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An investigation into utilising a Therapeutic Exergame to improve the Rehabilitation Process

An investigation into utilising a Therapeutic Exergame to improve the Rehabilitation Process. Sarah O'Neill M.Sc. – sloneill@wit.ie Dr. Patrick Felicia – pfelicia@wit.ie. Outline. Limitations Games Applicability to Physiotherapy Game Development Technologies Game Design Approach

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An investigation into utilising a Therapeutic Exergame to improve the Rehabilitation Process

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  1. An investigation into utilising a Therapeutic Exergame to improve the Rehabilitation Process Sarah O'Neill M.Sc. – sloneill@wit.ie Dr. Patrick Felicia – pfelicia@wit.ie

  2. Outline • Limitations • Games Applicability to Physiotherapy • Game Development Technologies • Game Design Approach • The Game Developed • Preliminary Study & Results

  3. Background • Serious need to improve rehabilitation process for physiotherapy • Challenges 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

  4. Background • Monitoring • Exercise Sheets • Common practice • Essential Intervention • Difficult to understand • Exercise Technique • Crucial exercise is accurate • Further Injury = Prolonged recovery time

  5. Games Applicability to Physiotherapy • Gesture-based games • Natural Interaction • New realm – players are not sedentary • Feedback is more appropriate • Gaming is ubiquitous! • Gesture based consoles • Generational Acceptance • Opportunities for Serious Games

  6. Games Applicability to Physiotherapy • Learning is more engaging • Innovative and playful  Increase motivation • Multi-sensory environments  Learning styles • Multimedia Elements • Exercise demonstrations • Correct technique

  7. Games Applicability to Physiotherapy • Distraction • Pain management • Remove the idea of exercise or treatment • Drill and Practice • Skill and competence through repetition • Achieved easily through game elements

  8. Game Development - Technologies Unity3D 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

  9. Game Design Approach User Centered Design • Analysis Phase • Exercises to be incorporated • Exercise Repetitions • Design, Evaluation and Implementation Phases • Game Content • Storyboarding • Prototyping • Deployment

  10. The Game Developed

  11. Preliminary Study • Single Session Study • Physiotherapy clinic in Waterford • Ten Participants • 20 – 55yrs old • Self-Determination Theory (SDT) • Study of human motivation and personality • Different types of motivation inspire human behaviour & exist on a continuum

  12. Preliminary Study • Self-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

  13. Preliminary Study • Self-Determination Theory (SDT) • Amotivation • Lack of intention to act • Situational Motivation • Motivation at a given point in time • SItuational Motivation Scale (SIMS) • 16 Item adaptable self report questionnaire

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

  15. Different Types of Motivation

  16. Exercise Technique • 8 Participants – Accurate • 2 Participants – Inaccurate • 2 Participants had used the Microsoft Kinect before • Game Scores - Successfully completed games with high scores

  17. Thank you for listening I will be happy to answer any questions you may have

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