehabilitation, where accurate assessments are typically limited to clinical settings and recovery progress remains largely invisible between visits. The system translates standardized clinical motion tests into intuitive farm-themed activities that patients can perform at home. Camera-based motion capture analyzes mobility and coordination while gameplay scores objectively quantify performance. Continuous self-tracking, progress visualization, and rewarding feedback help patients stay motivated while enabling clinicians to monitor long-term recovery beyond the clinic.
Dimensions & Packaging: The system operates on standard cross-platform devices such as mobile phones, tablets, and TVs equipped with front-facing cameras. Computer vision models analyze skeletal movement patterns to estimate joint mobility and motion trajectories without requiring wearable sensors. The application provides real-time visual guidance, scoring mechanisms, and progress-tracking dashboards. Motion data are translated into measurable indicators such as range of motion, accuracy, and movement stability, enabling scalable and sensor-free rehabilitation assessment.
Tags: Digital Health, Upper-Limb Recovery, Sensor-Free Motion Capture, Computer Vision, Gamified Therapy, Gamified Assessment, Gesture Interaction, Motion Games
Production Technology: UpGrove is implemented as a mobile application using camera-based motion capture powered by computer vision algorithms. The system analyzes upper-limb movements in real time to estimate range of motion, stability, and control. Gesture recognition maps clinical motion patterns to interactive game mechanics, while data processing generates performance scores and actionable feedback. The design integrates motion tracking, gamification, and data visualization to support continuous rehabilitation assessment.
Design Challenge: The main challenge was translating clinically standardized upper-limb assessments into engaging digital interactions without compromising medical validity. Clinical tests are designed for accuracy rather than motivation, while game experiences prioritize engagement. The project required balancing these two perspectives by mapping therapeutic motions to intuitive gameplay mechanics. Another challenge was enabling reliable motion evaluation using device cameras without wearable sensors. Through close collaboration with clinicians and iterative prototyping, the design aligned clinical requirements with accessible interaction design.
Research: Mixed-methods design research was conducted to explore how clinical upper-limb assessments could become engaging gamified experiences. The study combined literature review, interviews with clinicians, domain experts, and patients, concept testing, usability testing, and technical validation. Data were gathered through clinical protocol analysis and motion interaction experiments using mobile cameras. Participants included 10+ clinicians and physical therapists and 3 patients. User testing results indicated that UpGrove significantly improved patients’ visibility of recovery progress, motivation to perform self-assessments, and accessibility of upper-limb rehabilitation beyond clinical environments.
Inspiration: UpGrove was inspired by the gap between clinic-based upper-limb assessments and patients’ everyday rehabilitation experiences at home. Many patients lack visibility into their long-term recovery progress and often feel discouraged during extended rehabilitation periods. In addition, traditional assessments typically require clinical visits, making frequent monitoring inconvenient for patients and clinicians alike. Research with clinicians, patients, and engineers inspired us to explore how clinical assessments could be translated into intuitive motion games and objective performance scores using device cameras. By transforming an often invisible and clinic-isolated recovery process into a visible and accessible experience, UpGrove aims to improve engagement, accessibility, and continuity in long-term rehabilitation.
Project Duration: The project was initiated in 2023 as part of human-computer interaction research on digital rehabilitation. Concept development, interaction design, and prototype implementation were completed between 2024 and 2025. The project was developed through interdisciplinary collaboration among designers, engineers, clinicians, and patients to explore accessible at-home rehabilitation assessment. The design is currently being implemented by the Georgia Tech Contextual Computing Lab in collaboration with the Georgia Multiple Sclerosis Center.
Operation Flow: Users launch UpGrove on a personal mobile device and create a personalized profile to receive tailored self-assessment tasks. On a regular schedule, patients perform guided upper-limb motion tests designed as farm-themed mini-games in their home environment. The front-facing camera captures body movements while the system analyzes gestures in real time. Visual cues guide users through therapeutic motions, and after each activity the system generates scores and progress feedback. Over time, the application builds longitudinal recovery reports that allow patients to understand their rehabilitation progress while also enabling clinicians to remotely review performance data and monitor patient recovery outside clinical visits.
Team Members: Design Lead: Xinke (Coco) Wu
Visual Designer: Jhih Rou (Iris) Sun
Motion Designer: Yameng Li
Image Credits: Images and visual materials were created by Xinke Wu (Designer), Jhih Rou (Iris) Sun (Designer) with AI-assisted generation tools like ChatGPT and Gemini, UpGrove Project, 2025.