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Step into Healing: How is AR/VR Rewriting the Rules of Therapy?
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00:00Et nous parlons de comment VR et AR, donc Virtual Reality et Augmented Reality,
00:06peuvent vraiment rencontrer deux choses, mental health et aussi physical pain.
00:10Et j'essaie de mettre des choses sur les mains,
00:13c'est mon plaisir d'introduire Erin Orr, le co-founder et CEO de XR Health,
00:18à notre magnifique Blue Station.
00:21Applaudissements.
00:31Donc, Erin, parlez-nous sur ce que vous faites et comment vous utilisez AR et VR.
00:38Donc, d'abord, merci d'avoir été avec moi.
00:41C'est une excellente conférence.
00:44J'ai commencé à XR Health 9 ans, après avoir souffert de la maladie de Whiplash.
00:49Et j'ai demandé mon thérapeute, « Am I getting better ? »
00:53Et il m'a dit, « Je pense que vous êtes getting better.
00:55Je me suis dit, « Show me des chiffres, des analyses, des analyses. »
01:00Et à la même temps, j'ai vu des gens qui ont commencé à jouer avec les VR headsets,
01:06quand c'était Google Cardboard et la très ancienne technologie.
01:11Et pour moi, la combination était obvious.
01:14Je crois que, même si nous pensons que le smartphone,
01:19que beaucoup de gens sont maintenant utilisés,
01:21c'est le frontier de technologie, mais c'est pas.
01:24Nous sommes censés interagir dans le 3D environnement.
01:28Et je crois que nous devons aussi recevoir la thérapie et nous devons trouver la traitement
01:33dans le 3D environnement.
01:35Donc, pendant les 9 ans, nous avons été construisant cette technologie.
01:40Et je crois que ce que beaucoup de gens ne connaissent pas,
01:42c'est qu'il n'est plus futuriste.
01:45L'année dernière, nous avons fait plus de 1 million VR treatments.
01:49Nous avons traité plus de 50 000 patients.
01:53Nous avons des opérations dans les États-Unis,
01:55Australia, Spain, et,
01:58hopefully, bientôt, en France.
02:01Et je crois que c'est le futur de la thérapie.
02:05C'est intéressant de entendre ce que vous avez.
02:08C'est intéressant de entendre ce que vous avez.
02:10C'est intéressant de entendre ce que vous avez.
02:12C'est un cas de crise, un flage.
02:14Et je vous ai aussi, nous avons eu un cas accident de 15 ans.
02:19Je suis en train de souffrir de la back pain de la tête,
02:21ici et là, intermittently.
02:23Et c'est intéressant de entendre ce que vous avez dit,
02:25ce que vous avez dit,
02:25parce que, oui,
02:26il n'y a pas beaucoup que vous pouvez faire ou calculer
02:29quand vous parlez de votre thérapie
02:31et où vous êtes sur votre route de la recovery.
02:34Mais, parlez-nous sur votre background
02:35un peu comme un individu.
02:37Pourquoi vous avez fait cette connection,
02:39aparte de juste, évidemment,
02:40de avoir souffert cette maladie?
02:41Donc, je pense que,
02:43en généralement,
02:44et c'est une question plus philosophique,
02:45c'est un peu plus de la question,
02:46c'est un peu plus de la background.
02:49Je pense que tous de nous
02:50sont experiencing les challenges
02:55que le système de santé face.
02:57All of us.
02:58Et ça ne s'intéresse pas à quel point de vue,
03:00ou à quel point de vue,
03:01ou à quel point de vue.
03:02Il n'y a pas assez de cliniciens.
03:04Ils sont tous essayés de s'assurer
03:07avec l'increasing des demandes.
03:10Usually, nous sommes dans un type de santé de santé.
03:16Nous ne faisons pas le type de santé preventative
03:18ou les types de activités que nous voulons.
03:22Et j'ai expérimenté ça firsthand.
03:25Et une des choses que nous devons trouver
03:28des ways de faire
03:30c'est de changer la supply et demand curve.
03:33Et la seule façon à faire c'est,
03:35en mon avis,
03:37c'est à utiliser la technologie.
03:38Il n'y a pas d'autre.
03:40Il n'y a pas d'autre.
03:41Il y a beaucoup d'autre complexité,
03:42car la technologie n'est pas suffisant.
03:43Il n'y a pas d'autre.
03:45Il n'y a pas d'argent.
03:49Il n'y a pas d'argent.
03:50Il n'y a pas d'argent.
04:07Il n'y a pas d'argent.
04:11Il n'y a pas d'argent.
04:13Il n'y a pas d'argent.
04:36Il n'y a pas d'argent.
04:39Il n'y a pas d'argent.
04:40Il n'y a pas d'argent.
04:41Il n'y a pas d'argent.
04:41Il faut vraiment être comme ça.
04:43C'est l'arrêt du fait.
04:47Il n'y a pas d'argent.
04:49Il n'y a pas d'argent.
04:49Il n'y a pas d'argent.
04:49Donc, je me demande de l'industrie.
04:51Les gens pensent que vous êtes malade
04:52à utiliser cette technologie
04:54à venir vers leur monde
04:55et dire,
04:57« Je vais utiliser AR et VR
04:59pour aider les gens
05:00avec leur mental et physique.
05:01Les gens pensent que vous êtes malade.
05:03Comment cette conversation
05:04avec l'investissement ?
05:05I think some of them still think I'm crazy even today I don't know again how
05:11many people in the audience actually heard about VR and AR in healthcare
05:14let's do a quick check who in the audience knows about this we're doing a
05:21better job so I think that again so even today people still believe that that we
05:29are crazy but the science is overwhelming I invite each and every one of you to
05:36look for how many research has been done in the last 30 years about VR in
05:42healthcare and how effective it is in pain management stress anxiety depression
05:48physical therapy occupational therapy now the reason why VR is so effective is
05:54is because we can hijack the brain to treat the body you and most of you are
06:01familiar with someone putting a VR headset on and getting really scared or
06:06bouncing into walls all right that's the videos that you see on Facebook or
06:10killing zombies right so what we are doing is taking the experience but instead of
06:18harnessing it to for games or for entertainment we are using it to
06:24to change and to use brain plasticity in order to treat the body and that has
06:30amazing effects amazing we have hundreds of patients telling us they are
06:34reaching out for to use the headset instead of taking painkillers instead of
06:39taking anxiety meds and we we see that across the board by the way that's I'm
06:45saying it's not even a geography dependent this technology is very very
06:49powerful if you use it to the right type of use cases and that's why we believe
06:55this will how will consume all of us healthcare in the future I mean talk us
07:00through a program say when someone puts on the headset what they're seeing and
07:04hearing and it seems to it it feels to me a little bit as if it's like a
07:09guided meditation in a way so not just so today we we in extra health have over
07:14300 applications even though I like I think application is the is a term that
07:22is a mobile phone term in in virtual reality and augmented reality we're not
07:28talking about application it's an experience it's virtual treatment rooms
07:32it's not an app so we need to also evolve in how we are describing what we're
07:38doing but what we are what we are basically trying to create is on the
07:44one hand you have a clinician that can create and manipulate those different
07:50types of experiences and then the patient on the other side is experiencing
07:55whatever the clinician thinks is right and by doing so is actually doing the
08:00recovery and the treatment that they want now I'll give you different examples
08:05besides guided meditation the meditation is the easiest one that you can think of
08:09right because instead of the clinician asking the patient to close his eyes and
08:15imagine he's pressing a button and he can be wherever he wants to be but it's a
08:21it's a lot more powerful than that one I'll give you one example one of the we're
08:27using virtual reality to treat phobias for example so if you have fear of
08:32heights in the press of a button we can put you in a situation where you can cope
08:38with that scenario or if you are suffering from PTSD and you have
08:43different types of trigger events that as a result you are not doing what you are
08:49used to doing you can work with the patient to trigger different types of events
08:54right so there's and and I want to take you to the full extreme if we imagine how
09:02people are being treated today for substance abuse let's say I'm addicted to
09:06to alcohol today the way that is being done today you'll go to your psychologist
09:14and he will teach you different types of techniques what to do the next time you
09:18will face that temptation that's how you know that type of treatment looks like
09:24what we are working on is that your clinician for that matter will be able to generate using
09:31by the way AI tools your favorite bar environment he will be able to create an interaction with two
09:39other AI avatars that will try to convince you to drink we will measure you using biofeedback to
09:48understand when are you getting getting triggered then there's another AI avatar
09:53that will look like your clinician to teach you how to actually cope with that
09:58situation run the scenario again until you can actually cope with that situation
10:05now your real clinician at the same time can treat 50, 100,000 other patients and
10:12that's how you unlock the supply demand or solve the supply demand use technology and get far better
10:19outcomes so two things about what you've just said first of all who is designing the programs and then
10:26secondly when it comes to phobias how can you really trick the mind to believe for example that
10:32you're not scared of heights I mean does it mean that I can now suddenly become Tom Cruise and hang
10:37myself off airplanes and submerge myself deep in the water I mean what does that mean so I'll start
10:43with the first with the first question so in our case but it's true for most of the companies in
10:49the
10:49VR in healthcare we need to convince patients clinicians insurance companies that this is not
10:56a gaming tool the only way to do that is to work as a medical device company conduct clinical trials
11:02they have all the documentation in place have HIPAA compliant like there's a lot a lot of things
11:06you have to do if you want to be accepted by the healthcare ecosystem and and you cannot convince
11:15the the community if you don't have those and even if you have those you still need to do a
11:20lot of work
11:20to convince them that this is not a gaming tool and so all our products were designed by clinicians
11:27everything is regulated we have FDA class 2 certification CE mark in Europe and in other
11:36geographies we conducted over 50 clinical trials again I won't bore you with the details but
11:42that's that's a must-have for a new technology in healthcare now to answer your second question it's
11:49not that if you'll put a VR headset on you'll just say you know get better immediately or you'll just
11:56stop
11:56you know you'll solve your fear of heights we are all in order for us to recover from anything or
12:04to
12:05get better it's a gradual process you need to teach yourself to cope with the situation that you want to
12:12solve so in the fear of height example in a press of a button we'll start with the first floor
12:19and then you'll
12:20talk to your clinician and talk about techniques and how you felt and if you're making progress then
12:26we'll switch to the third floor and then we'll do that session again and then we'll get to the 10th
12:31floor and then we'll get to the 50s floor but that's how you create resilience that's how you treat
12:37someone and it's true for fear of heights what I just described the process that's true for any type of
12:44recovery physical or mental do you have data that can show or can you speak to data that says that
12:53you're getting better results better patient engagement than perhaps the traditional
12:58mod you know the traditional routes of healthcare so first of all again to go back to what our job
13:05our job is to prove that this technology is a game changer in the healthcare market and I would
13:12argue that this is also the solution for the lack of supply of clinicians in order to do that we
13:19constantly need to collect outcomes and we need to communicate those outcomes to patients to the
13:25clinicians to the again to the health plans that we are doing a better job than what's out there so
13:34let's start with how outcomes are being measured today today in the brick and mortar clinic most of the
13:41people here when I'll ask them when you go to your physical therapist your psychologist your social
13:46worker your occupational therapist do you know what their outcomes usually no usually you're choosing
13:54your clinician based on someone recommended to go to that guy this is the market standout we have to
14:03switch that to actually talk about numbers engagement how it's actually affecting our life am i going to the
14:12psychologist is am i'm actually making progress am i'm actually if i'm doing a physical therapy can i do more
14:18things can i actually improve my mobility so that's a general statement what we are trying to do is to
14:27measure
14:27everything all the time some would argue by the way too much but that's a different discussion but we have
14:34every time you put a vr headset on we are measuring 500 data points every time and every time someone
14:42is
14:42putting a vr headset on is basically entering to a or is part of a computer generated environment the fact
14:50that
14:50the patient is inside a computer generated environment allows us to measure outcomes all the time so we
14:57can actually track how they're progressing but that's by the way not enough we're also tracking patient
15:02reported outcomes so we're constantly asking the patient do you actually feel that he's helping you
15:07or not how do you think what do you see in your day-to-day activity that is actually helping
15:13you
15:14and the same goes for the clinician we're asking the clinician do you see any improvement
15:19does your patient actually getting better on top of that we are tracking medication we're tracking
15:25adherence and compliance and maybe just to in in a sec one of the biggest problem in our current
15:34healthcare delivery is that no one actually want to go and do therapy i don't know if you know but
15:3950
15:41of the patient stop their mental health treatment after the first session they're doing a session with a
15:48psychologist that's it they're done physical therapy 30 percent completing their treatment
15:53and then people are not engaged with their therapeutic activities and then they are deteriorating and then
15:59they're getting to the or and then they're in crisis mode try to solve that everything cost a lot more
16:06money to everyone and then surprise no one is happy so because vr is so powerful and you can engage
16:15and
16:15you feel like you're playing games or whatever we have patients using the device three hours a week
16:21and it's not that we are asking them to do that but for them that's how it's actually helping them
16:28so are you bringing the fun back into i wouldn't say health self-help self-care i would say that
16:35you're
16:35giving people more agency you're allowing them to have better control of you know their therapy going
16:43forward whether it's you know physical or mental and do you think that you perhaps found the missing link
16:48in healthcare because again not to i mean i think i mean this is the health stage so i guess
16:53it's okay
16:54to keep bringing up the pandemic but you know as you said we saw what happened so and and we
16:58see the offer
16:59being provided by you could say national healthcare systems long waiting lists um and then when we think about mental
17:07health you're not it's taking so long for you to one get to the healthcare professional to see the
17:14specialist as you said you may not like that person um and it's taking you down a road that feels
17:19so long
17:20and labored and that's probably it probably builds into what you're saying about people then giving up
17:24because they don't like the process so are you saying that yours is a better a more intuitive process
17:30perhaps so i'll start by saying that the healthcare industry and ecosystem need to change because we
17:41are on our way to a to a crisis if we're not already in the crisis mode but the reason
17:48why it takes so
17:49long is because healthcare is the probably the slowest market to adopt no one want to take risk everything
17:56is a lot of bureaucracy and a lot of documentation and a lot of regulation but what i know for
18:03sure
18:03is the current status is not sustainable not sustainable waiting lists are like within months or years
18:10for a lot of different types of healthcare services costs are rising people are not feeling that they are
18:17getting what they are paying for doesn't matter if it's public or private and
18:22and the only way to change it is to incorporate technology now vr is not the only technology
18:30i do believe this is will be the backbone of how we'll get service healthcare services in the future
18:38but it's a whole new this entire conference is a tech conference we on the healthcare side need to
18:46make sure that we are adopting technology not just on the technology technology level there are a lot of
18:52digital health companies doing amazing work but if we won't incorporate the technology with a business
18:59model that makes sense for the patient for the clinician for the health plans nothing would work
19:04so it's a very complex ecosystem but i do think that once we'll be able to unlock all of those
19:12then we'll see the change well it definitely is a complex system and one of the things i wanted to
19:17ask
19:18you about was perhaps dependencies so if if you're trying to treat or aid people in helping them to
19:24perhaps treat their mental health or things like addictions how do you then ensure that your technology
19:31doesn't become an addiction for them and then perhaps for the person with mental health issues
19:36that we're not creating an environment where they are isolated because they're constantly stuck in
19:42so i'll actually start with the last sentence i think people let's talk where the industry is at
19:51virtual reality was the beginning of immersive technology we started with a full immersion type
19:58of technology because that was the easiest thing to solve on the technology level what you'll see coming
20:04in in the next couple of years is mixed reality and augmented reality which means that by definition
20:12we'll see another layer of technology on top of what we are experiencing now and whenever you want to
20:20you'll press a button and you'll go back to full virtual reality but again also in in the concept of
20:26immersive technology is a full spectrum it's not isolated or not it it's a 3d environment or
20:343d technology that will become part of our daily life i like to say that even though it's it will
20:42sound counterintuitive we weren't meant to interact with computers using our thumb this is not how it
20:49will look like 10 years from now and we will we are living in a 3d environment we will interact
20:55with
20:55computers in a 3d way now addictive or not that's a completely different discussion the question is what
21:04is the downstream effect and how at the end of the day the outcomes are getting better and now if
21:10that means that you will use your ai clinician in a 3d environment every day but that instead of taking
21:18opiates or going to the oil i would argue that's better the question is not addicted or not the question
21:23is how we get services that we want how we avoid downstream effect that of the fact that we don't
21:30have the
21:31right supply and how at the end of the day we are living better life for longer as we heard
21:36in one
21:36of the other sessions well listen we only have about a minute left um i wish i could talk to
21:41you
21:41even longer but let me just uh ask you a final question then i mean where do you go to
21:46next i mean
21:47perhaps five years is not the question you know the the sort of general question would be in the next
21:53five years what are you going to do but i think technology is moving at such a fast pace and
21:56especially
21:56given the technology that you're trying to integrate into people's um lifestyles now so what are the
22:02next steps so first i encourage everyone in the audience to start getting themselves familiar with
22:07virtual reality augmented reality and how it's affecting uh healthcare there are a lot of different
22:13solutions out there and i think that's what we are trying to do is to basically let people know the
22:18solution exists let's start with that on the other side what we are trying to build is again is the
22:25new
22:25frontier of healthcare healthcare where you where you can interact in a 3d environment where you can
22:32get far better outcome in a far better and more engaging way and by doing so we believe we can
22:40help
22:40a lot of people and then just lastly how can people find out more about what xr health does and
22:47the
22:47products that they have are you here at viva tech or no we are walking the floor but just go
22:52xr.health
22:53you'll find us or just google us you'll find us and we'll be more than happy to interact okay
22:59well erinor it's been a pleasure please audience give me a round of applause please thank you very much
23:03thank you
23:05you
23:05you
23:05you
23:05you
23:05you
23:05you
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