ALFRED Back Trainer: Conceptualization of a Serious Game-Based Training System for Low Back Pain Rehabilitation Exercises

Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9090)


Low back pain is common medical problem and often recurrent. Within the EU-funded project ALFRED, a serious game-based exercise regime focusing on the prevention and rehabilitation of lower back pain is currently being developed. This Serious Game tries to combine high player motivation with high training effects while using low cost technology and commercial game controllers. The exercise goals and assessment metrics of the Serious Game are elaborated by medical experts to allow scientifically based training while the training effects shall be increased by using state of the art technology for the personalization and adaptation of the training process. In this contribution we describe a prototypical approach which combines the use of widespread physiotherapeutic exercises (bridging exercises) in combination with biofeedback training. This approach aims to improve symmetrical function of the paraspinal muscles and improve overall muscle coordination which is important for optimal functioning of the lower back area.


Serious games Exercise Biofeedback Low back pain 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Brumels, K.A., Blasius, T., Cortright, T., Oumedian, D., Solberg, B.: Comparison of efficacy between traditional and video game based balance programs. Clinical Kinesiology: Journal of the American Kinesiotherapy Association, 62(4), (December 2008)Google Scholar
  2. 2.
    Etienne, C., Asamoa-Baah, A.: The World Health Report: Health System Financing: The Path to Universal Coverage. W.H.O. (2010)Google Scholar
  3. 3.
    Freeman, M.D., Woodham, M.A., Woodham, A.W.: The role of the lumbar multifidus in chronic low back pain: A review. PM&R 2(2), 142–146 (2009)CrossRefGoogle Scholar
  4. 4.
    Göbel, S., Hardy, S., Wendel, V., Mehm, F., Steinmetz, R.: Serious games for health: personalized exergames. In: Proceedings of the International Conference on Multimedia, MM 2010, New York, NY, USA, pp. 1663–1666. ACM (2010)Google Scholar
  5. 5.
    Hardy, S., Göbel, S., Steinmetz, R.: Adaptable and personalized game-based training system for fall prevention. In: Proceedings of the 21st ACM International Conference on Multimedia, MM 2013, New York, NY, USA, pp. 431–432. ACM (2013)Google Scholar
  6. 6.
    Hardy, S., Kern, A., Dutz, T., Weber, C., Göbel, S., Steinmetz, R.: What makes games challenging?: Considerations on how to determine the “challenge” posed by an exergame for balance training. In: Proceedings of the 2014 ACM International Workshop on Serious Games, SeriousGames 2014, New York, NY, USA, pp. 57–62. ACM (2014)Google Scholar
  7. 7.
    Hardy, S., Wiemeyer, J., Göbel, S., Steinmetz, R.: Framework for personalized and adaptive game-based training programs in health sport. Multimedia Tools and Applications (2013)Google Scholar
  8. 8.
    Haskell, W.L., Lee, I.-M., Pate, R.R., Powell, K.E., Blair, S.N., Franklin, B.A., Macera, C.A., Heath, G.W., Thompson, P.D., Bauman, A.: Physical activity and public health: Updated recommendation for adults from the american college of sports medicine and the american heart association. Physical Activity and Public Health 116(9), 1081–1093 (2007)Google Scholar
  9. 9.
    Hoy, D., Brooks, P., Blyth, F., Buchbinder, R.: The epidemiology of low back pain. Best Practice & Reserach Clinical Rheumatology 24, 769–781 (2010)CrossRefGoogle Scholar
  10. 10.
    Jung, Y., Li, K.J., Janissa, N.S., Gladys, W.L.C., Lee, K.M.: Games for a better life: effects of playing wii games on the well-being of seniors in a long-term care facility. In: Proceedings of the Sixth Australasian Conference on Interactive Entertainment, IE 2009, New York, NY, USA, pp. 5:1–5:6. ACM (2009)Google Scholar
  11. 11.
    Kliem, A., Wiemeyer, J.: Comparison of a traditional and a video game based balance training program. International Journal of Computer Science in Sport 9(Special Edition), 80–91 (2010)Google Scholar
  12. 12.
    Sinclair, J., Hingston, P., Masek, M.: Exergame development using the dual flow model. In: Proceedings of the Sixth Australasian Conference on Interactive Entertainment, IE 2009, New York, NY, USA, pp. 11:1–11:7. ACM (2009)Google Scholar
  13. 13.
    Sweetser, P., Wyeth, P.: Gameflow: A model for evaluating player enjoyment in games. Comput. Entertain. 3(3), 3 (2005)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Multimedia Communications Lab – KOMTechnische Universität DarmstadtDarmstadtGermany
  2. 2.Geriatrics Research Group, Department of Geriatric MedicineCharité - Universitätsmedizin BerlinBerlinGermany

Personalised recommendations