An Exergame Themed on the Power of Religious Belief for Stroke/Motor Rehabilitation

Post-stroke recovery depends on, a) motivation for physical exercises and b) trained therapists. The objective of the study was to examine the effect an exergame with a religious ritual as gameplay theme has on the motivation for lower limb motor therapy. Two games were designed and developed, a ‘temple game’ simulating the 2400 odd steps to reach the sanctum of a famous deity located in India and a ‘trekking game’ with similar setup sans the religious symbols. A gym stair-stepper equipment was fitted with sensors to detect the action of climbing. Each physical step-action is mapped to a corressponding step in the virtual game. Data were collected from 4 stroke patients, 1 spinal cord injury patient and 13 healthy male participants. Motivation/immersion difference between the two games was compared. The post-test game experience questionnaire scored higher on immersion, motivation, and interest for the temple game. A remotely accessed and controlled exergame is considered important for doctors and patients due to the acute shortage of trained therapists. The findings open up a new genre of exergaming for neurorehabilitation customized to personal belief/faith structures. The authors do not propagate or promote any religious beliefs (+positive or −negative) but have sourced an existing belief system to build assistive devices for stroke rehab.

Content

Author and article information

Contributors

Rajat Singla

Ravi Raja Ganta

Kavita Vemuri

Conference

Publication date: July 2018

Publication date (Print): July 2018

Pages: 1-6

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[0001]IIIT-Hyderabad

Article

DOI: 10.14236/ewic/HCI2018.102

SO-VID: 602bf918-c964-44ba-a68d-e1fd563878c0

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This work is licensed under a Creative Commons Attribution 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

Conference name: Proceedings of the 32nd International BCS Human Computer Interaction Conference

Conference acronym: HCI

Conference number: 32

Conference location: Belfast, UK

Conference date: 4 - 6 July 2018

Conference sponsor: Electronic Workshops in Computing (eWiC)

Conference theme: Human Computer Interaction Conference

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1477-9358 BCS Learning & Development

Self URI (article page): https://www.scienceopen.com/hosted-document?doi=10.14236/ewic/HCI2018.102

Self URI (journal page): https://ewic.bcs.org/

References

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D. Pasco C. Roure G. Kermarrec Z. Pope, & Z. Gao (2017). The effects of a bike active video game on players' physical activity and motivation Journal of Sport and Health Science 6(1), 25–32.
F. Buttussi, & L. Chittaro (2010). Smarter phones for healthier lifestyles: An adaptive fitness game IEEE Pervasive Computing 9(4), 51–57.
S. T. Leatherdale S. J. Woodruff, & S. R. Manske (2010). Energy expenditure while playing active and inactive video games American journal of health behavior 34(1), 31–35.
B. L. Haddock S. R. Siegel, & L. D. Wikin (2009). The addition of a video game to stationary cycling: The impact on energy expenditure in overweight children The open sports sciences journal 2 42.
A. J. Bonetti D. G. Drury J. V. Danoff, & T. A. Miller (2010). Comparison of acute exercise responses between conventional video gaming and isometric resistance exergaming The Journal of Strength & Conditioning Research 24(7), 1799–1803.
S. Göbel S. Hardy V. Wendel F. Mehm, & R. Steinmetz (2010 October). Serious games for health: personalized exergames In Proceedings of the 18th ACM international conference on Multimedia (pp. 1663–1666). ACM.
J. Sween S. F. Wallington V. Sheppard T. Taylor A. A. Llanos, & L. L. Adams-Campbell The role of exergaming in improving physical activity: a review Journal of Physical Activity and Health 11(4), (2014). 864–870.
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E. Biddiss, & J. Irwin (2010). Active video games to promote physical activity in children and youth: a systematic review Archives of pediatrics & adolescent medicine 164(7), 664–672.
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H. A. Hernandez T. C. Graham D. Fehlings L. Switzer Z. Ye Q. Bellay, … & T. Stach (2012 May). Design of an exergaming station for children with cerebral palsy In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (pp. 2619–2628). ACM.
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T. A. Maugans (1996). The spiritual history Archives of family medicine 5(1), 11–16.
K. I. Pargament H. G. Koenig N. Tarakeshwar, & J. Hahn (2001). Religious struggle as a predictor of mortality among medically ill elderly patients: A 2-year longitudinal study Archives of internal Medicine 161(15), 1881–1885.
P. A. Clark M. Drain, & M. P. Malone (2003). Addressing patients' emotional and spiritual needs The Joint Commission Journal on Quality and Safety 29(12), 659–670.
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L. Underwood-Gordon D. J. Peters P. Bijur, & M. Fuhrer (1997). ROLES OF RELIGIOUSNESS AND SPIRITUALITY IN MEDICAL REHABILITATION AND THE LIVES OF PERSONS WITH DISABILITIES: A Commentary1 American Journal of Physical Medicine & Rehabilitation 76(3), 255–257.
C. S. Wilson M. Forchheimer A. W. Heinemann A. M. Warren, & C. McCullumsmith (2017). Assessment of the relationship of spiritual well-being to depression and quality of life for persons with spinal cord injury Disability and rehabilitation 39(5), 491-496
S. Giaquinto C. Spiridigliozzi, & B. Caracciolo (2007). Can faith protect from emotional distress after stroke? Stroke 38(3), 993–997.
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G. Yamey, & R. Greenwood (2004). Religious views of the ‘medical'rehabilitation model: a pilot qualitative study Disability and Rehabilitation 26(8), 455-462.

Comments

Comment on this article

[1] T. K. Banerjee S. Dutta B. K. Ray M. Ghosal A. Hazra A. Chaudhuri, & S. K. Das (2013). Disease burden of stroke in Kolkata, India: derivation of disability-adjusted life years by a direct method Neuroepidemiology 41(2), 88–93.

[2] D. Pasco C. Roure G. Kermarrec Z. Pope, & Z. Gao (2017). The effects of a bike active video game on players' physical activity and motivation Journal of Sport and Health Science 6(1), 25–32.

[3] F. Buttussi, & L. Chittaro (2010). Smarter phones for healthier lifestyles: An adaptive fitness game IEEE Pervasive Computing 9(4), 51–57.

[4] S. T. Leatherdale S. J. Woodruff, & S. R. Manske (2010). Energy expenditure while playing active and inactive video games American journal of health behavior 34(1), 31–35.

[5] B. L. Haddock S. R. Siegel, & L. D. Wikin (2009). The addition of a video game to stationary cycling: The impact on energy expenditure in overweight children The open sports sciences journal 2 42.

[6] A. J. Bonetti D. G. Drury J. V. Danoff, & T. A. Miller (2010). Comparison of acute exercise responses between conventional video gaming and isometric resistance exergaming The Journal of Strength & Conditioning Research 24(7), 1799–1803.

[7] S. Göbel S. Hardy V. Wendel F. Mehm, & R. Steinmetz (2010 October). Serious games for health: personalized exergames In Proceedings of the 18th ACM international conference on Multimedia (pp. 1663–1666). ACM.

[8] J. Sween S. F. Wallington V. Sheppard T. Taylor A. A. Llanos, & L. L. Adams-Campbell The role of exergaming in improving physical activity: a review Journal of Physical Activity and Health 11(4), (2014). 864–870.

[9] A. Macvean, & J. Robertson (2013 April). Understanding exergame users' physical activity, motivation and behavior over time In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (pp. 1251–1260). ACM A. Bandura Self-Efficacy Mechanism in Human Agency American Psychologist 37 2 (1982), 122–147.

[10] A. Bandura (1982). Self-efficacy mechanism in human agency American psychologist 37(2), 122.

[11] E. Biddiss, & J. Irwin (2010). Active video games to promote physical activity in children and youth: a systematic review Archives of pediatrics & adolescent medicine 164(7), 664–672.

[12] G. Alankus, & C. Kelleher (2012 May). Reducing compensatory motions in video games for stroke rehabilitation In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (pp. 2049–2058). ACM.

[13] G. Alankus A. Lazar M. May, & C. Kelleher (2010 April). Towards customizable games for stroke rehabilitation. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (pp. 2113–2122). ACM.

[14] H. A. Hernandez T. C. Graham D. Fehlings L. Switzer Z. Ye Q. Bellay, … & T. Stach (2012 May). Design of an exergaming station for children with cerebral palsy In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (pp. 2619–2628). ACM.

[15] R. Brown H. Sugarman, and A. Burstin Use of the Nintendo Wii Fit for the treatment of balance problems in an elderly patient with stroke: a case report. International Journal of Rehabilitation Research 32, (2009), 109–110.

[16] G. Saposnik R. Teasell M. Mamdani J. Hall W. McIlroy D. Cheung, … & M. Bayley (2010). Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation: a pilot randomized clinical trial and proof of principle Stroke 41(7), 1477–1484.

[17] M. Balaam S. Rennick Egglestone G. Fitzpatrick T. Rodden A. M. Hughes A. Wilkinson, ... & S. Mawson (2011 May). Motivating mobility: designing for lived motivation in stroke rehabilitation In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (pp. 3073–3082). ACM.

[18] N. Shah F. Amirabdollahian, & A. Basteris (2014 June). Designing motivational games for stroke rehabilitation In Human System Interactions (HSI), 2014 7th International Conference on (pp. 166–171). IEEE.

[19] R. S. Monteiro-Junior L. F. D. S. Figueiredo P. D. T. Maciel-Pinheiro E. L. R. Abud K. Engedal M. L. Barca, ... & A. C. Deslandes (2017). Virtual Reality–Based Physical Exercise With Exergames (PhysEx) Improves Mental and Physical Health of Institutionalized Older Adults Journal of the American Medical Directors Association 18(5), 454-e1.

[20] P. D. Bamidis A. B. Vivas C. Styliadis C. Frantzidis M. Klados W. Schlee, ... & S. G. Papageorgiou (2014). A review of physical and cognitive interventions in aging Neuroscience & Biobehavioral Reviews 44 206–220.

[21] P. Fissler O. Küster W. Schlee, & I. T. Kolassa (2013). Novelty interventions to enhance broad cognitive abilities and prevent dementia: synergistic approaches for the facilitation of positive plastic change In Progress in brain research (Vol. 207, pp. 403–434). Elsevier.

[22] D. M. Harris T. Rantalainen M. Muthalib L. Johnson, & W. P. Teo (2015). Exergaming as a viable therapeutic tool to improve static and dynamic balance among older adults and people with idiopathic Parkinson's disease: a systematic review and meta-analysis Frontiers in aging neuroscience 7 167.

[23] Y. X. Hung P. C. Huang K. T. Chen, & W. C. Chu (2016). What do stroke patients look for in game-based rehabilitation: a survey study Medicine 95(11).

[24] T. A. Maugans (1996). The spiritual history Archives of family medicine 5(1), 11–16.

[25] K. I. Pargament H. G. Koenig N. Tarakeshwar, & J. Hahn (2001). Religious struggle as a predictor of mortality among medically ill elderly patients: A 2-year longitudinal study Archives of internal Medicine 161(15), 1881–1885.

[26] P. A. Clark M. Drain, & M. P. Malone (2003). Addressing patients' emotional and spiritual needs The Joint Commission Journal on Quality and Safety 29(12), 659–670.

[27] A. E. Rippentrop E. M. Altmaier J. J. Chen E. M. Found, & V. J. Keffala (2005). The relationship between religion/spirituality and physical health, mental health, and pain in a chronic pain population Pain 116(3), 311–321.

[28] T. B. Smith M. E. McCullough, & J. Poll (2003). Religiousness and depression: evidence for a main effect and the moderating influence of stressful life events Psychological bulletin 129(4), 614.

[29] L. Underwood-Gordon D. J. Peters P. Bijur, & M. Fuhrer (1997). ROLES OF RELIGIOUSNESS AND SPIRITUALITY IN MEDICAL REHABILITATION AND THE LIVES OF PERSONS WITH DISABILITIES: A Commentary1 American Journal of Physical Medicine & Rehabilitation 76(3), 255–257.

[30] C. S. Wilson M. Forchheimer A. W. Heinemann A. M. Warren, & C. McCullumsmith (2017). Assessment of the relationship of spiritual well-being to depression and quality of life for persons with spinal cord injury Disability and rehabilitation 39(5), 491-496

[31] S. Giaquinto C. Spiridigliozzi, & B. Caracciolo (2007). Can faith protect from emotional distress after stroke? Stroke 38(3), 993–997.

[32] D. R. Hodge (2001). Spiritual assessment: A review of major qualitative methods and a new framework for assessing spirituality Social work 46(3), 203–214.

[33] G. Yamey, & R. Greenwood (2004). Religious views of the ‘medical'rehabilitation model: a pilot qualitative study Disability and Rehabilitation 26(8), 455-462.

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