Gamiﬁcation of Stroke Rehabilitation Exercises Using a Smartphone

Ferreira, Carlos; Guimar�ães, Vânia; Santos, Adão Felipe dos; Sousa, Inês

doi:10.4108/icst.pervasivehealth.2014.255326

Cited by 31 publications

(29 citation statements)

References 6 publications

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“…)[4, 40, 44, 48, 50, 60, 63–65, 72, 75, 77, 79]3D model of limb or human body or structure[37, 41, 43, 46, 53, 56, 68–70]Game[42, 45, 59, 62, 66, 67]HapticVibrotactile display[51, 52, 57, 61]AuditoryMusical pattern[78]Multi-modal[3, 38, 39, 47, 49, 54, 55, 58, 71, 73, 74, 76] …”

Section: Resultsmentioning

confidence: 99%

“…Our results show that virtual reality has been commonly used within the included studies (three studies [37–39] in 2010, two [45, 46] in 2011, one [56] in 2013, three [62, 67, 68] in 2014 and one [69] in 2015). Further to using a computer screen as a visual feedback display, the emergence of smartphones is reflected on the number of the systems providing feedback on smartphones: 0 in 2010–2012, two [54, 58] in 2013, five [59, 60, 63, 64, 66] in 2014, four [70, 72–74] in 2015 and two [76, 77] in 2016.…”

Section: Resultsmentioning

confidence: 99%

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Interactive wearable systems for upper body rehabilitation: a systematic review

Wang

Markopoulos

et al. 2017

J NeuroEngineering Rehabil

288

205

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BackgroundThe development of interactive rehabilitation technologies which rely on wearable-sensing for upper body rehabilitation is attracting increasing research interest. This paper reviews related research with the aim: 1) To inventory and classify interactive wearable systems for movement and posture monitoring during upper body rehabilitation, regarding the sensing technology, system measurements and feedback conditions; 2) To gauge the wearability of the wearable systems; 3) To inventory the availability of clinical evidence supporting the effectiveness of related technologies.MethodA systematic literature search was conducted in the following search engines: PubMed, ACM, Scopus and IEEE (January 2010–April 2016).ResultsForty-five papers were included and discussed in a new cuboid taxonomy which consists of 3 dimensions: sensing technology, feedback modalities and system measurements. Wearable sensor systems were developed for persons in: 1) Neuro-rehabilitation: stroke (n = 21), spinal cord injury (n = 1), cerebral palsy (n = 2), Alzheimer (n = 1); 2) Musculoskeletal impairment: ligament rehabilitation (n = 1), arthritis (n = 1), frozen shoulder (n = 1), bones trauma (n = 1); 3) Others: chronic pulmonary obstructive disease (n = 1), chronic pain rehabilitation (n = 1) and other general rehabilitation (n = 14). Accelerometers and inertial measurement units (IMU) are the most frequently used technologies (84% of the papers). They are mostly used in multiple sensor configurations to measure upper limb kinematics and/or trunk posture. Sensors are placed mostly on the trunk, upper arm, the forearm, the wrist, and the finger. Typically sensors are attachable rather than embedded in wearable devices and garments; although studies that embed and integrate sensors are increasing in the last 4 years. 16 studies applied knowledge of result (KR) feedback, 14 studies applied knowledge of performance (KP) feedback and 15 studies applied both in various modalities. 16 studies have conducted their evaluation with patients and reported usability tests, while only three of them conducted clinical trials including one randomized clinical trial.ConclusionsThis review has shown that wearable systems are used mostly for the monitoring and provision of feedback on posture and upper extremity movements in stroke rehabilitation. The results indicated that accelerometers and IMUs are the most frequently used sensors, in most cases attached to the body through ad hoc contraptions for the purpose of improving range of motion and movement performance during upper body rehabilitation. Systems featuring sensors embedded in wearable appliances or garments are only beginning to emerge. Similarly, clinical evaluations are scarce and are further needed to provide evidence on effectiveness and pave the path towards implementation in clinical settings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Interactive wearable systems for upper body rehabilitation: a systematic review

Wang

Markopoulos

et al. 2017

J NeuroEngineering Rehabil

288

205

View full text Add to dashboard Cite

show abstract

“…In diesem Kontext hat sich das Themenfeld "serious gaming" etabliert. Spielerische Methoden und Konzepte zur Motivationsförderung werden für verschiedene Indikationen zielgruppenspezifisch entwickelt -die Therapie erfolgt durch den Einsatz eines Computerspiels, was eine motivierende, freudige Alternative zur konventionellen Therapie darstellen kann [19,[26][27][28]. Umsetzungsbeispiele geben [29][30][31][32][33].…”

Section: Sensor-gestützte Rehabilitationunclassified

Therapeutischer Effekt Sensor-gestützter Rehabilitationssysteme bei Schlaganfallpatienten

et al. 2016

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Zusammenfassung Hintergrund: Steigende Lebenserwartung im Kontext des demografischen Wandels sowie entwickelte Diagnose- und Versorgungsstrukturen f?hren zu abnehmenden Inzidenz- und Mortalit?tsraten, gleichzeitig jedoch zu h?herer Pr?valenz des Schlaganfalls in westlichen Industrienationen. Aktuelle Entwicklungen von Sensor-basierten Rehabilitationssystemen dienen als Erg?nzung zu konventionellen Verfahren. Die Erfassung von Bewegungsdaten sowie die Verarbeitung und Ausgabe der Daten als Nutzerfeedback erm?glichen die Konzeption neuer, motivierender Schlaganfall-Therapiekonzepte. Ziel der Arbeit: Dieser ?bersichtsartikel untersucht Sensor-gest?tzte Rehabilitationssysteme bez?glich ihres therapeutischen Effekts bei Schlaganfallpatienten. Dar?ber hinaus sollen die differente Systemarchitektur sowie deren Zielstellung vorgestellt werden. Dabei finden Interventionsdauer sowie H?ufigkeit und L?nge der Trainingseinheiten Ber?cksichtigung. Methoden: Nach Literaturrecherche wurden 10 Systeme eingeschlossen und differenziert analysiert. Der Effekt wurde ?ber das modifizierte Cohen?s d operationalisiert und zudem in prozentualer Relation zum maximalen Assessment Score sowie zum Ausgangswert berechnet. Ergebnisse: Die Erfassung von Bewegungsdaten erfolgt mit Inertialsensoren, optoelektronischen Systemen sowie 3D-Magnetometern. Im Mittel wurden 14?5,75 Probanden im Alter von 58,55?5,8 Jahren untersucht. Die Patienten waren 467,05?570,39 Tage post-stroke und trainierten ?ber einen Zeitraum von 4,75?3,23 Wochen, in 4,3?0,82 Einheiten pro Woche f?r jeweils 48?29,83?min. Es konnten kleine bis sehr gro?e Effekte (dmod=0,22?5,88) festgestellt werden. Diskussion: Schlaganfallpatienten profitieren in unterschiedlichen Phasen nach Apoplex vom jeweiligen Rehabilitationssystem. Es kann kein klarer Ursache-Wirkung Zusammenhang zwischen Dauer der Intervention sowie der Trainingseinheit und dem therapeutischen Effekt festgestellt werden. Systematische Untersuchungsans?tze hinsichtlich der optimalen Belastungsdosierung beim jeweiligen Patientenkollektiv stehen noch aus. Klinisch relevante motorische Funktionseinschr?nkungen bestehen noch Jahre nach dem Insult, was den langfristigen Therapiebedarf im h?uslichen Umfeld unterstreicht. Aus den Ergebnissen ergeben sich erste Ans?tze zur Beurteilung der Eignung der Sensor-gest?tzten Schlaganfallrehabilitation.

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“…Serious games have demonstrated transient effects and benefits towards elderly well-being. Games have been developed for both physical [3][4][5][6][7] and mental/cognitive well-being [8][9][10][11]. Although serious games can be a valuable option for prevention and rehabilitation, further research is needed to evaluate which settings support long-term motivation and engagement of older people in serious games [2].…”

Section: Introductionmentioning

confidence: 99%

Implementing Mobile Games into Care Services—Service Models for Finnish and Chinese Elderly Care

et al. 2019

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The purpose of this paper was to create service models for cognitively stimulating mobile games and incorporate them into Finnish and Chinese elderly care. The implementation involved the use of two different mobile games as part of the everyday lives of older adults in care homes in Finland (3 months) and China (6 months). Although a large number of publications examine serious games in elderly care, there are rather few publications related to the practical implementation within the elderly care processes. In general, rehabilitation orientated games should incorporate entertainment (motivation) and relevant therapeutic content (rehabilitation) in order to be effective. Regardless of the game design, successful implementation of the games in elderly care is paramount to benefit the end user. In this paper, two mobile games were investigated as a case study. To investigate the therapeutic content of the games, the game outcomes (game scores and time stamps) were automatically recorded to facilitate analysis of the participant’s progress during the trial. To investigate motivation, user feedback was collected through observation of the game trials and by interviewing the nursing staff and the participants (test group). The gaming service implementation was designed in collaboration with the nursing staff and researchers, according to an experimentation-driven approach, in which the service model ideas were tested by the professionals before piloting. In both countries, the players and the nursing staff found the games showed potential as self-managed rehabilitation tools. Other significant effects of gameplay were enhanced recreation and self-managed activity level. Despite cultural differences, the gaming experience was amazingly similar and improvements in game scores were also observed during the trial in both countries. The biggest difference between the pilots was the implementation process, which led to the development of two different service models that are reported in this paper. In Finland, the games were embedded into the care practices and the nursing staff were responsible for the piloting. In China, the games were independent of the care process and an external service provider (the researcher) managed the piloting. The findings imply that service design in different cultures should be carefully considered when implementing new digital services.

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Gamiﬁcation of Stroke Rehabilitation Exercises Using a Smartphone

Cited by 31 publications

References 6 publications

Interactive wearable systems for upper body rehabilitation: a systematic review

Interactive wearable systems for upper body rehabilitation: a systematic review

Therapeutischer Effekt Sensor-gestützter Rehabilitationssysteme bei Schlaganfallpatienten

Implementing Mobile Games into Care Services—Service Models for Finnish and Chinese Elderly Care

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