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Game-Based Stroke Rehabilitation

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Book cover Recent Advances in Technologies for Inclusive Well-Being

Part of the book series: Intelligent Systems Reference Library ((ISRL,volume 119 ))

Abstract

Strokes are the most widely recognized reason of long-term disability of adults in developed countries. Continuous participation in rehabilitation can alleviate some of its consequences and support recovery of stroke patients. However, physical rehabilitation requires commitment to tedious exercise routines over lengthy periods of time, which often causes patients to drop out of therapy routines. In this context, game-based stroke rehabilitation has the opportunity to address two important barriers: accessibility of rehabilitation, and patient motivation. This chapter provides a comprehensive analysis on the advances in human-computer interaction (HCI) and development of games to support stroke rehabilitation. There are existing cases in the field of game-based stroke rehabilitation studied, for example the development of motion-based video games particularly addressing rehabilitation among stroke patients. This chapter discusses the effectiveness of design efforts in HCI and games research to support stroke rehabilitation by integrating findings from medical research that consider health outcomes of game based stroke rehabilitation. Based on these findings, challenges and opportunities in game based stroke rehabilitation are discussed. Critical components that influence the effectiveness of Tele-rehabilitation are identified and further design opportunities in the field of game-based stroke rehabilitation are explored as an important step toward the creation of games that are accessible, motivating and enjoyable for stroke patients. Finally, the chapter presents the challenges and opportunities in game-based stroke rehabilitation.

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References

  1. Alankus G, Lazar A, May M, Kelleher C (2010) Towards customizable games for stroke rehabilitation. In: Proceedings of the SIGCHI conference on human factors in computing systems. ACM, pp 2113–2122

    Google Scholar 

  2. Bach-Y-Rita P, Wood S, Leder R, Paredes O, Bahr D, Bach-Y-Rita EW, Murillo N (2002) Computer-assisted motivating rehabilitation (CAMR) for institutional, home, and educational late stroke programs. Top Stroke Rehabil 8:1–10

    Article  Google Scholar 

  3. Balaam M, Rennick Egglestone S, Fitzpatrick G, Rodden T, Hughes A-M, Wilkinson A, NIND T, Axelrod L, Harris E, Ricketts I (2011) Motivating mobility: designing for lived motivation in stroke rehabilitation. In: Proceedings of the SIGCHI conference on human factors in computing systems. ACM, pp. 3073–3082

    Google Scholar 

  4. Borghese NA, Pirovano M, Lanzi PL, Wüest S, de Bruin ED (2013) Computational intelligence and game design for effective at-home stroke rehabilitation. Games Health: Res Dev Clin Appl 2:81–88

    Article  Google Scholar 

  5. Broeren J, Bjorkdahl A, Claesson L, Goude D, Lundgren-Nilsson A, Samuelsson H, Blomstrand C, Sunnerhagen KS, Rydmark M (2008) Virtual rehabilitation after stroke. Stud Health Technol Inform 136:77

    Google Scholar 

  6. Broeren J, Jalminger J, Johansson L-Å, Rydmark M (2014) A kinematic game for stroke upper arm motor rehabilitation-a person-centred approach. J Accessibility Des All 4:13

    Google Scholar 

  7. Brown EVD, McCoy SW, Fechko AS, Price R, Gilbertson T, Moritz CT (2014) Preliminary investigation of an electromyography-controlled video game as a home program for persons in the chronic phase of stroke recovery. Arch Phys Med Rehabil 95:1461–1469

    Article  Google Scholar 

  8. Burke JW, McNeill M, Charles DK, Morrow PJ, Crosbie JH, McDonough SM (2009) Optimising engagement for stroke rehabilitation using serious games. Vis Comput 25:1085–1099

    Article  Google Scholar 

  9. Carabeo CGG, Dalida CMM, Padilla EMZ, Rodrigo MMT (2014) Stroke patient rehabilitation a pilot study of an android-based game. Simul Gaming 45:151–166

    Google Scholar 

  10. Chang Y-J, Chen S-F, Huang J-D (2011) A Kinect-based system for physical rehabilitation: a pilot study for young adults with motor disabilities. Res Dev Disabil 32:2566–2570

    Article  Google Scholar 

  11. De Leon N, Bhatt S, Al-Jumaily A (2014) Augmented reality game based multi-usage rehabilitation therapist for stroke patients. Int J Smart Sens Intell Syst 7

    Google Scholar 

  12. Deutsch JE, Brettler A, Smith C, Welsh J, John R, Guarrera-Bowlby P, Kafri M (2011) Nintendo wii sports and wii fit game analysis, validation, and application to stroke rehabilitation. Top stroke Rehabil 18:701–719

    Article  Google Scholar 

  13. Di Loreto I, Abdelkader G, Hocine N (2011) Mixed reality serious games for post-stroke rehabilitation. In: 2011 5th International conference on, pervasive computing technologies for healthcare (PervasiveHealth). IEEE, pp 530–537

    Google Scholar 

  14. Duncan PW, Zorowitz R, Bates B, Choi JY, Glasberg JJ, Graham GD, Katz RC, Lamberty K, Reker D (2005) Management of adult stroke rehabilitation care a clinical practice guideline. Stroke 36:e100–e143

    Article  Google Scholar 

  15. Flores E, Tobon G, Cavallaro E, Cavallaro FI, Perry JC, Keller T (2008) Improving patient motivation in game development for motor deficit rehabilitation. In: Proceedings of the 2008 international conference on advances in computer entertainment technology. ACM, pp 381–384

    Google Scholar 

  16. Goude D, Björk S, Rydmark M (2007) Game design in virtual reality systems for stroke rehabilitation. Studies in health technology and informatics 125:146–148

    Google Scholar 

  17. Hijmans JM, Hale LA, Satherley JA, McMillan NJ, King MJ (2010) Bilateral upper-limb rehabilitation after stroke using a movement-based game controller. J Rehabil Res Dev 48:1005–1013

    Article  Google Scholar 

  18. Jack D, Boian R, Merians AS, Tremaine M, Burdea GC, Adamovich SV, Recce M, Poizner H (2001) Virtual reality-enhanced stroke rehabilitation. IEEE Trans Neural Syst Rehabil Eng 9:308–318

    Article  Google Scholar 

  19. Jung Y, Yeh S-C, Mclaughlin M, Rizzo AA, Winstein C (2009) Three-dimensional game environments for recovery from stroke. In: Serious games: mechanisms and effects. New York: Routledge, Taylor and Francis, pp 413–28

    Google Scholar 

  20. Knüwer J (2014) Wii-habilitation: the use of motion-based game consoles in stroke rehabilitation; a systematic review

    Google Scholar 

  21. Lee, R-G, Tien S-C (2012) Augmented reality game system design for stroke rehabilitation application. In: 2012 4th international conference on computational intelligence, communication systems and networks (CICSyN). IEEE, pp 339–342

    Google Scholar 

  22. Maclean N, Pound P, Wolfe C, Rudd A (2002) The concept of patient motivation a qualitative analysis of stroke professionals’ attitudes. Stroke 33:444–448

    Article  Google Scholar 

  23. Maung D, Crawfis R, Gauthier LV, Worthen-Chaudhari L, Lowes LP, Borstad A, Mcpherson RJ, Grealy J, Adams J (2014) Development of recovery rapids-a game for cost effective stroke therapy. Found Digit Games (FDG)

    Google Scholar 

  24. Merians AS, Jack D, Boian R, Tremaine M, Burdea GC, Adamovich SV, Recce M, Poizner H (2002) Virtual reality–augmented rehabilitation for patients following stroke. Phys Ther 82:898–915

    Google Scholar 

  25. Nicholson S (2012) A user-centered theoretical framework for meaningful gamification. Games + Learning+. Society 8:1

    Google Scholar 

  26. Norouzi-Gheidari N, Levin MF, Fung J, Archambault P (2013) Interactive virtual reality game-based rehabilitation for stroke patients. In: 2013 International conference on virtual rehabilitation (ICVR). IEEE, pp 220–221

    Google Scholar 

  27. Pantoja AL, Pereira A (2012) A video-tracking based serious game for motor rehabilitation of post-stroke hand impairment. SBC 3:37

    Google Scholar 

  28. Rehana Z (2013) functional outcomes of lower limb of stroke patients after receiving physiotherapy. Department of Physiotherapy, Bangladesh Health Professions Institute, CRP

    Google Scholar 

  29. Saini S, Rambli DRA, Sulaiman S, Zakaria MN, Shukri SM (2012) A low-cost game framework for a home-based stroke rehabilitation system. In: 2012 international conference on computer & information science (ICCIS). IEEE, pp 55–60

    Google Scholar 

  30. Sanchez RJ, Liu J, Rao S, Shah P, Smith R, Rahman T, Cramer SC, Bobrow JE, Reinkensmeyer DJ (2006) Automating arm movement training following severe stroke: functional exercises with quantitative feedback in a gravity-reduced environment. IEEE Trans Neural Syst Rehabil Eng 14:378–389

    Article  Google Scholar 

  31. Saposnik G, Teasell R, Mamdani M, Hall J, McIlroy W, Cheung D, Thorpe KE, Cohen LG, Bayley M (2010) Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation a pilot randomized clinical trial and proof of principle. Stroke 41:1477–1484

    Article  Google Scholar 

  32. Schuck SO, Whetstone A, Hill V, Levine P, Page SJ (2011) Game-based, portable, upper extremity rehabilitation in chronic stroke. Top Stroke Rehabil 18:720–727

    Article  Google Scholar 

  33. Shin J-H, Ryu H, Jang S, Kim S (2013) Task-specific interactive game-based virtual reality rehabilitation system for stroke patients: A usability test and two clinical experiments. J Neurol Sci 333:e569

    Article  Google Scholar 

  34. Shin J-H, Ryu H, Jang SH (2014) A task-specific interactive game-based virtual reality rehabilitation system for patients with stroke: a usability test and two clinical experiments. J Neuroengineering Rehabil 11:32

    Article  Google Scholar 

  35. Shin W-S, Lee D-Y, Lee S-W (2010) The effects of rehabilitation exercise using a home video game (PS2) on gait ability of chronic stroke patients. J Korea Acad-Ind Cooperation Soc 11:368–374

    Article  Google Scholar 

  36. Shusong X, Xia Z (2010) EMG-driven computer game for post-stroke rehabilitation. In: 2010 IEEE conference on robotics automation and mechatronics (RAM). IEEE, pp 32–36

    Google Scholar 

  37. Simkins M, Fedulow I, Kim H, Abrams G, Byl N, Rosen J (2012) Robotic rehabilitation game design for chronic stroke. Games Health: Res Dev Clin Appl 1:422–430

    Article  Google Scholar 

  38. Souza LB, Paim CDRP, Imamura M, Alfieri FM (2011) Uso de um ambiente de realidade virtual para reabilitação de acidente vascular encefálico. Use of interactive video game for stroke rehabilitation, Acta fisiátrica, p 18

    Google Scholar 

  39. Taylor A-S, Backlund P, Engstrom H, Johannesson M, Lebram M (2009) The birth of elinor: a collaborative development of a game based system for stroke rehabilitation. VIZ’09 2nd international conference in visualisation. IEEE, pp 52–60

    Google Scholar 

  40. Todorov E, Shadmehr R, Bizzi E (1997) Augmented feedback presented in a virtual environment accelerates learning of a difficult motor task. J Mot Behav 29:147–158

    Article  Google Scholar 

  41. Ustinova KI, Leonard WA, Cassavaugh ND, Ingersoll CD (2011) Development of a 3D immersive videogame to improve arm-postural coordination in patients with TBI. J Neuroeng Rehabil 8:61

    Article  Google Scholar 

  42. Vogiatzaki E, Gravezas Y, Dalezios N, Biswas D, Cranny A, ortmann S, Langendorfer P, Lamprinos I, Giannakopoulou G, Achner J (2014) Telemedicine system for game-based rehabilitation of stroke patients in the FP7-“StrokeBack” project. In: 2014 European conference on networks and communications (EuCNC). IEEE, pp. 1–5

    Google Scholar 

  43. Wood SR, Murillo N, Bach-Y-Rita P, Leder RS, Marks JT, Page SJ (2003) Motivating, game-based stroke rehabilitation: a brief report. Top Stroke Rehabil 10:134–140

    Article  Google Scholar 

  44. Yeh S-C, Rizzo A, Zhu W, Stewart J, Mclaughlin M, Cohen I, Jung, Y. Peng W (20045) An integrated system: virtual reality, haptics and modern sensing technique (VHS) for post-stroke rehabilitation. In: Proceedings of the ACM symposium on virtual reality software and technology. ACM, p59–62

    Google Scholar 

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Acknowledgements

We would like to thank NSERC and UOIT for their research support. We also would like to thank Dr. Reza Talebi for his contribution to this study.

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Authors and Affiliations

  1. University of Ontario Institute of Technology, Oshawa, ON, Canada

    Mehran Kamkarhaghighi, Pejman Mirza-Babaei & Khalil El-Khatib

Authors
  1. Mehran Kamkarhaghighi
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  2. Pejman Mirza-Babaei
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  3. Khalil El-Khatib
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Corresponding author

Correspondence to Pejman Mirza-Babaei .

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Editors and Affiliations

  1. Aalborg University Esbjerg, Esbjerg, Denmark

    Anthony Lewis Brooks

  2. Computer Information Systems, Missouri State University, Springfield, Missouri, USA

    Sheryl Brahnam

  3. Faculty of Business and Information Tech, University of Ontario Institute of Technology, Oshawa, Ontario, Canada

    Bill Kapralos

  4. University of South Australia, Bournemouth University, Poole, UK, and University of South Australia, Adelaide, Australia

    Lakhmi C. Jain

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Kamkarhaghighi, M., Mirza-Babaei, P., El-Khatib, K. (2017). Game-Based Stroke Rehabilitation. In: Brooks, A., Brahnam, S., Kapralos, B., Jain, L. (eds) Recent Advances in Technologies for Inclusive Well-Being. Intelligent Systems Reference Library, vol 119 . Springer, Cham. https://doi.org/10.1007/978-3-319-49879-9_8

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  • DOI: https://doi.org/10.1007/978-3-319-49879-9_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-49877-5

  • Online ISBN: 978-3-319-49879-9

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