Gamified platform for rehabilitation after total knee replacement surgery employing low cost and portable inertial measurement sensor node

Kontadakis, Gregory; Chasiouras, Dimitrios; Proimaki, Despoina; Halkiadakis, Manolis; Fyntikaki, Maria; Mania, Katerina

doi:10.1007/s11042-018-6572-6

Cited by 23 publications

(27 citation statements)

References 30 publications

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“…Another promising strategy of digital intervention design, gamification, has also been linked to increased user engagement [49,50]. In this study, participants' suggestions to incorporate leaderboards and collect rewards during the postoperative recovery process echo recent findings from adult and pediatric patients undergoing orthopedic, dental, and ophthalmic surgeries [51,52] and those concerning wider eHealth design [40,53]. The use of game-like rewards and incentives has been shown to motivate and sustain health habits over time [54,55].…”

Section: Principal Findingsmentioning

confidence: 62%

Designing the Optimal Digital Health Intervention for Patients’ Use Before and After Elective Orthopedic Surgery: Qualitative Study

Robinson¹,

Slight²,

Husband³

et al. 2021

J Med Internet Res

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Background Health behavior changes made by patients during the perioperative period can impact the outcomes and success of elective surgeries. However, there remains a limited understanding of how best to support patients during this time, particularly through the use of digital health interventions. Recognizing and understanding the potential unmet needs of elective orthopedic surgery patients is central to motivating healthier behavior change, improving recovery, and optimizing overall surgical success in the short and long term. Objective The aim of this study is to explore patient perspectives on technology features that would help support them to change their lifestyle behaviors during the pre- and postoperative periods, and that could potentially maintain long-term healthy lifestyles following recovery. Methods Semistructured interviews with pre- and postoperative elective orthopedic patients were conducted between May and June 2020 using telephone and video call–based software. Patient perspectives on the use of digital technologies to complement current surgical care and support with lifestyle behavior changes were discussed. Interviews were audio recorded and transcribed verbatim. Reflexive thematic analysis enabled the development of themes from the data, with QSR NVivo software (version 12) facilitating data management. Ethical approval was obtained from the National Health Service Health Research Authority. Results A total of 18 participants were interviewed. Four themes were developed from the data regarding the design and functionality of digital technologies to best support the perioperative journey. These center around an intervention’s ability to incorporate interactive, user-centered features; direct a descriptive and structured recovery; enable customizable, patient-controlled settings; and deliver both general and specific surgical advice in a timely manner. Interventions that are initiated preoperatively and continued postoperatively were perceived as beneficial. Interventions designed with personalized milestones were found to better guide patients through a structured recovery. Individualized tailoring of preparatory and recovery information was desired by patients with previously high levels of physical activity before surgery. The use of personalized progression-based exercises further encouraged physical recovery; game-like rewards and incentives were regarded as motivational for making and sustaining health behavior change. In-built video calling and messaging features offered connectivity with peers and clinicians for supported care delivery. Conclusions Specific intervention design and functionality features can provide better, structured support for elective orthopedic patients across the entire surgical journey and beyond. This study provides much-needed evidence relating to the optimal design and timing of digital interventions for elective orthopedic surgical patients. Findings from this study suggest a desire for personalized perioperative care, in turn, supporting patients to make health behavior changes to optimize surgical success. These findings should be used to influence future co-design projects to enable the design and implementation of patient-focused, tailored, and targeted digital health technologies within modern health care settings.

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Section: Principal Findingsmentioning

confidence: 62%

Designing the Optimal Digital Health Intervention for Patients’ Use Before and After Elective Orthopedic Surgery: Qualitative Study

Robinson¹,

Slight²,

Husband³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Van Der Straaten et al [10] gave systematic review to investigate the application of inertial sensor systems and kinematics obtained from systems in their study and to provide assessment to people with knee osteoarthritis and TKR. Kontadakis et al [11] introduced a gamified rehabilitation platform consisting of a mobile game and an IMU placed on a lower limb in order to capture its orientation in space in real-time for patients undergone TKR. Jones et al [6] attached IMUs on the lower limbs to objectively distinguish four rehabilitation exercises that were prescribed to osteoarthritis patients following TKR.…”

Section: Introductionmentioning

confidence: 99%

Monitoring and Assessment of Rehabilitation Progress on Range of Motion After Total Knee Replacement by Sensor-Based System

Huang

Liu

Hsu

et al. 2020

Sensors

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For total knee replacement (TKR) patients, rehabilitation after the surgery is key to regaining mobility. This study proposes a sensor-based system for effectively monitoring rehabilitation progress after TKR. The system comprises a hardware module consisting of the triaxial accelerometer and gyroscope, a microcontroller, and a Bluetooth module, and a software app for monitoring the motion of the knee joint. Three indices, namely the number of swings, the maximum knee flexion angle, and the duration of practice each time, were used as metrics to measure the knee rehabilitation progress. The proposed sensor device has advantages such as usability without spatiotemporal constraints and accuracy in monitoring the rehabilitation progress. The performance of the proposed system was compared with the measured range of motion of the Cybex isokinetic dynamometer (or Cybex) professional rehabilitation equipment, and the results revealed that the average absolute errors of the measured angles were between 1.65 • and 3.27 • for the TKR subjects, depending on the swing speed. Experimental results verified that the proposed system is effective and comparable with the professional equipment.

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“…The movement of the upper limbs was read using the IMU sensor. Research of [19] uses a low cost IMU sensor node in a game to increase patient motivation in healing knee surgery. The IMU sensor is placed on the patient's knee and monitored by a physiotherapist remotely.…”

Section: Related Workmentioning

confidence: 99%

Scouting Interactive Games for Scouts Based on Embodied Interaction Using Embedded System

Wibowo¹,

Cahyo²

2021

emitter

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Scouts is the scouting level after the cub scout aged 11-15 years old. In their age range, they can use logical thinking in the form of physical objects to solve a problem. The development of the Scout Movement has had ups and downs, and recently the number of children interest in scouting activities decreases. The impact is the scouting insight they get isn't optimal. One strategy to solve this problem is by developed forms, tools, and learning media of scouting. Game is one of the learning media that can be used to create effective learning. The educational game is a popular learning media and widely developed by experts, as well as in Indonesia. Unfortunately, in the field of scouting, educational games are less developed. In this research, the author will build an educational scouting game for scouts. In the scouts level, they began to be introduced about communication code, skills, natural recognition, and others. Games created using Embodied Interaction technology. This technology allows users to control the game using body movement. The purpose of this game is to increase the interest and insight of children on Scout activities. From the results of research that has been done, it can be seen that after playing the game, 95,7% of children thought it is exciting, and 87% of them became enthusiastic join scouting activity. Based on the results of the pre-test and post-test, scouting insight increased after playing the game with an average percentage of increased insight being 18.7%.

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Gamified platform for rehabilitation after total knee replacement surgery employing low cost and portable inertial measurement sensor node

Cited by 23 publications

References 30 publications

Designing the Optimal Digital Health Intervention for Patients’ Use Before and After Elective Orthopedic Surgery: Qualitative Study

Designing the Optimal Digital Health Intervention for Patients’ Use Before and After Elective Orthopedic Surgery: Qualitative Study

Monitoring and Assessment of Rehabilitation Progress on Range of Motion After Total Knee Replacement by Sensor-Based System

Scouting Interactive Games for Scouts Based on Embodied Interaction Using Embedded System

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