Improving lives: using Microsoft Kinect to predict the loss of balance for elderly users under cognitive load

Among older adults, falling down while doing everyday tasks is the leading cause for injuries, disabilities and can even result in death. Furthermore, even when no injury has occurred the fear of falling can result in loss of confidence and independence. The two major factors in the loss of balance is weakening of the muscles and reduced cognitive skills. While exercise programmes can reduce the risk of falling by 40%, patient compliance with these programmes is low. We present the Microsoft-Kinect based step training program system that we have developed specifically for elderly patients. The program measures physical health and cognitive abilities and incorporates an individualized adaptive program for improvements. The real-time data obtained from the program is similar to clinical evaluations typically conducted by doctors and the game-like exercises result in increased adherence to the exercise regimes

[1]  M. Albert,et al.  Use of brief cognitive tests to identify individuals in the community with clinically diagnosed Alzheimer's disease. , 1991, The International journal of neuroscience.

[2]  Sarah E Lamb,et al.  Interventions for preventing falls in older people living in the community. , 2012, The Cochrane database of systematic reviews.

[3]  M. Aschkenasy,et al.  Trauma and falls in the elderly. , 2006, Emergency medicine clinics of North America.

[4]  A. Stuck,et al.  Risk factors for functional status decline in community-living elderly people: a systematic literature review. , 1999, Social science & medicine.

[5]  R. Cumming,et al.  Effective Exercise for the Prevention of Falls: A Systematic Review and Meta‐Analysis , 2008, Journal of the American Geriatrics Society.

[6]  Kathrin Maria Gerling,et al.  Exergame design for elderly users: the case study of SilverBalance , 2010, Advances in Computer Entertainment Technology.

[7]  E. van Rossum,et al.  Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people. , 2007, Age and ageing.

[8]  S R Lord,et al.  Choice stepping reaction time: a composite measure of falls risk in older people. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[9]  Elaine Lawrence,et al.  Heuristic Evaluation for Interactive Games within Elderly Users , 2011, eTELEMED 2011.

[10]  Daniel Schoene,et al.  A novel video game--based device for measuring stepping performance and fall risk in older people. , 2011, Archives of physical medicine and rehabilitation.

[11]  Mirjam Pijnappels,et al.  The association between choice stepping reaction time and falls in older adults--a path analysis model. , 2010, Age and ageing.

[12]  P. Ray,et al.  Electronic Games for Aged Care and Rehabilitation , 2009, 2009 11th International Conference on e-Health Networking, Applications and Services (Healthcom).

[13]  Karla Felix Navarro,et al.  Serious Games to Improve the Physical Health of the Elderly: A Categorization Scheme , 2011 .

[14]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[15]  Darryl Charles,et al.  Optimising engagement for stroke rehabilitation using serious games , 2009, The Visual Computer.

[16]  Cornelius Neufeldt,et al.  Wii play with elderly people , 2009 .

[17]  Leigh Blizzard,et al.  Cognitive function modifies the effect of physiological function on the risk of multiple falls--a population-based study. , 2013, The journals of gerontology. Series A, Biological sciences and medical sciences.

[18]  Yusuf Pisan,et al.  Exergames for the elderly: Towards an embedded Kinect-based clinical test of falls risk , 2012, HIC.

[19]  Chek Tien Tan,et al.  Personalised gaming: a motivation and overview of literature , 2012, IE '12.

[20]  Karolien Poels,et al.  Digital game design for elderly users , 2007, Future Play.

[21]  Claire Ballinger,et al.  Exercise for improving balance in older people. , 2011, The Cochrane database of systematic reviews.

[22]  C. Bulpitt,et al.  The prognosis of falls in elderly people living at home. , 1999, Age and ageing.

[23]  Ben Dromey,et al.  BASE - An interactive technology solution to deliver balance and strength exercises to older adults , 2010, 2010 4th International Conference on Pervasive Computing Technologies for Healthcare.

[24]  Joanne Kraenzle Schneider,et al.  Exercise training program for older adults. Incentives and disincentives for participation. , 2003, Journal of gerontological nursing.

[25]  D. Buchner,et al.  Practical implementation of an exercise-based falls prevention programme. , 2001, Age and ageing.