Serious Game Design of Virtual Reality Balance Rehabilitation with a Record of Psychophysiological Variables and Emotional Assessment

Juan D. Abril, Oswaldo Rivera, Oscar I. Caldas, Mauricio Felipe Mauledoux, Oscar F. Aviles

Abstract


Virtual Reality (VR) offers an alternative to complement physical or neurological rehabilitation based on the efficacy of Gamification as a technique to get compromised, enjoy, and turn treatment periods less annoying through an immersive task. This work presents the design of a VR environment and takes into a count three levels of presence: self-presence, physical, and social. Thirteen healthy participants performed a traditional balance session with a wobble board through a parachute game. The direction of the fall is controlled with the inclination of a wobble board platform instrumented with a Gyroscope, electrocardiography (ECG), electrodermal activity (EDA), and respiratory rate (RESP) signals are simultaneously recorded. These psychophysiological responses of the Autonomous Nervous System (SNA) are contrasted with a standardized emotional self-report questionnaire to gather information about the experience and was filled out by the participant with the eye selection of the Oculus Rift device. The integrated Unity-Matlab system stored and processed some of the extraction data of 15 characteristics associated with the biosignals and three emotional levels, In addition to proposing a severe game as a solution to problems of conventional methodology such as low attention, monotonous and predictable sessions, combining computerized simulation and innovative technologies for more pleasant recovery therapy.

Keywords


virtual reality; gamification; balance; psychophysiology; emotions.

Full Text:

PDF

References


J. P. Salmon, S. M. Dolan, R. S. Drake, G. C. Wilson, R. M. Klein, and G. A. Eskes, “A survey of video game preferences in adults: Building better games for older adults,†Entertain. Comput., vol. 21, pp. 45–64, Jun. 2017.

M. Ortiz-catalan, S. Nijenhuis, K. Ambrosch, T. B. Eerdt, S. Koenig, and B. Lange, “Virtual Reality,†pp. 249–265, 2014.

M. Bayón-Calatayud et al., “Virtual rehabilitation,†in Biosystems and Biorobotics, vol. 10, Springer International Publishing, 2016, pp. 303–318.

M. S. Cameirão, S. B. I. Badia, E. Duarte, A. Frisoli, and P. F. M. J. Verschure, “The combined impact of virtual reality neurorehabilitation and its interfaces on upper extremity functional recovery in patients with chronic stroke,†Stroke, vol. 43, no. 10, pp. 2720–2728, Oct. 2012.

Ministerio de Salud y Protección Social, “Sala situacional de las Personas con Discapacidad (PCD),†Of. Promoción Soc., p. 36, 2018.

D. H. Saunders, M. Sanderson, M. Brazzelli, C. A. Greig, and G. E. Mead, “Physical fitness training for stroke patients,†Cochrane Database of Systematic Reviews, vol. 2013, no. 10. John Wiley and Sons Ltd, 21-Oct-2013.

C. English, S. L. Hillier, and E. A. Lynch, “Circuit class therapy for improving mobility after stroke,†Cochrane Database of Systematic Reviews, vol. 2017, no. 6. John Wiley and Sons Ltd, 02-Jun-2017.

P. Langhorne, J. Bernhardt, and G. Kwakkel, “Stroke rehabilitation,†Lancet (London, England), vol. 377, no. 9778, pp. 1693–702, 2011.

J. N. Kaufman, S. Lahey, and B. S. Slomine, “Pediatric rehabilitation psychology: Rehabilitating a moving target,†Rehabilitation Psychology, vol. 62, no. 3, American Psychological Association Inc., pp. 223–226, 01-Aug-2017.

J. Bernhardt, J. M. Collier, P. J. Bate, M. N. T. Thuy, and P. Langhorne, “Very Early Versus Delayed Mobilization After Stroke,†Stroke, vol. 50, no. 7, pp. e178–e179, 2019.

R. Friedrich, P. Hiesel, S. Peters, D. P. Siewiorek, A. Smailagic, and B. Brügge, “Serious games for home-based stroke rehabilitation,†in Studies in Health Technology and Informatics, 2015, vol. 213, pp. 157–160.

C. Jeria, R. Hernández, and C. Benn, “Alteración de la variabilidad del ritmo cardíaco en pacientes con síndrome coronario agudo sin supradesnivel del segmento ST: Experiencia preliminar,†Rev. Chil. Cardiol., vol. 30, no. 2, pp. 104–112, 2011.

B. Bonnechère, “Serious Games in Physical Rehabilitation,†in Serious Games in Physical Rehabilitation, Springer International Publishing, 2018, pp. 72–78.

J. Sims, N. Cosby, E. N. Saliba, J. Hertel, and S. A. Saliba, “Exergaming and static postural control in individuals with a history of lower limb injury,†J. Athl. Train., vol. 48, no. 3, pp. 314–325, May 2013.

I. Sparrer, T. A. Duong Dinh, J. Ilgner, and M. Westhofen, “Vestibular rehabilitation using the Nintendo® Wii Balance Board - A user-friendly alternative for central nervous compensation,†Acta Otolaryngol., vol. 133, no. 3, pp. 239–245, Mar. 2013.

A. P. Garcia, M. M. Ganança, F. S. Cusin, A. Tomaz, F. F. Ganança, and H. H. Caovilla, “Reabilitação vestibular com realidade virtual na doença de Ménière,†Braz. J. Otorhinolaryngol., vol. 79, no. 3, pp. 366–374, 2013.

J. C. Nitz, S. Kuys, R. Isles, and S. Fu, “Is the Wii FitTM a new-generation tool for improving balance, health and well-being? A pilot study,†Climacteric, vol. 13, no. 5, pp. 487–491, Oct. 2010.

M. M. Bradley and P. J. Lang, “Measuring emotion: The self-assessment manikin and the semantic differential,†J. Behav. Ther. Exp. Psychiatry, vol. 25, no. 1, pp. 49–59, 1994.

M. Van Diest, C. J. Lamoth, J. Stegenga, G. J. Verkerke, and K. Postema, “Exergaming for balance training of elderly: State of the art and future developments,†Journal of NeuroEngineering and Rehabilitation, vol. 10, no. 1. BioMed Central Ltd., 2013.

S. C. Gobron et al., “Serious games for rehabilitation using Head-Mounted display and haptic devices,†in Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), 2015, vol. 9254, pp. 199–219.

N. Goljar et al., “Psychophysiological responses to robot training in different recovery phases after stroke,†in IEEE International Conference on Rehabilitation Robotics, 2011.

O. I. Caldas, J. D. Abril, O. Rivera, C. Rodriguez-Guerrero, and O. F. Avilés, “Contribution of Virtual Environments to the Perception of Balance Rehabilitation Tasks: A Psychophysiological Study,†2020, pp. 1200–1207.




DOI: http://dx.doi.org/10.18517/ijaseit.10.4.10319

Refbacks

  • There are currently no refbacks.


Published by INSIGHT - Indonesian Society for Knowledge and Human Development