Engagement in Game-Based Rehabilitation for Women with Fibromyalgia Syndrome

  • Eva Petersson Brooks
  • Anthony Lewis Brooks
Part of the Lecture Notes in Computer Science book series (LNCS, volume 8515)


This paper reports on two linked studies exploring the general potentials, with foci on constraints and facilitators, of engagement in rehabilitation during motion-controlled video gameplay (MCVG). 17 female participants diagnosed with fibromyalgia syndrome (FMS) took part in the studies, wherein three different MCVGs were used, which were conducted by session leaders having different profiles. This investigation demonstrates the potentials of how MCVGs can act as an effective healthcare intervention for women with FMS with regards to offering activity structured around their interest, goals and choices. These aspects were found to be empowering as well as encouraging the participants to take on an active role in the activity. The analysis identified four main themes relative to the perception of constraints and facilitators to engagement in FMS gameplay-based rehabilitation: goal setting, facilitator approach, personalized gameplay and feedback and achievement. These are further elaborated and discussed in the paper. Conclusions are that deeper understanding of engagement within the FMS community, in particular related to rehabilitation using MCVGs, can be useful to enhance rehabilitation processes and better dress rehabilitation providers to better facilitate engagement and enhance the effectiveness of rehabilitation interventions.


Fibromyalgia syndrome (FMS) Rehabilitation Habilitation Motion-controlled video gameplay (MCVG) 


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  1. 1.
    Wolfe, F., Clauw, D., Fitzcharles, M., Goldenberg, D., Katz, R., Mease, P., et al.: The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res. (Hoboken) 62, 600–610 (2010)Google Scholar
  2. 2.
    Staud, R.: Biology and therapy of fibromyalgia: pain in fibromyalgia syndrome. Arthritis Res. Ther. 8, 208 (2006)CrossRefGoogle Scholar
  3. 3.
    Branco, J.C., Bannwarth, B., Failde, I., Abello Carbonell, J., Blotman, F., Spaeth, M., et al.: Prevalence of fibromyalgia: a survey in five European countries. Semin. Arthritis Rheum. 39, 448–453 (2010)CrossRefGoogle Scholar
  4. 4.
    Robertson, G., Card, S., Mackinlay, J.: Nonimmersive virtual reality. IEEE Computer 26 (1993)Google Scholar
  5. 5.
    Taylor, M.J., McCormick, D., Shawis, T., Impson, R., Griffin, M.: Activity-promoting gaming systems in exercise and rehabilitation. J. Rehabil. Res. Dev. 48, 1171–1186 (2011)CrossRefGoogle Scholar
  6. 6.
    Kortte, K.B., Falk, L.D., Castillo, R.C., Johnson-Greene, D., Wegener, S.T.: The Hopkins Rehabilitation Engagement Rating Scale: development and psychometric properties. Archives of Physical Medicie and Rehabilitation 88, 877–884 (2007)CrossRefGoogle Scholar
  7. 7.
    Bundy, A., Nelson, L., Metzger, M., Bingaman, K.: Validity and reliability of a test of playfulness. OTJR TS Occupation, Participation and Health 21, 276 (2001)Google Scholar
  8. 8.
    Jordan, B., Henderson, A.: Interaction Analysis: Foundations and Practice. The Journal of the Learning Sciences 4(1), 39–103 (1995)CrossRefGoogle Scholar
  9. 9.
    Mease, P.: Fibromyalgia syndrome: review of clinical presentation, pathogenesis, outcome measures, and treatment. The Journal of Rheumatology 75, 6–21 (2005)Google Scholar
  10. 10.
    Kaplan, H.I., Sadock, B.J.: Synopsis of psychiatry: Behavioral sciences clinical psychiatry. Williams & Wilkins Co. (1988)Google Scholar
  11. 11.
    Kellner, R.: Psychosomatic syndromes, somatization and somatoform disorders. Psychotherapy and Psychosomatics 61(1-2), 4–24 (1994)CrossRefGoogle Scholar
  12. 12.
    Imbierowicz, K., Egle, U.T.: Childhood adversities in patients with fibromyalgia and somatoform pain disorder. European Journal of Pain 7(2), 113–119 (2003)CrossRefGoogle Scholar
  13. 13.
    Lautenbacher, S., Krieg, J.C.: Pain perception in psychiatric disorders: a review of the literature. Journal of Psychiatric Research 28(2), 109–122 (1994)CrossRefGoogle Scholar
  14. 14.
    Melzack, R., Wall, P.D.: Pain mechanisms: a new theory. Science 150, 971–979 (1965)CrossRefGoogle Scholar
  15. 15.
    Wismeijer, A.A., Vingerhoets, A.J.: The use of virtual reality and audiovisual eyeglass systems as adjunct analgesic techniques: a review of the literature. Ann. Behav. Med. 30, 268–278 (2005)CrossRefGoogle Scholar
  16. 16.
    Sarzi-Puttini, P., Buskila, D., Carrabba, M., Doria, A., Atzeni, F.: Treatment strategy in fibromyalgia syndrome: where are we now? Seminars in Arthritis and Rheumatism 37(6), 353–365 (2008)CrossRefGoogle Scholar
  17. 17.
    Busch, A.J., Barber, K.A., Overend, T.J., Peloso, P.M., Schachter, C.L.: Exercise for treating fibromyalgia syndrome. Cochrane Database Syst. Rev. 4(4) (2007)Google Scholar

Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Eva Petersson Brooks
    • 1
  • Anthony Lewis Brooks
    • 1
  1. 1.Centre for Design, Learning and Innovation / SensoramaLab Department of ArchitectureDesign and Media Technology Aalborg UniversityEsbjergDenmark

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