Increasing motivation in robot-aided arm rehabilitation with competitive and cooperative gameplay.
Increasing motivation in robot-aided arm rehabilitation with competitive and cooperative gameplay.
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DOI：
10.1186/1743-0003-11-64
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发表时间：
2014-04-16
影响因子：
5.1
通讯作者：
Riener R
中科院分区：
文献类型：
--
作者：
Novak D;Nagle A;Keller U;Riener R
已经提出了几种策略，以提高患者的动机和运动强度，在机器人辅助中风康复。一个相对未开发的可能性是两个玩家的游戏，允许主体相互竞争或合作以实现共同的目标。为了探索此类游戏的潜力，我们设计了一款使用两个ARMin手臂康复机器人进行的双人游戏。这场比赛是一个空气曲棍球任务显示在计算机显示器上，并控制使用肩运动的ARMin机器人。测试了三种游戏模式：单人游戏（与计算机竞争），竞争（与人类竞争）和合作（与人类合作对抗计算机）。所有的模式都由30名未受损的受试者和8名受损的慢性中风受试者播放。受试者在每种游戏模式后填写了内在动机问卷，以及关于游戏偏好和个性的最终问卷。几乎所有未受损的受试者都喜欢玩双人游戏模式而不是单人游戏模式，因为他们喜欢与另一个人交谈和互动。然而，有两个不同的球员群体：一个喜欢竞争模式，但不合作模式，另一个喜欢合作，但不竞争模式。喜欢竞争模式的未受损受试者也比其他模式付出了更多的努力。受损受试者的结果相似，即使是60岁以上的受损受试者也喜欢竞争性游戏。受试者的性格大致预测了他们更喜欢哪种模式，这在一对不匹配的受损者中尤其明显，他们更喜欢单人模式。结果表明，两个球员的康复游戏的巨大潜力，在更大的享受，以及潜在的更密集的运动相比，单人游戏的形式。然而，正确的游戏类型需要根据技能和个性为每个主题选择，沿着选择合适的合作伙伴。建议对目前参加康复计划的患者进行进一步研究，我们研究中使用的主观指标应增加客观指标，如肌电图。
Several strategies have been proposed to improve patient motivation and exercise intensity during robot-aided stroke rehabilitation. One relatively unexplored possibility is two-player gameplay, allowing subjects to compete or cooperate with each other to achieve a common goal. In order to explore the potential of such games, we designed a two-player game played using two ARMin arm rehabilitation robots. The game was an air-hockey task displayed on a computer monitor and controlled using shoulder movements in the ARMin robot. Three game modes were tested: single-player (competing against computer), competitive (competing against human), and cooperative (cooperating with human against computer). All modes were played by 30 unimpaired subjects and 8 impaired chronic stroke subjects. The subjects filled out the Intrinsic Motivation Inventory questionnaire after each game mode, as well as a final questionnaire about game preferences and their personality. Nearly all unimpaired subjects preferred playing the two-player game modes to the single-player one, as they enjoyed talking and interacting with another person. However, there were two distinct player groups: one liked the competitive mode but not the cooperative mode while the other liked the cooperative but not the competitive mode. Unimpaired subjects who liked the competitive mode also put significantly more effort into it than into the other modes. Results from impaired subjects were similar, with even impaired subjects over 60 years old enjoying competitive gameplay. The subjects’ personalities roughly predicted which mode they would prefer, which was especially evident in a poorly-matched impaired pair that preferred the single-player mode. Results indicate great potential for two-player rehabilitation games, in the form of greater enjoyment as well as potentially more intensive exercise compared to single-player games. However, the right game type needs to be chosen for each subject depending on skill and personality, along with selecting an appropriate co-player. Further studies with patients that are currently enrolled in rehabilitation programs are recommended, and the subjective measures used in our study should be augmented with objective measures such as electromyography.
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影响因子：
2.2
作者：
Kwakkel, Gert
通讯作者：
Kwakkel, Gert
影响因子：
48
作者：
Klamroth-Marganska, Verena;Blanco, Javier;Riener, Robert
通讯作者：
Riener, Robert
影响因子：
9.9
作者：
Peng, Wei;Hsieh, Gary
通讯作者：
Hsieh, Gary
影响因子：
2.9
作者：
MATHIOWETZ, V;VOLLAND, G;WEBER, K
通讯作者：
WEBER, K
DOI：
10.1056/nejmoa0911341
发表时间：
2010-05-13
期刊：
The New England journal of medicine
影响因子：
--
作者：
Lo AC;Guarino PD;Richards LG;Haselkorn JK;Wittenberg GF;Federman DG;Ringer RJ;Wagner TH;Krebs HI;Volpe BT;Bever CT Jr;Bravata DM;Duncan PW;Corn BH;Maffucci AD;Nadeau SE;Conroy SS;Powell JM;Huang GD;Peduzzi P
通讯作者：
Peduzzi P