Serious games for upper limb rehabilitation: a systematic review

Proença, João; Quaresma, Cláudia; Vieira, Pedro

doi:10.1080/17483107.2017.1290702

Cited by 35 publications

(31 citation statements)

References 40 publications

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“…Researchers and clinicians can apply the findings of a scoping review to more astutely build on the current evidence base and address gaps in existing research. Although systematic reviews of serious games have been conducted within specific patient populations and health care settings [18][19][20][21], the evidence supporting serious games focused on health skills and behaviors among adults with chronic diseases have not been mapped systematically. This scoping review aimed to define the concepts applied to studies using serious games to improve the health of adults with chronic illnesses.…”

Section: Objectivementioning

confidence: 99%

Mapping Behavioral Health Serious Game Interventions for Adults With Chronic Illness: Scoping Review (Preprint)

Thomas¹,

Sivakumar²,

Babichenko³

et al. 2020

Preprint

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BACKGROUND Serious games for health are increasingly being used to address health outcomes in patients with chronic illnesses. These studies vary in their study designs, patient populations, frameworks, outcome variables, and degree of specificity of the serious game intervention. OBJECTIVE The purpose of this scoping review is to clarify the conceptual features of the existing research related to serious games designed to improve cognitive and behavioral outcomes in adults with chronic illness. METHODS We applied the Preferred Reporting Items of Systematic Reviews and Meta-Analysis for scoping reviews (PRISM-ScR) methodology including an a priori research question. We searched four electronic databases to identify articles published through November 2019. Inclusion criteria encompassed (1) adults age 18 years or older; (2) patients with a chronic illness diagnosis, (3) a serious game intervention; and (4) defined patient outcomes that assess patients’ behavioral, cognitive, and/or health outcomes. RESULTS Of the 3,305 articles identified, 38 studies are included in the review. We charted and analyzed the theoretical frameworks, key concepts, and outcome variables of these studies with summaries of features across articles. The majority of studies used a randomized controlled trial design (61%), included a custom serious game intervention (56%), and lacked a theoretical framework (66%). Common outcome variables included quality of life (42%), mood (39%), cognitive function (34%), symptoms (32%), and physical activity (24%). Key differences between studies included whether or not serious games were aiming to: train vs teach patients, be widely accessible vs tailored interventions, or replace vs complement current treatments. CONCLUSIONS This scoping review defines the current landscape of research in serious games for health research targeting behavioral and cognitive outcomes in adults with chronic disease. Studies address a variety of patient populations and diverse patient outcomes. Researchers wanting to build on the current research should integrate theoretical frameworks into the design of the intervention and trial to more clearly articulate the active ingredients and mechanisms of serious games. CLINICALTRIAL

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Section: Objectivementioning

confidence: 99%

Mapping Behavioral Health Serious Game Interventions for Adults With Chronic Illness: Scoping Review (Preprint)

Thomas¹,

Sivakumar²,

Babichenko³

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Therefore, the game must impart additional experiences to the user in addition to knowledge or skills. Although several serious games for rehabilitation have been developed [5,[8][9][10], there are still misunderstandings in spite of the systematic and standardized process for their creation. These misunderstandings cause the inadequate implementation of important elements such as specialist monitorization, motivation, game levels, and evaluation scales to objectively quantify the degree of the disability.…”

Section: Introductionmentioning

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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“…Such programs are considered to increase the patients' intention to rehabilitate and effectively recovers the physical abilities by reducing the rejection or boredom of treatment that patients may have [11]. Moreover, it can help users actively perform steady repetitive exercises, which are the most important in rehabilitation, by offering them a sense of reality beyond the limited user interface of the serious games, consisting of a keyboard, mouse, and specific buttons and sticks [12,13].…”

Section: Introduction 1backgroundmentioning

confidence: 99%

Detection of Movement Intention for Operating Methods of Serious Games

et al. 2021

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In many post-stroke cases, patients show dysfunctions in movement, cognition, sense, and language, depending on the damaged area of the brain. Active and repetitive physical rehabilitation centered on the stroke-affected side is essential for effective and rapid neurological recovery of upper extremity dysfunction due to hemiplegia. A symmetric upper extremity trainer is utilized to assist the patient body, depending upon the degree of hemiplegia. In this study, we developed a novel balance handle as a symmetric upper extremity trainer capable of extension, flexion, pronation, and supination of the upper extremity. We collected the surface electromyogram (sEMG) signal data while the subjects were playing a serious game and recorded the electroencephalogram (EEG) signal data while the subjects were performing basic movements with the balance handle, to analyze the effectiveness of the device as an assistive tool for rehabilitation. The triceps brachii were activated during the extension movements, whereas the biceps brachii and deltoid muscles were activated during the flexion movements. With the balance handle, the peak event-related desynchronization (ERD) values were relatively lower while showing higher peak event-related synchronization (ERS) values compared to other types of operating methods, such as hand gripping and gamepad operation. Movement intention of tilting the balance handle for the α and β waves was clearly distinguished from the other tasks. These data demonstrated the potential of various applications using the developed proof-of-concept upper extremity trainer to bring out an excellent rehabilitative effect not only through muscle growth but also via identification of large movement intentions inducing brain activation exercise.

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Serious games for upper limb rehabilitation: a systematic review

Cited by 35 publications

References 40 publications

Mapping Behavioral Health Serious Game Interventions for Adults With Chronic Illness: Scoping Review (Preprint)

Mapping Behavioral Health Serious Game Interventions for Adults With Chronic Illness: Scoping Review (Preprint)

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

Detection of Movement Intention for Operating Methods of Serious Games

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