PROGame: A process framework for serious game development for motor rehabilitation therapy

Alcover, Esperança Amengual; Jaume-i-Capó, Antoni; Moyà-Alcover, Biel

doi:10.1371/journal.pone.0197383

Cited by 33 publications

(72 citation statements)

References 21 publications

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“…We therefore started to model and evaluate different visual feedback on speed, and their effects on patients’ walking performance. We have also started the development of a serious game using a process framework that involves a multidisciplinary team and is inspired by existing methodologies [ 53 , 54 ]. This serious game includes sprint training sessions and adaptive feedback.…”

Section: Discussionmentioning

confidence: 99%

Validity of Hololens Augmented Reality Head Mounted Display for Measuring Gait Parameters in Healthy Adults and Children with Cerebral Palsy

Guinet

Bouyer

Otmane

et al. 2021

Sensors

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Serious games are a promising approach to improve gait rehabilitation for people with gait disorders. Combined with wearable augmented reality headset, serious games for gait rehabilitation in a clinical setting can be envisaged, allowing to evolve in a real environment and provide fun and feedback to enhance patient’s motivation. This requires a method to obtain accurate information on the spatiotemporal gait parameters of the playing patient. To this end, we propose a new algorithm called HoloStep that computes spatiotemporal gait parameters using only the head pose provided by an augmented reality headset (Hololens). It is based on the detection of peaks associated to initial contact event, and uses a combination of locking distance, locking time, peak amplitude detection with custom thresholds for children with CP. The performance of HoloStep was compared during a walking session at comfortable speed to Zeni’s reference algorithm, which is based on kinematics and a full 3D motion capture system. Our study included 62 children with cerebral palsy (CP), classified according to Gross Motor Function Classification System (GMFCS) between levels I and III, and 13 healthy participants (HP). Metrics such as sensitivity, specificity, accuracy and precision for step detection with HoloStep were above 96%. The Intra-Class Coefficient between steps length calculated with HoloStep and the reference was 0.92 (GMFCS I), 0.86 (GMFCS II/III) and 0.78 (HP). HoloStep demonstrated good performance when applied to a wide range of gait patterns, including children with CP using walking aids. Findings provide important insights for future gait intervention using augmented reality games for children with CP.

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Section: Discussionmentioning

confidence: 99%

Validity of Hololens Augmented Reality Head Mounted Display for Measuring Gait Parameters in Healthy Adults and Children with Cerebral Palsy

Guinet

Bouyer

Otmane

et al. 2021

Sensors

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“…As can be seen, the majority of proposed serious game frameworks target physical rehabilitation only [1,6,8,18,25,27,35,46]. Several of these [1,8,25,27,35] construct a player profile by investigating player's characteristics pertaining to the rehabilitative context.…”

Section: Comparison Of Mci-gate Against Existing Rehabilitative Serious Game Frameworkmentioning

confidence: 99%

“…In terms of therapeutic elements, most of the physical rehabilitation frameworks [1,6,8,18,27,46] embed these within a game scenario and mechanics to enable the player to undergo the therapeutic tasks within the range of their capabilities. For example, the frameworks in [1,18,27,46] target upper limbs, the full body rehabilitation framework [8] targets full body exercises, upper limb to lower limb (plank walk, single stance, and hand and fingers interaction), and PROGame [6] incorporates an interaction mechanism for postural control. The remaining frameworks [25,35] do not take therapeutic elements into account and thus have no specific means to provide a specific rehabilitative context which leads to insufficient support The physical rehabilitation frameworks tend not to demonstrate a systematic approach to providing the substantial core gaming and motivational elements to support the player.…”

Section: Comparison Of Mci-gate Against Existing Rehabilitative Serious Game Frameworkmentioning

confidence: 99%

“…The full body rehabilitation game [8] features only a limited number of basic core gaming and motivational elements, such as obstacles and simple geometric forms as game objects, so that the player can carry out the designated postures, and points and time limits to motivate them to continue with the exercises. PROGame [6] demonstrates player's movements in an interaction module where the controllability occurs for the player to interact with the game object. The notable motivational element for the player is visual and auditory feedback which proved insufficient during validation, and therefore was augmented with an ability to change the appearance of the objects to use images displaying themes of particular interest to each patient.…”

Section: Comparison Of Mci-gate Against Existing Rehabilitative Serious Game Frameworkmentioning

confidence: 99%

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A framework and immersive serious game for mild cognitive impairment

Lau

Agius

2021

Multimed Tools Appl

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Cognitive decline is common in the elderly. As a result, a range of cognitive rehabilitation games have been proposed to supplement or replace traditional rehabilitative training by offering benefits such as improved engagement. In this paper, we focus on mild cognitive impairment (MCI), an initial stage of cognitive decline that does not affect functioning in daily life, but which may progress towards more serious cognitive deteriorations, notably dementia. Unfortunately, while a variety of serious game frameworks and rehabilitative serious games have been proposed, there is a distinct lack of those which support the distinctive characteristics of MCI patients. Consequently, to optimise the advantages of serious games for MCI, we propose the MCI-GaTE (MCI-Game Therapy Experience) framework that may be used to develop serious games as effective cognitive and physical rehabilitation tools. The framework is derived from a combination of a survey of related research literature in the area, analysis of resident profiles from a nursing home, and in-depth interviews with occupational therapists (OTs) who work with MCI patients on a daily basis. The conceptual framework comprises four sectors that may be used to guide game design and development: an MCI player profile that represents the capabilities of a player with MCI, core gaming elements that support gameful and playful activities, therapeutic elements that support cognitive and physical rehabilitation through tasks and scenarios according to the player’s abilities, and motivational elements to enhance the player’s attitude towards the serious tasks. Together, they provide support for rehabilitation needs and may also serve as a set of comprehensive and established criteria by which an MCI serious game may be evaluated. To demonstrate the use of MCI-GaTE, we also present A-go!, an immersive gesture-based serious game that exploits the framework to enable MCI-diagnosed players to undertake therapeutic tasks supported by an assigned OT. Evaluation with OTs revealed that the immersive game potentially offers more effective support to MCI patients than traditional methods, contributing new possibilities for enhancing MCI rehabilitative training, while a comparative assessment of MCI-GaTE demonstrated that it provides a comprehensive approach not currently offered by state-of-the-art rehabilitative frameworks.

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“…The following papers were obtained when reviewing the existing literature. Amengual et al [12] proposed a system based on a two-dimension (activities and incremental development) iterative process. It consists of 4 phases: project initiation, interaction elements, serious games, and evaluation.…”

Section: Related Workmentioning

confidence: 99%

Standardizing the Development of Serious Games for Physical Rehabilitation: Conceptual Framework Proposal

Beristain-Colorado¹,

Ambros-Antemate²,

Vargas-Treviño³

et al. 2021

JMIR Serious Games

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Background Serious games have been used as supportive therapy for traditional rehabilitation. However, most are designed without a systematic process to guide their development from the phases of requirement identification, planning, design, construction, and evaluation, which reflect the lack of adaptation of rehabilitation requirements and thus the patient’s needs. Objective The aim of this study was to propose a conceptual framework with standardized elements for the development of information systems by using a flexible and an adaptable process centered on the patient’s needs and focused on the creation of serious games for physical rehabilitation. Methods The conceptual framework is based on 3 fundamental concepts: (1) user-centered design, which is an iterative design process focused on users and their needs at each phase of the process, (2) generic structural activities of software engineering, which guides the independent development process regardless of the complexity or size of the problem, and (3) gamification elements, which allow the transformation of obstacles into positive and fun reinforcements, thereby encouraging patients in their rehabilitation process. Results We propose a conceptual framework to guide the development of serious games through a systematic process by using an iterative and incremental process applying the phases of context identification, user requirements, planning, design, construction of the interaction devices and video game, and evaluation. Conclusions This proposed framework will provide developers of serious games a systematic process with standardized elements for the development of flexible and adaptable software with a high level of patient commitment, which will effectively contribute to their rehabilitation process.

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PROGame: A process framework for serious game development for motor rehabilitation therapy

Cited by 33 publications

References 21 publications

Validity of Hololens Augmented Reality Head Mounted Display for Measuring Gait Parameters in Healthy Adults and Children with Cerebral Palsy

Validity of Hololens Augmented Reality Head Mounted Display for Measuring Gait Parameters in Healthy Adults and Children with Cerebral Palsy

A framework and immersive serious game for mild cognitive impairment

Standardizing the Development of Serious Games for Physical Rehabilitation: Conceptual Framework Proposal

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