Patients’ physiological reactions to competitive rehabilitation therapies assisted by robotic devices
Abstract Background The aging of the population and the progressive increase in life expectancy in developed countries is leading to a high incidence of cerebrovascular diseases. Several studies have demonstrated that robot-assisted rehabilitation therapies combined with serious games can improve re...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-04-01
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| Series: | Journal of NeuroEngineering and Rehabilitation |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12984-023-01163-2 |
| _version_ | 1797846087836368896 |
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| author | José M. Catalán Andrea Blanco-Ivorra José V. García-Pérez Yolanda Vales David Martínez-Pascual Santiago Ezquerro Alicia Garrote Teresa Costa Luis D. Lledó Nicolás García-Aracil |
| author_facet | José M. Catalán Andrea Blanco-Ivorra José V. García-Pérez Yolanda Vales David Martínez-Pascual Santiago Ezquerro Alicia Garrote Teresa Costa Luis D. Lledó Nicolás García-Aracil |
| author_sort | José M. Catalán |
| collection | DOAJ |
| description | Abstract Background The aging of the population and the progressive increase in life expectancy in developed countries is leading to a high incidence of cerebrovascular diseases. Several studies have demonstrated that robot-assisted rehabilitation therapies combined with serious games can improve rehabilitation outcomes. Social interaction in the form of multiplayer games has been highlighted as a potential element to increase patient’s motivation and exercise intensity, which professionals have described as one of the determining factors in maximizing rehabilitation outcomes. Despite this, it has not been widely studied. Physiological measures have been proven as an objective tool to evaluate patients’ experience in robot-assisted rehabilitation environments. However, they have not been used to evaluate patients’ experience in multiplayer robot-assisted rehabilitation therapies. The main objective of this study is to analyze whether the interpersonal interaction inherent in a competitive game mode affects the patients’ physiological responses in robot-assisted rehabilitation environments. Methods A total of 14 patients participated in this study. The results of a competitive game mode were compared with a single-player game mode with different difficulty levels. Exercise intensity and performance were measured through parameters extracted from the game and the information provided by the robotic rehabilitation platforms. The physiological response of patients in each game mode was measured by the heart rate (HR) and the galvanic skin response (GSR). Patients were asked to fill out the IMI and the overall experience questionnaire. Results The exercise intensity results show that high-difficulty single-player game mode is similar in terms of intensity level to a competitive game mode, based on velocity values, reaction time and questionnaire results. However, the results of the physiological responses of the patients measured by GSR and HR are lower in the case of the competitive mode compared to the high-difficulty single-player game mode, obtaining results similar to those obtained in the low-difficulty single-player game mode. Conclusions Patients find the competitive game mode the most fun, which is also the mode they report experiencing the most effort and stress level. However, this subjective evaluation is not in line with the results of physiological responses. This study concludes that interpersonal interaction inherent to a competitive game mode influences patients’ physiological responses. This could mean that social interaction is an important factor to consider when interpreting the results obtained from physiological measurements. |
| first_indexed | 2024-04-09T17:49:16Z |
| format | Article |
| id | doaj.art-6e78a3f9ea0e47fe9187df9543559dc6 |
| institution | Directory Open Access Journal |
| issn | 1743-0003 |
| language | English |
| last_indexed | 2024-04-09T17:49:16Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of NeuroEngineering and Rehabilitation |
| spelling | doaj.art-6e78a3f9ea0e47fe9187df9543559dc62023-04-16T11:08:34ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032023-04-0120111410.1186/s12984-023-01163-2Patients’ physiological reactions to competitive rehabilitation therapies assisted by robotic devicesJosé M. Catalán0Andrea Blanco-Ivorra1José V. García-Pérez2Yolanda Vales3David Martínez-Pascual4Santiago Ezquerro5Alicia Garrote6Teresa Costa7Luis D. Lledó8Nicolás García-Aracil9Robotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández UniversityRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández UniversityRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández UniversityRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández UniversityRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández UniversityRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández UniversityHospital la PedreraHospital la PedreraRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández UniversityRobotics and Artificial Intelligence Group of the Bioengineering Institute, Miguel Hernández UniversityAbstract Background The aging of the population and the progressive increase in life expectancy in developed countries is leading to a high incidence of cerebrovascular diseases. Several studies have demonstrated that robot-assisted rehabilitation therapies combined with serious games can improve rehabilitation outcomes. Social interaction in the form of multiplayer games has been highlighted as a potential element to increase patient’s motivation and exercise intensity, which professionals have described as one of the determining factors in maximizing rehabilitation outcomes. Despite this, it has not been widely studied. Physiological measures have been proven as an objective tool to evaluate patients’ experience in robot-assisted rehabilitation environments. However, they have not been used to evaluate patients’ experience in multiplayer robot-assisted rehabilitation therapies. The main objective of this study is to analyze whether the interpersonal interaction inherent in a competitive game mode affects the patients’ physiological responses in robot-assisted rehabilitation environments. Methods A total of 14 patients participated in this study. The results of a competitive game mode were compared with a single-player game mode with different difficulty levels. Exercise intensity and performance were measured through parameters extracted from the game and the information provided by the robotic rehabilitation platforms. The physiological response of patients in each game mode was measured by the heart rate (HR) and the galvanic skin response (GSR). Patients were asked to fill out the IMI and the overall experience questionnaire. Results The exercise intensity results show that high-difficulty single-player game mode is similar in terms of intensity level to a competitive game mode, based on velocity values, reaction time and questionnaire results. However, the results of the physiological responses of the patients measured by GSR and HR are lower in the case of the competitive mode compared to the high-difficulty single-player game mode, obtaining results similar to those obtained in the low-difficulty single-player game mode. Conclusions Patients find the competitive game mode the most fun, which is also the mode they report experiencing the most effort and stress level. However, this subjective evaluation is not in line with the results of physiological responses. This study concludes that interpersonal interaction inherent to a competitive game mode influences patients’ physiological responses. This could mean that social interaction is an important factor to consider when interpreting the results obtained from physiological measurements.https://doi.org/10.1186/s12984-023-01163-2RehabilitationMultiplayer gamesInterpersonal rehabilitation gamesStrokePatient engagementExergames |
| spellingShingle | José M. Catalán Andrea Blanco-Ivorra José V. García-Pérez Yolanda Vales David Martínez-Pascual Santiago Ezquerro Alicia Garrote Teresa Costa Luis D. Lledó Nicolás García-Aracil Patients’ physiological reactions to competitive rehabilitation therapies assisted by robotic devices Journal of NeuroEngineering and Rehabilitation Rehabilitation Multiplayer games Interpersonal rehabilitation games Stroke Patient engagement Exergames |
| title | Patients’ physiological reactions to competitive rehabilitation therapies assisted by robotic devices |
| title_full | Patients’ physiological reactions to competitive rehabilitation therapies assisted by robotic devices |
| title_fullStr | Patients’ physiological reactions to competitive rehabilitation therapies assisted by robotic devices |
| title_full_unstemmed | Patients’ physiological reactions to competitive rehabilitation therapies assisted by robotic devices |
| title_short | Patients’ physiological reactions to competitive rehabilitation therapies assisted by robotic devices |
| title_sort | patients physiological reactions to competitive rehabilitation therapies assisted by robotic devices |
| topic | Rehabilitation Multiplayer games Interpersonal rehabilitation games Stroke Patient engagement Exergames |
| url | https://doi.org/10.1186/s12984-023-01163-2 |
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