BackgroundPatients who receive rehabilitation after hip replacement surgery are shown to have increased muscle strength and better functional performance. However, traditional physiotherapy is often tedious and leads to poor adherence. Exercise games, provide ways for increasing the engagement of elderly patients and increase the uptake of rehabilitation exercises.ObjectiveThe objective of this study was to evaluate Fietsgame (Dutch for cycling game), which translates existing rehabilitation exercises into fun exercise games. The system connects exercise games with a patient’s personal record and a therapist interface by an Internet of Things server. Thus, both the patient and physiotherapist can monitor the patient’s medical status.MethodsThis paper describes a pilot study that evaluates the usability of the Fietsgame. The study was conducted in a rehabilitation center with 9 participants, including 2 physiotherapists and 7 patients. The patients were asked to play 6 exercise games, each lasting about 5 min, under the guidance of a physiotherapist. The mean age of the patients was 74.57 years (standard deviation [SD] 8.28); all the patients were in the recovery process after hip surgery. Surveys were developed to quantitatively measure the usability factors, including presence, enjoyment, pain, exertion, and technology acceptance. Comments on advantages and suggested improvements of our game system provided by the physiotherapists and patients were summarized and their implications were discussed.ResultsThe results showed that after successfully playing the games, 75% to 100% of the patients experienced high levels of enjoyment in all the games except the squats game. Patients reported the highest level of exertion in squats when compared with other exercise games. Lunges resulted in the highest dropout rate (43%) due to interference with the Kinect v2 from support chairs. All the patients (100%) found the game system useful and easy to use, felt that it would be a useful tool in their further rehabilitation, and expressed that they would like to use the game in the future. The therapists indicated that the exercise games highly meet the criteria of motor rehabilitation, and they intend to continue using the game as part of their rehabilitation treatment of patients. Comments from the patients and physiotherapists suggest that real-time corrective feedback when patients perform the exercises wrongly and a more personalized user interface with options for increasing or decreasing cognitive load are needed.ConclusionsThe results suggest that Fietsgame can be used as an alternative tool to traditional motor rehabilitation for patients with hip surgery. Lunges and squats are found to be more beneficial for patients who have relatively better balance skills. A follow-up randomized controlled study will be conducted to test the effectiveness of the Fietsgame to investigate how motivating it is over a longer period of time.
This article provides a comprehensive overview of artificial intelligence (AI) for serious games. Reporting about the work of a European flagship project on serious game technologies, it presents a set of advanced game AI components that enable pedagogical affordances and that can be easily reused across a wide diversity of game engines and game platforms. Serious game AI functionalities include player modelling (realtime facial emotion recognition, automated difficulty adaptation, stealth assessment), natural language processing (sentiment analysis and essay scoring on free texts), and believable non-playing characters (emotional and socio-cultural, non-verbal bodily motion, and lip-synchronised speech), respectively. The reuse of these components enables game developers to develop high quality serious games at reduced costs and in shorter periods of time. All these components are open source software and can be freely downloaded from the newly launched portal at gamecomponents.eu. The components come with detailed installation manuals and tutorial videos. All components have been applied and validated in serious games that were tested with real end-users.
We present a procedural audio‐driven speech animation method for interactive virtual characters. Given any audio with its respective speech transcript, we automatically generate lip‐synchronized speech animation that could drive any three‐dimensional virtual character. The realism of the animation is enhanced by studying the emotional features of the audio signal and its effect on mouth movements. We also propose a coarticulation model that takes into account various linguistic rules. The generated animation is configurable by the user by modifying the control parameters, such as viseme types, intensities, and coarticulation curves. We compare our approach against two lip‐synchronized speech animation generators. Our results show that our method surpasses them in terms of user preference.
3D virtual humans and physical human-like robots can be used to interact with people in a remote location in order to increase the feeling of presence. In a telepresence setup, their behaviors are driven by real participants. We envision that in the absence of the real users, when they have to leave or they do not want to do a repetitive task, the control of the robots can be handed to an artificial intelligence component to sustain the ongoing interaction. At the point when human-mediated interaction is required again, control can be returned to the real users. One of the main challenges in telepresence research is the adaptation of 3D position and orientation of the remote participants to the actual physical environment to have appropriate eye contact and gesture awareness in a group conversation. In case the human behind the robot and/or virtual human leaves, multi-party interaction should be handed to an artificial intelligence component. In this paper, we discuss the challenges in autonomous multi-party interaction among virtual characters, humanlike robots, and real participants, and describe a prototype system to study these challenges.
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