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Hand rehabilitation: exergames and sensorized objectsN. Alberto Borghese, Renato Mainetti, Jacopo Essenziale, Erica Cavalli, Elena Mancon, Giorgio PajardiLaboratory of Applied Intelligent SystemsDepartment of Computer SciencePlastic surgery schoolUniversit degli Studi di Milano, Milan, ItalyandHand Surgery DepartmentS. Joseph Hospital, Milan, Italy

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MotivationCONGENITAL MALFORMATION(thumb hypoplasia, syndactyly, Polydactyly, symbrachidactyly)

TRAUMA(Fractures, partial or total amputation.)

Games4Health Europe#/13Focus on children (3-6 years old)Approach based on gaming.

Kids have different ages, different pathologies and different abilities and disabilities.

We need a suite of modular personalized components and suitable games.

Not only physical toys. Tablets have become toys themselves.

Training of mobility and strength.

Games4Health Europe#/13Exer-games for strengthExer-game running on a tablet or on a smartphone controlled by a toy with a sensor embedded stimulating pinching or pressing forceA modular micro-architecture has been built: sensor, amplifier, micro-controller, wifi transmitter have been embedded.

Wireless communication between sensor and the host device.pinchingPressing

Games4Health Europe#/13The tracker components

Pressure sensor with adjustable width

Games4Health Europe#/13Lower cost version

The sensor is embedded in a toy. It connects wireless with the host. On/off signal.

Crocodile in thermoplastic powder synthesized with a 3D printer.Wirelss Bluetooth communication with the host (a smart phone).At home version (tested presently by 5 patients at home autonomously)

Games4Health Europe#/13Exer-games for fingers mobilityExercises, designed around the vocabulary of basic interaction movements (Iberall, Mc Kenzie, 1991). Games designed on the top of the exercises (Borghese et al. 2015). Runnung exer-games. Different games. A spaceship is driven (or an avatar, or a submarine) to avoid enemies and collect points.

Games4Health Europe#/13Different playing modalitiesMovement elicited are pinching or sliding. Good game design rules have been followed: clear feed-back, surprise, clear mechanics. Music has been added. Caregiver can help in using the right modality of interaction.

Games4Health Europe#/13Tapping or sliding for younger children (but not only)

Games4Health Europe#/13Interaction with cliniciansPlayer

Lego toy

VideogamesPatient at home

Clinician at hospital

ConfigurationLevel of difficulty adaptationReview of results (assessment and evaluation)

Games4Health Europe#/13Usability studyEarly results (28 young patients):- great motivating tool- strong interest from patients & parents- fast training, exponential learning curve- overall fair compliance

Games4Health Europe#/13ConclusionEnhanced occupations therapy for young childrenUse at home allows gathering quantitative information on rehabilitationVery high compliance. Gamification (adequate to age) might be integrated to increase long lasting compliance.Role of parents in motivation is important. Not only rehabilitation: smart trackers, transparent monitoring

Games4Health Europe#/13Thank you for your attention!

For further information: alberto.borghese@unimi.itN.A. Borghese, R. Mainetti, J. Essenziale, E. Cavalli, E.M. Mancon and G. Pajardi, Hand Rehabilitation with Toys with Embedded Sensors, Proc. ICNR2016. M Pirovano, R Mainetti, G Baud-Bovy, PL Lanzi, NA Borghese, (2016) IGER - Intelligent Game Engine for Rehabilitation,IEEE Trans. on CIAIG. Vol.8(1), March 2016, pp. 43-55.M. Pirovano, E. Surer, R. Mainetti, P.L. Lanzi, and N.A. Borghese (2015). Exergaming and rehabilitation: a methodology for the design of effective and safe therapeutic exergames",Entertainment Computing10/2015. G. Baud-Bovy, F. Tatti and N.A. Borghese (2015) Influence of Haptic Effects Rendered by a Low-Cost Force-Feedback Device on Postural Stability in Younger and Older Adults,IEEE Trans. on Haptics,Vol. 8 No. 2, pp. 130-139, 2015.Seline West, Nunzio Alberto Borghese, Michele Pirovano, Rolf van de Langenberg, Eling D. de Bruin (2014), Usability and Effects of an Exergame-Based Balance Training Program,Games for Health Journal. Volume 3, Number 2, 2014, pp. 106-113.

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Games4Health Europe#/13Thank you for your attention!

For further information: alberto.borghese@unimi.itResearch partially funded by:FITREHAB

MOVECARE

Games4Health Europe#/13Not only rehabilitation

MOVECARE H2020 project

Transparent monitor

Activities: smart trackerswe are hiring!

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