Development of Virtual Reality Game for the Rehabilitation of Upper Limb Control in the Elderly Patients with Stroke
Abstract
Developments in gaming and entertainment technology seem to flourish with the increasing of thousand applications and software in the market. At the same time, world scenario shows drastically increasing number of older people in majority countries around the world including Malaysia. Elderly as going through ageing process, will face some deterioration effects; for instance physical incapability or stroke. It is therefore, virtual reality game exercise has recently been proposed as having the potential to increase exercise behavior in elderly and to assist in motor rehabilitation especialy with stroke issue. However, most of the VR games in current market are not designed specifically for the ageing population. Therefore, this research aims to propose a virtual reality game that could assist upper limb motor rehabilitation VR game exercise among elderly patient’s with stroke. This study involves qualitative methods in collecting data for the verification phase. An interview session with geriatric specialist and physiotherapist were done in order to identify appropriate rehabilitation exercises for stroke elderly patients. Next, ADDIE Model was adopted as development methodology for iVRRehab game which involves five phases; analysis, design, development, implementation and evaluation. It is strongly recommended that VR game could appears as a promising therapeutic technology for upper limb motor rehabilitation in elderly patient’s with stroke. Besides, VR game be able to enhance mood, increasing enjoyment and healthy among elderly.
References
Barrett, N., Swain, I., Gatzidis, C., & Mecheraoui, C. (2016). The use and effect of video game design theory in the creation of game-based systems for upper limb stroke rehabilitation. Journal of Rehabilitation and Assistive Technologies Engineering, 3, 1–16. https://doi.org/10.1177/2055668316643644
De Bruin, E., Schoene, D., Pichierri, G., & Smith, S. T. (2010). Use of virtual reality technique for the training of motor control in the elderly. Zeitschrift Fur Gerontologie Und Geriatrie, 43(4), 229–234. https://doi.org/10.1007/s00391-010-0124-7
de Vries, A. W., van Dieën, J. H., van den Abeele, V., & Verschueren, S. M. P. (2018). Understanding Motivations and Player Experiences of Older Adults in Virtual Reality Training. Games for Health Journal, 7(6), g4h.2018.0008. https://doi.org/10.1089/g4h.2018.0008
Donath, L., Rössler, R., & Faude, O. (2016). Effects of Virtual Reality Training (Exergaming) Compared to Alternative Exercise Training and Passive Control on Standing Balance and Functional Mobility in Healthy Community-Dwelling Seniors: A Meta-Analytical Review. Sports Medicine, 46(9), 1293–1309. https://doi.org/10.1007/s40279-016-0485-1
DOS Malaysia. (2019). Current Population Estimates Malaysia 2019. Department of Statistics Malaysia. Retrieved from www.dosm.gov.my
Graafland, M., Health, M. S.-D., 2018, U., Schijven, M., Health, M. S.-D., & 2018, U. (2018). How Serious Games Will Improve Healthcare. In Springer (pp. 139–157). https://doi.org/10.1007/978-3-319-61446-5_10
Hami, R., Hassan, M. H. M., Kadir, A. A., Ismail, H. C., & Bachok, N. (2019). Prevalence of geriatric giants among older people in Kelantan Malaysia. Malaysian Journal of Medicine and Health Sciences, 15(2), 16–21.
Harrington, C. N., Hare, K. J., & Rogers, W. A. (2017). Developing a Quick-Start Guide to Aid Older Adults in Interacting with Gesture-Based Video Games. In Proceedings of the Human Factors and Ergonomics Society (pp. 32–36).
Laver, K. E., George, S., Thomas, S., E.Deutsch, J., & Crotty, M. (2010). Virtual reality for stroke rehabilitation (Protocol).
Li, J., Xu, X., Pham, T. P., Theng, Y.-L., Katajapuu, N., & Luimula, M. (2017). Exergames Designed for Older Adults: A Pilot Evaluation on Psychosocial Well-Being. Games for Health Journal, 6(6), 371–378. https://doi.org/10.1089/g4h.2017.0072
Lin, C. X., Lee, C., Lally, D., & Coughlin, J. F. (2018). Impact of Virtual Reality (VR) experience on older adults’ well-being. Lecture Notes in Computer Science (Including Subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), 10927 LNCS, 89–100. https://doi.org/10.1007/978-3-319-92037-5_8
Mekbib, D. B., Han, J., Zhang, L., Fang, S., Jiang, H., Roe, A. W., & Xu, D. (2020). Virtual reality therapy for upper limb rehabilitation in patients with stroke : a meta- analysis of randomized clinical trials. Brain Injury, 00(00), 1–10. https://doi.org/10.1080/02699052.2020.1725126
Merians, A. S., Poizner, H., Boian, R., Burdea, G., & Adamovich, S. (2006). Sensorimotor Training in a Virtual Reality Environment: Does It Improve Functional Recovery Poststroke? The American Society OfNeurorehabilitation, 20(2). https://doi.org/10.1177/1545968306286914
Skjæret, N., Vereijken, B., & Boulton, E. (2015). Usability and Acceptability of Balance Exergames in Older Adults : A Scoping Review. Health Informatics Journal, 1–21. https://doi.org/10.1177/1460458215598638
United Nations. (2010). Human Development Report 2010 The Real Wealth of Nations: Pathways to Human Development. New York, USA.
Wüest, S., Pirovano, M., Lanzi, P. L., Borghese, N. A., & de Bruin, E. D. (2013). Computational Intelligence and Game Design for Effective At-Home Stroke Rehabilitation. Games for Health Journal, 2(2), 81–88. https://doi.org/10.1089/g4h.2012.0073
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