Design of an upper limbs rehabilitation videogame with sEMG and biocybernetic adaptation

Montoya, Maria F.; Muñoz, John Edison; Henao, Oscar

doi:10.1145/3364138.3364170

Cited by 6 publications

(2 citation statements)

References 15 publications

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“…In particular, we noticed that playtesting allowed a stronger relationship with patients with stroke, increasing their willingness to participate in future studies. Although other researchers have reported difficulty finding specific populations to be involved in studies [64,65], considering our final results, we highly recommend that research teams plan to conduct multiple playtests before conducting studies.…”

Section: Playtesting As a Tool For Iterative Designmentioning

confidence: 95%

Design of Virtual Reality Exergames for Upper Limb Stroke Rehabilitation Following Iterative Design Methods: Usability Study

Villada Castillo,

Montoya Vega,

Muñoz Cardona

et al. 2024

JMIR Serious Games

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Background Since the early 2000s, there has been a growing interest in using exercise video games (exergames) and virtual reality (VR)–based interventions as innovative methods to enhance physical rehabilitation for individuals with multiple disabilities. Over the past decade, researchers and exercise professionals have focused on developing specialized immersive exercise video games for various populations, including those who have experienced a stroke, revealing tangible benefits for upper limb rehabilitation. However, it is necessary to develop highly engaging, personalized games that can facilitate the creation of experiences aligned with the preferences, motivations, and challenges communicated by people who have had an episode of stroke. Objective This study seeks to explore the customization potential of an exergame for individuals who have undergone a stroke, concurrently evaluating its usability as a technological tool in the realm of physical therapy and rehabilitation. Methods We introduce a playtest methodology to enhance the design of a VR exergame developed using a user-centered approach for upper limb rehabilitation in stroke survivors. Over 4 playtesting sessions, stroke survivors interacted with initial game versions using VR headsets, providing essential feedback for refining game content and mechanics. Additionally, a pilot study involving 10 stroke survivors collected data through VR-related questionnaires to assess game design aspects such as mechanics, assistance, experience, motion sickness, and immersion. Results The playtest methodology was beneficial for improving the exergame to align with user needs, consistently incorporating their perspectives and achieving noteworthy results. The pilot study revealed that users had a positive response. In the first scenario, a carpenter presents a game based on the flexion-extension movement of the elbow; the second scenario includes a tejo game (a traditional Colombian throwing game) designed around game mechanics related to the flexion-extension movement of the shoulder; and in the third scenario, a farmer challenges the player to perform a movement combining elbow flexion and extension with internal and external rotation of the shoulder. These findings suggest the potential of the studied exergame as a tool for the upper limb rehabilitation of individuals who have experienced a stroke. Conclusions The inclusion of exergames in rehabilitation for stroke-induced hemiparesis has significantly benefited the recovery process by focusing on essential shoulder and elbow movements. These interactive games play a crucial role in helping users regain mobility and restore practical use of affected limbs. They also serve as valuable data sources for researchers, improving the system’s responsiveness. This iterative approach enhances game design and markedly boosts user satisfaction, suggesting exergames have promising potential as adjunctive elements in traditional therapeutic approaches.

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Section: Playtesting As a Tool For Iterative Designmentioning

confidence: 95%

Design of Virtual Reality Exergames for Upper Limb Stroke Rehabilitation Following Iterative Design Methods: Usability Study

Villada Castillo,

Montoya Vega,

Muñoz Cardona

et al. 2024

JMIR Serious Games

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“…The Elemental Tetrad (Schell, 2008) is a leading game design framework, well-established both in academy and in industry. The framework has also been proven useful for practice, with recent applications by Villac ıs et al (2016), Veeningen (2018) and Montoya et al (2019), among Serious games in business process management others. Schell (2008) describes a game in terms of four characteristics that define the Elemental Tetrad: mechanics, story, aesthetics and technology.…”

Section: Serious Games Designmentioning

confidence: 99%

Serious games in business process management: a systematic literature review

LEITÃO

Navarro

Cameira

et al. 2021

BPMJ

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PurposeThis study conducts a systematic literature review (SLR) on serious games in the BPM domain, in order to answer: RQ1 – what are BPM games' learning objectives and design characteristics? RQ2 – How rigorously each BPM game was evaluated in terms of their effectiveness and entertainment?.Design/methodology/approachWe followed the PRISMA statement method and systematic literature review standards. Selected studies were analyzed using qualitative evidence synthesis.FindingsWe found 37 references that describe 15 serious games within the BPM domain. Games are diverse, ranging from analog games that need a few hours to complete to complex digital games that require many sessions. Game evaluation should be generally improved as 27 publications can be considered as quasi-experimental or nonexperimental and potentially biased.Research limitations/implicationsFuture research should focus on developing new games about process implementation and using other notations besides BPMN. More studies testing the reliability and validity of existing games in different settings and using more rigorous experimental designs are also necessary. Practitioners can identify thoroughly evaluated games relevant to their learning objectives.Originality/valueThis is the first SLR about BPM games. It consolidates the literature, analyzes, describes and categorizes 15 games with respect to their internal characteristics and evaluation reliability.

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Fatigue-aware videogame using biocybernetic adaptation: a pilot study for upper-limb rehabilitation with sEMG

Montoya

Muñoz²,

Henao³

2021

Virtual Reality

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Design of an upper limbs rehabilitation videogame with sEMG and biocybernetic adaptation

Cited by 6 publications

References 15 publications

Design of Virtual Reality Exergames for Upper Limb Stroke Rehabilitation Following Iterative Design Methods: Usability Study

Design of Virtual Reality Exergames for Upper Limb Stroke Rehabilitation Following Iterative Design Methods: Usability Study

Serious games in business process management: a systematic literature review

Fatigue-aware videogame using biocybernetic adaptation: a pilot study for upper-limb rehabilitation with sEMG

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