VR gaming has proven to be uniquely valuable for stroke rehabilitation.

事实证明，VR 游戏对于中风康复具有独特的价值。

• 批准号: 2877009
• 金额: --
• 依托单位: Bangor University
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2877009
• 关键词: VR; gaming; proven; uniquely; valuable

ContextOver 1.2 million people in the UK are living with the effects of a stroke, most commonly an impaired arm. Stroke research indicates that better recovery is possible with therapies that promote use of the affected limb. Based upon this principle, our proposed research will establish the foundational science necessary to develop new Virtual Reality (VR) based therapies for stroke survivors. By targeting processes that govern hand choice, these new therapies will increase the likelihood that patients will choose to use their affected hand.RationaleVR gaming has proven to be uniquely valuable for stroke rehabilitation. The storytelling nature and richly immersive environment is highly engaging, and can easily be practiced from the patient's home. The proposed research will take VR gaming for upper-limb rehabilitation in a new direction. Instead of focusing only on the movements themselves, we will target and exploit 'upstream' processes underpinning the choice of which hand to use to perform actions. Aims We will develop VR games that track hand movements and use this information to dynamically alter the user's hand choice. We will then trial these methods with stroke patients, co-designing their refinement according to individual needs.Research questions(1) What game features influence hand choice? (2) What game features should be customisable given a patient's rehabilitation needs?(3) What makes games engaging? Methods Our first games will closely model the experimental paradigms we have used to study hand choice in the lab (e.g., Valyear et al. 2018). From this basepoint, the student will have ample opportunity to steer the research in their preferred directions. There are many exciting, unexplored possibilities-for example, can we change a user's hand choice by systematically rewarding more game points to actions made with one hand? And, would reward schemes with social elements, like shared leaderboards, be useful?Games will be designed in cooperation with patients and according to known rehabilitation principles. We may, for example, augment performance of the patient's affected side, and gradually phase this out, consistent with the principles of 'shaping'. Rescape has immense expertise in storytelling and personalising games to enhance user engagement. We will draw from this knowledge, and explore new ways to further our understanding of what makes games engaging and fun. Outcomes(1) A greater understanding of the principles that govern hand choice.(2) The development of new VR-based therapies for upper-limb rehabilitation.(3) Initial tests of clinical feasibility and proof-of-concept.

在英国，超过120万人生活在中风的影响下，最常见的是手臂受损。中风研究表明，通过促进患肢使用的治疗，可以更好地恢复。基于这一原则，我们提出的研究将建立必要的基础科学，为中风幸存者开发新的基于虚拟现实（VR）的疗法。通过针对控制手部选择的过程，这些新疗法将增加患者选择使用其受影响的手部的可能性。讲故事的性质和丰富的身临其境的环境是高度参与，可以很容易地从病人的家里练习。拟议的研究将把VR游戏用于上肢康复带到一个新的方向。而不是只关注动作本身，我们将目标和利用“上游”的过程，支持选择使用哪只手来执行动作。我们将开发跟踪手部运动的VR游戏，并使用这些信息动态地改变用户的手部选择。然后，我们将试验这些方法与中风患者，共同设计他们的细化根据个人的需要。研究问题（1）什么样的游戏功能影响手的选择？(2)根据患者的康复需求，应该定制哪些游戏功能？(3)是什么让游戏吸引人？方法我们的第一个游戏将密切模拟我们在实验室中用于研究手的选择的实验范式（例如，Valyear et al. 2018）。从这个基点出发，学生将有足够的机会将研究引向他们喜欢的方向。有许多令人兴奋的，未开发的可能性，例如，我们可以改变用户的手的选择，通过系统奖励更多的游戏点的行动，用一只手？还有，带有社交元素的奖励计划，比如共享排行榜，有用吗？游戏将根据已知的康复原则与患者合作设计。例如，我们可以增强患者患侧的表现，并逐渐淘汰，这与“塑形”的原则一致。Rescape在讲故事和个性化游戏方面拥有丰富的专业知识，以提高用户参与度。我们将借鉴这些知识，并探索新的方法来进一步了解是什么让游戏变得有趣。结果（1）更好地理解支配手的选择的原则。(2)开发新的基于VR的上肢康复疗法。(3)临床可行性和概念验证的初步测试。