Abstract
Stroke is a leading cause of serious long-term disability in adults (Go et al, 2013). The impact of stroke induced impairments goes beyond the mere loss of motor abilities. The psychosocial implications caused by changes in performance of the activities of daily living have to be considered in modern rehabilitation processes since they do influence the potential outcome. From the perspective of traditional rehabilitation it is difficult to directly address these social factors. Here we propose to capitalize on a rising trend in rehabilitation to deploy virtual reality environments in order to overcome this limitation. By creating a multiplayer game that enhances performance of the patient through an adaptive mapping methodology, we compensate for motor impairments and allow the patient to interact with other participants on an equal level. We propose that this approach influences psychosocial dynamics as it changes the participant’s mutual perception. We conducted a psychosocial study to gain insight into the patients’ social environment and tested the system in two at home experiments. The results suggest that our system is able to equalize a healthy and disabled player and benefits the social interaction.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Alankus, G., Proffitt, R., Kelleher, C., Engsberg, J.: Stroke therapy through motion-based games: A case study. ACM Transactions on Accessible Computing (TACCESS) 4(1), 1–35 (2011), doi:10.1145/2039339.2039342
Anderson, K.O., Noel Dowds, B., Pelletz, R.E., Edwards, W.T., Peeters-Asdourian, C.: Development and initial validation of a scale to measure self-efficacy beliefs in patients with chronic pain. Pain (63), 77–84 (1995)
Beth, H., William, E.H.: Family caregiving for patient with stroke: Review and analysis. Stroke 30, 1478–1485 (1999)
Cameirao, M.S., Bermúdez i Badia, S., Duarte Oller, E., Verschure, P.F.M.J.: Neurorehabilitation using the virtual reality based rehabilitation gaming system: Methodology, design, psychometrics, usability and validation. Journal of NeuroEngineering and Rehabilitation 7, 48 (2010), doi:10.1186/1743-0003-7-48
Cameirao, M.S., Bermúdez i Badia, S., Duarte Oller, E., Verschure, P.F.M.J.: The Rehabilitation Gaming System: A review. Studies in Health Technology and Informatics 145, 65–83 (2009)
Cameirao, M.S., Bermúdez i Badia, S., Verschure, P.F.M.J.: Virtual reality based upper exremity rehabilitation following stroke: A review. Journal of CyberTherapy & Rehabilitation 1(1), 63–74 (2008)
Cameirao, M.S., Zimmerli, L., Duarte Oller, E., Verschure, P.F.M.J.: The rehabilitation gaming system: A virutal reality based system for the evaluation and rehabilitation of motor deficits. In: Proceedings of the Conference on Virutal Rehabilitation, pp. 29–33 (2007)
da Silva Cameirao, M., Bermúdez i Badia, S., Duarte Oller, E., Verschure, P.F.M.J.: Virtual reality based rehabilitation speeds up functional recovery of the upper extremities after stroke: A randomized controlled pilot study in the acute phase of stroke using the Rehabilitation Gaming System. Restorative Neurology and Neuroscience 29(5), 287–298 (2011)
Di Loreto, I., Van Dokkum, L., Gouaich, A., Laffont, I.: Mixed reality as a means to strengthen post-stroke rehabilitation. In: Shumaker, R. (ed.) Virtual and Mixed Reality, Part II, HCII 2011. LNCS, vol. 6774, pp. 11–19. Springer, Heidelberg (2011)
Ducheneaut, N., Yee, N., Nickell, E., Moore, R.J.: “Alone together?”: Exploring the social dynamics of massively multiplayer online games. ACM (2006), doi: 10.1145/1124772.1124834
Garcés, J., Carretero, S., Ródenas, F., Sanjosé, V.: Variables related to the informal caregivers’ burden of dependent senior citizens in Spain. Archives of Gerontology and Geriatrics 48(3), 372–379 (2008), doi:10.1016/j.archger.2008.03.004
Go, A.S., Mozaffarian, D., Roger, V.L., Benjamin, E.J., Berry, J.D., Blaha, M.J., Dai, S., Ford, E.S., Fox, C.S., Franco, S., Fullerton, H.J., Gillespie, C., Hailpern, S.H., Heit, J.A., Howard, V.J., Huffman, M.D., Judd, S.E., Brett, M.K., Kittner, S.J., Lackland, D.T., Lichtman, J.H., Lisabeth, L.D., Mackey, R.H., Magid, D.J., Marcus, G.M., Marelli, A., Matchar, D.B., McGuire, D.K., Mohler III, E.R., Moy, C.S., Mussolino, M.E., Neumar, R.W., Nichol, G., Padney, D.K., Paynter, N.P., Reeves, M.J., Sorlie, P.D., Stein, J., Towfighi, A., Turan, T.N., Virani, S.S., Wong, N.D., Woo, D., Turner, M.B.: AHA Statistical Update: Heart Disease and Stroke Statistics - 2014 Update: A Report from the American Heart Association (2013), doi:10.1161/01.cir.0000441139.02102.80
Jack, D., Boian, R., Merians, A.S., Tremaine, M., Burdea, G.C., Adamovic, S.V., ...Poizner, H.: Virtual reality-enhanced stroke rehabilitation. IEEE Transaction on Neural System and Rehabilitation Engineering 9(3), 308–317 (2001)
Johansson, B.B.: Current trends in stroke rehabilitation. A review with focus on brain plasticity. Acta Neurologica Scandinavica 147, 147–159 (2011), doi:10.1111/j.1600-0404.2010.01417.x
Lilja, M., Bergh, A., Johansson, L., Nygard, L.: Attitudes towards rehabilitation needs and support from assistive technology and the social environment among elderly people with disability. Occupational Therapy International 10(1), 75–93 (2003), doi:10.1002/oti.178
Lucca, L.F., Castelli, E., Sannita, W.G.: The application of robotics in the function motor recovery of the paretic upper limp. J. Rehabil. Med. 41, 1003–1100 (2009)
Nirme, J., Duff, A., Verschure, P.F.M.J.: Adaptive rehabilitation gaming system: On-line individualization of stroke rehabilitation. In: 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, pp. 6749–6752 (2011), doi:10.1109/IEMBS.2011.6091665
Pellegrino, G., Fadgia, L., Fogassi, L., Gallese, V., Rizzolatti, G.: Understanding motor events: A neurophyxiological study. Experimental Brain Research 91(1), 176–180 (1992)
Pellerin, C., Rochette, A., Racine, E.: Social participation of relatives post-stroke: The role of rehabilitation and related ethical issues. Disability and Rehabilitation 33(13-14), 1055–1064 (2011), doi:10.3109/09638288.2010.524272
Prochnow, D., Bermúdez i Badia, S., Schmidt, J., Duff, A., Brunheim, S., Kleiser, R., ...Verschure, P.F.M.J.: A functional magnetic resonance imaging study of visumotor processing in a virtual reality-based paradigm: Rehabilitation Gaming System. European Journal of Neuroscience, 1–7 (2013), doi:10.1111/ejn.12157
Ryan, N.P., Wade, J.C., Nice, A., Shenefelt, H., Shepard, K.: Physical therapists’ perceptions of family involvement in the rehabilitation process. Physiotherapy Research International: The Journal for Researchers and Clinicians in Physical Therapy 1(3), 159 (1996)
Sandlund, M., Mcdonough, S., Häger-Ross, C.: Interactive computer play in rehabilitation of children with sensorimotor disorders: A systematic review. Developmental Medicine and Child Neurology 51(3), 173 (2009)
Small, S.L., Buccino, G., Solodkin, A.: The mirror neuron system and treatment of stroke. Developmental Psychobiology 54(3), 293–310 (2010)
Trepte, S., Reinecke, L., Juechems, K.: The social side of gaming: How playing online computer games creates online and offline social support. Computers in Human Behavior 28(3), 832–839 (2011), doi:10.1016/j.chb.2011.12.003
Verschure, P.F.M.J.: Neuroscience, virtual reality and neurorehabilitation: Brain repair as a validation of brain theory. Paper Presented at the Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Boston, pp. 2254–2257 (2011), doi: 10.1109/IEMBS.2011.6090428
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer International Publishing Switzerland
About this paper
Cite this paper
Maier, M., Rubio Ballester, B., Duarte, E., Duff, A., Verschure, P.F.M.J. (2014). Social Integration of Stroke Patients through the Multiplayer Rehabilitation Gaming System. In: Göbel, S., Wiemeyer, J. (eds) Games for Training, Education, Health and Sports. GameDays 2014. Lecture Notes in Computer Science, vol 8395. Springer, Cham. https://doi.org/10.1007/978-3-319-05972-3_12
Download citation
DOI: https://doi.org/10.1007/978-3-319-05972-3_12
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-05971-6
Online ISBN: 978-3-319-05972-3
eBook Packages: Computer ScienceComputer Science (R0)