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Coaching or gaming? Implications of strategy choice for home based stroke rehabilitation

dc.contributor.authorCameirão, Mónica S.
dc.contributor.authorSmailagic, Asim
dc.contributor.authorMiao, Guangyao
dc.contributor.authorSiewiorek, Dan P.
dc.date.accessioned2016-11-28T11:31:06Z
dc.date.available2016-11-28T11:31:06Z
dc.date.issued2016
dc.description.abstractBackground: The enduring aging of the world population and prospective increase of age-related chronic diseases urge the implementation of new models for healthcare delivery. One strategy relies on ICT (Information and Communications Technology) home-based solutions allowing clients to pursue their treatments without institutionalization. Stroke survivors are a particular population that could strongly benefit from such solutions, but is not yet clear what the best approach is for bringing forth an adequate and sustainable usage of home-based rehabilitation systems. Here we explore two possible approaches: coaching and gaming. Methods: We performed trials with 20 healthy participants and 5 chronic stroke survivors to study and compare execution of an elbow flexion and extension task when performed within a coaching mode that provides encouragement or within a gaming mode. For each mode we analyzed compliance, arm movement kinematics and task scores. In addition, we assessed the usability and acceptance of the proposed modes through a customized self-report questionnaire. Results: In the healthy participants sample, 13/20 preferred the gaming mode and rated it as being significantly more fun (p < .05), but the feedback delivered by the coaching mode was subjectively perceived as being more useful (p < .01). In addition, the activity level (number of repetitions and total movement of the end effector) was significantly higher (p <.001) during coaching. However, the quality of movements was superior in gaming with a trend towards shorter movement duration (p=.074), significantly shorter travel distance (p <.001), higher movement efficiency (p <.001) and higher performance scores (p <.001). Stroke survivors also showed a trend towards higher activity levels in coaching, but with more movement quality during gaming. Finally, both training modes showed overall high acceptance. Conclusions: Gaming led to higher enjoyment and increased quality in movement execution in healthy participants. However, we observed that game mechanics strongly determined user behavior and limited activity levels. In contrast, coaching generated higher activity levels. Hence, the purpose of treatment and profile of end-users has to be considered when deciding on the most adequate approach for home based stroke rehabilitation.pt_PT
dc.identifier.citationCameirão, M. S., Smailagic, A., Miao, G., & Siewiorek, D. P. (2016). Coaching or gaming? Implications of strategy choice for home based stroke rehabilitation. Journal of neuroengineering and rehabilitation, 13(18), 1-15.pt_PT
dc.identifier.doidx.doi.org/10.1186/s12984-016-0127-8pt_PT
dc.identifier.issn1743-0003
dc.identifier.urihttp://hdl.handle.net/10400.13/1281
dc.language.isoengpt_PT
dc.publisherBioMed Centralpt_PT
dc.relationAHA: Augmented Human Assistance
dc.relationDEVELOPMENT AND ASSESSMENT OF A ROBOTIC INTERACTIVE SYSTEM RIS FOR INCLUSIVE MOTOR REHABILITATION FOLLOWING STROKE
dc.relationLaboratory for Robotics and Engineering Systems
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectStrokept_PT
dc.subjectHome-based rehabilitationpt_PT
dc.subjectCoachingpt_PT
dc.subjectGamingpt_PT
dc.subject.pt_PT
dc.subjectFaculdade de Ciências Exatas e da Engenhariapt_PT
dc.titleCoaching or gaming? Implications of strategy choice for home based stroke rehabilitationpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleAHA: Augmented Human Assistance
oaire.awardTitleDEVELOPMENT AND ASSESSMENT OF A ROBOTIC INTERACTIVE SYSTEM RIS FOR INCLUSIVE MOTOR REHABILITATION FOLLOWING STROKE
oaire.awardTitleLaboratory for Robotics and Engineering Systems
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/5665-PICT/CMUP-ERI%2FHCI%2F0046%2F2013/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT//SFRH%2FBPD%2F84313%2F2012/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UID%2FEEA%2F50009%2F2013/PT
oaire.citation.endPage15pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleJournal of neuroengineering and rehabilitationpt_PT
oaire.citation.volume13(18)pt_PT
oaire.fundingStream5665-PICT
oaire.fundingStream6817 - DCRRNI ID
person.familyNameCameirão
person.givenNameMónica
person.identifier.ciencia-id0A12-4F21-0CC2
person.identifier.orcid0000-0002-5352-0128
person.identifier.ridC-8675-2018
person.identifier.scopus-author-id21740694600
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication.latestForDiscovery644f9f6a-81be-4b72-9ded-6eb1b8e251f4
relation.isProjectOfPublication15913ce4-5392-4ce6-ab2f-1b155da9c18d
relation.isProjectOfPublication72bb4573-336c-4473-8210-52925f8ad3f9
relation.isProjectOfPublicationef6bf821-404b-4beb-b200-2ceb064c004a
relation.isProjectOfPublication.latestForDiscovery72bb4573-336c-4473-8210-52925f8ad3f9

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