Tabletop Computer Game Mechanics for Group Rehabilitation of Individuals with Brain Injury

In this paper we provide a rationale for using tabletop displays for the upper-limb movement rehabilitation of individuals with brain injury. We consider how computer game mechanics may leverage this technology to increase patient engagement and social interaction, and subsequently enhance prescribed training. In recent years there has been a growing interest among health professionals in the use of computer games and interactive technology for rehabilitation. Research indicates that games have the potential to stimulate a high level of interest and enjoyment in patients; enhance learning; provide safe task conditions; complement conventional therapy; and become intrinsically motivating. We explore how game mechanics that include reward structures, game challenges and augmented audiovisual feedback may enhance a goal-orientated rehabilitation learning space for individuals with brain injury. We pay particular attention to game design elements that support multiple players and show how these might be designed for interactive tabletop display systems in group rehabilitation.

[1]  Katie Salen,et al.  Rules of play: game design fundamentals , 2003 .

[2]  Anne Marie Piper,et al.  Mediating Group Dynamics through Tabletop Interface Design , 2006, IEEE Computer Graphics and Applications.

[3]  M. Levin,et al.  Systematic Review of the Evidence Does Provision of Extrinsic Feedback Result in Improved Motor Learning in the Upper Limb Poststroke ? , 2009 .

[4]  J. Eng,et al.  Biomechanics of reaching: clinical implications for individuals with acquired brain injury , 2002, Disability and rehabilitation.

[5]  Farshid Amirabdollahian,et al.  Design Parameters in Multimodal Games for Rehabilitation. , 2014, Games for health journal.

[6]  Carl Gutwin,et al.  Individual and Group Support in Tabletop Interaction Techniques , 2010, Tabletops.

[7]  Yvonne de Kort,et al.  Shared Fun Is Doubled Fun: Player Enjoyment as a Function of Social Setting , 2008, Fun and Games.

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

[9]  Sheryl Flynn,et al.  Games for rehabilitation: the voice of the players , 2010 .

[10]  Gerard Jounghyun Kim,et al.  A SWOT Analysis of the Field of Virtual Reality Rehabilitation and Therapy , 2005, Presence: Teleoperators & Virtual Environments.

[11]  E. J. MILLS.  Grundriss der Thermochemie , 1870, Nature.

[12]  T. Murphy,et al.  Plasticity during stroke recovery: from synapse to behaviour , 2009, Nature Reviews Neuroscience.

[13]  Jochen Rick,et al.  Collaborative games: Lessons learned from board games , 2006 .

[14]  Blair MacIntyre,et al.  Chores Are Fun: Understanding Social Play in Board Games for Digital Tabletop Game Design , 2011, DiGRA Conference.

[15]  J. Huizinga.  Homo Ludens: A Study of the Play-Element in Culture , 1938 .

[16]  Christian Müller-Tomfelde.  Tabletops - Horizontal Interactive Displays , 2010, Human-Computer Interaction Series.

[17]  R. Hemayattalab,et al.  Effects of frequency of feedback on the learning of motor skill in individuals with cerebral palsy. , 2010, Research in developmental disabilities.

[18]  M. Sheelagh T. Carpendale,et al.  How people use orientation on tables: comprehension, coordination and communication , 2003, GROUP '03.

[19]  Hao Wang,et al.  Game reward systems: Gaming experiences and social meanings , 2011, DiGRA Conference.

[20]  Paul Marshall,et al.  Beyond one-size-fits-all: how interactive tabletops support collaborative learning , 2011, IDC.

[21]  Yvonne de Kort,et al.  People, Places, and Play: A research framework for digital game experience in a socio-spatial context , 2007, DiGRA Conference.

[22]  W. Prinz,et al.  Directing attention to movement effects enhances learning: A review , 2001, Psychonomic bulletin & review.

[23]  E. Churchill,et al.  Badges in Social Media: A Social Psychological Perspective , 2011 .

[24]  Johannes Rojahn,et al.  Reliability and Validity of an Assessment Instrument for Anxiety, Depression, and Mood Among Individuals with Mental Retardation , 2003, Journal of autism and developmental disorders.

[25]  Tracy Fullerton,et al.  Game Design Workshop: A Playcentric Approach to Creating Innovative Games, Third Edition , 2014 .

[26]  E. Deci,et al.  A meta-analytic review of experiments examining the effects of extrinsic rewards on intrinsic motivation. , 1999, Psychological bulletin.

[27]  Jonathan Duckworth,et al.  Upper-limb virtual rehabilitation for traumatic brain injury: A preliminary within-group evaluation of the elements system , 2012, Brain injury.

[28]  Andrew K. Przybylski,et al.  A Motivational Model of Video Game Engagement , 2010 .

[29]  G. Wulf,et al.  Extrinsic feedback for motor learning after stroke: What is the evidence? , 2006, Disability and rehabilitation.

[30]  R. Schmidt,et al.  Reduced frequency of knowledge of results enhances motor skill learning. , 1990 .

[31]  H. Fog.  Proceedings of DiGRA 2011 Conference: Think Design Play , 2011 .

[32]  Patrice L. Weiss,et al.  Virtual reality rehabilitation for all: Vivid GX versus Sony PlayStation II EyeToy , 2004 .

[33]  Joel C. Perry,et al.  Improving patient motivation in game development for motor deficit rehabilitation , 2008, ACE '08.

[34]  G. Lewis,et al.  Virtual reality games for movement rehabilitation in neurological conditions: how do we meet the needs and expectations of the users? , 2012, Disability and rehabilitation.

[35]  Ken Binmore,et al.  Fun and games : a text on game theory , 1991 .

[36]  Jonathan Duckworth,et al.  Designing Co-located Tabletop Interaction for Rehabilitation of Brain Injury , 2013, HCI.

[37]  Chris Crawford,et al.  Chris Crawford on Game Design , 2003 .

[38]  C. Hilton,et al.  Effects of exergaming on executive function and motor skills in children with autism spectrum disorder: a pilot study. , 2014, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[39]  Wei Peng,et al.  Videogame Mechanics in Games for Health. , 2013, Games for health journal.

[40]  Albert Rizzo,et al.  A SWOT Analysis of the Field of Virtual Rehabilitation and Therapy. , 2005 .

[41]  Jonathan Duckworth,et al.  Embodiment and play in designing an interactive art system for movement rehabilitation , 2009 .

[42]  Mark Bolas,et al.  Designing informed game-based rehabilitation tasks leveraging advances in virtual reality , 2012, Disability and rehabilitation.

[43]  Yvonne de Kort,et al.  Rules of Engagement: Influence of Co-Player Presence on Player Involvement in Digital Games , 2009, Int. J. Gaming Comput. Mediat. Simulations.

[44]  M. Granlund,et al.  ‘I can play!’ Young children's perceptions of health , 2006, Pediatric rehabilitation.