IGER: An Intelligent Game Engine for Rehabilitation

Borghese, N. Alberto; Pirovano, Michele; Mainetti, Renato; Lanzi, Pier Luca

doi:10.1007/978-3-642-34546-3_154

Cited by 3 publications

(15 citation statements)

References 1 publication

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“…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%

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%

Usability and Effects of an Exergame-Based Balance Training Program

Wüest

Borghese

Pirovano

et al. 2014

Games for Health Journal

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“…Only 41 articles met the criteria explained earlier. Conversely, 80 articles did not meet the criteria because they (i) focus on rehabilitation on body parts different to upper limbs or focus on other types of rehabilitation [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44] ; (ii) have purposes different to rehabilitation [45][46][47][48][49][50][51] (e.g., measurement of personal performance and development of musical skills); (iii) are editorial notes, reviews, and guidelines to develop serious games 1, ; (iv) are incomplete articles 74 ; (v) are up to three pages in length [75][76][77][78] ; (vi) are not written in English [79][80][81] ; and (vii) are out of the scope of this review. 82 This review includes articles with QualSyst percentages q70%.…”

Section: Resultsmentioning

confidence: 99%

Interaction Modalities Used on Serious Games for Upper Limb Rehabilitation: A Systematic Review

Aguilar-Lazcano

Rechy-Ramirez

et al. 2019

Games for Health Journal

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This systematic review aims to analyze the state-of-the-art regarding interaction modalities used on serious games for upper limb rehabilitation. A systematic search was performed in IEEE Xplore and Web of Science databases. PRISMA and QualSyst protocols were used to filter and assess the articles. Articles must meet the following inclusion criteria: they must be written in English; be at least four pages in length; use or develop serious games; focus on upper limb rehabilitation; and be published between 2007 and 2017. Of 121 articles initially retrieved, 33 articles met the inclusion criteria. Three interaction modalities were found: vision systems (42.4%), complementary vision systems (30.3%), and no-vision systems (27.2%). Vision systems and no-vision systems obtained a similar mean QualSyst (86%) followed by complementary vision systems (85.7%). Almost half of the studies used vision systems as the interaction modality (42.4%) and used the Kinect sensor to collect the body movements (48.48%). The shoulder was the most treated body part in the studies (19%). A key limitation of vision systems and complementary vision systems is that their device performances might be affected by lighting conditions. A main limitation of the no-vision systems is that the range-of-motion in angles of the body movement might not be measured accurately. Due to a limited number of studies, fruitful areas for further research could be the following: serious games focused on finger rehabilitation and trauma injuries, game difficulty adaptation based on user's muscle strength and posture, and multisensor data fusion on interaction modalities.

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“…In a study, eye-hand coordination intervention was provided using Ipad among children aged 5 to 6 years old; children who received the intervention were prone to develop immature handgrip. The intervention did not help to improve the eye-hand coordination skill, although the intervention received positive feedback from the children who participated in the study (30). Four studies that used visual-motor integration and fine motor skills-based intervention showed significant improvements in pre-writing skills (29,34,37,38).…”

Section: Theme 2: Prerequisite Handwriting Skillsmentioning

confidence: 99%

“…There is possible variability of language skills present within the sample. Lack of a control group to assess the effectiveness of the intervention 34/40= 85% computerized games and software applications (30)(31)(32). These interventions aimed to enhance fine motor skills, form basic strokes, and letter perception.…”

Section: Computerized Typing Interventionsmentioning

confidence: 99%

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Pre-writing Interventions for Developmental Disabilities and Typically Developing Children: A Scoping Review

Zain¹,

Hamdan²,

Razak³

et al. 2022

MJMHS

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This scoping mapped the evidence regarding pre-writing interventions for developmental disabilities and typically developing children. This review followed the PRISMA-Scoping Review guidelines. Evidence between January 2011 and July 2021 was retrieved from four databases: EBSCO, ScienceDirect, Scopus, and Web of Science. Selected articles were evaluated for quality using the Crowe Critical Appraisal Tool (CCAT). Ten articles were included in the study, with CCAT scores ranging between 68% and 85%. Findings were arranged in five themes: (1) pre-writing interventions, (2) pre-requisite handwriting skills, (3) protocol and interventions, (4) intervention pioneer, and (5) conveyance of interventions. Generally, pre-writing interventions were aligned with the pre-requisite skills of handwriting. Digitized-based interventions were commonly utilized and expanded in developing pre-writing skills. Acquiring effective pre-writing interventions for both populations will refine the handwriting performance. Further exploration of the integration of pre-writing skills with digitized-based intervention is required to evaluate the effectiveness of the intervention.

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IGER: An Intelligent Game Engine for Rehabilitation

Cited by 3 publications

References 1 publication

Usability and Effects of an Exergame-Based Balance Training Program

Usability and Effects of an Exergame-Based Balance Training Program

Interaction Modalities Used on Serious Games for Upper Limb Rehabilitation: A Systematic Review

Pre-writing Interventions for Developmental Disabilities and Typically Developing Children: A Scoping Review

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