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Feasibility analysis of adaptable digital games for people with disabilities as a tool to support rehabilitation

Abstract

According to the World Health Organization (WHO, 2007) approximately 200 million people have considerable difficulty in performing simple daily tasks. Most children and adolescents with physical and cognitive disabilities need rehabilitation with great frequency and intensity. However, the difficulties of displacement, lack of independence and motivation during rehabilitation programs are the main reasons for dropping out or disabled shutdown in rehabilitation programs. To enhance the participation of people with disabilities, the virtual reality environment gaming has emerged as a new and effective tool. However, with commercial games, the people with disabilities need to use controls, gloves, adapted equipment or perform predetermined movements for the game, which requires strength and range of motion beyond the ability of these people, especially those with more limited movement. In such cases, patients need to adapt to the game, which is not always possible and undertake the rehabilitation programs. This scenario shows the need for the emergence of games that are adaptable to both motor and cognitive profile of the patient as the demands of physical therapy stimuli of treatment. Ie games whose operation is defined by the health team and the patient's profile. For thus combine the pleasure of getting to play with the incentives proposed by the treatment. Objective: Feasibility analysis of creating digital games to support motor rehabilitation able to identify the characteristics of a patient, such as movement restrictions and lack of coordination, and automatically perform modifications in its operation to allow the patient to comply the proposed activities and make them motivating. Still in search of customization experience for the patient, this project also aims to enable the health team to control the operation of the games by changing variables such as type of stimulus, speed of tasks, positioning challenges, frequency, time duration and goal of the task. So the main difference of this project in relation to other games available to support the rehabilitation is the ability to allow the games has adjusted its behavior according to patient profile and treatment planning set by the physiotherapist. For this, the feasibility will be analyzed by creating adaptive games and checking their effectiveness through data collection with 60 patients with Duchenne muscular dystrophy, using motor learning concepts to evaluate the performance improvement engine with the use of the games. With this, it is expected that the game promotes improved performance, assisting in the rehabilitation process -which for these patients is repetitive and lasts for the entire life-promoting greater independence and quality of life for them, because they benefit from a process of motivating rehabilitation, interesting and that does not exclude them. (AU)

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Scientific publications (6)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
SILVA, TALITA DIAS DA; SILVA, PAULA LUMY DA; VALENZUELA, ELISA DE JESUS; DIAS, EDUARDO DATI; SIMCSIK, AMANDA ORASMO; DE CARVALHO, MARIANA GIOVANELLI; FONTES, ANNE MICHELLI GOMES GONCALVES; ALBERISSI, CAMILA APARECIDA DE OLIVEIRA; ARAUJO, LUCIANO VIEIRA DE; BRANDAO, MURILO VINICIUS DA COSTA; et al. Serious Game Platform as a Possibility for Home-Based Telerehabilitation for Individuals With Cerebral Palsy During COVID-19 Quarantine - A Cross-Sectional Pilot Study. FRONTIERS IN PSYCHOLOGY, v. 12, . (18/00775-6, 17/24991-7, 16/08358-0, 11/07277-2)
ALMEIDA DE CARVALHO GUERREIRO, FRANCISCA ANTONIA; DA SILVA, TALITA DIAS; NUNES, FATIMA L. S.; FUNABASHI, AMANDA; ARANHA, RENAN VINICIUS; SILVA, WILLIAN SEVERINO; BAHADORI, SHAYAN; FAVERO, FRANCIS MEIRE; CROCETTA, TANIA BRUSQUE; MASSA, MARCELO; et al. Can Individuals Poststroke Improve Their Performance in Reaction and Movement Times in a Nonimmersive Serious Game with Practice? A Cross-Sectional Study. GAMES FOR HEALTH JOURNAL, v. 11, n. 1, p. 8-pg., . (17/24991-7, 16/08358-0)
ALVAREZ, MAYRA PRISCILA BOSCOLO; MONTEIRO, CARLOS BANDEIRA DE MELLO; SILVA, TALITA DIAS DA; VALENTI, VITOR E.; FERREIRA-FILHO, CELSO; STERR, ANNETTE; VANDERLEI, LUIZ CARLOS MARQUES; FERREIRA, CELSO; GARNER, DAVID M.. Autonomic Modulation in Duchenne Muscular Dystrophy During a Computer Task: A Prospective Transversal Controlled Trial Assessment by Non-linear Techniques. FRONTIERS IN NEUROLOGY, v. 12, . (17/24991-7, 16/08358-0, 12/16970-6)
DIAS, RODRIGO MARTINS; HOSHI, ROSANGELA AKEMI; MARQUES VANDERLEI, LUIZ CARLOS; DE MELLO MONTEIRO, CARLOS BANDEIRA; BOSCOLO ALVAREZ, MAYRA PRISCILA; CROCETTA, TANIA BRUSQUE; GROSSKLAUSS, LUIS FERNANDO; GONCALVES LUIZ FERNANI, DEBORAH CRISTINA; ARTERO PRADO DANTAS, MARIA TEREZA; ALMEIDA MARTINS, FABIANA PAULA; et al. Influence of Different Types of Corticosteroids on Heart Rate Variability of Individuals with Duchenne Muscular Dystrophy-A Pilot Cross Sectional Study. LIFE-BASEL, v. 11, n. 8, . (16/08358-0, 17/24991-7, 11/07277-2)
DIAS, EDUARDO DATI; DE MENEZES, LILIAN DEL CIELLO; DA SILVA, TALITA DIAS; DA SILVA, NADJA MOREIRA; VIDAL, PAMELA REIS; BRONDANE, BRUNO RENAN; PADULA, NATALIA; GASPAR, ROBERTA CAVEIRO; SANTOS, SILENO; AURICCHIO, JOSE RICARDO; et al. Comparison of cardiac autonomic modulation of athletes and non-athletes individuals with spinal cord injury at rest and during a non-immersive virtual reality task. SPINAL CORD, v. 59, n. 12, . (16/08358-0)
DA SILVA, TALITA DIAS; FONTES, ANNE MICHELLI GOMES GONCALVES; DE OLIVEIRA-FURLAN, BARBARA SOARES; ROQUE, TATIANE TEDESCHI; LIMA, ANA IZABEL IZIDORIO; DE SOUZA, BRUNA MAYARA MAGALHAES; ALBERISSI, CAMILA APARECIDA DE OLIVEIRA; SILVEIRA, ANA CLARA; DE MORAES, IBIS ARIANA PENA; COLLETT, JOHNNY; et al. Effect of Combined Therapy of Virtual Reality and Transcranial Direct Current Stimulation in Children and Adolescents With Cerebral Palsy: A Study Protocol for a Triple-Blinded Randomized Controlled Crossover Trial. FRONTIERS IN NEUROLOGY, v. 11, p. 14-pg., . (17/24991-7, 16/08358-0)

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