A modifiable virtual reality game for neurological physiotherapy - Multiprofessional development and pilot testing

Serious games and virtual reality are promising tools for future rehabilitation. They represent solutions for promoting self-care and for motivating the rehabilitees. However, their wider adoption requires experience and research information from both the rehabilitators themselves and experts in the field. The aim of this study is to develop a prototype physiotherapy virtual reality game in multiprofessional collaboration and to learn about the best practises leading into positive user experience. This paper emphasizes the game development process, the Whac-A-Physio game prototype itself and the preliminary user experiences utilizing a co-design approach. It is a basis for future studies with higher number of participants. The physiotherapy professionals were interested in developing the game in a multidisciplinary group and motivated to adopt it. The developed Whac-A-Physio game prototype was subsequently piloted in two physiotherapy clinics. The feedback was obtained from the physiotherapists by semi-structured interviewing. The physiotherapists found the game suitable for upper limb therapy, balance, and coordination training. The game presented a valuable motivational tool for their clients, improving their sense of ability and inclusion, and was thus considered a good addition to the conventional therapy.acceptedVersionPeer reviewe

Implementing Mobile Games into Care Services—Service Models for Finnish and Chinese Elderly Care

The purpose of this paper was to create service models for cognitively stimulating mobile games and incorporate them into Finnish and Chinese elderly care. The implementation involved the use of two different mobile games as part of the everyday lives of older adults in care homes in Finland (3 months) and China (6 months). Although a large number of publications examine serious games in elderly care, there are rather few publications related to the practical implementation within the elderly care processes. In general, rehabilitation orientated games should incorporate entertainment (motivation) and relevant therapeutic content (rehabilitation) in order to be effective. Regardless of the game design, successful implementation of the games in elderly care is paramount to benefit the end user. In this paper, two mobile games were investigated as a case study. To investigate the therapeutic content of the games, the game outcomes (game scores and time stamps) were automatically recorded to facilitate analysis of the participant’s progress during the trial. To investigate motivation, user feedback was collected through observation of the game trials and by interviewing the nursing staff and the participants (test group). The gaming service implementation was designed in collaboration with the nursing staff and researchers, according to an experimentation-driven approach, in which the service model ideas were tested by the professionals before piloting. In both countries, the players and the nursing staff found the games showed potential as self-managed rehabilitation tools. Other significant effects of gameplay were enhanced recreation and self-managed activity level. Despite cultural differences, the gaming experience was amazingly similar and improvements in game scores were also observed during the trial in both countries. The biggest difference between the pilots was the implementation process, which led to the development of two different service models that are reported in this paper. In Finland, the games were embedded into the care practices and the nursing staff were responsible for the piloting. In China, the games were independent of the care process and an external service provider (the researcher) managed the piloting. The findings imply that service design in different cultures should be carefully considered when implementing new digital services