Optimising engagement for stroke rehabilitation using serious games

Burke, James; McNeill, Michael; Charles, Darryl; Morrow, Philip; Crosbie, Jacqui; McDonough, Suzanne

doi:10.1007/s00371-009-0387-4

Cited by 543 publications

(424 citation statements)

References 12 publications

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“…Virtual reality can be used to provide engaging scenarios and improve adherence to therapy. [13][14][15][16][17] Videogames are most practical and effective in rehabilitation when they have been specifically designed for therapy purposes. [18][19][20] Given the importance of gait recovery post-stroke, games should be aimed towards walking recovery.…”

Section: Introductionmentioning

confidence: 99%

Usability and Effects of an Exergame-Based Balance Training Program

Wüest

Borghese

Pirovano

et al. 2014

Games for Health Journal

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Background: Post-stroke recovery benefits from structured, intense, challenging, and repetitive therapy. Exergames have emerged as promising to achieve sustained therapy practice and patient motivation. This study assessed the usability and effects of exergames on balance and gait. Subjects and Methods: Sixteen elderly participants were provided with the study intervention based on five newly developed exergames. The participants were required to attend 36 training sessions; lasting for 20 minutes each. Adherence, attrition and acceptance were assessed together with (1) Berg Balance Scale, (2) 7-m Timed Up and Go, (3) Short Physical Performance Battery, (4) force platform stance tests, and (5) gait analysis. Results: Thirteen participants completed the study (18.8 percent attrition), without missing a single training session (100 percent adherence). Participants showed high acceptance of the intervention. Only minor adaptations in the program were needed based on the users' feedback. No changes in center of pressure area during quiet stance on both stable and unstable surfaces and no changes of walking parameters were detected. Scores for the Berg Balance Scale (P = 0.007; r = 0.51), the 7-m Timed Up and Go (P = 0.002; r = 0.56), and the Short Physical Performance Battery (P = 0.013; r = 0.48) increased significantly with moderate to large effect sizes. Conclusion: Participants evaluated the usability of the virtual reality training intervention positively. Results indicate that the intervention improves gait-and balance-related physical performance measures in untrained elderly. The present results warrant a clinical explorative study investigating the usability and effectiveness of the exergame-based program in stroke patients.

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Section: Introductionmentioning

confidence: 99%

Usability and Effects of an Exergame-Based Balance Training Program

Wüest

Borghese

Pirovano

et al. 2014

Games for Health Journal

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“…Otherwise it risks becoming boring within the span of one session [1] or too hard and disengage patients as neuropsychological tests do [39]. However, games need to adapt challenge gently as patients can interpret abrupt changes in challenge as aggressive behaviour towards them [7] as they might perceive the system as a person or actor e.g. as a pushy therapist.…”

Section: Related Workmentioning

confidence: 99%

“…We paid particular attention to both feedback of in-game actions and session performance and game challenge [7]. The tests informed design choices such as target expiry times, their placement, tactual recognition field size, and audio-visual stimuli during game-play, both for spawning and feedback when hitting them.…”

Section: Designmentioning

confidence: 99%

Self-rehabilitation of acquired brain injury patients including neglect and attention deficit disorder with a tablet game in a clinical setting

Knoche¹,

Hald²,

Richter³

et al. 2017

EAI Endorsed Trans Perv Health Tech

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We designed and evaluated a whack-a-mole (WAM) style game (see Figure 1) in a clinical randomized controlled trial (RCT) with reminder-assisted but self-initiated use over the period of a month with 43 participants from a post-lesion pool. While game play did not moderate rehabilitative progress indices of standard neuropsychological control tests, it did significantly improve in-game performance when compared to the control group. Its performance indicators and interaction data were highly accurate in predicting neglect and which hand the patients used for input. Patients found playing beneficial to their rehabilitation and attributed gains in the attention training properties of the game. The game showed potential for bedside assessment, insight support, and motivation by providing knowledge about rehabilitative progress.

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“…The new technologies, such as virtual reality (VR), may offer the possibility of providing pro-grams of simpler exercises for children to pursue in-dependently (Burke et al 2009). …”

Section: New Technologies On Rehabilitationmentioning

confidence: 99%