Skip to main content

Understanding Stroke Patients’ Motivation for Motivation-Driven Rehabilitative Game Design

  • Conference paper
  • First Online:
Internet of Things. User-Centric IoT (IoT360 2014)

Abstract

Stroke is one of the major problems in medical and healthcare that can cause severe disability and death of patients especially for older population. Rehabilitation plays an important role in stroke therapy. However, most of the rehabilitative exercises are monotonous and tiring for the patients. For a particular time, they can easily get bored in doing these exercises. The role of patient’s motivation in rehabilitation is vital. Motivation and rehabilitative outcomes are strongly related. Digital games are promising to help stroke patients to feel motivated and more engaged in rehabilitative training through motivational gameplay. Most of the commercial games available in the market are not well-designed for stroke patients and their motivational needs in rehabilitation. This study aims at understanding the motivational requirements of stroke patients in doing rehabilitative exercises and living in a post-stroke life. Based on the findings from the literature review, we report that there are many factors that can influence the stroke patients’ level of motivation such as social functioning, patient-therapist relationship, goal-setting, and music. These findings are insightful and useful for ideating and designing interactive motivation-driven games for stroke patients. The motivational factors of stroke patients in rehabilitation may help the game designers to design motivation-driven game contexts, contents, and gameplay. Moreover, these findings may help not only game designers but also healthcare professionals who concern stroke patient’s motivation in rehabilitative context.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Burke, J.W., McNeill, M.D.J., Charles, D.K., Morrow, P.J., Crosbie, J.H., McDonough, S.M.: Designing Engaging, Playable Games for Rehabilitation. In: International Conference Series On Disability, Virtual Reality And Associated Technologies (ICDVRAT) (2010)

    Google Scholar 

  2. Chang, Y.J, Cheang, S.F, Huang, J.D.: A Kinect-Based System for Physical Rehabilitation. A Pilot Study for Young Adults with Motor Disabilities. Research in Development Disabilities, 32, 2566-2570 (2011)

    Google Scholar 

  3. Maclean, N., Pound, P., Wolfe, C., Rudd, A.: The Concept of Patient Motivation: A Qualitative Analysis of Stroke Professionals’ Attitudes. Stroke 33, 444–448 (2002)

    Article  Google Scholar 

  4. Shen, Y., Ong, S.K., Nee, A.Y.C.: An Augmented Reality System for Hand Movement Rehabilitation. In: Proc. iCREATe ’08, pp. 189-192 (2008)

    Google Scholar 

  5. Halton, J.: Virtual Rehabilitation with Video Games. A New Frontier for Occupational Therapy. Occupational Therapy Now, vol. 9(6), pp. 12-14 (2008)

    Google Scholar 

  6. Anderson, F., Annett, M., Bischof, W.F.: Lean on Wii: Physical Rehabilitation With Virtual Reality and Wii Peripherals. Annual Review of CyberTherapy and Telemedicine 8, 181–184 (2010)

    Google Scholar 

  7. Maclean, N., Pound, P., Wolfe, C., Rudd, A.: Qualitative Analysis of Stroke Patients’ Motivation for Rehabilitation. Bmj 2000, 321 (7268):1051-1054 (2000)

    Google Scholar 

  8. Domboyy, M.L., Sandok, B.A., Basford, J.R.: Rehabilitation for Stroke: A Review. Stroke 17, 363–369 (1986)

    Article  Google Scholar 

  9. Sanntus, G.A., Ranzenigo, A., Caregnato, R., Maria, R.I.: Social and Family Integration of Hemiplegic Elderly Patients 1 Year after Stroke. Stroke 21, 1019–1022 (1990)

    Article  Google Scholar 

  10. Recovery after Stroke: Social Support, www.stroke.org

  11. Evans, R.L., Matlock, A.-L., Bishop, D.S., Stranahan, S., Pederson, C.: Family Intervention After Stroke: Does Counseling or Education Help? Stroke 19, 1243–1249 (1988)

    Article  Google Scholar 

  12. Shimoda, K., Robinson, R.G.: The Relationship between Social Impairment and Recovery from Stroke. Psychiatry 61, 101–111 (1998)

    Google Scholar 

  13. Finding Motivation after Stroke or Brain Damage, http://sueb.hubpages.com/hub/Finding-Motivation-after-Stroke-or-Brain-Damage

  14. White, G.N., Cordato, D.J., O’Rourke, F., Mendis, R.L., Ghia, D., Chang, D.K.: Validation of the Stroke Rehabilitation Motivation Scale: A Pilot Study. Asian J Gerontol Geriatr 7, 80–87 (2012)

    Google Scholar 

  15. Flores, E., Tobon, G., Cavallaro, E., Cavallaro, F.I., Perry, J.C., Keller, T.: Improving Patient Motivation in Game Development for Motor Deficit Rehabilitation. In: Intl. Conf. on Adva.in Comp. Entert, Tech., ACM, 381-384 (2008)

    Google Scholar 

  16. Barry, J.: Patient Motivation for Rehabilitation. Cleft Palate J. 2, 62–68 (1965)

    Google Scholar 

  17. Krause, N., Frank, J.W., Dasinger, L.K., Sullivan, J.J., Sinclair, S.J.: Determinants of Duration of Disability and Return-to-work After Work-related Injury and Illness: Challenges for Future Research. AMJ Industrial Med 40(4), 464–484 (2001)

    Article  Google Scholar 

  18. Holmqvish, L.W., Koch, L.: Environmental Factors in Stroke Rehabilitation, Being in Hospital itself Demotivates Patients. British Medical Journal 322, 1501–1502 (2001)

    Article  Google Scholar 

  19. Van-Vliet, P.M., Wulf, G.: Extrinsic Feedback for Motor Learning after Stroke: What is the Evidence? Disabil Rehabil 28, 831–840 (2006)

    Article  Google Scholar 

  20. Knight, A.J., Wiese, N.: Therapeutic Music and Nursing in Poststroke Rehabilitation. Rehabilitation Nursing 36(5), 200–215 (2011)

    Article  Google Scholar 

  21. Leisure and Participation Information for Patients and Families, www.strokeengine.org

  22. Roth, E.A., Wisser, S.: Music Therapy: The Rhythm of Recovery. The Case Manager 15(3), 52–56 (2004)

    Article  Google Scholar 

  23. Music Therapy, www.strokengine.ca

  24. Lloyd, J.: The State of Intergenerational Relations Today. ILC-UK (2008)

    Google Scholar 

  25. Theng, Y.L., Chua, P.H., Pham, T.P.: Wii as Entertainment and Socialization Aids for Mental and Social Health of Elderly. In: Proc. CHI’12 Extended Abstracts, (New York: ACM), 691-702

    Google Scholar 

  26. Kenny, P., Parsons, T., Gratch, J., Rizzo, A.: Virtual Humans for Assisted Healthcare. In: 1st International Conference on Pervasive Technology Related to Assistive Environments 1-4, ACM Press, New York (2008)

    Google Scholar 

  27. Pyae, A., Tan, B.Y., Gossage, M.: Understanding Stroke Patients’ Needs for Designing User-Centered Rehabilitative Games. Proceedings of the 7th Annual International Conference on Computer Games Multimedia and Allied Technologies, pp.151-156 (2013)

    Google Scholar 

  28. Mao, J.Y., Vredenbur, K., Smith, P.W.: User-centered Design Methods In Practice: A Survey of the State of the Art. Proc. Center for Advanced Studies on Collaborative Research, pp. 12 (2001)

    Google Scholar 

  29. Boulet, G.: Rapid Prototyping: An Efficient Way to Collaboratively Design and Develop E-Learning Content, http://www.guyboulet.net/site/docs/Rapid_prototyping.pdf

  30. Malmivirta, H.: Art as Bridge for Personal and Professional Growth. Acta Universitatis Tamperensis 1629. Tampere: Juvenes Print

    Google Scholar 

  31. Malmivirta, H.: Yellow cottage and patch of potatoes. In: Malmivirta, H., Kivelä, S. (eds.) Art and Culture – Keys for better Brain health. Turku University of Applied Sciences. Education materials 89. Turku University of Applied Sciences, 91– 26 (2014)

    Google Scholar 

Download references

Acknowledgments

We would like to thank our collaborators and partners in the project called Gamified Solutions in Healthcare (GSH). This on-going project was supported and funded by Finnish Funding Agency for Technology and Innovation (Tekes), City of Turku, and several technological companies.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Aung Pyae .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Institute for Computer Sciences, Social Informatics and Telecommunications Engineering

About this paper

Cite this paper

Pyae, A., Luimula, M., Smed, J. (2015). Understanding Stroke Patients’ Motivation for Motivation-Driven Rehabilitative Game Design. In: Giaffreda, R., et al. Internet of Things. User-Centric IoT. IoT360 2014. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 150. Springer, Cham. https://doi.org/10.1007/978-3-319-19656-5_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-19656-5_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-19655-8

  • Online ISBN: 978-3-319-19656-5

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics