Augmented Reality Game Based Multi-Usage Rehabilitation Therapist For Stroke Patients

Leon, N.I. De; Bhatt, Sunil Kumar; Al-Jumaily, Adel

doi:10.21307/ijssis-2017-693

Cited by 18 publications

(8 citation statements)

References 5 publications

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“…Of these, 123 were discarded since they did not fulfil the inclusion criteria: Seven papers were not written in English, three were book chapters, 112 were not related to shoulder rehabilitation. A total of 12 articles remained relevant for inclusion, corresponding to nine different AR-based systems for shoulder rehabilitation (see Figure 1): NeuroR [18], ARS [19], RehaBio [20], MirrARbilitation [21,22], ARIS [23,24], AR Games by De Leon et al [25], SleeveAR [26,27], AR Fruit Ninja [28], AR System by Colomer et al [29]. The following section presents an overview of the AR-based reviewed systems for shoulder rehabilitation, as well as an analysis and discussion of their technical and clinical aspects.…”

Section: Overview Technical and Clinical Aspects Of Ar-based Systemsmentioning

confidence: 99%

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Review of the Augmented Reality Systems for Shoulder Rehabilitation

et al. 2019

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Literature shows an increasing interest for the development of augmented reality (AR) applications in several fields, including rehabilitation. Current studies show the need for new rehabilitation tools for upper extremity, since traditional interventions are less effective than in other body regions. This review aims at: Studying to what extent AR applications are used in shoulder rehabilitation, examining wearable/non-wearable technologies employed, and investigating the evidence supporting AR effectiveness. Nine AR systems were identified and analyzed in terms of: Tracking methods, visualization technologies, integrated feedback, rehabilitation setting, and clinical evaluation. Our findings show that all these systems utilize vision-based registration, mainly with wearable marker-based tracking, and spatial displays. No system uses head-mounted displays, and only one system (11%) integrates a wearable interface (for tactile feedback). Three systems (33%) provide only visual feedback; 66% present visual-audio feedback, and only 33% of these provide visual-audio feedback, 22% visual-audio with biofeedback, and 11% visual-audio with haptic feedback. Moreover, several systems (44%) are designed primarily for home settings. Three systems (33%) have been successfully evaluated in clinical trials with more than 10 patients, showing advantages over traditional rehabilitation methods. Further clinical studies are needed to generalize the obtained findings, supporting the effectiveness of the AR applications.

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Section: Overview Technical and Clinical Aspects Of Ar-based Systemsmentioning

confidence: 99%

“…The AR Games by De Leon et al [25] ( Figure 1, middle-right) are developed to rehabilitate stroke patients. This system provides an interactive and motivational augmented reality environment and is designed for a home setting.…”

Section: Ars [19]mentioning

confidence: 99%

Review of the Augmented Reality Systems for Shoulder Rehabilitation

et al. 2019

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“…The next most common game type was video games (15.4%, 26/169), along with some efforts to develop AR systems (10.1%, 17/169). With respect to AR, most of these studies used cameras and markers on the hand to recreate objects on the screen [28][29][30][31][32][33][34][35][36][37][38][39], although some recent studies used advanced technologies to create a 3D reality [23,40,41].…”

Section: Game Typementioning

confidence: 99%

“…Overall, 17.8%(30/169) of the studies included webcams and cameras in their systems. Half of them [8,[29][30][31]33,34,37,55,90,94,[111][112][113][114][115] used only webcams in an attempt to create a home-based and easy-to-use patient system. The other half used either simple cameras [36] or cameras combined with a marker (ie, glove, card) to track the movement [21,39,116], gaming accessories such as PlayStation controllers [117] and Nintendo Wii remote [89], or a customized exoskeleton glove [118] and an eye tracker [38].…”

Section: Commercial Sensorsmentioning

confidence: 99%

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review

Koutsiana¹,

Ladakis²,

Fotopoulos³

et al. 2020

JMIR Serious Games

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Background: Serious gaming has increasingly gained attention as a potential new component in clinical practice. Specifically, its use in the rehabilitation of motor dysfunctions has been intensively researched during the past three decades. Objective: The aim of this scoping review was to evaluate the current role of serious games in upper extremity rehabilitation, and to identify common methods and practice as well as technology patterns. This objective was approached via the exploration of published research efforts over time. Methods: The literature search, using the PubMed and Scopus databases, included articles published from 1999 to 2019. The eligibility criteria were (i) any form of game-based arm rehabilitation; (ii) published in a peer-reviewed journal or conference; (iii) introduce a game in an electronic format; (iv) published in English; and (v) not a review, meta-analysis, or conference abstract. The search strategy identified 169 relevant articles. Results: The results indicated an increasing research trend in the domain of serious gaming deployment in upper extremity rehabilitation. Furthermore, differences regarding the number of publications and the game approach were noted between studies that used commercial devices in their rehabilitation systems and those that proposed a custom-made robotic arm, glove, or other devices for the connection and interaction with the game platform. A particularly relevant observation concerns the evaluation of the introduced systems. Although one-third of the studies evaluated their implementations with patients, in most cases, there is the need for a larger number of participants and better testing of the rehabilitation scheme efficiency over time. Most of the studies that included some form of assessment for the introduced rehabilitation game mentioned user experience as one of the factors considered for evaluation of the system. Besides user experience assessment, the most common evaluation method involving patients was the use of standard medical tests. Finally, a few studies attempted to extract game features to introduce quantitative measurements for the evaluation of patient improvement. Conclusions: This paper presents an overview of a significant research topic and highlights the current state of the field. Despite extensive attempts for the development of gamified rehabilitation systems, there is no definite answer as to whether a serious game is a favorable means for upper extremity functionality improvement; however, this certainly constitutes a supplementary means for motivation. The development of a unified performance quantification framework and more extensive experiments could generate richer evidence and contribute toward this direction.

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“…A number of authors [12][13][14][15][16][17][18][19][20][21] have recognized the potentialities of AR-based applications in this specific field. The virtual content is used to: guide the patient arm during the rehabilitation session, give a visual feedback to correct in real-time the movement, furnish scores as well as positive feedback to motivate the patient.…”

Section: Introductionmentioning

confidence: 99%

Wearable Augmented Reality Application for Shoulder Rehabilitation

et al. 2019

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Augmented reality (AR) technology is gaining popularity and scholarly interest in the rehabilitation sector because of the possibility to generate controlled, user-specific environmental and perceptual stimuli which motivate the patient, while still preserving the possibility to interact with the real environment and other subjects, including the rehabilitation specialist. The paper presents the first wearable AR application for shoulder rehabilitation, based on Microsoft HoloLens, with real-time markerless tracking of the user’s hand. Potentialities and current limits of commercial head-mounted displays (HMDs) are described for the target medical field, and details of the proposed application are reported. A serious game was designed starting from the analysis of a traditional rehabilitation exercise, taking into account HoloLens specifications to maximize user comfort during the AR rehabilitation session. The AR application implemented consistently meets the recommended target frame rate for immersive applications with HoloLens device: 60 fps. Moreover, the ergonomics and the motivational value of the proposed application were positively evaluated by a group of five rehabilitation specialists and 20 healthy subjects. Even if a larger study, including real patients, is necessary for a clinical validation of the proposed application, the results obtained encourage further investigations and the integration of additional technical features for the proposed AR application.

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Augmented Reality Game Based Multi-Usage Rehabilitation Therapist For Stroke Patients

Cited by 18 publications

References 5 publications

Review of the Augmented Reality Systems for Shoulder Rehabilitation

Review of the Augmented Reality Systems for Shoulder Rehabilitation

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review

Wearable Augmented Reality Application for Shoulder Rehabilitation

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