Download pdf - Standing Growing Blooming Tree Rehabilium

Serious Game for Rehabilitation

Standing Growing Blooming Tree

Rehabilium

www.gamesforhealth.org

http://macma-lab.heteml.jp/

http://macma-lab.heteml.jp





I’m Playing...




Serious game project

The feature of “Rehabilium”

The verification experiment

from the medical aspect

1

2

3

Demonstration +






Fukuoka city

Kyushu

University

Industry

Academia

Government

Tokyo

GAME FACTORY'S FRIENDSHIP

GAME industry

promotion organization






Fukuoka city

Kyushu

University

Industry

Academia

Government

GAME FACTORY'S FRIENDSHIP

Serious Game Project



Expand

game

industry

Fostering

human

resources




Eco-logic

Reduction of CO2

Trash Giraffe

Recycling

Ainiikuken −Dog the sweeper−

Separated processing

of garbage

Darwin’s Lake

Ecosystem

Serious game for environmental problems






Why Rehabilitation?






Shin-ichiro Takasugi Associate professor・Medical doctor Rehabilitation Center, Kyushu University Hospital

Kyushu University Hospital






Shin-ichiro Takasugi



“Doki-Doki Hebi Taiji”

90 years old!

Kyushu University Hospital






Nagao Hospital

Morning group exercise Rehabilitation using Wii




What kind of training?






Standing-upTraining

Grade A in Japanese Guideline for the Management of Stroke

What kind of training？

Core training in a rehabilitation

Basics of activities of daily living Tedious

Hard But...






Feature of the game






Grow a tree by standing-up movement

Collect cards, medals and flowers

Constraint Failure experience = NG

Complex movement = NG

Feature of the game






System

Environment Hospital, Daycare (Under the assistance of the therapists)

Target Elderly people

Wii balance board + PC

Feature of the game






Demo

Feature of the game






Constraint Failure experience = NG

Complex movement = NG

Feature of the game






About the game design

Visual

Collection

Reward

Sound

positiveness continuity

Feature of the game






Visual 15 different Trees Grow１tree a day Selected at random

Feature of the game






Flowers

Reward

Get 1 flower each goals

Feature of the game






Cards

Get 1 card each 100ｍ

Reward

Feature of the game






medals

at random

each ?? height

Reward

Feature of the game








Collection

promote communication between players

Enhance the player’s motivation

Feature of the game




Sound

GANBARE !!

OK !

Statue of Liberty !

You got a medal !

Cheery Music + facilitating voices

Feature of the game

high frequency as time passed






In the future

Multi-play version

On-line Business Sharing the result with others






- Standing Growing Blooming Tree -

Rehabilium

The Verification Report

Director, Nagao Hospital

Fumitada Hattori Medical Doctor, Expert Doctor Of Rehabilitation








I’m Playing...




28






Why did we adapt ‘stand-up exercise’?

The answer was in the textbook written by

Dr. Gerald G. Hirschberg.






Who is Dr. Hirshberg (1914~2004) ?

Clinical Professor of Physical Medicine

and Rehabilitation,

California College of Medicine,

University of California

Great Expert Rehabilitation Doctor






The Use of Stand-up

and Step-up Exercises in

Rehabilitation



Gerald G. Hirschberg M.D.,F.A.C.P.




The equipment for stand-up exercises is

simple: a chair to sit on and a stable object

that the patient can grasp for support.

Stand-up exercises, Group therapy for hemiplegic patients.

In a hospital, group stand-up exercises, which usually stimulate patients toward greater effort,

can be done around a parallel bar.



Gerald G. Hirschberg M.D.,F.A.C.P.




33

Electromyogam of hemiplegic patient

Uninvolved side Involved side

Ankle

Knee

Hip

Abdominal

Back

Subjects

Male / Female 19 / 29

Age 75.5 ± 11.1

Type of disease

Cerebrovascular disease(19) Bone Fracture (20)

Disuse syndrome(8) Parkinson disease(1)

MMSE score 24.5 ± 4.7

◆Total：48 people








35

Rehabilium at Nagao hospital






36

Rehabilium at Nagao hospital






37

① Maximum number of times

② Subjective judgments

③ Vital sign / Observation

Usability

Safety

◆Protocol






38

ＳｅｌｆＧａｍｅＴｈ．

Self training Training with game Training with therapist

◆Comparison under 3 conditions

＊: significant




39

Result 1


◆Maximum number of times：

〔times〕 “Let’s see how many times you can stand up!“

Average


Result 2

◆Rating of perceived exhaustion

6 6 6

0

2

4

6

8

10

3/4

Median

1/4 ↓Feel very easy

↑Feel very tired ＊＊＊

- Verification on the usability -

◆Q: Do you want to try again? 〔Continuity〕


Result 3 (positive image)

2

3 3

0

1

2

3

4

5

↓No, I don’t at all

↑Yes, I do

very much

3/4

Median

1/4

＊＊＊

- Verification on the usability -

9(2) people total27(2) tests

( ) ･･･Healthy subject

Health subject Condition S

【Subjects】 Age：72.7±10.2 (35.5) Sex：5(2) males, 4 females

Type of disease：cerebrovascular disease 6, motor disease 3

Standing-up times：62 times (median of 15～200) 3.445±0.9sec / 1 stroke

DP on motion /DP on resting (≒METs)：< 2〔1.883(Max.)〕

(DP：Double product index of cardiac load METs：relative value of metabolism)

Result 4 - Verification on the safety -

Condition G Condition T

elapsed time

Heart Rate

1. Rehabilium makes monotonous

stand-up exercise enjoyable.

Conclusion

2. Rehabilium is an usable and

safe game.






Beware of steps

Problems, Tasks

２．Complex operation for hardware set up

１.

３．For the people with dementia

Need more observations to verify the availability








45

Potential Game

Rehabilium is usable and safe.

Rehabilium is potential in rehabilitaiton.




Thank you for your attention.



Please visit our demo booth!






Any Question?




Serious Game for Rehabilitation

Standing Growing Blooming Tree

Rehabilium




