A Virtual Reality based Training and Assessment System for Hand Rehabilitation

Liu, Siyuan; Meng, Deyuan; Cheng, Long; Huang, Fubiao

doi:10.1109/icicip.2018.8606705

Cited by 9 publications

(2 citation statements)

References 17 publications

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“…Input systems for the real-time capture of the patient's hand and finger movements presented in the literature range from haptic devices such as joysticks [19], robots that allow the fingers to be moved in a targeted manner [20], data gloves [21][22] or wearable inertial tracking devices [23] to optical tracking systems with either externally placed cameras such as the Nintendo Wii [24], or low-cost camera-based tracking systems, e.g. the Leap Motion controller that can be used stationary in front of a screen [25][26] or mounted onto a VR HMD.…”

Section: Serious Games For Health Regarding Hand Rehabilitationmentioning

confidence: 99%

A Virtual Reality Serious Game for the Rehabilitation of Hand and Finger Function: Iterative Development and Suitability Study

Bressler,

Merk,

Gohlke

et al. 2024

JMIR Serious Games

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Background: Restoring hand and finger function after a traumatic hand injury necessitates a regimen of consistent and conscientious exercise. However, motivation frequently wanes due to unchallenging repetitive tasks or discomfort, causing exercises to be performed carelessly or not at all. Introducing gamification to these repetitive tasks can enhance their appeal to patients, ultimately boosting their motivation for consistent exercise performance.Objective: This study aimed to iteratively develop a serious virtual reality game for hand and finger rehabilitation within an appealing and engaging digital environment, encouraging patient motivation for at least two weeks of continuous therapy. Methods:The development process comprised three distinct stages, each of which was subject to evaluation. Initially, a prototype was created to encompass the game's core functionalities, which was assessed by 18 healthy participants and 7 patients with impaired hand function. Subsequently, Version 1 of the game was developed and evaluated with 20 patients who were divided into an investigation group and a control group. Based on these findings, Version 2 was developed and evaluated with 20 patients divided into an investigation and a control group. Motivation was assessed using the Intrinsic Motivation Inventory (IMI) while the application's quality was rated using the Mobile Application Rating Scale (MARS) and the System Usability Scale (SUS). User feedback was gathered using semi-structured interviews. Results:The prototype evaluation confirmed the acceptance and feasibility of the game design. Version 1 significantly increased motivation in two IMI subscales, effort (p<.001) and usefulness (p=.015). In Version 2, a significant increase in daily performed exercises was achieved (p=.008) compared to Version 1, with significantly higher motivation in the IMI subscale effort (p=.022). High MARS scores were obtained for both Versions 1 and 2, with Version 2 scoring 86.9 on the SUS, indicating excellent acceptability. User feedback provided by the semi-structured interviews was instrumental in the iterative development regarding improvements and the expansion of the playable content. Conclusions:This study presented a virtual reality serious game designed for hand and finger rehabilitation. The game was well received and provided an environment that effectively motivated the users. The iterative development process incorporated user feedback confirming the game's ease of use and feasibility, even for patients with severely limited hand function.

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Section: Serious Games For Health Regarding Hand Rehabilitationmentioning

confidence: 99%

A Virtual Reality Serious Game for the Rehabilitation of Hand and Finger Function: Iterative Development and Suitability Study

Bressler,

Merk,

Gohlke

et al. 2024

JMIR Serious Games

View full text Add to dashboard Cite

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“…Additionally, there are more complicated and time-consuming approaches identified in this category, including developments of exoskeleton robotic devices that focus on specific parts of the hand. These are studies in which robotic gloves were developed to control the fingers [35,42,61,79,[150][151][152][153][154][155][156], and in which robotic arms were created to cover the surface from the shoulder to the wrist [4][5][6][7][8][9][10][11]48,49,110,139,[157][158][159][160][161]. Additionally, many research teams have focused on the development of a handle to obtain control of the arm force and movement [12,56,135,[162][163][164][165][166][167][168][169][170][171][172][173] or similar robotics [174][175][176]…”

Section: Hardware Developmentmentioning

confidence: 99%

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review

Koutsiana¹,

Ladakis²,

Fotopoulos³

et al. 2020

JMIR Serious Games

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Background: Serious gaming has increasingly gained attention as a potential new component in clinical practice. Specifically, its use in the rehabilitation of motor dysfunctions has been intensively researched during the past three decades. Objective: The aim of this scoping review was to evaluate the current role of serious games in upper extremity rehabilitation, and to identify common methods and practice as well as technology patterns. This objective was approached via the exploration of published research efforts over time. Methods: The literature search, using the PubMed and Scopus databases, included articles published from 1999 to 2019. The eligibility criteria were (i) any form of game-based arm rehabilitation; (ii) published in a peer-reviewed journal or conference; (iii) introduce a game in an electronic format; (iv) published in English; and (v) not a review, meta-analysis, or conference abstract. The search strategy identified 169 relevant articles. Results: The results indicated an increasing research trend in the domain of serious gaming deployment in upper extremity rehabilitation. Furthermore, differences regarding the number of publications and the game approach were noted between studies that used commercial devices in their rehabilitation systems and those that proposed a custom-made robotic arm, glove, or other devices for the connection and interaction with the game platform. A particularly relevant observation concerns the evaluation of the introduced systems. Although one-third of the studies evaluated their implementations with patients, in most cases, there is the need for a larger number of participants and better testing of the rehabilitation scheme efficiency over time. Most of the studies that included some form of assessment for the introduced rehabilitation game mentioned user experience as one of the factors considered for evaluation of the system. Besides user experience assessment, the most common evaluation method involving patients was the use of standard medical tests. Finally, a few studies attempted to extract game features to introduce quantitative measurements for the evaluation of patient improvement. Conclusions: This paper presents an overview of a significant research topic and highlights the current state of the field. Despite extensive attempts for the development of gamified rehabilitation systems, there is no definite answer as to whether a serious game is a favorable means for upper extremity functionality improvement; however, this certainly constitutes a supplementary means for motivation. The development of a unified performance quantification framework and more extensive experiments could generate richer evidence and contribute toward this direction.

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Smart Gaming System for Hand Rehabilitation

Elona,

Jayasree

2024

Communications in Computer and Information Science

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A Virtual Reality based Training and Assessment System for Hand Rehabilitation

Cited by 9 publications

References 17 publications

A Virtual Reality Serious Game for the Rehabilitation of Hand and Finger Function: Iterative Development and Suitability Study

A Virtual Reality Serious Game for the Rehabilitation of Hand and Finger Function: Iterative Development and Suitability Study

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review

Smart Gaming System for Hand Rehabilitation

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