Serious rehabilitation games with Kinect

Fernandez-Cervantes, Victor; Stroulia, Eleni; Castillo, Claudio; Oliva, Luis; González, Francisco

doi:10.1109/gem.2015.7377254

Cited by 8 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 5 articles, the focus is on patients with musculoskeletal shoulder problems and patients with neurological disorders (eg, stroke) [ 42 , 76 , 80 , 81 , 83 ]. In total, 27 articles do not directly name the proposed target group [ 29 , 34 , 38 , 40 , 43 , 44 , 46 , 51 , 52 , 55 - 57 , 59 , 61 , 65 - 67 , 69 , 70 , 72 , 74 , 78 , 80 , 82 , 84 - 87 ].…”

Section: Resultsmentioning

confidence: 99%

“…In total, 34 HETs use PC displays , 11 use smartphones , and 8 use televisions as hardware for output; 6 bigger screens (>40) or projectors [ 26 , 34 , 37 , 40 , 47 , 67 ] and 3 head-mounted displays [ 26 , 46 , 60 ] are also reported. Furthermore, 6 articles do not specify the hardware [ 38 , 49 , 66 , 69 , 72 , 75 ]; however, these 6 articles describe interfaces for games that require visual control by the patient.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Health-Enabling Technologies to Assist Patients With Musculoskeletal Shoulder Disorders When Exercising at Home: Scoping Review

Elgert¹,

Steiner²,

Saalfeld³

et al. 2021

JMIR Rehabil Assist Technol

View full text Add to dashboard Cite

Background Health-enabling technologies (HETs) are information and communication technologies that promote individual health and well-being. An important application of HETs is telerehabilitation for patients with musculoskeletal shoulder disorders. Currently, there is no overview of HETs that assist patients with musculoskeletal shoulder disorders when exercising at home. Objective This scoping review provides a broad overview of HETs that assist patients with musculoskeletal shoulder disorders when exercising at home. It focuses on concepts and components of HETs, exercise program strategies, development phases, and reported outcomes. Methods The search strategy used Medical Subject Headings and text words related to the terms upper extremity, exercises, and information and communication technologies. The MEDLINE, Embase, IEEE Xplore, CINAHL, PEDro, and Scopus databases were searched. Two reviewers independently screened titles and abstracts and then full texts against predefined inclusion and exclusion criteria. A systematic narrative synthesis was performed. Overall, 8988 records published between 1997 and 2019 were screened. Finally, 70 articles introducing 56 HETs were included. Results Identified HETs range from simple videoconferencing systems to mobile apps with video instructions to complex sensor-based technologies. Various software, sensor hardware, and hardware for output are in use. The most common hardware for output are PC displays (in 34 HETs). Microsoft Kinect cameras in connection with related software are frequently used as sensor hardware (in 27 HETs). The identified HETs provide direct or indirect instruction, monitoring, correction, assessment, information, or a reminder to exercise. Common parameters for exercise instructions are a patient’s range of motion (in 43 HETs), starting and final position (in 32 HETs), and exercise intensity (in 20 HETs). In total, 48 HETs provide visual instructions for the exercises; 29 HETs report on telerehabilitation aspects; 34 HETs only report on prototypes; and 15 HETs are evaluated for technical feasibility, acceptance, or usability, using different assessment instruments. Efficacy or effectiveness is demonstrated for only 8 HETs. In total, 18 articles report on patients’ evaluations. An interdisciplinary contribution to the development of technologies is found in 17 HETs. Conclusions There are various HETs, ranging from simple videoconferencing systems to complex sensor-based technologies for telerehabilitation, that assist patients with musculoskeletal shoulder disorders when exercising at home. Most HETs are not ready for practical use. Comparability is complicated by varying prototype status, different measurement instruments, missing telerehabilitation aspects, and few efficacy studies. Consequently, choosing an HET for daily use is difficult for health care professionals and decision makers. Prototype testing, usability, and acceptance tests with the later target group under real-life conditions as well as efficacy or effectiveness studies with patient-relevant core outcomes for every promising HET are required. Furthermore, health care professionals and patients should be more involved in the product design cycle to consider relevant practical aspects.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Health-Enabling Technologies to Assist Patients With Musculoskeletal Shoulder Disorders When Exercising at Home: Scoping Review

Elgert¹,

Steiner²,

Saalfeld³

et al. 2021

JMIR Rehabil Assist Technol

View full text Add to dashboard Cite

show abstract

“…Since all application systems were implemented to support training, half do not give feedback on the game (game feedback) but instead give feedback on the performance of exercises (therapy feedback). Therapy feedback often quantifies either the quality of exercise performance [ 37 , 42 , 45 , 46 , 52 ] or the progress/current status [ 44 , 50 ] to motivate patients or to ensure correct practice. Almost all application systems provided instructions, or even complete tutorials, for exercising correctly.…”

Section: Resultsmentioning

confidence: 99%

“…Encouraging motivation, as well as enhancing engagement, is one of several goals of gamification [ 56 , 57 ]. Certain publications describe their application systems as motivating (6 of the 27), without mentioning specific factors for this effect [ 23 , 25 , 32 , 36 , 39 , 46 ]. Furthermore, motivational effects are often based on general, superficial aspects, such as interactivity (12 of the 27), fun, enjoyment, and entertainment (13 of the 27).…”

Section: Resultsmentioning

confidence: 99%

Gamification in Rehabilitation of Patients With Musculoskeletal Diseases of the Shoulder: Scoping Review

Steiner¹,

Elgert²,

Saalfeld³

et al. 2020

JMIR Serious Games

View full text Add to dashboard Cite

Background Gamification has become increasingly important both in research and in practice. Particularly in long-term care processes, such as rehabilitation, playful concepts are gaining in importance to increase motivation and adherence. In addition to neurological diseases, this also affects the treatment of patients with musculoskeletal diseases such as shoulder disorders. Although it would be important to assist patients during more than one rehabilitation phase, it is hypothesized that existing systems only support a single phase. It is also unclear which game design elements are currently used in this context and how they are combined to achieve optimal positive effects on motivation. Objective This scoping review aims to identify and analyze information and communication technologies that use game design elements to support the rehabilitation processes of patients with musculoskeletal diseases of the shoulder. The state of the art with regard to fields of application, game design elements, and motivation concepts will be determined. Methods We conducted a scoping review to identify relevant application systems. The search was performed in 3 literature databases: PubMed, IEEE Xplore, and Scopus. Following the PICO (population, intervention, comparison, outcome) framework, keywords and Medical Subject Headings for shoulder, rehabilitation, and gamification were derived to define a suitable search term. Two independent reviewers, a physical therapist and a medical informatician, completed the search as specified by the search strategy. There was no restriction on year of publication. Data synthesis was done by deductive-inductive coding based on qualitative content analysis. Results A total of 1994 articles were screened; 31 articles in English, published between 2006 and 2019, were included. Within, 27 application systems that support patients with musculoskeletal diseases of the shoulder in exercising, usually at home but also in inpatient or outpatient rehabilitation clinics, were described. Only 2 application systems carried out monitoring of adherence. Almost all were based on in-house developed software. The most frequently used game components were points, tasks, and avatars. More complex game components, such as collections and teams, were rarely used. When selecting game components, patient-specific characteristics, such as age and gender, were only considered in 2 application systems. Most were described as motivating, though an evaluation of motivational effects was usually not conducted. Conclusions There are only a few application systems supporting patients with musculoskeletal diseases of the shoulder in rehabilitation by using game design elements. Almost all application systems are exergames for supporting self-exercising. Application systems for multiple rehabilitation phases seem to be nonexistent. It is also evident that only a few complex game design elements are used. Patient-specific characteristic are generally neglected when selecting and implementing game components. Consequently, a holistic approach to enhance adherence to rehabilitation is required supporting patients during the entire rehabilitation process by providing motivational game design elements based on patient-specific characteristics.

show abstract

“…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

View full text Add to dashboard Cite

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.

show abstract

Serious rehabilitation games with Kinect

Cited by 8 publications

References 0 publications

Health-Enabling Technologies to Assist Patients With Musculoskeletal Shoulder Disorders When Exercising at Home: Scoping Review

Health-Enabling Technologies to Assist Patients With Musculoskeletal Shoulder Disorders When Exercising at Home: Scoping Review

Gamification in Rehabilitation of Patients With Musculoskeletal Diseases of the Shoulder: Scoping Review

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

Contact Info

Product

Resources

About