REHAP Balance Tiles: A modular system supporting balance rehabilitation

This paper describes the design, development, implementation and user evaluation of an interactive modular tile system, aimed to support balance rehabilitation of patients recovering from a stroke. The REHAP Balance Tiles system is an innovative tool, which has been developed in close collaboration with therapists and patients in stroke units of health rehabilitation institutes in Sydney, Australia and Eindhoven, the Netherlands. The system was designed to allow therapists to tailor exercises for each patient by changing the physical configuration of tiles. We report a user evaluation in a rehabilitation clinic, which lasted five weeks. Results indicate that the tiles can fulfill their envisioned purpose. They are received well by therapists, meeting requirements for ease of use, motivational feedback, modularity and flexibility.

[1]  Luc Geurts,et al.  Digital games for physical therapy: fulfilling the need for calibration and adaptation , 2011, Tangible and Embedded Interaction.

[2]  Michelle Pickrell,et al.  Interactive Infrastructures: Physical Rehabilitation Modules for Pervasive Healthcare Technology , 2014 .

[3]  L. Pelletier,et al.  Client Motivation for Therapy Scale: a measure of intrinsic motivation, extrinsic motivation, and amotivation for therapy. , 1997, Journal of personality assessment.

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

[5]  Jared Donovan,et al.  Provotypes for participatory innovation , 2012, DIS '12.

[6]  Joseph A. Paradiso,et al.  Z-Tiles: building blocks for modular, pressure-sensing floorspaces , 2004, CHI EA '04.

[7]  J. Duysens,et al.  A review of standing balance recovery from stroke. , 2005, Gait & posture.

[8]  I P Pappas,et al.  Stability criterion for controlling standing in able-bodied subjects. , 2000, Journal of biomechanics.

[9]  Karen Holtzblatt,et al.  Contextual design , 1997, INTR.

[10]  Panos Markopoulos,et al.  Motivating arm-hand use for stroke patients by serious games. , 2012, Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference.

[11]  Gordon B. Davis,et al.  User Acceptance of Information Technology: Toward a Unified View , 2003, MIS Q..

[12]  A Karlsson,et al.  Correlations between force plate measures for assessment of balance. , 2000, Clinical biomechanics.

[13]  Michelle Pickrell,et al.  Interactivated physical rehabilitation modules , 2013, Creativity & Cognition.

[14]  Mariano Alcañiz,et al.  Use of the Wii balance board system in vestibular rehabilitation , 2012 .

[15]  John R. Weisz,et al.  Modularity in the design and application of therapeutic interventions , 2005 .

[16]  A. Timmermans,et al.  TagTrainer: supporting exercise variability and tailoring in technology supported upper limb training , 2014, Journal of NeuroEngineering and Rehabilitation.

[17]  Ayah Bdeir,et al.  Electronics as material: littleBits , 2010, TEI.

[18]  D. Rugelj The effect of functional balance training in frail nursing home residents. , 2010, Archives of gerontology and geriatrics.

[19]  Panos Markopoulos,et al.  CONTRAST: gamification of arm-hand training for stroke survivors , 2013, CHI Extended Abstracts.

[20]  G. Devilly,et al.  Psychometric properties of the credibility/expectancy questionnaire. , 2000, Journal of behavior therapy and experimental psychiatry.

[21]  S T Smith,et al.  A novel Dance Dance Revolution (DDR) system for in-home training of stepping ability: basic parameters of system use by older adults , 2009, British Journal of Sports Medicine.

[22]  Henrik Hautop Lund,et al.  Modular robotics for playful physiotherapy , 2009, 2009 IEEE International Conference on Rehabilitation Robotics.

[23]  P. Cheng,et al.  Effects of visual feedback rhythmic weight-shift training on hemiplegic stroke patients , 2004, Clinical rehabilitation.

[24]  Abhishek Srivastava,et al.  Post-stroke balance training: Role of force platform with visual feedback technique , 2009, Journal of the Neurological Sciences.