Diseño contextual para la creación de videojuego basado en Realidad Virtual usado en terapia de rehabilitación física en personas con accidente cerebrovascular

Montoya, Maria Fernanda; Villada, Julian Felipe Villada; Cardona, John Edison Muñoz; Gallo, Oscar Alberto Henao; López, J.F. Martínez

doi:10.24050/reia.v19i38.1549

Cited by 4 publications

(4 citation statements)

References 16 publications

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“…Given that the study was conducted during the government-imposed COVID-19 lockdown, strict biosecurity measures were adopted to prevent virus transmission. [20]…”

Section: Methodsmentioning

confidence: 99%

“…By adopting this approach, better and more engaging games for brain disease rehabilitation, particularly for stroke participants, can be created. This will lead to more personalized experiences that effectively address current challenges in consumer technology [20] [21].…”

Section: Introductionmentioning

confidence: 99%

“…Design frameworks for implementing user-centered design already exist, for instance, the Multidisciplinary Iterative Design Framework for Exergames (MIDE) was presented as a comprehensive, integrative, and specific framework for the design, development, and evaluation of exergames using different research methods, techniques, and tools [20]. The MIDE framework is intended to assist researchers, healthcare professionals, and industry experts in identifying the stages, processes, techniques, and key roles necessary to create new games for exercise promotion [20].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of custom-made VR exergame for at-home Stroke rehabilitation. A longitudinal single-arm study.

Castillo,

Vega,

Cardona

et al. 2024

Preprint

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Exercise games (Exergames) based on Virtual Reality (VR) have emerged as a promising option for supporting physical rehabilitation in stroke users. As a com- plementary therapy, they offer valuable benefits such as therapy engagement and enjoyment. In this study, we assessed the effectiveness of an immersive, custom- made VR exergame designed for upper limb rehabilitation in stroke participants aged 50 and above. We conducted 14 sessions of 15 minutes involving ten par- ticipants (6 females, ages 58.1 ± 7.5 years old) who volunteered to participate in an assisted at-home rehabilitation process. The study employed a range of evaluation tests to measure physical rehabilitation and game user experience out- comes. The tests included pre- and post-assessments of range of motion (ROM), the Ashworth spasticity test, and the Borg rating of perceived fatigue question- naire. To evaluate the game participant experience, we used the VR Neuroscience Questionnaire (VRNQ), and the Immersive Tendencies Questionnaire (ITQ). Our results revealed significant improvements in the range of motion for elbow and shoulder flexion, extension, adduction, and abduction. Furthermore, we observed a reduction in Ashworth spasticity, and the fatigue scale showed reduced per- ception comparing the last with the first session, although the difference was insignificant. The VRNQ questionnaire indicated significant enhancements in the domains related to ”Game Experience” and ”Game Mechanics” and an overall reduction of the perceived “Motion Sickness”. In the ITQ questionnaire, partic- ipants reported high levels of ”Attention,” and while there were no significant differences in ”Immersion” and ”Enjoyment,” a considerable improvement was observed in ”Excitement”. In summary, our results indicate that the immersive VR exergame improved the range of motion, spasticity, and overall game user experience among participants with stroke in a longitudinal, single-arm inter- vention. We conclude that using custom-made VR exergames is an effective and motivating tool for upper limb rehabilitation, with positive changes in both clin- ical and perception outcomes, and the positive and measurable effects persist after the first sessions. These findings support using VR exergames as a comple- mentary tool for at-home rehabilitation therapy with good ease of use, improved physical rehabilitation outcomes, and high treatment adherence.

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“…Given that the study was conducted during the government-imposed COVID-19 lockdown, strict biosecurity measures were adopted to prevent virus transmission. [20]…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of custom-made VR exergame for at-home Stroke rehabilitation. A longitudinal single-arm study.

Castillo,

Vega,

Cardona

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…The methodology aims to improve interdisciplinary collaboration and facilitate the involvement of clinicians in the design process [13,14]. The primary objectives are to provide personalized upper arm physiotherapy for survivors of stroke through an improved VR exergame and to assess its usability through user feedback [15]. This work encourages collaboration among clinicians, researchers, and designers to create an engaging rehabilitation exercise that complements the recovery process for survivors of stroke, ultimately enhancing their quality of life.…”

Section: Introductionmentioning

confidence: 99%

Design of Virtual Reality Exergames for Upper Limb Stroke Rehabilitation Following Iterative Design Methods: Usability Study

Villada Castillo,

Montoya Vega,

Muñoz Cardona

et al. 2024

JMIR Serious Games

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Background Since the early 2000s, there has been a growing interest in using exercise video games (exergames) and virtual reality (VR)–based interventions as innovative methods to enhance physical rehabilitation for individuals with multiple disabilities. Over the past decade, researchers and exercise professionals have focused on developing specialized immersive exercise video games for various populations, including those who have experienced a stroke, revealing tangible benefits for upper limb rehabilitation. However, it is necessary to develop highly engaging, personalized games that can facilitate the creation of experiences aligned with the preferences, motivations, and challenges communicated by people who have had an episode of stroke. Objective This study seeks to explore the customization potential of an exergame for individuals who have undergone a stroke, concurrently evaluating its usability as a technological tool in the realm of physical therapy and rehabilitation. Methods We introduce a playtest methodology to enhance the design of a VR exergame developed using a user-centered approach for upper limb rehabilitation in stroke survivors. Over 4 playtesting sessions, stroke survivors interacted with initial game versions using VR headsets, providing essential feedback for refining game content and mechanics. Additionally, a pilot study involving 10 stroke survivors collected data through VR-related questionnaires to assess game design aspects such as mechanics, assistance, experience, motion sickness, and immersion. Results The playtest methodology was beneficial for improving the exergame to align with user needs, consistently incorporating their perspectives and achieving noteworthy results. The pilot study revealed that users had a positive response. In the first scenario, a carpenter presents a game based on the flexion-extension movement of the elbow; the second scenario includes a tejo game (a traditional Colombian throwing game) designed around game mechanics related to the flexion-extension movement of the shoulder; and in the third scenario, a farmer challenges the player to perform a movement combining elbow flexion and extension with internal and external rotation of the shoulder. These findings suggest the potential of the studied exergame as a tool for the upper limb rehabilitation of individuals who have experienced a stroke. Conclusions The inclusion of exergames in rehabilitation for stroke-induced hemiparesis has significantly benefited the recovery process by focusing on essential shoulder and elbow movements. These interactive games play a crucial role in helping users regain mobility and restore practical use of affected limbs. They also serve as valuable data sources for researchers, improving the system’s responsiveness. This iterative approach enhances game design and markedly boosts user satisfaction, suggesting exergames have promising potential as adjunctive elements in traditional therapeutic approaches.

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Exploratory Analysis of Game Metrics of a Multi-Session Study of a Virtual Reality Exergame for Stroke Rehabilitation.

Castillo,

Muñoz,

Lopez

et al. 2024

2024 IEEE 12th International Conference on Serious Games and Applications for Health (SeGAH)

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Diseño contextual para la creación de videojuego basado en Realidad Virtual usado en terapia de rehabilitación física en personas con accidente cerebrovascular

Cited by 4 publications

References 16 publications

Evaluation of custom-made VR exergame for at-home Stroke rehabilitation. A longitudinal single-arm study.

Evaluation of custom-made VR exergame for at-home Stroke rehabilitation. A longitudinal single-arm study.

Design of Virtual Reality Exergames for Upper Limb Stroke Rehabilitation Following Iterative Design Methods: Usability Study

Exploratory Analysis of Game Metrics of a Multi-Session Study of a Virtual Reality Exergame for Stroke Rehabilitation.

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