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Evalua&on of the Rehabilita&on Game to Support Standup Exercise Games For Health 2012 Zaitsu Kousuke, Graduate School of Integrated Fron&er Sciences, Kyushu University,JAPAN [email protected] @xi2ko June 1214, 2013 Boston, MA

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Evalua&on  of  the  Rehabilita&on  Game  to  Support  Stand-­‐up  Exercise    

Games  For  Health  2012

Zaitsu  Kousuke,  Graduate  School  of  Integrated  Fron&er  Sciences,  Kyushu  University,JAPAN  

[email protected]

@xi2ko

June  12-­‐14,  2013  Boston,  MA  

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Games  For  Health  2012

Agenda

About  me  

Experimental  results  

Progress  work    &  Future  Research  

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Games  For  Health  2012

1 About  me  

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Now  I’m  Playing…

Games  For  Health  2012

About  me

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I’m  concerned  about…

p Seriousgame  &  Gamifica&on  p Games  for  Health  p Games  for  Learning  p Games  for  Change  p Gameliteracy

Games  For  Health  2012

About  me

This  is  the  most  impressed  book  for  me  in  2011.

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My  Work  is… p Educa&onal  Effects  of  Serious  game  about  Environment  and  User’s  Characteris&cs  (Journal  of  Digital  Games  Research,  vol.5,  no.2,  2011)  

p Developing  the  scale  of  Game  Literacy  (under  refereeing)

Games  For  Health  2012

About  me

Ainiikuken  -­‐Dog  the  sweeper-­‐  

(Matsuguma  et  al,2010)

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My  Dream  is…  

Games  For  Health  2012

About  me

Applying  the  Power  of  Game  to  various  situa&ons  for  Happiness  and  Well-­‐being

So,  My  Mission  is…  

Research

Prac&ce Design

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Games  For  Health  2012

2 Experimental  Results  

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Games  For  Health  2012

Introduc&on

What’s  Rehabilita&on  Game?

Standing  Growing  Blooming  Tree  Rehabilium

Matsuguma  et  al,  2011

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Why  Support  Stand-­‐up  Exercise?  

Games  For  Health  2012

Introduc&on

Stand-­‐up  Exercise  is v Core  training  in  a  rehabilita&on  v Basics  of  an  ac&vity  of  daily  life

But…

Tedious  Boring  Hard  

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Feature  of  the  game

Games  For  Health  2012

Introduc&on

Rule  &  Goal:  Grow  a  tree  by  stand-­‐up  exercise Feedback:  Rewards(cards,  medals  and  flowers)  and  Posi&ve  sound(cheerful  voice  and  SE).  

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Games  For  Health  2012

Introduc&on

Demo  

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The  verifica&on  experiment  from  the  medical  aspect  (Matsuguma,  2011)

Games  For  Health  2012

Introduc&on

◆  Maximum  number  of  &mes  to  stand-­‐up: 〔times〕

Self  training training  with  game

training  with  therapist

Training  with  Rehabilium  has  effect  on  con&nuing  stand-­‐up  exercise

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Purpose  of  a  research

Games  For  Health  2012

Introduc&on

To  Evaluate  the  physiological  and  psychological  effects  of  Rehabilium

Need  addi&onal  research  to  feedback  to  design  process.  

Especially,  it’s  necessary  to  evaluate  from  both  aspects;  physiology  and  psychology  .  

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Research  Hypotheses  are…

Games  For  Health  2012

Introduc&on

Training  with  Rehabilium  has  the  same  physical  effects  of  stand-­‐up  exercise  as  self  training  .

Compared  self  training,  training  with  Rehabilium  has  more  posi&ve  effects  of  stand-­‐up  exercise  psychologically.

Previous  works  revealed  the  posi&ve  psychological  effects  of  playing  videogames.  ex)  Kato  et  al  (2008)  and  so.

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Subjects

Ø 12  students  in  Kyushu  university  Ø Age:  22  (21~24)  Ø Height:  171.2cm  Ø Weight:  59.3kg  

Games  For  Health  2012

Method

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Experimental  Design Within  subject:  two  condi&ons

Games  For  Health  2012

Method

Game Self

Counter  Balance

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Measurement

Games  For  Health  2012

Method

Psychological

Physical  (physiological)

v Profile  of  Mood  States  (POMS)  v Ra&ng  of  Perceived  Exer&on  (RPE)  v Salivary  Cor&sol    

v Oxygen  uptake  (O2)  v Carbon  dioxide  emission(CO2)  v Heart  rate  v Electromyography:  EMG  (rectus  femoris,    anterior  &bial)    

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Protocol

Games  For  Health  2012

Method

10~15 5

min

5 20 20

rest  &me  ques&onnaire①  equipping

saliva  sampling①  

stand-­‐up  exercise  (200  &mes)

rest  &me  ques&onnaire②  

saliva  sampling②  

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laboratory  Condi&on  

Games  For  Health  2012

Method

monitor

2m

Wii  boad

chair

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VO2(VCO2)

Games  For  Health  2012

Result

0  

50  

100  

150  

200  

250  

300  

game   self  

game   self  

VO2(ml/k

g)

No  Significant

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Heart  Rate

Games  For  Health  2012

Result

80  

90  

100  

110  

120  

130  

140  

Game  

Self  

No  Significant

0-­‐40 40-­‐80 80-­‐120 120-­‐160 160-­‐200  

Heart  rate(&m

es/m

inute)

&mes

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EMG

Games  For  Health  2012

Result

0  

10  

20  

30  

40  

50  

0~40回 160~200回 0~40回 160~200回

%MVC

Game条件

Self条件

anterior  &bial

rectus  femoris

No  Significant &mes &mes

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Salivary  Cor&sol

Games  For  Health  2012

Result

0  

0.5  

1  

1.5  

2  

2.5  

game   self  

**

Salivary  Co

r&sol(μg

/dL)

before          arer before          arer

Significant  (**  p<.01)

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RPE

Games  For  Health  2012

Result

7  

9  

11  

13  

15  

17  

19  

0   40   80   120   160   200  

self条件

game条件

Borg  Scale

&mes

No  Significant

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POMS(depression)

Games  For  Health  2012

Result

30  32  34  36  38  40  42  44  46  48  50  

game   self  

T  score *

Significant  (*  p<.05)

before          arer before          arer

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Physical(physiological)  effects

Games  For  Health  2012

Discussion

VO2,  VCO2,  Heart  Rate,  EMG No  Significant

1Training  with  Rehabilium  has  the  same  physical  effects  of  stand-­‐up  exercise  as  self  training  .

Hypothesis

Adop&on

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Psychological  effects

Games  For  Health  2012

Discussion

Salivary  cor&sol game  condi&on  Before  <  Arer

Hypothesis

Adop&on???

POMS(depression)

2Compered  self  training,  training  with  Rehabilium  has  more  posi&ve  effects  of  stand-­‐up  exercise  psychologically.

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Cor&sol  response  in  game  condi&on v   …short-­‐term  physical  exercise  with  a  lower  workload  appears  to  exert  no  or  only  minor  cor<sol  response(Friedmann  et  al,  1989)  

v Considering  HR  and  RPE,  it’s  not  enough  hard    physically  to  exert  some  cor&sol  response  

Games  For  Health  2012

Discussion

Psychological  workload  may  result  in  cor&sol  response  in  game  condi&on  

What’s  psychological  workload?  

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Determinant  of  cor&sol  response

v …cor<sol  responses  if  they  are  uncontrollable  or  characterized  by  social-­‐evalua<ve  threat(Dickerson  and  Kemeny,  2004)  

v Cogni<on  of  controllability  to  exercise  has  effects  on  salivary  cor<sol  (Nagamine  et  al,  2001)  

Games  For  Health  2012

Discussion

Cogni&on  of  exercise,  stand-­‐up  exercise  with  game,  may  result  in  cor&sol  response  ???  

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Games  For  Health  2012

3 Progress  work    &  Future  Research  

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Development  of  Rehabilium

Games  For  Health  2012

Progress  work

Rehabilium Refine  as  a  game  for  group  (Daycare  group  and  so)  

Rehabilium2   Develop  as  a  game  completely    for  a  single  person  

To  be  con&nued…

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Demo(Rehabilium(group))

Games  For  Health  2012

Progress  work

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Demo(Rehabilium2)

Games  For  Health  2012

Progress  work

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I’d  like  to…

Games  For  Health  2012

Future  Research

reveal  the  influence  of  the  power  of  game  on  intrinsic  mo&va&on

make  the  Home-­‐based  rehabilita&on  game  to  support  stand-­‐up  exercise

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Thank  you  for  listening  !!

Games  For  Health  2012

[email protected]

@xi2ko