Standing Growing Blooming Tree Rehabilium

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

Serious Game for Rehabilitation

Standing Growing Blooming Tree

Rehabilium

www.gamesforhealth.org


I’m Playing...



1 Serious game project

2 The feature of “Rehabilium”
+ Demonstration

3 The verification experiment
from the medical aspect



Government

Industry Fukuoka city

GAME
industry
promotion
organization Tokyo

GAME FACTORY'S FRIENDSHIP
Kyushu
University
Academia



Government

Expand
Industry Fukuoka city
game
industry

Serious Game
Project Fostering
human
GAME FACTORY'S FRIENDSHIP
Kyushu resources
University
Academia



Darwin’s Lake Ainiikuken Trash Giraffe Eco-logic
−Dog the sweeper−
Ecosystem Separated processing
Recycling Reduction of CO2
of garbage
Serious game for environmental problems



Why Rehabilitation?



Kyushu University Hospital

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



Kyushu University Hospital

Shin-ichiro Takasugi

90 years old!

“Doki-Doki Hebi Taiji”



Nagao Hospital

Morning group exercise Rehabilitation using Wii



What kind of training?



What kind of training？

Standing-upTraining
Core training in a rehabilitation
Tedious
Basics of activities of daily living But...
Grade A in Japanese Guideline for
the Management of Stroke
Hard



Feature of the game



Feature of the game

Grow a tree by standing-up movement
Collect cards, medals and flowers

Failure experience = NG
Constraint
Complex movement = NG



Feature of the game

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

System Wii balance board + PC

Target Elderly people



Feature of the game

Demo



Feature of the game

Failure experience = NG
Constraint
Complex movement = NG



Feature of the game

About the game design
positiveness continuity

Visual Reward
Collection Sound



Feature of the game

Visual 15 different Trees
Grow１tree a day Selected at random



Feature of the game

Reward
Flowers Get 1 flower each goals



Feature of the game

Reward
Cards
Get 1 card each
100ｍ



Feature of the game

Reward
medals
at random
each ?? height



Feature of the game

Collection
Enhance the player’s
motivation

promote communication
between players



Feature of the game

Sound
Cheery Music + facilitating voices

OK !
You got a medal !
Statue of Liberty !
GANBARE !!
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
Fumitada Hattori
Medical Doctor, Expert Doctor Of Rehabilitation
Director, Nagao Hospital



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



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

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.


Electromyogam of hemiplegic patient
Uninvolved side Involved side

Ankle

Knee

Hip
Abdominal

Back
33


Subjects
◆Total：48 people
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



Rehabilium at Nagao hospital

35



Rehabilium at Nagao hospital

36



◆Protocol
① Maximum number of times
Usability ② Subjective judgments
③ Vital sign / Observation
Safety

37



◆Comparison under 3 conditions

ＳＧＴｅｌｆ
Self training
ａｍｅ
Training with game
ｈ．
Training with therapist

＊: significant

38


Result 1
◆Maximum number of times：
“Let’s see how many times you can stand up!“
〔times〕

Average

ＳｅｌｆＧａｍｅＴｈ．
39

Result 2 - Verification on the usability -
◆Rating of perceived exhaustion
10
↑Feel very tired ＊＊＊
8

6 6 6
6

4
3/4

2 Median
↓Feel very easy
1/4
0

Result 3 (positive image) - Verification on the usability -
◆Q: Do you want to try again? 〔Continuity〕
5 ＊
↑Yes, I do ＊＊
very much
4

3 3
3

2 2
3/4
1 Median
↓No, I don’t at all
1/4
0

Result 4 Heart Rate - Verification on the safety -

9(2) people total27(2) tests
( ) ･･･Healthy subject

Health subject Condition S
Condition G Condition T

【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)

elapsed time


Conclusion
1. Rehabilium makes monotonous
stand-up exercise enjoyable.

2. Rehabilium is an usable and
safe game.



Problems, Tasks

１. Beware of steps

２．Complex operation for hardware set up

３．For the people with dementia

Need more observations to verify the availability



Potential Game

 Rehabilium is usable and safe.
 Rehabilium is potential in rehabilitaiton.
45



Please visit our demo booth!



Any Question?


Standing Growing Blooming Tree Rehabilium

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