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Improving patient motivation in game development for motor deficit rehabilitation

Published: 03 December 2008 Publication History

Abstract

It has been stated repeatedly that active participation in rehabilitation programs increases the benefit and effectiveness of therapy. In developing robotic devices for stroke rehabilitation, the existing use of boring task interfaces produces a significant reduction in elderly patient motivation. To combine robot-aided therapy with appealing games, then, is not only a matter of creating entertainment, but a real necessity for motor recovery. Besides emphasizing a lack of attention to elderly patients in conceiving games for post-stroke rehabilitation, this paper launches a challenge to two fields with tremendous collaborative potential. As a precursor to this collaboration, the following research consolidates the gaming scenario criteria for both rehabilitation and elderly entertainment. Conclusions are then formed from the adaptability of existing games to identify the direction of future game development.

References

[1]
Aison, C., Davis, G., Milner, J., Targum E., 2002. Appeal and Interest of Video Game Use Among the Elderly. Harvard Graduate School of Education, (May 2002), i-28. DOI=http://www.jrmilner.com/
[2]
Amirabdollahian, F., Loureiro, R., Gradwell, E., Collin, C., Harwin, W., Johnson, G., 2007. Multivariate analysis of the Fugl-Meyer outcome measures assessing the effectiveness of GENTLE/S robot-mediated stroke therapy. J. Neuroeng. and Rehabil. (Feb. 4 2007), 4:4. DOI=http://doi.acm.org/10.1186/1743-0003-4-4
[3]
Broeren, J., Bjorkdahl, A., Claesson, L., Goude, D., Lundgren-Nilsson, A., Samuelsson, H., Blomstrand, C., Sunnerhagen, KS., Rydmark, M., 2008. Virtual rehabilitation after stroke. Studies in Health Tech. and Informatics, (2008) 136:77--82.
[4]
Cameirao, M. S., Badia, S. B., Zimmerli, L., Oller, E. D., Verschure, P. F. M. J., 2007. The Rehabilitation Gaming System: a Virtual Reality Based System for the Evaluation and Rehabilitation of Motor Deficits. Virtual Rehabilitation, 2007 (September 27--29) 29--33. DOI=http://doi.acm.org/10.1109/ICVR.2007.4362125
[5]
Colombo, R., Pisano, F., Mazzone, A., Delconte, C., Micera, S., Carrozza, M. C., Dario, P., and Minuco G. 2007. Design strategies to improve patient motivation during robot-aided rehabilitation. Journal of NeuroEngineering and Rehabilitation (February, 2007), 4(3):33--39. DOI=http://doi.acm.org/10.1186/1743-0003-4-3
[6]
Crosbie, J. H., Lennon, S., Basford, J. R., McDonough, S. M., 2007. Virtual reality in stroke rehabilitation: Still more virtual than real. Disabil. Rehabil. (2007), 29(14):1139--1146. DOI=http://doi.acm.org/10.1080/09638280600960909
[7]
Fabregat, M., 2006. D1.2 - Game typologies to be developed and their relationship with the parameters to measure. Development of High Therapeutic Value IST-based Games for Monitoring and Improving the Quality of the Life of Elderly People. Information Society Technologies project CN 034552. ElderGames Project, final report version.
[8]
Fasoli, S., Krebs, H., Stein, J., Frontera, W., Hogan, N., 2003. Effects of robotic therapy on motor impairment and recovery in chronic stroke, Arch. Phys. Med. Rehabil., 84(4), 477--482, 2003. DOI=http://doi.acm.org/10.1053/apmr.2003.50110
[9]
Gamberini, L., Alcañiz, M., Barresi, G., Fabregat, M., Prontu, L., and Seraglia, B. 2008. Playing for a real bonus: videogames to empower elderly people. Journal of CyberTherapy & Rehabilitation vol 1(1): 37--48
[10]
Goude, D., Björk, S., Rydmark, M. 2007. Game Design in Virtual Reality Systems for Stroke Rehabilitation. Stud Health Technol. and Inform. 125:146--148.
[11]
Griffiths M, Davies M, Chappell D. 2004. Online computer gaming: a comparison of adolescent and adult gamers. Journal of Adolescence. Video Games and Public Health, (February 2004) 27(1):87--96. DOI=http://www.sciencedirect.com/science/article/B6WH0-4BBMT2H-3/1/7f2a5d2a5303c9aa008c3081f6d597a9
[12]
Ijsselsteijn W, Nap H, de Kort Y, Poels K, Digital game design for elderly users. Future Play: Proc. of the 2007 Conf. on Future Play. ACM Press. New York, NY, 17--22. DOI=http://doi.acm.org/10.1145/1328202.1328206
[13]
Johnson M. J., Xin Feng, Johnson, L. M., Ramachandran, B., Winters, J. M., Kosasih, J. B., 2006. Systems that Rehabilitate as well as Motivate: Three Strategies for Motivating Impaired Arm Use. The First IEEE/RAS-EMBS Intl. Conf. on Biomed. Robotics and Biomechatronics, 2006. BioRobotics. (Feb. 20--22, 2006), 254--9.
[14]
Loureiro, R. C. V., Collin, C. F., Harwin, W. S., 2004. Robot aided therapy: challenges ahead for upper limb stroke rehabilitation. In Proc. of 5th Intl. Conf. of Disability, VR & Assoc. Tech. (Sep. 20--22 2004), 4(1):7--11.
[15]
Ma, M., McNeill, M., Charles, D., McDonough, S., Crosbie, J., Oliver, L., McGoldrick, C., 2007. Adaptive Virtual Reality Games for Rehabilitation of Motor Disorders. Universal Access in Human-Computer Interaction. Ambient Interaction, (August 2007) 4555:681--690. DOI=http://doi.acm.org/10.1007/978-3-540-73281-5_74
[16]
Maclean, N., Pound, P., Wolfe, C., and Rudd, A. 2002. The concept of patient motivation: a qualitative analysis of stroke professionals' attitudes. Stroke, 33(2): 444--448
[17]
Masiero, S., Celia, A., Rosati, G., Armani, M., 2007. Robotic-assisted rehabilitation of the upper limb after acute stroke. Arch. Phys. Med. Rehabil., (Feb. 2007) 88(2):142-9. DOI=http://doi.acm.org/10.1016/j.apmr.2006.10.032.
[18]
Nef, T., Mihelj, M., Colombo, G., Riener, R., 2006. ARMin - robot for rehabilitation of the upper extremities. In Proceedings of IEEE Intl. Conf. on Robotics and Automation, (May 15--19 2006) 3152--3157. DOI=http://doi.acm.org/10.1109/ICORR.2005.1501051
[19]
Nelles G., Jentzen W, et al. 2001. Arm Training Induced plasticity in stroke studied with serial positron emission tomography. Neurological Image 2001; 13; 1146--1154.
[20]
Perry, J. C., Rosen, J., Burns, S., 2007. Upper-Limb Powered Exoskeleton Design. IEEE-ASME Trans. on Mechatronics (Aug 2007) 12(4):408--417. DOI=http://doi.acm.org/10.1109/TMECH.2007.901934
[21]
Reinkensmeyer, D. J., Housman S. J., 2007. "If I can't do it once, why do it a hundred times?": Connecting volition to movement success in a virtual environment motivates people to exercise the arm after stroke. Virtual Rehabil. (Sept. 27--29 2007) 44--48. DOI=http://doi.acm.org/10.1109/ICVR.2007.4362128
[22]
Sabari J: Motor learning concepts applied to activity-based intervention with adults with hemiplegia. Amer. J. of Occup. Therapy (1991), 45:523--530.
[23]
Small S, Solodkin A. 1998. The Neurobiology of stroke rehabilitation. Neuroscientist (1998), 4:426--434.

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    cover image ACM Conferences
    ACE '08: Proceedings of the 2008 International Conference on Advances in Computer Entertainment Technology
    December 2008
    427 pages
    ISBN:9781605583938
    DOI:10.1145/1501750
    • General Chairs:
    • Masa Inakage,
    • Adrian David Cheok
    Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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    Published: 03 December 2008

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    Author Tags

    1. assistive technologies
    2. biofeedback
    3. computer games
    4. elderly
    5. motivation
    6. motor rehabilitation
    7. rehabilitation gaming
    8. serious games
    9. skill assessment
    10. stroke

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    • (2024)Generative AI-Based Difficulty Level Design of Serious Games for Stroke RehabilitationIEEE Internet of Things Journal10.1109/JIOT.2024.345065311:24(39560-39569)Online publication date: 15-Dec-2024
    • (2024)A Framework to Design Virtual Reality Mirror Therapy (VRMT) for Motor Rehabilitation in Post-Stroke Survivors: Dosage, Motivation, Task Difficulty, Feedback and Mechanism2024 IEEE Gaming, Entertainment, and Media Conference (GEM)10.1109/GEM61861.2024.10585516(1-6)Online publication date: 5-Jun-2024
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