Archive for category Video Games/Exergames

[ARTICLE] Impact of virtual reality games on psychological well-being and upper limb performance in adults with physical disabilities: A pilot study – Full Text PDF


Introduction: There is limited information regarding the effects of interactive virtual reality (VR) games on psychological and physical well-being among adults with physical disabilities. We aimed to examine the impact of VR games on psychological well-being, upper limb motor function and reaction time in adults with physical disabilities.

Methods: Fifteen participants completed the intervention using Wii VR games in this pilot study. Depressive, Anxiety and Stress Scales (DASS) and Capabilities of Upper Extremity (CUE) questionnaires were used to measure psychological well-being and upper limb motor function respectively. Upper limb reaction time was measured using reaction time test.

Results: Results showed that there was a significant difference (p<0.05) in DASS questionnaire and average reaction time score after intervention.

Conclusion: There is a potential for using interactive VR games as an exercise tool to improve psychological wellbeing and upper limb reaction time among adults with disabilities.


Adults with disabilities around the world have been estimated to be around one billion, which consist of 15% of the world’s population.1 In Malaysia, there are approximately 300,000 adults with disabilities.2 Impairments in cardiovascular fitness, balance, motor control, sensation, proprioception and coordination are common in adults with physical disabilities.3 These impairments can lead to functional dependence, poor quality of life, limited mobility and decreased participation in leisure activities.

Opportunities to participate in regular exercise are especially important for groups that are less physically active than the
general population. This is because adults with disabilities are more prone to secondary complications such as pain, fatigue and de-conditioning.4 Virtual reality (VR) games are games played in a stimulated 3-dimensional (3D) environment. VR games have been developed for leisure activities but we found VR to be beneficial for rehabilitation in our local studies.5-7

Involvement in physical activity among people with disabilities is limited. Utilisation of technology may promote adherence, motivation and participation in physical activity and exercise programmes. However, as opposed to conventional rehabilitation and physiotherapy for adults with disabilities, evidence of VR games in improving function is limited. Therefore, the aim of this study was to examine the impact of VR games on psychological well-being, upper limb motor function and reaction time in adults with physical disabilities. …

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[ARTICLE] The effect of active video games on cognitive functioning in clinical and non-clinical populations: A meta-analysis of randomized controlled trials – Full Text


Physically-active video games (‘exergames’) have recently gained popularity for leisure and entertainment purposes. Using exergames to combine physical activity and cognitively-demanding tasks may offer a novel strategy to improve cognitive functioning. Therefore, this systematic review and meta-analysis was performed to establish effects of exergames on overall cognition and specific cognitive domains in clinical and non-clinical populations. We identified 17 eligible RCTs with cognitive outcome data for 926 participants. Random-effects meta-analyses found exergames significantly improved global cognition (g = 0.436, 95% CI = 0.18–0.69, p = 0.001). Significant effects still existed when excluding waitlist-only controlled studies, and when comparing to physical activity interventions. Furthermore, benefits of exergames where observed for both healthy older adults and clinical populations with conditions associated with neurocognitive impairments (all p < 0.05). Domain-specific analyses found exergames improved executive functions, attentional processing and visuospatial skills. The findings present the first meta-analytic evidence for effects of exergames on cognition. Future research must establish which patient/treatment factors influence efficacy of exergames, and explore neurobiological mechanisms of action.

1. Introduction

Cognition can be broadly defined as the actions of the brain involved in understanding and functioning in our external environment (Hirschfeld and Gelman, 1994). As it is generally accepted that cognition requires multiple mental processes, this broader concept has been theoretically separated into multiple ‘cognitive domains’ (Hirschfeld and Gelman, 1994). Although definitions vary, and the boundaries between domains often overlap, examples of distinct areas of cognitive functioning include the processes for learning and remembering verbal and spatial information, attentional capacities, response speed, problem-solving and planning (Strauss et al., 2006).

Various neuropsychological tests have been developed as tools for assessing and quantifying an individual’s overall cognitive functioning (or ‘global cognition’) along with their performance within the separable domains of cognition (Strauss et al., 2006). Performance in these various cognitive tests has been found to be relatively stable over time in healthy adults, and moderately accurate predictors of real-world functioning and occupational performance (Chaytor and Schmitter-Edgecombe, 2003 ;  Hunter, 1986). Furthermore, neuropsychological tests can detect the deficits in cognitive functioning which arise as a consequence of various psychiatric and neurological diseases (Mathuranath et al., 2000 ;  Nuechterlein et al., 2004). For example, people with Parkinson’s disease show marked impairments in planning and memory tasks (Dubois and Pillon, 1996), whereas those with schizophrenia have cognitive pervasive deficits, 1–2 standard deviations below population norms, which also predict the severity of disability in this population (Green et al., 2000). Additionally, cognitive abilities decline naturally in almost all people during healthy ageing (Van Hooren et al., 2007). In an ageing population, the functional consequences of cognitive decline may ultimately have a severe social and economic impact. Thus, interventions which improve cognition hold promise for the treatment of psychiatric and neurological diseases, an have positive implications for population health.

Fortunately, interventions which stimulate the brain and/or body can improve cognition, or attenuate decline. For instance, physical exercise has been shown to significantly improve global cognition, along with working memory and attentional processes, in both clinical and healthy populations (Firth et al., 2016Smith et al., 2010 ;  Zheng et al., 2016). Interventions can also be designed to target cognition directly, as computerized training programs for memory and other functions have been found to provide significant cognitive benefits, at least in the short term (Hill et al., 2017 ;  Melby-Lervåg and Hulme, 2013). Furthermore, ‘gamification’ of cognitive training programs can maximize their clinical effectiveness, as more complex and interesting programs are capable of better engaging patients in cognitively-demanding tasks while also training multiple cognitive processes simultaneously (Anguera et al., 2013).

Previous studies have found that providing both aerobic exercise and cognitive training together may have additive effects, preventing ageing-related cognitive decline more effectively (Shatil, 2013). This may be due to aerobic and cognitive activity stimulating neurogenesis through independent but complementary pathways; as animal studies show that while exercise stimulates cell proliferation, learning tasks support the survival of these new cells (Kempermann et al., 2010), such that combining these two types of training results in 30% more new neurons than either task alone (Fabel et al., 2009).

Rather than delivering aerobic and cognitive training in separate training sessions, recent advances in technology has presented an opportunity for combining physical activity with cognitively-challenging tasks in a single session through ‘exergames’. Exergames are considered as interactive video-games which require the player to produce physical body movements in order to complete set tasks or actions, in response to visual cues (Oh and Yang, 2010). Common examples include the ‘Nintendo Wii’ (along with ‘Wii Fit’ or ‘Wii Sports software’) or the ‘Microsoft Xbox Kinect’. Additionally, virtual reality systems which use exercise bikes and/or treadmills as a medium for players to interact with three-dimensional worlds have also been developed to provide immersive training experiences (Sinclair et al., 2007).

Along with their popular usage for leisure and entertainment, there is growing interest in the application of exergame systems to improve clinical outcomes. Recent systematic reviews and meta-analyses of this growing literature have provided preliminary evidence that exergames can improve various health-related outcomes, including reducing childhood obesity, improving balance and falls risk factors in elderly adults, facilitating functional rehabilitation in people with parkinson’s disease, and even reduce depression (Barry et al., 2014Li et al., 2016 ;  van’t Riet et al., 2014). However, the effects of exergames on cognitive functioning have not been systematically reviewed, despite many individual studies in this area.

Therefore, the aim of this study was to systematically review all existing trials of exergames for cognition, and apply meta-analytic techniques to establish the effects of exergames on global cognition along with individual cognitive domains. We also sought to (i) examine the effects of exergames on cognition in healthy and clinically-impaired populations, and (ii) investigate if the effects of exergames differed from those of aerobic exercise alone, by comparing exergames to traditional physical activity control conditions.

Fig. 1

Fig. 1. PRISMA flow diagram of systematic search and study selection.

Continue —> The effect of active video games on cognitive functioning in clinical and non-clinical populations: A meta-analysis of randomized controlled trials

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[Abstract+References] Ubiquitous gamification framework for stroke rehabilitation treatment based on the web service


Every year a large number of people survives from the stroke. To overcome the muscular rigidity, the survivors should participate the rehabilitation program regularly. Above all things, the motivation of the survivors easily collapses and hinder the participating the rehabilitation program. As a consequence, finding a good motivator for individual survivors is an important task for the caregivers and the therapists. This paper utilizes an individualized game for a motivator and proposes a ubiquitous gamification framework for stroke rehabilitation using web-services. The framework provides a formal interface to embrace individualized games and devices and motivates the survivors to participate the rehabilitation process in daily life.


Management of Stroke Rehabilitation Working Group 2010. VA/DOD Clinical practice guideline for the management of stroke rehabilitation. Journal of rehabilitation research and development.
Lindberg, J., Kreuter, M., Persson, L. O., and Taft, C. 2014. Family Members’ Perspectives on Patient Participation in Spinal Cord Injury Rehabilitation. Int J Phys Med Rehabil. (2014)
Ren, Y., Wu, Y. N., Yang, C. Y., Xu, T., Harvey, R., and Zhang, L. Q. 2016. Developing a wearable ankle rehabilitation robotic device for in-bed acute stroke rehabilitation. IEEE Trans Neural Syst Rehabil Eng. 99 (2016), 1–1.  [doi>10.1109/TNSRE.2016.2584003]
Popović, M. D., Kostić, M. D., Rodić, S. Z., and Konstantinović, L. M. 2014. Feedback-mediated upper extremities exercise: increasing patient motivation in poststroke rehabilitation. Biomed Res Int. (2014).
Thikey, H., Grealy, M., Wijck, F. V., Barber, M., and Rowe, P. 2012. Augmented visual feedback of movement performance to enhance walking recovery after stroke: study protocol for a pilot randomised controlled trial. Trials. 13, 1 (2012), 1–7.  [doi>10.1186/1745-6215-13-163]
Jacobs, A., Timmermans, A., Michielsen, M., Plaetse, M. V., and Markopoulos, P. 2013. CONTRAST: gamification of arm-hand training for stroke survivors. CHI EA. ACM New York, NY, USA (2013), 415–420.  [doi>10.1145/2468356.2468430]
Wood, S. R., Murillo, N., Bach-y-Rita, P., Leder, R. S., Marks, J. T., and Page, S. J. 2003. Motivating, Game-Based Stroke Rehabilitation: A Brief Report. Top Stroke Rehabil. 10, 2 (2003), 134–140.  [doi>10.1310/WB09-PFYJ-7XRN-RU6W]
White, G. N., Cordato, D. J., O’Rourke, F., and Mendis, R. L. 2012. Validation of the Stroke Rehabilitation Motivation Scale: a pilot study. Asian J Gerontol Geriatr. 7 (2012), 80–87.
Cho, K. H., Lee, K. J., and Song, C. H. 2012. Virtual-Reality Balance Training with a Video-Game System Improves Dynamic Balance in Chronic Stroke Patients. Tohoku J. Exp. Med. 228, 1 (2012), 69–74.  [doi>10.1620/tjem.228.69]
Hondori, H. M., Khademi, M., and Lopes, C.V. 2012. Monitoring intake gestures using sensor fusion (Microsoft Kinect and inertial sensors) for smart home tele-rehab setting. 1st Annual IEEE Healthcare Innovation Conference of the IEEE EMBS. (2012).
Sin, H., and Lee, G. 2013. Additional Virtual Reality Training Using Xbox Kinect in Stroke Survivors with Hemiplegia. Am J Phys Med Rehabil. 92, 10 (2013), 871–880.  [doi>10.1097/PHM.0b013e3182a38e40]
Kinect for Xbox One official homepage
Cleveland. Wii Fit Nintendo game makes physical therapy fun
Wii Fit Plus official homepage
Lange, B. S., Flynn, S. M., and Rizzo, A. A. 2009. Initial usability assessment of off-the-shelf video game consoles for clinical game-based motor rehabilitation. Phys Ther Rev. 14, 5 (2009), 355–363.  [doi>10.1179/108331909X12488667117258]
Deutsch, J. E., Robbins, D., Morrison, J., and Bowlby, P. G. 2009. Wii-based compared to standard of care balance and mobility rehabilitation for two individuals post-stroke. Virtual Rehabilitation International Conference. (2009), 117–120.  [doi>10.1109/ICVR.2009.5174216]
Björk, G. S., and Rydmark, M. 2007. Game Design in Virtual Reality Systems for Stroke Rehabilitation. Stud Health Technol Inform. 125 (2007), 146–148.
Burke, J.W. et al. 2010. Designing engaging, playable games for rehabilitation. (2010).
Rand, D., Kizony, R., and Weiss, P. L. 2004. Virtual reality rehabilitation for all: Vivid GX versus Sony PlayStation II EyeToy. 5th ICDVRAT. (2004), 87–94.
Colombo, E., Pisano, F., and Mazzone, A. et al.2007. Design strategies to improve patient motivation during robot-aided rehabilitation. J Neuroeng Rehabil, 4, 3 (2007), 33–39.
Reese, G. 2012. The REST API Design Handbook. Amazon Digital Services. (2012)

Source: Ubiquitous gamification framework for stroke rehabilitation treatment based on the web service

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[WEB SITE] Gaming helps personalized therapy level up – Penn State University

UNIVERSITY PARK, Pa. — Using game features in non-game contexts, computers can learn to build personalized mental- and physical-therapy programs that enhance individual motivation, according to Penn State engineers.

“We want to understand the human and team behaviors that motivate learning to ultimately develop personalized methods of learning instead of the one-size-fits-all approach that is often taken,” said Conrad Tucker, assistant professor of engineering design and industrial engineering.

They seek to use machine learning to train computers to develop personalized mental or physical therapy regimens — for example, to overcome anxiety or recover from a shoulder injury — so many individuals can each use a tailor-made program.

“Using people to individually evaluate others is not efficient or sustainable in time or human resources and does not scale up well to large numbers of people,” said Tucker. “We need to train computers to read individual people. Gamification explores the idea that different people are motivated by different things.”

To begin creating computer models for therapy programs, the researchers tested how to most effectively make the completion of a physical task into a gamified application by incorporating game features like scoring, avatars, challenges and competition.

“We’re exploring here how gamification could be applied to health and wellness by focusing on physically interactive gamified applications,” said Christian Lopez, graduate student in industrial engineering, who helped conduct the tests using a virtual-reality game environment.

Screen from game designed to test features for gamification use in physical and mental therapy. Image: Kimberly Cartier / Penn State

In the virtual-reality tests, researchers asked participants to physically avoid obstacles as they moved through a virtual environment. The game system recorded their actual body positions using motion sensors and then mirrored their movements with an avatar in virtual reality.

Participants had to bend, crouch, raise their arms, and jump to avoid obstacles. The participant successfully avoided a virtual obstacle if no part of their avatar touched the obstacle. If they made contact, the researchers rated the severity of the mistake by how much of the avatar touched the obstacle.

In one of the application designs, participants could earn more points by moving to collect virtual coins, which sometimes made them hit an obstacle.

“As task complexity increases, participants need more motivation to achieve the same level of results,” said Lopez. “No matter how engaging a particular feature is, it needs to move the participant towards completing the objective rather than backtracking or wasting time on a tangential task. Adding more features doesn’t necessarily enhance performance.”

Tucker and Lopez created a predictive algorithm — a mathematical formula to forecast the outcome of an event — that rates the potential usefulness of a game feature. They then tested how well each game feature motivated participants when completing the virtual-reality tasks. They compared their test results to the algorithm’s predictions as a proof of concept and found that the formula correctly anticipated which game features best motivated people in the physically interactive tasks.

The researchers found that gamified applications with a scoring system, the ability to select an avatar, and in-game rewards led to significantly fewer mistakes and higher performance than those with a win-or-lose system, randomized gaming backgrounds and performance-based awards.

Sixty-eight participants tested two designs that differed only by the features used to complete the same set of tasks. Tucker and Lopez published their results in Computers in Human Behavior.

The researchers chose the tested game features from the top-ranked games in the Google Play app store, taking advantage of the features that make the games binge-worthy and re-playable, and then narrowed the selection based on available technology.

Their algorithm next ranked game features by how easily designers could implement them, the physical complexity of using the feature, and the impact of the feature on participant motivation and ability to complete the task. If a game feature is too technologically difficult to incorporate into the game, too physically complex, does not offer enough incentive for added effort or works against the end goal of the game, then the feature has low potential usefulness.

The researchers would also like to use these results to boost workplace performance and personalize virtual-reality classrooms for online education.

“Game culture has already explored and mastered the psychological aspects of games that make them engaging and motivating,” said Tucker. “We want to leverage that knowledge towards the goal of individualized optimization of workplace performance.”

To do this, Tucker and Lopez next want to connect performance with mental state during these gamified physical tasks. Heart rate, electroencephalogram signals and facial expressions will be used as proxies for mood and mental state while completing tasks to connect mood with game features that affect motivation.

The National Science Foundation funded this research.

Source: Gaming helps personalized therapy level up | Penn State University

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[Conference paper] Usage of VR Headsets for Rehabilitation Exergames – Abstract+References


The work presented here is part of a large project aimed at finding new ways to tackle exergames used for physical rehabilitation. The preferred user group consists of physically impaired who normally cannot use commercially available games; our approach wants to fill a niche and allow them to get the same playing experience like healthy. Four exercises were implemented with the Blender Game engine and connected to a motion capture device (Kinect) via a modular middleware. The games incorporate special features that enhance weak user movements, such that the avatar reacts in the same way as for persons without physical restrictions. Additionally, virtual reality glasses have been integrated to achieve a more immersive feeling during play. In this work, we compare the results of preliminary user tests, performed with and without VR glasses. Test outcomes are good for motion amplification in some of the games but do not present generally better results when using the VR glasses.

Source: Usage of VR Headsets for Rehabilitation Exergames | SpringerLink

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[WEB SITE] The Rehabilitation Gaming System

slideshow 1RGS is a highly innovative Virtual Reality (VR) tool for the rehabilitation of deficits that occur after brain lesions and has been successfully used for the rehabilitation of the upper extremities after stroke.
The RGS is based on the neurobiological considerations that plasticity of the brain remains  throughout life and therefore can be utilized to achieve functional reorganization of the brain areas affected by stroke. This can be realized by means of activation of secondary motor areas such as the so called mirror neurons system.

RGS deploys a deficit oriented training approach. Specifically, while training with RGS the patient is playing individualized games where movement execution is combined with the observation of correlated actions performed by a virtual body. The system optimizes the user’s training by analyzing the qualitative and quantitative aspects of the user’s performance. This warranties a detailed assessment of the deficits of the patient and their recovery dynamics.

Key articles and Recent publications

also see

Source: The Rehabilitation Gaming System | Rehabilitation Gaming System

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[ARTICLE] Competitive and cooperative arm rehabilitation games played by a patient and unimpaired person: effects on motivation and exercise intensity – Full Text



People with chronic arm impairment should exercise intensely to regain their abilities, but frequently lack motivation, leading to poor rehabilitation outcome. One promising way to increase motivation is through interpersonal rehabilitation games, which allow patients to compete or cooperate together with other people. However, such games have mainly been evaluated with unimpaired subjects, and little is known about how they affect motivation and exercise intensity in people with chronic arm impairment.


We designed four different arm rehabilitation games that are played by a person with arm impairment and their unimpaired friend, relative or occupational therapist. One is a competitive game (both people compete against each other), two are cooperative games (both people work together against the computer) and one is a single-player game (played only by the impaired person against the computer). The games were played by 29 participants with chronic arm impairment, of which 19 were accompanied by their friend or relative and 10 were accompanied by their occupational therapist. Each participant played all four games within a single session. Participants’ subjective experience was quantified using the Intrinsic Motivation Inventory questionnaire after each game, as well as a final questionnaire about game preferences. Their exercise intensity was quantified using wearable inertial sensors that measured hand velocity in each game.


Of the 29 impaired participants, 12 chose the competitive game as their favorite, 12 chose a cooperative game, and 5 preferred to exercise alone. Participants who chose the competitive game as their favorite showed increased motivation and exercise intensity in that game compared to other games. Participants who chose a cooperative game as their favorite also showed increased motivation in cooperative games, but not increased exercise intensity.


Since both motivation and intensity are positively correlated with rehabilitation outcome, competitive games have high potential to lead to functional improvement and increased quality of life for patients compared to conventional rehabilitation exercises. Cooperative games do not increase exercise intensity, but could still increase motivation of patients who do not enjoy competition. However, such games need to be tested in longer, multisession studies to determine whether the observed increases in motivation and exercise intensity persist over a longer period of time and whether they positively affect rehabilitation outcome.

Trial registration

The study is not a clinical trial. While human subjects are involved, they participate in a single-session evaluation of a rehabilitation game rather than a full rehabilitation intervention, and no health outcomes are examined.


Rehabilitation ,Virtual reality ,Multiplayer games, Interpersonal rehabilitation games ,Social interaction ,Motivation ,Exercise intensity


Home rehabilitation technology

Diseases such as stroke have a massively debilitating effect on people’s lives. It is estimated that one in six people will experience a stroke in their lifetime [1], and 88% of survivors report some impairment of their limb function [2]. In the United States, approximately 795,000 individuals suffer a new or recurrent stroke every year, leading to an estimated combined direct and indirect cost of $68.9 billion [3]. Intensive training delivered by a therapist soon after the injury can effectively restore motor functions needed for independent life. However, even top hospitals only devote a limited amount of time to rehabilitation of motor functions [4]. The situation is even worse in most other hospitals and health centers, where patients are idle for most of the day due to a shortage of qualified medical staff [4]. After leaving the hospital, patients thus need to exercise at home without therapist supervision in order to fully regain their abilities.

Several technologies, ranging from consumer devices such as the Microsoft Kinect [5] to complex exoskeletons [6], have been deployed for motor rehabilitation at home. These technologies usually combine limb tracking with virtual environments presented on a personal computer, which allow patients to perform a variety of simulated activities of daily living [7]. Furthermore, they incorporate game-like elements such as automated difficulty adaptation, score displays and cognitive challenges [8, 9, 10, 11]. However, despite promising technical achievements, the effectiveness of home rehabilitation technology remains limited. A recent study showed that, even if a therapist prescribes a technology-supported exercise, only about 30% of unsupervised patients will comply with the rehabilitation regimen [12].

This lack of compliance is due to lack of motivation for rehabilitation, which is known to be a key determinant of rehabilitation outcome: patients who are unmotivated will not exercise frequently or intensely enough [13, 14]. Studies outside rehabilitation have already shown that motivational interventions improve compliance with the therapy regimen [15], and recent home rehabilitation studies have emphasized the importance of motivational elements that would increase the duration and intensity of exercise [16, 17]…

Continue —> Competitive and cooperative arm rehabilitation games played by a patient and unimpaired person: effects on motivation and exercise intensity | Journal of NeuroEngineering and Rehabilitation | Full Text

Fig. 1 The BiMeo used unimanually without support (top left), unimanually on a table (top right), bimanually without support (bottom left), and bimanually on a table (bottom right)

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[VIDEO] SaeboVR – World’s First Virtual ADL Rehabilitation System

Δημοσιεύτηκε στις 21 Φεβ 2017

Saebo, Inc., is a leading global provider of innovative rehabilitation products for stroke survivors and other neurologically impaired individuals. Headquartered in Charlotte, NC, the company was founded in 2001 by two occupational therapists specializing in stroke rehabilitation. As the leading cause of long-term disability in the U.S., stroke affects over 700,000 Americans every year, leaving many with crippling side affects including the loss of hand function. Saebos pioneering treatment protocols are based on new research documenting the brains remarkable ability to re-program itself following injury.

The companys neurological orthotic devices, including the ground-breaking SaeboFlex and SaeboReach, allow patients with very little residual arm and hand function to immediately begin performing task-oriented, grasp and release activities, thereby forging new pathways in the brain. Named Most Valuable Product in 2008 by Therapy Times, the Saebo Program is now offered as a treatment option at over 2,000clinics and hospitals nationwide, including 22 of the Top 25 Rehabilitation Hospitals as ranked by U.S. News & World Report. The Saebo orthoses are also eligible for reimbursement by Medicare and most commercial insurers. With a network of over 6,000 trained clinicians spanning four continents, Saebo is committed to helping stroke survivors around the globe achieve a new level of independence.

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[WEB SITE] TherapWii – game suggestions

Why TherapWii

Gaming activates and is fun to do! In a playful and often unnoticed way skills are trained. Adolescents grow up in a digital world; they enjoy gaming and do it frequently. For adults and elderly gaming has been shown to be a useful type of therapy.

In a virtual environment moving, executing, learning and enjoying are appealing; if circumstances or limitations keep you from going to the bowling alley or playing an instrument, gaming can broaden your boundaries.

Gaming with the Wii can complement therapy, can make therapy more attractive, intenser and more provocative.

TherapWii has been developed to support therapists in an effective and specific way while using the Nintendo Wii and offer options to game in the home environment.

TherapWii is the product of an exploratory research project done by the Special Lectorship Rehabilitation at the Hague University. The results of this project can be found by clicking on the header ‘research’ at the end of the page.

How does TherapWii work?

Per therapy goal there are three colored tabs to help find the most suitable games. Each game lists specific information in text and symbols. There is also a level of difficulty; by moving the cursor over this button you see more information.

User information is saved in ‘explanation and tips’. To enhance this section you can email recommendations and suggestions to the email address listed below.

TherapWii has been developed, also for home use, so that experience lead to personal growth.

Advice for game adjustments

It is important that the therapist stays close to the patient’s goals and abilities and adjusts the game program appropriately. If you, as therapist, want to make the game easier, more difficult or more daring, you can change the instruction, implementation or setting.

A few examples:

Physical: strength (add weights to the arms or legs or change the starting position); balance/stability (play while standing on an instable foundation (ball, mat). Or play the games while sitting on a stationary bicycle!

Cognition: create double tasks (ask mathematics, questions or riddles); spatial orientation or visual adjustments (play with one eye covered or in front of a mirror).

Social-emotional: stimulate cooperation or competition (create bets or role-playing).

Let us know if you have other ideas to make the games more provoking.

How are the games rated?

The games were tested by several professionals (physical therapists, occupational therapists and sport therapists). Differences in opinion or scores were discussed and voted on.

Give us feedback, corrections and advice, we will adjust the TherapWii program monthly and will use your suggestions.

Which ability do you choose?





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[Abstract+References] A Serious Games Platform for Cognitive Rehabilitation with Preliminary Evaluation


In recent years Serious Games have evolved substantially, solving problems in diverse areas. In particular, in Cognitive Rehabilitation, Serious Games assume a relevant role. Traditional cognitive therapies are often considered repetitive and discouraging for patients and Serious Games can be used to create more dynamic rehabilitation processes, holding patients’ attention throughout the process and motivating them during their road to recovery. This paper reviews Serious Games and user interfaces in rehabilitation area and details a Serious Games platform for Cognitive Rehabilitation that includes a set of features such as: natural and multimodal user interfaces and social features (competition, collaboration, and handicapping) which can contribute to augment the motivation of patients during the rehabilitation process. The web platform was tested with healthy subjects. Results of this preliminary evaluation show the motivation and the interest of the participants by playing the games.

Source: A Serious Games Platform for Cognitive Rehabilitation with Preliminary Evaluation | SpringerLink

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