A

N INVESTIGATION INTO UTILISING A

T

HERAPEUTIC

E

XERGAME TO IMPROVE THE

R

EHABILITATION

P

ROCESS

Sarah O'Neill M.Sc. – [email protected]

Dr. Patrick Felicia – [email protected]

Outline

1.

Limitations

2.

Games Applicability to Physiotherapy

3.

Game Development Technologies

4.

Game Design Approach

5.

The Game Developed

6.

Preliminary Study & Results

2

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 3

Background

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

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 5

Games Applicability to Physiotherapy



Learning is more engaging

  Innovative and playful  Increase motivation Multi-sensory environments  Learning styles 

Multimedia Elements

 Exercise demonstrations  Correct technique 6

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 7

Game Development - Technologies

Unity3D OpenNi

 3D & fast code execution  Open- Source Software Development Kit (SDK)  C++, C# & JavaScript  Integration with Unity3D  Open Source  Platform Independence  Graphical User Interface  Tracking System  ZigFu 8

Game Design Approach

User Centered Design

 Analysis Phase  Exercises to be incorporated  Exercise Repetitions  Design, Evaluation and Implementation Phases    Game Content Storyboarding Prototyping  Deployment 9

The Game Developed

10

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 11

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 12

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 13

Overall Motivation - SDI Scores

SDI formula: (2 * IM + 1 * IR) – (1 * ER + 2 * A) 14

Different Types of Motivation

15

Exercise Technique



8 Participants – Accurate



2 Participants – Inaccurate



2 Participants had used the Microsoft Kinect before



Game Scores - Successfully completed games with high scores

16

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

17

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