Computational Intelligence and Game Design for Effective At-Home Stroke Rehabilitation

Borghese, N. Alberto; Pirovano, Michele; Lanzi, Pier Luca; Wüest, Seline; Bruin, Eling D. de

doi:10.1089/g4h.2012.0073

Cited by 99 publications

(68 citation statements)

References 11 publications

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“…[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. An additional advantage of videogame-based programs is that they can be performed independently at home with minimal equipment.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, the rehabilitation program explicitly considered variable practice and individually tailored progression, hence keeping participants engaged and appropriately challenged. 18,23,24 In accordance with the phased iterative approach suggested by Campbell et al, 25 this article aims to evaluate (1) the usability of the rehabilitation program in terms of acceptance, adherence, and attrition and (2) the effect of the program on measures of balance and gait in untrained healthy elderly.…”

Section: Introductionmentioning

confidence: 99%

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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%

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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“…To design the exer-games we have started from the exercises defined by the therapists and built upon them suitable games that can guide the patient through the exercise [2]. A set of parameters are identified (e.g.…”

Section: Methodsmentioning

confidence: 99%

Game Engines and Exergames to Guide Rehabilitation at Home

Pirovano

Mainetti

Lanzi

et al. 2014

Biosystems &Amp; Biorobotics

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Abstract.Rehabilitation is now more costly than ever and novel solutions are needed to cope with such increasing costs. Exergames at home can be a viable solution, allowing the patients to exercise in the comfort of their own home while playing simple games. However, to provide all the functionalities that a traditional therapy would, an adequate architecture is needed: the exergames should provide, in addition to the game itself, monitoring, tracking, configuration, adaptation and motivation. We show how integrating computational intelligence inside a game engine, full gamification of rehabilitation sessions can be achieved.

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“…Interactive games for rehabilitation are, in fact, explicitly designed to increase the user's engagement and entertainment [12]. This is an important feature because different studies proved that a deep involvement of the patients during the rehabilitation process leads to a better and faster recovery [13].…”

Section: Introductionmentioning

confidence: 99%

A virtual reality system for strengthening awareness and participation in rehabilitation for post-stroke patients

Mottura

Fontana

Arlati

et al. 2015

J Multimodal User Interfaces

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This paper presents a system called REAPP, a virtual environment aiming at supporting upper-limb robotic neurorehabilitation for post-stroke patients. In the last few years different systems using either or both virtual environments and robots have been developed. However, such advanced systems often lack attention on the physical and psychological conditions perceived by the patient, who should be the key focus in therapies. In this context, REAPP aims not to be just an entertaining interface but also a means to investigate patients' feelings toward the therapy and to enhance their self-perception while performing the rehabilitation exercises. Before and after the rehabilitation session the patients are inquired about their emotional state, their physical condition and a self-evaluation of the performance is done. While performing the exercises patients look at a 2D/3D interface which has the aim of enhancing their self-awareness by showing them, through an avatar, the movements they are doing. Widgets and a virtual assistant provide additional feedback about the quality of the movements which is computed through a specifically developed B Stefano Mottura arm model that can be customized on the residual capabilities of each patient.

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Computational Intelligence and Game Design for Effective At-Home Stroke Rehabilitation

Cited by 99 publications

References 11 publications

Usability and Effects of an Exergame-Based Balance Training Program

Usability and Effects of an Exergame-Based Balance Training Program

Game Engines and Exergames to Guide Rehabilitation at Home

A virtual reality system for strengthening awareness and participation in rehabilitation for post-stroke patients

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