Abstract
This paper reports the feasibility of Elinor, a game-based system for stroke rehabilitation in the home. The Elinor prototype has been positively evaluated with respect to its usability, user acceptance and motivational factors as well as its rehabilitation effect. This paper reports the findings from the whole project. To summarize the results, we find that game factors can be used to enhance motivation for rehabilitation. We had positive results with respect to many of the rehabilitation measurements employed. For example, the assessment of motor and process skills was positive as were also the self-reported improvements in daily activities. Furthermore, it seems that an increased self-efficacy with respect to the belief that the treatment can have an effect is positive and expected to increase motivation to undergo necessary rehabilitation. The usability and perceived usefulness of the system were also positively evaluated and the subjects expressed a positive attitude towards the system as well as a belief in its usefulness.
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References
World Health Organization (WHO) Stroke, Cerebrovascular accident, http://www.who.int/topics/cerebrovascular_accident/en/ (retrieved November 1, 2010)
Rothwell, P.M., Coull, A.J., Giles, M.F., Howard, S.C., Silver, L.E., Bull, L.M., et al.: Change in stroke incidence, mortality, case-fatality, severity, and risk factors in Oxfordshire, UK from 1981 to 2004. Oxford Vascular Study. Lancet 12(363), 1925–1933 (2004)
National Board of Health and Welfare. Guidelines for Stroke Medical Services. In: Swedish: Socialstyrelsen. Nationella riktlinjer för strokesjukvård 2005: Socialstyrelsen (2006)
Rizzo, A., Kim, G.J.: A SWOT Analysis of the Field of Virtual Reality Rehabilitation and Therapy. Presence: Teleoperators and Virtual Environments 14(2), 119–146 (2005)
Laver, K.E., George, S., Thomas, S., Deutsch, J.E., Crotty, M.: Virtual reality for stroke rehabilitation. Editorial Group: Cochrane Stroke Group (published online September 7, 2011), http://www.thecochranelibrary.com/view/0/index.html , doi:10.1002/14651858.CD008349.pub2 (retrieved October 4, 2011)
Flynn, S., Palma, P., Bender, A.: Feasibility of Using the Sony PlayStation 2 Gaming Platform for an Individual Poststroke: A Case Report. Journal of Neurologic Physical Therapy 31, 180–189 (2007)
Broeren, J.: Virtual Rehabilitation – Implications for Persons with Stroke Doctoral dissertation. PhD Thesis. University of Gothenburg, Gotheburg (2007)
Zheng, H., Davies, R., Zhou, H., Hammerton, J., Mawson, S.J., Ware, P.M., Black, N.D., Eccleston, C., Hu, H., Stone, T., Mountain, G.A., Harris, N.D.: SMART project: application of emerging information and communication technology to home-based rehabilitation for stroke patients. In: Proceedings of the 6th International Conference Disability, Virtual Reality & Assoc. Tech., pp. 215–220 (2006)
Adamovich, S.V., Merians, A.S., Boian, R., Lewis, J.A., Tremaine, M., Burdea, G.S., Recce, M., Poizner, H.: A Virtual Reality-Based Exercise System for Hand Rehabilitation Post-Stroke. Presence: Teleoperators and Virtual Environments 14(2), 161–174 (2005)
Johnson, M.J., Trickey, M., Brauer, E., Feng, X.: TheraDrive: A New Stroke Therapy Concept for Home-based, Computer-Assisted Motivating Rehabilitation. In: Proceedings from the 26th Annual International Conference of the IEEE EMBS, pp. 4844–4847 (2004)
Kizony, R., Weiss, P.L., Shahar, M., Rand, D.: TheraGame – a home based virtual reality rehabilitation system. In: Proceedings of the 6th International Conference Disability, Virtual Reality & Assoc. Tech., pp. 209–214 (2006)
Betker, A.L., Szturm, T., Moussavi, Z.K., Nett, C.: Video Game-Based Exercises for Balance Rehabilitation: A Single-Subject Design. Archives of Physical Medicine Rehabilitation 87, 1141–1149 (2006)
Zyda, M.: From visual simulation to virtual reality to games. Computer 38(9), 25–32 (2005)
LoPiccolo, P.: Serious games. Computer Graphics World 27(2), 4–6 (2004)
Games for Health. The Games for health Project – Sixth Annual Games for Helath Conference, http://www.gamesforhealth.org (retrieved November 1, 2010)
Davis, F.D.: Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly 13(3), 319–340 (1989)
Davis, F.D., et al.: User acceptance of computer technology: a comparison of two theoretical models. Management Science 35(8), 982–1003 (1989)
Venkatesh, V., Davis, F.D.: A theoretical extension of the technology acceptance model: four longitudinal field studies. Management Science 46(2), 186–204 (2000)
Van der Heijden, H.: User acceptance of hedonic information systems. MIS Quarterly 28(4), 695–704 (2004)
Chesney, T.: An acceptance model for useful and fun information systems. Human Technology 2(2), 225–235 (2006)
Sweetser, P., Wyeth, P.: GameFlow: a model for evaluating player enjoyment in games. Computers in Entertainment 3(3) (2005)
Brott, T., Jr. Adams, H.P., Olinger, C.P., Marler, J.R., Barsan, W.G., Biller, J., et al: Measurements of acute cerebral infarction: a clinical examination scale. Stroke 20(7), 864–870 (1989)
Gregson, J.M., Leathley, M., Moore, A.P., Sharma, A.K., Smith, T.L., Watkins, C.L.: Reliability of the Tone Assessment Scale and the modified Ashworth scale as clinical tools for assessing poststroke spasticity. Arch. Phys. Med. Rehabil. 80(9), 1013–1016 (1999)
Lyle, R.A.: Performance test for assessment of upper limb function in physical rehabilitation treatment and research. International Journal of Rehabilitation Research 4(4), 483–492 (1981)
Fischer, A.: Assessment of motor and process skills, 2nd edn. Three Star Press, Fort Collins (1997)
Blanton, S., Wolf, S.L.: An application of upper-extremity constraint-induced movement therapy in a patient with subacute stroke. Phys. Ther. 79(9), 847–853 (1999)
Alklind Taylor, A.-S., Backlund, P., Engström, H., Johannesson, M., Lebram, M.: Gamers against all odds. In: Chang, M., Kuo, R., Kinshuk, Chen, G.-D., Hirose, M. (eds.) Learning by Playing. LNCS, vol. 5670, pp. 1–12. Springer, Heidelberg (2009)
Alklind Taylor, A.-S., Backlund, P., Engström, H., Johannesson, M., Lebram, M.: The Birth of Elinor - A Collaborative Development of a Game Based System for Stroke Rehabilitation. In: The Proceedings of the International Conference Visualisation (Viz 2009, CGa), Barcelona, Spain, July 14-17 (2009)
Alklind Taylor, A.-S., Backlund, P., Engström, H., Johannesson, M., Krasniqi, H., Lebram, M.: Acceptability of Entertainment Systems in Stroke Rehabilitation. In: The Proceedings of IADIS Game and Entertainment Technologies 2009 (GET 2009), Algarve, Portugal, June 17-19 (2009)
Backlund, P., Alklind Taylor, A.-S., Engström, H., Johannesson, M., Lebram, M., Poucette, J., Slijper, A., Svensson, K., Stibrant Sunnerhagen, K.: Evaluation of usefulness of the Elinor console for home-based stroke rehabilitation. In: The Proceedings of the 3rd International Conference in Games and Virtual Worlds for Serious Applications, Athens, Greece, May 4-6 (2011)
Salen, K., Zimmerman, E.: Rules of Play: Game Design Fundamentals. MIT Press, Cambridge (2003)
Hsu, C.-L., Lu, H.-P.: Why do people play on-line games? An extended TAM with social influences and flow experience. Information & Management 41(7), 853–868 (2004)
Fetscherin, M., Lattemann, C.: User acceptance of virtual worlds. Journal of Electronic Commerce Research 9(3), 231–242 (2008)
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Backlund, P. et al. (2013). Games on Prescription! Evaluation of the Elinor Console for Home-Based Stroke Rehabilitation. In: Pan, Z., Cheok, A.D., Müller, W., Liarokapis, F. (eds) Transactions on Edutainment IX. Lecture Notes in Computer Science, vol 7544. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37042-7_3
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DOI: https://doi.org/10.1007/978-3-642-37042-7_3
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