Integrative motor, emotive and cognitive therapy for elderly patients chronic post-stroke A feasibility study of the BrightArm&amp;#x2122; rehabilitation system

Rabin, Bryan; Burdea, Grigore; Hundal, Jasdeep; Roll, Doru; Damiani, Frank

doi:10.1109/icvr.2011.5971852

Cited by 15 publications

(15 citation statements)

References 25 publications

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“…They use difficulty adaptation strategies which depend on game characteristics and generally lack reusability. Furthermore, although most studies on rehabilitation games have attempted to show their usability (Rabin et al , 2011) and acceptability (Annett et al, 2009;Pirovano et al, 2012), they have failed to consider the effect of the difficulty strategy on patient performance.…”

Section: Introductionmentioning

confidence: 99%

Adaptation in serious games for upper-limb rehabilitation: an approach to improve training outcomes

Hocine

Gouaïch

Cerri

et al. 2015

User Model User-Adap Inter

105

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In this paper, we propose a game adaptation technique that seeks to improve the training outcomes of stroke patients during a therapeutic session. This technique involves the generation of customized game levels, which difficulty is dynamically adjusted to the patients' abilities and performance. Our goal was to evaluate the effect of this adaptation strategy on the training outcomes of post-stroke patients during a therapeutic session. We hypothesized that a dynamic difficulty adaptation strategy would have a more positive effect on the training outcomes of patients than two control strategies, incremental difficulty adaptation and random difficulty adaptation. To test these strategies, we developed three versions of PRehab, a serious game for upper-limb rehabilitation. Seven stroke patients and three therapists participated in the experiment, and played all three versions of the game on a graphics tablet. The results of the experiment show that our dynamic adaptation technique increases movement amplitude during a therapeutic session. This finding may serve as a basis to improve patient recovery.

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Section: Introductionmentioning

confidence: 99%

Adaptation in serious games for upper-limb rehabilitation: an approach to improve training outcomes

Hocine

Gouaïch

Cerri

et al. 2015

User Model User-Adap Inter

105

View full text Add to dashboard Cite

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“…Indeed, most studies attempted to show the utility of the game in increasing the training outcomes (e.g. motor control and shoulder/grasp strength) [8] as well as its usability and acceptability [10]. Only few works, namely Cameirao et al [9], evaluated the effect of difficulty adaptation on patients' training outcomes but without considering their fatigue and motivation.…”

Section: Related Workmentioning

confidence: 99%

“…However, as stroke patients performance can highly vary depending on their daily health conditions, this model should also be evaluated by including stroke patients' performance. In these studies, the adaptation inputs are mainly (i) the player's performance such as his/her final score [10], movement accuracy, range of motion and latency [9], reached zone, wrist weight and grasp pressure [8] as well as (ii) biomechanical measurements such as mean frequency of the position and force of signal [11]. Indeed, most difficulty adaptation techniques in upper-limb rehabilitation games are inspired by motor learning theories.…”

Section: Related Workmentioning

confidence: 99%

“…For instance, Rabin et al [8] propose a technique for difficulty adaptation based on an assessment exercise of the player's function that is carried out at the start of each game session. The inputs for adaptation are: the reached zone, wrist weight, grasp pressure and session date.…”

Section: Related Workmentioning

confidence: 99%

“…The online difficulty adaptation approach has got the interest of many researchers in rehabilitation games [8] [9] [10] [11]. This approach consists in automatically adapting the game in real-time to maintain patient's motivation on the one hand.…”

Section: Related Workmentioning

confidence: 99%

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Dynamic Difficulty Adaptation in Serious Games for Motor Rehabilitation

Hocine

Gouaïch

Cerri

2014

Games for Training, Education, Health and Sports

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Abstract. In the last few years, a growing interest has been devoted to improve rehabilitation strategies by including serious games in the therapy process. Adaptive serious games seek to provide the patients with an individualized rehabilitation environment that meets their training needs. In this paper, a dynamic difficulty adaptation (DDA) technique is suggested. This technique focuses on the online adaptation of the game difficulty by taking into account patients' abilities and motivation. The results of the experiment show that the adaptation technique increases the number of tasks, number of successful tasks as well as the movement amplitude during a game session. The technique positively effects the training outcomes of stroke patients, which can help them to recover their functions.

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