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Virtual Reality Design for Stroke Rehabilitation

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Biomedical Visualisation

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 1235))

Abstract

Stroke is a leading cause of disability, and with the stroke survivor population rising in most countries it is increasingly difficult to provide optimal treatment to patients once they return home. Assistive technology solutions can potentially contribute to meeting demand, and also be cost effective. In this chapter, we consider the design and development of engaging serious virtual reality (VR) games for upper arm stroke rehabilitation. Fundamental design principles are summarised and related to our experience of creating game-based VR rehabilitation. The application of ideas from psychology, particularly behavioural change and flow theory are discussed, as well as related learning and gamification principles. We address how to manage differences between people through design, user profiling, and intelligent dynamic system behaviour, and we also explore how to account for variation in stroke survivor capability and personality. The idea of a hero’s journey as a metaphor for stroke recovery is introduced and we discuss how this metaphor may guide system design, its relationship to game design principles, and how patient narratives and embedded stories might support engagement with treatment. An overview of our previous work is summarised and we discuss how our experience and increased knowledge and capability has informed improved approaches to development processes. Finally, our approach is illustrated with reference to a recent EU project.

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Author information

Authors and Affiliations

  1. School of Computing, Engineering, and Intelligent Systems, Ulster University, Coleraine, UK

    Darryl Charles & Dominic Holmes

  2. The Office of PVC (Education), Ulster University, Coleraine, UK

    Therese Charles

  3. School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland

    Suzanne McDonough

Authors
  1. Darryl Charles
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  2. Dominic Holmes
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  3. Therese Charles
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  4. Suzanne McDonough
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Corresponding author

Correspondence to Darryl Charles .

Editor information

Editors and Affiliations

  1. Anatomy Facility, School of Life Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK

    Paul M. Rea

Appendices

Appendices

4.1.1 Appendix A: Linking Gamification Types and Systems, Game Design Patterns, and Behaviour Change Techniques (Tables 4.3, 4.4, 4.5, 4.6, and 4.7)

Table 4.3 Disrupter gamification type
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Table 4.4 Free spirit gamification type
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Table 4.5 Philanthropist gamification type
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Table 4.6 Player gamification type
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Table 4.7 Socialiser gamification type
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4.1.2 Appendix B: Grouping of Individual BCTs (Michie et al. 2011)

Table 8
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4.1.3 Appendix C: Experiments and Trials

Table 9
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Table 10
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Charles, D., Holmes, D., Charles, T., McDonough, S. (2020). Virtual Reality Design for Stroke Rehabilitation. In: Rea, P. (eds) Biomedical Visualisation . Advances in Experimental Medicine and Biology, vol 1235. Springer, Cham. https://doi.org/10.1007/978-3-030-37639-0_4

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