Effect of a Kinect-Based Exercise Game on Improving Executive Cognitive Performance in Community-Dwelling Elderly: Case Control Study

Kayama, Hiroki; Okamoto, Kazuya; Nishiguchi, Shu; Yamada, Minoru; Kuroda, Tomohiro; Aoyama, Tomoki

doi:10.2196/jmir.3108

Cited by 89 publications

(83 citation statements)

References 23 publications

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“…Preliminary findings from healthy participants indeed suggest that cognitive training with Kinect ® leads to larger sensitivity in game performance than standard keyboard training [63]. Similarly, Kayama et al [64] showed greater transfer of cognitive benefits in community-dwelling older adults receiving a boost of cognitive exergames in addition to standard physical training alone. Here we designed an elaborate and comprehensive platform directly targeting EF.…”

Section: Discussionmentioning

confidence: 89%

Motion-based virtual reality cognitive training targeting executive functions in acquired brain injury community-dwelling individuals: A feasibility and initial efficacy pilot

Shochat¹,

Maoz²,

Stark‐Inbar³

et al. 2017

2017 International Conference on Virtual Rehabilitation (ICVR)

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Acquired brain injury (ABI) is a leading cause of long-term cognitive disability, often involving deficits in executive functions (EF). ABI patients usually stop receiving cognitive treatment when leaving the rehabilitation facility or shortly thereafter, due to the high cost of therapy sessions and the mobility requirement to access therapy. Software solutions offer a promising tool for accessible and affordable cognitive rehabilitation in the home environment. However, research provides limited evidence for effective transfer of benefits from computerized cognitive training to real-life functions. Virtual reality (VR) exergames using motion-interaction offer a more realistic and natural training environment, and are therefore expected to facilitate a more effective transfer. Although commercial exergames may bring about some cognitive gains, they usually do not target cognitive functions directly. Here we describe a novel exergames platform, the Active Brain Trainer (ABT), designed to directly target EF, using games in multiple realistic contexts. The software adapts in real-time to the patient's behavior, providing feedback and rewards, and hence may enhance usability and compliance. The primary goal of the current study is to assess the feasibly and acceptability of this platform for community-dwelling ABI patients during the chronic phase. A secondary goal is to assess the initial efficacy on EF and functional benefits from program training. Participants were instructed to use the games for 15-20 sessions. Neuropsychological assessments of EF and daily life functions were performed before and after training. Participants also filled a satisfaction questionnaire following training. All training and assessments were conducted in the participants' homes. Game performance was recorded throughout training sessions. Preliminary results from the six ABI patients who successfully completed the program so far show no adverse effects. Participants reported enjoyment and satisfaction from training. Participants performed increasingly more challenging EF tasks within game environments. Initial results show improvements in functional tasks and most executive neuropsychological assessments following training. Additional participants are currently being trained to increase the power of the results. These preliminary findings support the feasibility and potential efficacy of the motion-based cognitive training of EF for community-dwelling individuals with ABI.

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Section: Discussionmentioning

confidence: 89%

Motion-based virtual reality cognitive training targeting executive functions in acquired brain injury community-dwelling individuals: A feasibility and initial efficacy pilot

Shochat¹,

Maoz²,

Stark‐Inbar³

et al. 2017

2017 International Conference on Virtual Rehabilitation (ICVR)

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“…The integration of a physical component into our game is well-aligned with research by Laurin et al [24], for example, who found a connection between increased physical activity and lower rates of cognitive impairment and dementia in the elderly. A study by Kayama et al [17] integrated both cognitive and physical exercises in a game by letting the players solve a sudoku puzzle using entire body movements (similar to Tai Chi Chuan) as a game controller. While the system was shown to be effective for improving cognitive function, the results with respect to physical improvements were mostly inconclusive.…”

Section: Existing Systems For Preventive Medicinementioning

confidence: 99%

A novel music-based game with motion capture to support cognitive and motor function in the elderly

Agres¹,

Lui

Herremans

2019

2019 IEEE Conference on Games (CoG)

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This paper presents a novel game prototype that uses music and motion detection as preventive medicine for the elderly. Given the aging populations around the globe, and the limited resources and staff able to care for these populations, eHealth solutions are becoming increasingly important, if not crucial, additions to modern healthcare and preventive medicine. Furthermore, because compliance rates for performing physical exercises are often quite low in the elderly, systems able to motivate and engage this population are a necessity. Our prototype uses music not only to engage listeners, but also to leverage the efficacy of music to improve mental and physical wellness. The game is based on a memory task to stimulate cognitive function, and requires users to perform physical gestures to mimic the playing of different musical instruments. To this end, the Microsoft Kinect sensor is used together with a newly developed gesture detection module in order to process users' gestures. The resulting prototype system supports both cognitive functioning and physical strengthening in the elderly.

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“…As for people with advanced age, Kayama et al [13] shows the Dual Task Tai Chi, a game focusing on dual activities, which showed an improvement in executive cognitive functions of patients. This kind of activity helps to reduce the fall risk in older people, who statistically have a higher probability of incidence [14].…”

Section: A Game Therapymentioning

confidence: 99%

NuSense: A Sensor-Based Framework for Ambient Awareness applied in Game Therapy Monitoring

Costa¹,

Paiva²,

Menezes³

et al. 2016

International Conferences on Software Engineering and Knowledge Engineering

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-the usage of technologies for the treatment of patients is constantly emerging. A recent trend is the usage of games for healthcare, mainly in motor rehabilitation. The entertainment facet of the game attracts the attention of patients making them more engaged in the treatment. A difficult in the usage of commercial games is that they require full attention of the healthcare professionals, since they were not created to this purpose. To contour this kind of situation, decreasing the attention demanded by healthcare professionals, tailor-made games with monitoring capabilities have been developed. The problem with this approach is that these games falls short of entertainment, compromising their playfulness. Given this scenario, we believe that by adding monitoring capabilities to environments in which commercial games are used for health treatment is the best approach for game therapy. Therefore, it is necessary to create a mechanism that helps developers on building applications to monitoring patients' pre-determined characteristics during a gameplay. In this paper, we propose the NuSense, a sensor-based framework to support the development of applications to automatically monitoring people while they are playing electronic games as a health therapy.

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Effect of a Kinect-Based Exercise Game on Improving Executive Cognitive Performance in Community-Dwelling Elderly: Case Control Study

Cited by 89 publications

References 23 publications

Motion-based virtual reality cognitive training targeting executive functions in acquired brain injury community-dwelling individuals: A feasibility and initial efficacy pilot

Motion-based virtual reality cognitive training targeting executive functions in acquired brain injury community-dwelling individuals: A feasibility and initial efficacy pilot

A novel music-based game with motion capture to support cognitive and motor function in the elderly

NuSense: A Sensor-Based Framework for Ambient Awareness applied in Game Therapy Monitoring

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