Tailored virtual reality and mobile application for motor rehabilitation

Lourenço, Filipe; Postolache, Octavian; Postolache, Gabriela

doi:10.1109/i2mtc.2018.8409572

Cited by 9 publications

(7 citation statements)

References 21 publications

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“…This jerk behavior is mainly described as abrupt changes in the direction of the hand’s motion, and the way it is calculated may slightly differ from one study to another regarding the mathematical procedure employed. Furthermore, two studies [ 43 , 68 ] mentioned the use of hand trajectory curvature as a feature for kinematic analysis. In one study, the curvature of the hand trajectory was calculated as its deviation from an ideal straight line [ 178 ], whereas the second study computed the logarithm of the median of path curvature [ 179 ] to quantify “motion irregularity.” Both studies included trajectory curvature in their criteria for measuring the arm’s coordination.…”

Section: Resultsmentioning

confidence: 99%

“…Naturally, researchers have begun testing this new technology in many fields, including upper limb rehabilitation based on serious games by creating mHealth apps. Seven studies [35,40,[42][43][44][45][46] created mobile games, and five studies [47][48][49][50][51] developed tablet games in an attempt to study a portable and easy-to-use-anywhere system for patients to perform their exercises. However, the touchscreen is the main component representing the evolution of board games.…”

Section: Game Typementioning

confidence: 99%

“…With respect to commercial gaming accessories, a few studies focused on individual sensors such as VR headsets [86][87][88], Wii remotes [89][90][91][92][93][94][95], or the P5 glove [96,97] in an attempt to incorporate the existing devices to rehabilitation practices. Another commercial sensor that has attracted researchers' interest is Leap Motion, a hand-tracking sensor, which is most commonly used alone [19,25,40,43,[98][99][100][101][102][103]. One study also combined the Leap Motion sensor and a VR headset [104] in an attempt to create a VR environment for the user as a reinforcement of after-stroke rehabilitation methods.…”

Section: Commercial Sensorsmentioning

confidence: 99%

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Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review

Koutsiana¹,

Ladakis²,

Fotopoulos³

et al. 2020

JMIR Serious Games

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Background: Serious gaming has increasingly gained attention as a potential new component in clinical practice. Specifically, its use in the rehabilitation of motor dysfunctions has been intensively researched during the past three decades. Objective: The aim of this scoping review was to evaluate the current role of serious games in upper extremity rehabilitation, and to identify common methods and practice as well as technology patterns. This objective was approached via the exploration of published research efforts over time. Methods: The literature search, using the PubMed and Scopus databases, included articles published from 1999 to 2019. The eligibility criteria were (i) any form of game-based arm rehabilitation; (ii) published in a peer-reviewed journal or conference; (iii) introduce a game in an electronic format; (iv) published in English; and (v) not a review, meta-analysis, or conference abstract. The search strategy identified 169 relevant articles. Results: The results indicated an increasing research trend in the domain of serious gaming deployment in upper extremity rehabilitation. Furthermore, differences regarding the number of publications and the game approach were noted between studies that used commercial devices in their rehabilitation systems and those that proposed a custom-made robotic arm, glove, or other devices for the connection and interaction with the game platform. A particularly relevant observation concerns the evaluation of the introduced systems. Although one-third of the studies evaluated their implementations with patients, in most cases, there is the need for a larger number of participants and better testing of the rehabilitation scheme efficiency over time. Most of the studies that included some form of assessment for the introduced rehabilitation game mentioned user experience as one of the factors considered for evaluation of the system. Besides user experience assessment, the most common evaluation method involving patients was the use of standard medical tests. Finally, a few studies attempted to extract game features to introduce quantitative measurements for the evaluation of patient improvement. Conclusions: This paper presents an overview of a significant research topic and highlights the current state of the field. Despite extensive attempts for the development of gamified rehabilitation systems, there is no definite answer as to whether a serious game is a favorable means for upper extremity functionality improvement; however, this certainly constitutes a supplementary means for motivation. The development of a unified performance quantification framework and more extensive experiments could generate richer evidence and contribute toward this direction.

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Section: Resultsmentioning

confidence: 99%

Section: Game Typementioning

confidence: 99%

Section: Commercial Sensorsmentioning

confidence: 99%

See 1 more Smart Citation

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review

Koutsiana¹,

Ladakis²,

Fotopoulos³

et al. 2020

JMIR Serious Games

View full text Add to dashboard Cite

show abstract

Section: Commercial Sensorsmentioning

confidence: 99%

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review (Preprint)

Koutsiana¹,

Ladakis²,

Fotopoulos³

et al. 2020

Preprint

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BACKGROUND Serious gaming is increasingly gaining attention as a potential new component in clinical practice. Specifically, its use in the rehabilitation of motor dysfunctions has been intensively researched during the past three decades. OBJECTIVE This scoping review aims to evaluate the current role of serious games in the upper extremity rehabilitation and identify common methods and practice, technology patterns as well as gaps. This objective is approached via the exploration of published research efforts over the years. METHODS The literature research, using the PubMed and Scopus databases, included articles published until June 2019. The eligibility criteria were (i) to include any form of introduced game-based arm rehabilitation, (ii) to be a study published in a peer-reviewed journal or conference, (iii) to introduce a game in an electronic format, (iv) to be a study in English, (v) to not be a review, meta-analysis, editorial or commentary. The review identified 169 relevant articles. RESULTS The results indicate an increasing research trend in the domain of serious gaming deployment in upper extremity rehabilitation. Furthermore, differences regarding the number of publications and the game approach were noted between studies which used commercial devices in their rehabilitation systems, with studies which created any type of robotic arm, glove or other devices for the connection with the game platform. A significant observation concerns the evaluation of the introduced systems. Although one-third of the studies evaluate in real use their implementations including patients, in most cases, there is the need for a bigger number of participants and better testing of the rehabilitation scheme efficiency over time. Most of the studies which included some form of assessment for the introduced rehabilitation game, mentioned among others the user experience as a factor for the system’s evaluation. Besides the user experience assessment, the most common evaluation method involving patients was the use of medical standard tests. Finally, a few studies attempted to extract game features in order to introduce quantitative measurements for the evaluation of the patient’s improvement. CONCLUSIONS This paper presents an overview of a significant research topic and highlights the current state of the field. Despite all the attempts for the development of a rehabilitation system, there is not a definite answer of whether a serious game is a favorable means for the upper extremity functionality improvement, but it is certainly constitutes a supplementary means for motivation. The development of a unified performance quantification framework and the conductance of wider scale experiments could generate richer evidence and contribute in this direction.

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“…CollectCube and PickaBall Serious Games developed in Unity 3Dgaming platform to LeaPhysio System[36].…”

mentioning

confidence: 99%

Wearable and IoT Technologies Application for Physical Rehabilitation

Alexandre

Postolache

2018

2018 International Symposium in Sensing and Instrumentation in IoT Era (ISSI)

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This research consists in the development an IoT Physical Rehabilitation solution based on wearable devices, combining a set of smart gloves and smart headband for use in natural interactions with a set of VR therapeutic serious games developed on the Unity 3D gaming platform. The system permits to perform training sessions for hands and fingers motor rehabilitation. Data acquisition is performed by Arduino Nano Microcontroller computation platform with ADC connected to the analog measurement channels materialized by piezo-resistive force sensors and connected to an IMU module via I 2 C. Data communication is performed using the Bluetooth wireless communication protocol. The smart headband, designed to be used as a first-person-controller in game scenes, will be responsible for collecting the patient's head rotation value, this parameter will be used as the player's avatar head rotation value, approaching the user and the virtual environment in a semi-immersive way. The acquired data are stored and processed on a remote server, which will help the physiotherapist to evaluate the patients' performance around the different physical activities during a rehabilitation session, using a Mobile Application developed for the configuration of games and visualization of results. The use of serious games allows a patient with motor impairments to perform exercises in a highly interactive and non-intrusive way, based on different scenarios of Virtual Reality, contributing to increase the motivation during the rehabilitation process. The system allows to perform an unlimited number of training sessions, making possible to visualize historical values and compare the results of the different performed sessions, for objective evolution of rehabilitation outcome. Some metrics associated with upper limb exercises were also considered to characterize the patient's movement during the session.

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Tailored virtual reality and mobile application for motor rehabilitation

Cited by 9 publications

References 21 publications

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review

Serious Gaming Technology in Upper Extremity Rehabilitation: Scoping Review (Preprint)

Wearable and IoT Technologies Application for Physical Rehabilitation

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