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RehabCity: design and validation of a cognitive assessment and rehabilitation tool through gamified simulations of activities of daily living

Published:11 November 2014Publication History

ABSTRACT

Worldwide, more than one in three adults suffers from a cardiovascular disease. According to the World Health Organization, 15 million people experience a stroke each year and, of these, 5 million stay permanently disabled. The current limitations of traditional rehabilitation methods push towards the design of personalized tools that can be used intensively by patients and therapists in clinical or at-home environments. In this paper we present the design, implementation and validation of RehabCity, an online game designed for the rehabilitation of cognitive deficits through a gamified approach on activities of daily living (ADLs). Among other findings, our results show a strong correlation between the RehabCity scoring system and the Mini Mental State Examination test for clinical assessment of cognitive function in several domains. These findings suggest that RehabCity is a valid tool for the quantitative assessment of patients with cognitive deficits derived from a brain lesion.

References

  1. T. B. Cumming, R. S. Marshall, and R. M. Lazar, "Stroke, cognitive deficits, and rehabilitation: still an incomplete picture," Int. J. Stroke, vol. 8, No. 1, pp. 38--45, Jan. 2013.Google ScholarGoogle ScholarCross RefCross Ref
  2. C. Pritchard, A. Mayers, and D. Baldwin, "Changing patterns of neurological mortality in the 10 major developed countries-1979-2010," Public Health, vol. 127, No. 4, pp. 357--368, Apr. 2013.Google ScholarGoogle ScholarCross RefCross Ref
  3. "WHO | World Health Organization," WHO. {Online}. Available: http://www.who.int/en/. {Accessed: 16-May-2014}.Google ScholarGoogle Scholar
  4. L. Legg, A. Drummond, J. Leonardi-Bee, J. R. F. Gladman, S. Corr, M. Donkervoort, J. Edmans, L. Gilbertson, L. Jongbloed, P. Logan, C. Sackley, M. Walker, and P. Langhorne, "Occupational therapy for patients with problems in personal activities of daily living after stroke: systematic review of randomised trials," BMJ, vol. 335, No. 7626, p. 922, Nov. 2007.Google ScholarGoogle ScholarCross RefCross Ref
  5. P. Langhorne, J. Bernhardt, and G. Kwakkel, "Stroke rehabilitation," The Lancet, vol. 377, No. 9778, pp. 1693--1702, May 2011.Google ScholarGoogle ScholarCross RefCross Ref
  6. H. H. Nap and U. Diaz-Orueta, "Rehabilitation gaming," Arnab Dunwell Debattista K Serious Games Healthc. Appl. Implic. Hershey PA IGI Glob., pp. 50--75, 2012.Google ScholarGoogle Scholar
  7. K. Laver, S. George, S. Thomas, J. E. Deutsch, and M. Crotty, "Cochrane review: virtual reality for stroke rehabilitation," Eur. J. Phys. Rehabil. Med., vol. 48, No. 3, pp. 523--530, Sep. 2012.Google ScholarGoogle Scholar
  8. P. Rego, P. M. Moreira, and L. P. Reis, "Serious games for rehabilitation: A survey and a classification towards a taxonomy," in 2010 5th Iberian Conference on Information Systems and Technologies (CISTI), 2010, pp. 1--6.Google ScholarGoogle Scholar
  9. C. Dede, "Immersive Interfaces for Engagement and Learning," Science, vol. 323, No. 5910, pp. 66--69, Jan. 2009.Google ScholarGoogle ScholarCross RefCross Ref
  10. G. Schuhfried, "RehaCom," G Schuhfried GmbH Mödling, 1996.Google ScholarGoogle Scholar
  11. R. Guberek, S. Schneiberg, P. McKinley, F. Cosentino, M. F. Levin, and H. Sveistrup, "Virtual reality as adjunctive therapy for upper limb rehabilitation in cerebral palsy," in Virtual Rehabilitation International Conference, 2009, 2009, pp. 219--219.Google ScholarGoogle ScholarCross RefCross Ref
  12. S. Bermudez i Badia and M. S. Cameirao, "The Neurorehabilitation Training Toolkit (NTT): A Novel Worldwide Accessible Motor Training Approach for At-Home Rehabilitation after Stroke," Stroke Res. Treat., vol. 2012, Apr. 2012.Google ScholarGoogle Scholar
  13. A. D. Bruckheimer, M. da Silva Hounsell, and A. Vinicius Soares, "Dance2Rehab3D: A 3D Virtual Rehabilitation Game," in 2012 14th Symposium on Virtual and Augmented Reality (SVR), 2012, pp. 182--190. Google ScholarGoogle ScholarDigital LibraryDigital Library
  14. R. Kizony, P. L. T. Weiss, M. Shahar, and D. Rand, "TheraGame: A home based virtual reality rehabilitation system," Int. J. Disabil. Hum. Dev., vol. 5, No. 3, pp. 265--270, 2006.Google ScholarGoogle ScholarCross RefCross Ref
  15. M. M. Sohlberg and C. A. Mateer, Cognitive Rehabilitation: An Integrative Neuropsychological Approach. Guilford Press, 2001.Google ScholarGoogle Scholar
  16. N. Josman, R. Kizony, E. Hof, K. Goldenberg, P. L. Weiss, and E. Klinger, "Using the Virtual Action Planning-Supermarket for Evaluating Executive Functions in People with Stroke," J. Stroke Cerebrovasc. Dis.Google ScholarGoogle Scholar
  17. M.-D. Navarro, R. Lloréns, E. Noé, J. Ferri, and M. Alcañiz, "Validation of a low-cost virtual reality system for training street-crossing. A comparative study in healthy, neglected and non-neglected stroke individuals," Neuropsychol. Rehabil., vol. 23, No. 4, pp. 597--618, 2013.Google ScholarGoogle ScholarCross RefCross Ref
  18. P. Gamito, J. Oliveira, N. Santos, J. Pacheco, D. Morais, T. Saraiva, F. Soares, C. SottoMayor, and A. F. Barata, "Virtual exercises to promote cognitive recovery in stroke patients: the comparison between head mounted displays versus screen exposure methods," 2012.Google ScholarGoogle Scholar
  19. E. Klinger, A. Kadri, E. Sorita, J.-L. Le Guiet, P. Coignard, P. Fuchs, L. Leroy, N. du Lac, F. Servant, and P.-A. Joseph, "AGATHE: A tool for personalized rehabilitation of cognitive functions based on simulated activities of daily living," IRBM, No. 34, pp. 113--118, 2013.Google ScholarGoogle Scholar
  20. S. de Freitas and S. Jarvis, "A framework for developing serious games to meet learner needs," in The Interservice/Industry Training, Simulation & Education Conference (I/ITSEC), 2006, vol. 2006.Google ScholarGoogle Scholar
  21. R. C. K. Chan, D. Shum, T. Toulopoulou, and E. Y. H. Chen, "Assessment of executive functions: Review of instruments and identification of critical issues," Arch. Clin. Neuropsychol., vol. 23, No. 2, pp. 201--216, Mar. 2008.Google ScholarGoogle ScholarCross RefCross Ref
  22. A. Vourvopoulos, A. L. Faria, M. S. Cameirao, and S. Bermudez i Badia, "RehabNet: A distributed architecture for motor and cognitive neuro-rehabilitation," in 2013 IEEE 15th International Conference on e-Health Networking, Applications Services (Healthcom), 2013, pp. 454--459.Google ScholarGoogle Scholar
  23. M. F. Folstein, S. E. Folstein, and P. R. McHugh, "'Mini-mental state'. A practical method for grading the cognitive state of patients for the clinician," J. Psychiatr. Res., vol. 12, No. 3, pp. 189--198, Nov. 1975.Google ScholarGoogle ScholarCross RefCross Ref
  24. P. W. Duncan, R. K. Bode, S. Min Lai, and S. Perera, "Rasch analysis of a new stroke-specific outcome scale: the stroke impact scale," Arch. Phys. Med. Rehabil., vol. 84, No. 7, pp. 950--963, Jul. 2003.Google ScholarGoogle ScholarCross RefCross Ref
  25. J. Brooke, "SUS-A quick and dirty usability scale," Usability Eval. Ind., vol. 189, p. 194, 1996.Google ScholarGoogle Scholar
  26. R. M. Parikh, J. R. Lipsey, R. G. Robinson, and T. R. Price, "Two-year longitudinal study of post-stroke mood disorders: dynamic changes in correlates of depression at one and two years.," Stroke, vol. 18, No. 3, pp. 579--584, May 1987.Google ScholarGoogle ScholarCross RefCross Ref
  27. M.-L. Kauhanen, J. T. Korpelainen, P. Hiltunen, E. Brusin, H. Mononen, R. Määttä, P. Nieminen, K. A. Sotaniemi, and V. V. Myllylä, "Poststroke Depression Correlates With Cognitive Impairment and Neurological Deficits," Stroke, vol. 30, No. 9, pp. 1875--1880, Sep. 1999.Google ScholarGoogle ScholarCross RefCross Ref
  28. H. O. F. Veiel, "A preliminary profile of neuropsychological deficits associated with major depression," J. Clin. Exp. Neuropsychol., vol. 19, No. 4, pp. 587--603, 1997.Google ScholarGoogle ScholarCross RefCross Ref

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            cover image ACM Other conferences
            ACE '14: Proceedings of the 11th Conference on Advances in Computer Entertainment Technology
            November 2014
            422 pages
            ISBN:9781450329453
            DOI:10.1145/2663806

            Copyright © 2014 ACM

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            Publication History

            • Published: 11 November 2014

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