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Web-Based Home Rehabilitation Gaming System

International Clinic of Rehabilitation. Web-Based Home Rehabilitation Gaming System. International Clinic of Rehabilitation. Research and Development Team. Prof. Volodymyr Kozyavkin , MD, Director of International Clinic of Rehabilitation,

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Web-Based Home Rehabilitation Gaming System

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  1. International Clinic of Rehabilitation Web-Based Home Rehabilitation Gaming System

  2. International Clinic of Rehabilitation Research and Development Team • Prof. VolodymyrKozyavkin, MD, Director of International Clinic of Rehabilitation, • Dr. OlehKachmar, MD, Head of Innovative Technologies Department, • Dr. TarasVoloshyn, MD, child neurologist, • Mr. VadymMarkelov, software developer, • Mrs. IrynaAblikova, Physical Therapist, • Mr. BohdanKachmar, software developer • Provides Intensive treatment for patients with Cerebral Palsy and other neurological diseases • More than 4.000 patients came for treatment each year

  3. Background • Virtual reality (VR) have great potential in the neurological rehabilitation of patients with movement disorders • Most VR systems for motor training are quite expensive and could be used only in clinical setting • Low-cost, commercially available gaming systems are widely used, but: • typical games are too difficult for disabled children • no means for distant supervision by therapists

  4. Our Experience • Using Computer Games in Motor Rehabilitation for more than 12 years • Now gaming rehabilitation is used on regular daily basis • Custom Made Gaming Hardware • Hand training device • Training chair • Universal gaming device Special Rehabilitation Gaming Software

  5. Objective • Develop a low-cost rehabilitation game training system • for patients with movement disorders, • suitable for home use, • with supervision of a therapist • Preliminary assessment of its benefits for training balance in patients with Cerebral Palsy

  6. System Description Game Device Controller VR Game Server application installed on a home computer Tasks: • connect gaming hardware through USB or Bluetooth: • convert data from different hardware to one format, • send the game controlling data to the games and receive feedback Hosted in the Internet Tasks: • user management • repository for rehabilitation games with training guidelines • usage statistics • messaging

  7. Rehabilitation Gaming Hardware Nintendo Balance Board Nintendo Wii Remote MS Kinect Universal Gaming Device

  8. Rehabilitation Games • Could be played with different gaming hardware • Appropriate for people with movement disorders • Calibrated according to patient’s possibilities • 5 difficulty levels • Unified scoring system (max score 100) • Multilingual – game messages are separate

  9. with Rehabilitation Gaming System Balance Training 9

  10. Training Positions Standing, left-right bending Standing, front- back bending Standing with support Standing one foot in front Kneeling on the board Sitting on the board

  11. Supervision by physical therapist • Physicaltherapist evaluates the patient and draws up a training program, indicating recommended games, training positions, frequency and duration of sessions. • Duration, timing and score of gaming sessions are stored on the server • Using this information therapist may adjust the program, if necessary

  12. Stabilometry, a diagnostic game • Child stands still on the balance board for 15 sec • Meanvelocityof center of pressure (CoP) displacement and areaof CoP displacement are calculated • Higher velocities and larger areas indicate poor balance

  13. Preliminary outcome assessment

  14. Patients Two weeks Daily home training sessions (30 min duration)

  15. Evaluation tools Gross Motor Function Classification System - a five level classification system that describes the gross motor function of children with Cerebral Palsy (Level I can walk without limitations, Level V – transported in wheelchair) Pediatric Balance Scale a scale with proven reliability and validity, designed to evaluate the child’s balance function. (14 tasks, each from 0 to 4 points, 56 max) Stabilometry a specials diagnostic game measuring Velocity and Area of Center of Pressure (CoP) displacement while staying still on the board

  16. Results

  17. Results Balance scale Center of Pressure (CoP) Velocity CoP Area

  18. Conclusions • A Home Rehabilitation Gaming System was developed in order to transfer the virtual rehabilitation of patients with motor disorders from clinical to home settings. • Preliminary results suggest that home gaming training is beneficial for improving balance function in patients with Cerebral Palsy Limitations of the study • a small number of patients • without control group • evaluation performed by a therapist working with them, so his assessments may have been biased • important to determine how balancing skills, obtained during training sessions, can be adapted to everyday life

  19. Acknowledgements • The authors express their gratitude to the administration of the International Clinic of Rehabilitation for their support in developing the system, • as well as to doctors and therapists for testing the system and offering critical and constructive suggestions Home Rehabilitation Gaming System is available free-of-charge to both therapists and patients at http://game.reha.lviv.ua.

  20. Visit our demo at *** Thank you

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