AN INVESTIGATION INTO UTILISING A THERAPEUTIC

EXERGAME TO IMPROVE THE REHABILITATION PROCESS

Sarah O'Neill M.Sc. – sloneill@wit.ieDr. Patrick Felicia – pfelicia@wit.ie

Outline1. Limitations

2. Games Applicability to Physiotherapy

3. Game Development Technologies

4. Game Design Approach

5. The Game Developed

6. Preliminary Study & Results2

BackgroundSerious need to improve rehabilitation

process for physiotherapyChallenges impacting negatively on success

rates and recovery times

Low Adherence Detected – Modify Programme Success – Dependent upon adherence Adherence falters – Recovery could take longer or

be unsuccessful

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BackgroundMonitoring

Exercise Sheets Common practice Essential Intervention Difficult to understand

Exercise Technique Crucial exercise is accurate Further Injury = Prolonged recovery time

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Games Applicability to PhysiotherapyGesture-based games

Natural InteractionNew realm – players are not sedentaryFeedback is more appropriate

Gaming is ubiquitous!Gesture based consolesGenerational AcceptanceOpportunities for Serious Games

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Games Applicability to PhysiotherapyLearning is more engaging

Innovative and playful Increase motivationMulti-sensory environments Learning styles

Multimedia ElementsExercise demonstrationsCorrect technique

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Games Applicability to PhysiotherapyDistraction

Pain managementRemove the idea of exercise or treatment

Drill and PracticeSkill and competence through repetitionAchieved easily through game elements

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Game Development - TechnologiesUnity3D OpenNi

3D & fast code execution

C++, C# & JavaScript

Open Source

Graphical User Interface

ZigFu

Open- Source Software Development Kit (SDK)

Integration with Unity3D

Platform Independence

Tracking System

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Game Design ApproachUser Centered Design

Analysis PhaseExercises to be incorporatedExercise Repetitions

Design, Evaluation and Implementation PhasesGame ContentStoryboardingPrototyping

Deployment

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The Game Developed

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Preliminary StudySingle Session Study

Physiotherapy clinic in WaterfordTen Participants20 – 55yrs old

Self-Determination Theory (SDT)Study of human motivation and personalityDifferent types of motivation inspire human

behaviour & exist on a continuum

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Preliminary StudySelf-Determination Theory (SDT)

Intrinsic Motivation Performing an activity for its own sake

Extrinsic Motivation External Regulation

Positive incentives/Avoid negative consequences Identified Regulation

Valuable / Chosen by oneself

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Preliminary StudySelf-Determination Theory (SDT)

Amotivation Lack of intention to act

Situational MotivationMotivation at a given point in time

SItuational Motivation Scale (SIMS)16 Item adaptable self report questionnaire

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Overall Motivation - SDI ScoresSDI formula: (2 * IM + 1 * IR) – (1 * ER + 2 * A)

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Different Types of Motivation

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Exercise Technique8 Participants – Accurate2 Participants – Inaccurate

2 Participants had used the Microsoft Kinect before

Game Scores - Successfully completed games with high scores

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Thank you for listening

I will be happy to answer any questions you may have

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