[Abstract + References] Serious Game Based on Myo Armband for Upper-Limb Rehabilitation Exercises – Conference paper

Abstract

The purpose of a rehabilitation processes is to restore a person to a state of optimal functioning. A wide variety of rehabilitation processes consist of repetition tasks. Thus, Serious Games (SG) can be used as a technology to assist in this process by motivating patients to perform the exercises during rehabilitation sessions using a variety of devices, with goals or scores to be achieved during sessions. This work addresses the development and usage of SG based on the Myo Armband, an affordable-access device, which is used to build an Assistive Technology for upper-limb rehabilitation. This SG has a circus target shooting as theme, in which the individuals must make the selected upper-limb rehabilitation exercise (the full fist position), in order to shoot with the gun and hit the targets. To test these SG, five healthy volunteers used them during 3 sessions of 10 repetitions each. To evaluate this SG, the volunteers answered a System Usability Scale (SUS) questionnaire and a free questionnaire with questions about the structure of the SG. Results showed that these SG have good potential to be used as a rehabilitation tool, and the suggestions of the free form questionnaire will be useful to make the necessary changes before its usage with impaired patients.

References

1. 1.
   Brasil. A Coleção Progestores – Para entender a gestão do SUS. Ciência e Tecnologia em Saúde, 1 ed. Brasília (2007)Google Scholar
2. 2.
   Brasil. Subsecretaria Nacional de Promoção dos Direitos da Pessoa com Deficiência. Comitê de Ajudas Técnicas. Tecnologia Assistiva. CORDE, 138 pp. Brasília (2009)Google Scholar
3. 3.
   Brasil. Ministério do Planejamento, Orçamento e Gestão. Instituto Brasileiro de Geografia e Estatística – IBGE. Censo demográfico 2010: características gerais da população, religião e pessoas com deficiência, pp. 1–215. Rio de Janeiro (2010)Google Scholar
4. 4.
   Robitaille, S.: The Illustrated Guide to Assistive Technology and Devices: Tools and Gadgets for Living Independently. Demos Medical Publishing, New York (2010)Google Scholar
5. 5.
   Ritterfeld, U., Cody, M., Vorderer, P.: Serious Games: Mechanisms and Effects. Taylor & Francis, New York (2009)CrossRefGoogle Scholar
6. 6.
   Bonnechère, B.: Serious Games in Physical Rehabilitation. Springer International Publishing, Brussels (2018)CrossRefGoogle Scholar
7. 7.
   Delisa, A., Gans, M., Walsh, E.: Physical Medicine and Rehabilitation: Principles and Practice, 15th edn. Lippincott Williams & Wilkins, Philadelphia (2005)Google Scholar
8. 8.
   Monteiro, C.B.D.M.: Realidade virtual e jogos eletrônicos: uma proposta para deficientes. Realidade virtual na paralisia cerebral, pp. 68–87. São Paulo (2011)Google Scholar
9. 9.
   Masson, S., Fortuna, F., Moura, F., Soriano, D.: Integrating Myo Armband for the control of myoelectric upper limb prosthesis. In: Proceedings of the XXV Congresso Brasileiro de Engenharia Biomédica. Foz do Iguaçu (2016)Google Scholar
10. 10.
    Kisner, C., Colby, L.A.: Therapeutic Exercise: Foundations and Techniques, 6th edn. Fa Davis, Philadelphia (2012)Google Scholar
11. 11.
    Levin, F., Weiss, L., Keshner, A.: Emergence of virtual reality as a tool for upper limb rehabilitation: incorporation of motor control and motor learning principles. Phys. Ther. 95(3), 415–425 (2015)CrossRefGoogle Scholar
12. 12.
    Silva, R., Silva, A.: Tecnologias para Construção de Mundos Virtuais: Um Comparativo Entre as Opções Existentes no Mercado, FAZU em Revista, pp. 211–215 (2012)Google Scholar
13. 13.
    Hjorungdal, R.M., Sanfilippo, F., Osen, O.L., Rutle, A., Bye, R.T.: A. game-based learning framework for controlling brain-actuated wheelchairs. In: ECMS, pp. 554–563 (2016)Google Scholar
14. 14.
    Unity Technologies: Unity. http://unity3d.com/ (2018). Accessed 18 Feb 2018
15. 15.
    Blender Foundation: Blender. https://www.blender.org/ (2018). Accessed 18 Feb 2018
16. 16.
    Gimp: Gimp. https://www.gimp.org/ (2018). Accessed 18 Feb 2018
17. 17.
    Finstad, K.: The system usability scale and non-native english speakers. J. Usability Stud. 1(4), 185–188 (2006)Google Scholar
18. 18.
    Bangor, A., Kortum, P., Miller, J.: Determining what individual SUS scores mean: adding an adjective rating scale. J. Usability Stud. 4(3), 114–123 (2009)Google Scholar

via Serious Game Based on Myo Armband for Upper-Limb Rehabilitation Exercises | SpringerLink

ARTICLE: Effects of a Mirror-Induced Visual Illusion on a Reaching Task in Stroke Patients

Abstract

Background. Although most mirror therapy studies have shown improved motor performance in stroke patients, the optimal mirror training protocol still remains unclear. Objective. To study the relative contribution of a mirror in training a reaching task and of unilateral and bimanual training with a mirror. Methods. A total of 93 stroke patients at least 6 months poststroke were instructed to perform a reaching task as fast and as fluently as possible. They performed 70 practice trials after being randomly allocated to 1 of 5 experimental groups: training with (1) the paretic arm with direct view (Paretic-No Mirror), (2) the nonparetic arm with direct view (Nonparetic-No Mirror), (3) the nonparetic arm with mirror reflection (Nonparetic Mirror), (4) both sides and with a nontransparent screen preventing visual control of paretic side (Bilateral-Screen), and (5) both sides with mirror reflection of the nonparetic arm (Bilateral-Mirror). As baseline and follow-up, patients performed 6 trials using only their paretic side. Primary outcome measure was the movement time. Results. We found the largest intervention effect in the Paretic-No Mirror condition. However, the Nonparetic-Mirror condition was not significantly different from the Paretic-No Mirror condition, while the Unaffected-No Mirror condition had significantly less improvement than the Paretic-No Mirror condition. In addition, movement time improved significantly less in the bimanual conditions and there was no difference between both bimanual conditions or between both mirror conditions. Conclusion. The present study confirms that using a mirror reflection can facilitate motor learning. In this task, bimanual movement using mirror training was less effective than unilateral training.

via Effects of a Mirror-Induced Visual Illusion on a Reaching Task in Stroke Patients.

ARTICLE: Effects of a Mirror-Induced Visual Illusion on a Reaching Task in Stroke Patients

…The present study confirms that using a mirror reflection can facilitate motor learning. In this task, bimanual movement using mirror training was less effective than unilateral training…

μέσω Effects of a Mirror-Induced Visual Illusion on a Reaching Task in Stroke Patients.