Chances for serious games in rehabilitation of stroke patients on the example of utilizing the Wii Fit Balance Board

This publication describes the analysis and development of a serious game for the rehabilitation of stroke patients, which was conducted with the assistance of an experienced physiotherapist using a user-centered design. After a stroke, patients often complain about balance related problems or partial paralysis. Normal rehabilitation training depends on balance and strength exercises. In such cases balance plates are often used as training devices, but patients often report lack of motivation especially when training at home. The research objective of this publication was to develop a serious game using the Nintendo Wii Fit Balance Board. From a physiotherapeutic view it should help patients suffering from a stroke throughout their rehabilitation, especially to increase the motivation to do their exercises. Since every patient is different, the developed serious game can be customized by a physiotherapist for the individual patient's needs. A lot of customization options provide optimal support for the entire rehabilitation process.

[1]  P. Langhorne,et al.  Motor recovery after stroke: a systematic review , 2009, The Lancet Neurology.

[2]  A. Shumway-cook,et al.  Postural sway biofeedback: its effect on reestablishing stance stability in hemiplegic patients. , 1988, Archives of physical medicine and rehabilitation.

[3]  Darryl Charles,et al.  Serious Games for Upper Limb Rehabilitation Following Stroke , 2009, 2009 Conference in Games and Virtual Worlds for Serious Applications.

[4]  B. Brouwer,et al.  Use of visual feedback in retraining balance following acute stroke. , 2000, Physical therapy.

[5]  F. Purroy,et al.  The Incidence, Prevalence, and Mortality of Stroke in France, Germany, Italy, Spain, the UK, and the US: A Literature Review , 2012, Stroke research and treatment.

[6]  J.E. Deutsch,et al.  Wii-based compared to standard of care balance and mobility rehabilitation for two individuals post-stroke , 2009, 2009 Virtual Rehabilitation International Conference.

[7]  James R. Parker,et al.  A Comparison of Exergaming Interfaces for Use in Rehabilitation Programs and Research , 2012 .

[8]  Lennart E. Nacke,et al.  Gamification : Toward a Definition , 2022 .

[9]  C. Colomer,et al.  Effectiveness of a Wii balance board-based system (eBaViR) for balance rehabilitation: a pilot randomized clinical trial in patients with acquired brain injury , 2011, Journal of NeuroEngineering and Rehabilitation.

[10]  B. Stegmayr,et al.  Sex Differences in Stroke Epidemiology: A Systematic Review , 2009, Stroke.

[11]  Julie Ratcliffe,et al.  Is use of the Nintendo Wii Fit in physiotherapy as effective as conventional physiotherapy training for hospitalised older adults? , 2011, 2011 International Conference on Virtual Rehabilitation.

[12]  H. Sugarman,et al.  Use of the Wii Fit system for the treatment of balance problems in the elderly: A feasibility study , 2009, 2009 Virtual Rehabilitation International Conference.

[13]  Murray Griffin,et al.  Activity-promoting gaming systems in exercise and rehabilitation. , 2011, Journal of rehabilitation research and development.

[14]  Wynne A. Lee,et al.  Quantitative and clinical measures of static standing balance in hemiparetic and normal subjects. , 1988, Physical therapy.

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

[16]  Albert Rizzo,et al.  Development of an interactive rehabilitation game using the Nintendo WiiFit Balance Board for people with neurological injury , 2010 .

[17]  E. Lesaffre,et al.  Five-year mortality and related prognostic factors after inpatient stroke rehabilitation: a European multi-centre study. , 2012, Journal of rehabilitation medicine.

[18]  Bo Norrving,et al.  Avoiding heart attacks and strokes : don't be a victim - protect yourself , 2005 .

[19]  W. McIlroy,et al.  Effectiveness of Virtual Reality Using Wii Gaming Technology in Stroke Rehabilitation: A Pilot Randomized Clinical Trial and Proof of Principle , 2010, Stroke.

[20]  Philip Hingston,et al.  Considerations for the design of exergames , 2007, GRAPHITE '07.

[21]  J. Bickenbach,et al.  The World Report on Disability – implications, perspectives and opportunities for physical and rehabilitation medicine (PRM). , 2011, Journal of rehabilitation medicine.

[22]  V. Feigin,et al.  Stroke epidemiology: a review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century , 2003, The Lancet Neurology.

[23]  Charles R. Crowell,et al.  Enhanced feedback in balance rehabilitation using the Nintendo Wii Balance Board , 2011, 2011 IEEE 13th International Conference on e-Health Networking, Applications and Services.

[24]  M. Gabriel Khan,et al.  Stroke/Cerebrovascular Accident , 2006 .

[25]  Pedro Miguel Moreira,et al.  Serious games for rehabilitation: A survey and a classification towards a taxonomy , 2010, 5th Iberian Conference on Information Systems and Technologies.