Accessible Mobile Rehabilitation Games for Special User Groups

2021 ◽  
pp. 1412-1430
Author(s):  
Sari Merilampi ◽  
Antti Koivisto ◽  
Andrew Sirkka
Keyword(s):  
Cognitive Stimulation ◽  
Tablet Computer ◽  
Trail Making Test ◽  
Mobile Games ◽  
The Third ◽  
Trail Making ◽  
User Groups ◽  
Physical Limitations ◽  
Personal Skills ◽  
Balance Board

This chapter presents viewpoints of 104 users upon trials on four mobile games which combine cognitive stimulation and physical exercise in rehabilitation. The first game requires users to control by tilting a mobile phone embedded in a balance board; the second game can be controlled by tilting the tablet computer; the third game is a modified version of Trail Making Test A—a memory test that can be played by tapping figures on the screen of tablet computer; and the fourth game is an activation game with a special controller, dedicated for people with severe physical limitations. Users welcomed the use of games as self-rehabilitation tools that can be adjusted according to personal skills and limitations. The games not only gave them meaningful activities, but also saved time and efforts of professional care takers who might be unable to socialize frequently with clients.

Accessible Mobile Rehabilitation Games for Special User Groups

2019 ◽  
pp. 214-238
Author(s):  
Sari Merilampi ◽  
Antti Koivisto ◽  
Andrew Sirkka
Keyword(s):  
Cognitive Stimulation ◽  
Tablet Computer ◽  
Trail Making Test ◽  
Mobile Games ◽  
The Third ◽  
Trail Making ◽  
User Groups ◽  
Physical Limitations ◽  
Personal Skills ◽  
Balance Board

This chapter presents viewpoints of 104 users upon trials on four mobile games which combine cognitive stimulation and physical exercise in rehabilitation. The first game requires users to control by tilting a mobile phone embedded in a balance board; the second game can be controlled by tilting the tablet computer; the third game is a modified version of Trail Making Test A—a memory test that can be played by tapping figures on the screen of tablet computer; and the fourth game is an activation game with a special controller, dedicated for people with severe physical limitations. Users welcomed the use of games as self-rehabilitation tools that can be adjusted according to personal skills and limitations. The games not only gave them meaningful activities, but also saved time and efforts of professional care takers who might be unable to socialize frequently with clients.

Mobile Games Individualise and Motivate Rehabilitation in Different User Groups

2016 ◽  
pp. 1273-1287
Author(s):  
Antti Koivisto ◽  
Sari Merilampi ◽  
Andrew Sirkka
Keyword(s):  
Learning Disabilities ◽  
Cognitive Stimulation ◽  
User Group ◽  
Tablet Pc ◽  
Target Groups ◽  
Mobile Games ◽  
Trail Making ◽  
User Groups ◽  
Low Costs ◽  
Balance Board

Trials on Mobile Games are presenting a huge potential in cognitive, physical and mental rehabilitation. This paper is to discuss user viewpoints of trials with mobile games combining cognitive stimulation and physical exercise in rehabilitation: Game#1 controlled by tilting the mobile phone embedded in a balance board; Game#2 controlled by tilting the tablet pc; and Game#3 a modified game version of Trail Making A -memory test played by tapping figures on the tablet pc touch screen. The total amount of participants was 89 of which 74% were older adults (women=24; men=33; average age 85.9 years) and 26% people with learning disabilities (n=23; a 38.9 years). The gameplay setting was similar for all target groups, although the game graphics (Game#1) were slightly modified based on each user group. Mobile devices were used as the game platform to create easily approachable games of low costs and suitable for the majority of people.

Mobile Games Individualise and Motivate Rehabilitation in Different User Groups

2015 ◽  
Vol 5 (2) ◽  
pp. 1-17 ◽  
Author(s):  
Antti Koivisto ◽  
Sari Merilampi ◽  
Andrew Sirkka
Keyword(s):  
Cognitive Stimulation ◽  
Board Game ◽  
User Group ◽  
Tablet Pc ◽  
Target Groups ◽  
Mobile Games ◽  
Trail Making ◽  
User Groups ◽  
Low Costs ◽  
Balance Board

Trials on Mobile Games are presenting a huge potential in cognitive, physical and mental rehabilitation. This paper is to discuss user viewpoints of trials with mobile games combining cognitive stimulation and physical exercise in rehabilitation: Game#1 controlled by tilting the mobile phone embedded in a balance board; Game#2 controlled by tilting the tablet pc; and Game#3 a modified game version of Trail Making A -memory test played by tapping figures on the tablet pc touch screen. The total amount of participants was 89 of which 74% were older adults (women=24; men=33; average age 85.9 years) and 26% people with learning disabilities (n=23; a 38.9 years). The gameplay setting was similar for all target groups, although the game graphics (Game#1) were slightly modified based on each user group. Mobile devices were used as the game platform to create easily approachable games of low costs and suitable for the majority of people.

Cognitive mobile games for memory impaired older adults

2014 ◽  
Vol 8 (4) ◽  
pp. 207-223 ◽  
Author(s):  
Sari Merilampi ◽  
Andrew Sirkka ◽  
Mirka Leino ◽  
Antti Koivisto ◽  
Enda Finn
Keyword(s):  
Older Adults ◽  
Cognitive Skills ◽  
User Feedback ◽  
Activity Level ◽  
Trail Making Test ◽  
Game Play ◽  
Game Development ◽  
Mobile Games ◽  
Content Type ◽  
Trail Making

Purpose – Cognitive self-rehabilitation lacks updated means and tools. The purpose of this paper is to evaluate the effect of cognitively simulating mobile games on the cognitive skills and recreation of older people with memory impairment. Design/methodology/approach – Mobile games that require cognitive skills were developed. The games were tested by memory-impaired older adults, average age of 90. Gaming interventions took place for three months on a daily basis. Game outcomes were automatically recorded and user feedback was collected by interviews. The progress of the testees was also evaluated by means of Trial Making Test A. Findings – Improvement in game scores was found. Other significant effects of game play were enhanced recreation and self-managed activity level. Game play did not have any effect on the traditional Trail Making Test results but the results of the Trail Making game showed improvement. The Trail Making game also showed a large variance in daily scores, which implies that performing just a single Trail Making Test might lead to misreading a person's condition. Research limitations/implications – The results are an encouragement for conducting further testing (on a larger test group, over a longer time) and continuing with game development for cognitively impaired older adults. A similar game trial will also be arranged for a younger population with better overall health condition. Practical implications – New business opportunities are also possible in game development and gaming services. Social implications – Games have the potential for self-rehabilitation and to support extending independent living at home. Originality/value – The paper provides a synopsis of novel cognitive recreation tools, an analysis of their effect and user feedback from professional staff as well as potential new ideas for game developers.

Cognitive stimulation therapy (CST): neuropsychological mechanisms of change

2012 ◽  
Vol 25 (3) ◽  
pp. 479-489 ◽  
Author(s):  
Louise Hall ◽  
Martin Orrell ◽  
Joshua Stott ◽  
Aimee Spector
Keyword(s):  
Visual Memory ◽  
Digit Span ◽  
Cognitive Stimulation ◽  
Trail Making Test ◽  
Neural Pathways ◽  
Cognitive Domains ◽  
Verbal Recall ◽  
Cognitive Stimulation Therapy ◽  
People With Dementia ◽  
Trail Making

ABSTRACTBackground: Cognitive stimulation therapy (CST) is an evidence-based psychosocial intervention for people with dementia consisting of 14 group sessions aiming to stimulate various areas of cognition. This study examined the effects of CST on specific cognitive domains and explored the neuropsychological processes underpinning any effects.Methods: A total of 34 participants with mild to moderate dementia were included. A one-group pretest–posttest design was used. Participants completed a battery of neuropsychological tests in the week before and after the manualised seven-week CST programme.Results: There were significant improvement pre- to post-CST group on measures of delayed verbal recall (WMS III logical memory subtest – delayed), visual memory (WMS III visual reproduction subtest – delayed), orientation (WMS III information and orientation subscale), and auditory comprehension (Token Test). There were no significant changes on measures of naming (Boston Naming Test-2), attention (Trail Making Test A/Digit Span), executive function (DKEFS verbal fluency/Trail Making Test B), praxis (WMS III visual reproduction – immediate) or on a general cognitive screen (MMSE).Conclusions: Memory, comprehension of syntax, and orientation appear to be the cognitive domains most impacted by CST. One hypothesis is that the language-based nature of CST enhances neural pathways responsible for processing of syntax, possibly also aiding verbal recall. Another is that the reduction in negative self-stereotypes due to the de-stigmatising effect of CST may impact on language and memory, domains that are the primary focus of CST. Further research is required to substantiate these hypotheses.

scholarly journals CAN COGNITIVE TRAINING USING A TABLET COMPUTER ENHANCE COGNITIVE FUNCTION OF HEALTHY OLDER ADULTS? AN ALTERNATING-TREATMENT DESIGN

2021 ◽  
pp. 2140044
Author(s):  
JIN-HYUCK PARK
Keyword(s):  
Older Adults ◽  
Executive Function ◽  
Cognitive Intervention ◽  
Tablet Computer ◽  
Trail Making Test ◽  
Healthy Older Adults ◽  
Trail Making ◽  
Alternating Treatment Design ◽  
Treatment Design ◽  
Productive Engagement

Even though a variety of cognitive interventions have been conducted to ameliorate age-related cognitive declines, the effects of cognitive intervention using activities in everyday life are still unknown. The purpose of this study was to compare the effects between tablet computer-based productive and receptive cognitive engagement using an alternating-treatment design. Three healthy older adults performed a total of 19 sessions consisting of three baseline periods and 16 alternating training sessions. The training sessions were divided into four blocks and each block involved four treatment sessions. Productive and receptive engagements were randomly allocated to four treatment sessions. All participants alternatively received productive engagement that requires learning new practical applications and receptive engagement requiring little new learning such as listening to music. Prefrontal cortex (PFC) activity using functional near-infrared spectroscopy and executive function through the Trail Making Test were assessed at the baseline and the end of each session. All data were visually analyzed. Visual analysis results showed that the productive engagement was associated with higher PFC activity and faster performance in the Trail Making Test, compared to those utilizing receptive engagement. These results suggest that productive engagement might be effective in facilitating PFC activity and improving the executive function of healthy older adults, indicating cognitively challenging activities are more beneficial relative to nonchallenging activities.

scholarly journals TERAPI STIMULASI KOGNITIF UNTUK LANSIA DENGAN MILD COGNITIVE IMPAIRMENT: STUDI EKSPERIMENTAL DI PANTI WREDA

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Nathalie Sanchia ◽  
Magdalena Surjaningsih Halim
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Cognitive Function ◽  
The Elderly ◽  
Cognitive Stimulation ◽  
Control Group ◽  
Trail Making Test ◽  
Not Given ◽  
Cognitive Stimulation Therapy ◽  
Trail Making

 COGNITIVE STIMULATION THERAPY FOR ELDERLY WITH MILD COGNITIVE IMPAIRMENT: AN EXPERIMENTAL STUDY IN NURSING HOMEABSTRACTIntroduction: Mild cognitive impairment (MCI) is a transitional stage between the elderly’s normal (expected) cognitive decline and the more serious decline caused by dementia that needs interventions. One of the non-pharmacological interventions that can be done is cognitive stimulation therapy (CST). Research has shown that CST can stabilize and/ improve cognitive function in the elderly with MCI.Aims: To find out the differences in cognitive functions in the elderly with MCI and given CST intervention and elderly with MCI not given CST intervention.Methods: This was an experimental study that included elderly aged 60 years old divided into experimental and control group, each consists of four subjects. The experimental group was given CST twice a week with a total of fifteen meetings, but not on the control group. All subjects were subjected to cognitive examinations using neuropsychological instruments before, after, and one month after CST was completed. The statistical analysis performed in this study was Mann-Whitney U Test.Results: There was a significant difference in cognitive function in the attention domain with the trail making test sub-test and the memory domain with the digit pan sub-test after the CST is finished. One month after CST is completed, there were significant differences in cognitive function, in the memory domain.Discussion: The elderly group with MCI given CST has a different cognitive function than elderly group who are not given CST.Keywords: Cognitive function, elderly, mild cognitive impairment, nursing houseABSTRAKPendahuluan: Gangguan kognitif ringan atau mild cognitive impairment (MCI) merupakan proses transisi antara penurunan kognitif normal dan demensia yang perlu diintervensi. Salah satu intervensi non-farmakologis yang dapat dilakukan adalah cognitive stimulation therapy (CST). Banyak penelitian menunjukkan bahwa CST dapat menstabilkan dan/meningkatkan fungsi kognitif pada lansia dengan MCI.Tujuan: Untuk mengetahui pengaruh intervensi CST terhadap fungsi kognitif lansia dengan MCI.Metode: Studi eksperimental pada subjek lansia usia 60 tahun yang dibagi menjadi kelompok eksperimen dan kontrol yang masing-masing terdiri dari 4 subjek. Kelompok eksperimen dilakukan CST dua kali seminggu sebanyak lima belas kali pertemuan, tidak pada kelompok kontrol. Seluruh subjek dilakukan pemeriksaan kognitif dengan menggunakan instrumen neuropsikologi sebelum, sesudah, dan satu bulan setelah CST selesai. Analisis statistik menggunakan Mann- Whitney U test.Hasil: Terdapat perbedaan fungsi kognitif yang signifikan pada domain atensi dengan subtes Trail Making Test dan domain memori dengan subtes digit span setelah CST selesai. Satu bulan setelah CST selesai, terdapat perbedaan fungsi kognitif yang signifikan pada domain memori.Diskusi: Kelompok lansia dengan MCI yang diberikan CST memiliki fungsi kognitif yang berbeda dengan kelompok lansia yang tidak diberikan CST.Kata kunci: Fungsi kognitif, gangguan kognitif ringan, lansia, panti wreda  

Schlafqualität und deren Beziehung zu attentional-exekutiven Funktionsleistungen bei unipolar depressiven Patienten

2016 ◽  
Vol 27 (4) ◽  
pp. 231-243 ◽  
Author(s):  
Bernd Kundermann ◽  
Stanislava Fockenberg ◽  
Nicole Cabanel ◽  
Matthias J. Müller
Keyword(s):  
Sleep Quality ◽  
Trail Making Test ◽  
Trail Making

Zusammenfassung. Die Beziehung zwischen kognitiven Defiziten und Schlafstörungen depressiver Patienten wurde bisher wenig untersucht. Stationär behandelte depressive Patienten beantworteten Fragebögen zur Depressivität und Schlafqualität (Pittsburgh Sleep Quality Inventory, PSQI), gefolgt von neuropsychologischen Untersuchungen zu attentional-exekutiven Funktionsleistungen (Trail Making Test: TMT-A, TMT-B) an Tag 1 (abends) und Tag 2 (morgens). Patienten mit schweren Schlafstörungen (PSQI > 10, n = 8) erbrachten gegenüber Patienten mit maximal moderat ausgeprägten Schlafstörungen (PSQI ≤ 10, n = 8) signifikant geringere Leistungen im Rahmen des TMT-A und TMT-B. Signifikante positive Korrelationen zwischen dem Globalwert des PSQI und der TMT-B-Bearbeitungszeit blieben auch unter statistischer Berücksichtigung von Kovariaten erhalten. Diese Ergebnisse unterstreichen die enge Beziehung zwischen kognitiven Dysfunktionen und Schlafstörungen bei depressiven Patienten. Mögliche therapeutische Implikationen werden diskutiert.

Die Standardabweichung der Reaktionszeiten als ein Maß für negative Antwortverzerrungen

2014 ◽  
Vol 25 (2) ◽  
pp. 89-97 ◽  
Author(s):  
Sebastian Bodenburg
Keyword(s):  
Trail Making Test ◽  
Memory Tests ◽  
Wechsler Memory Scale ◽  
Word Memory ◽  
Trail Making ◽  
Negative Antwortverzerrungen

Negative Antwortverzerrungen werden quantitativ mit expliziten Beschwerdenvalidierungstests oder mit eingebetteten Parametern untersucht. Es wird die Kriteriumsvalidität der Standardabweichung von Reaktionszeiten als eingebetteter Parameter zur Untersuchung negativer Antwortverzerrungen überprüft. In die Studie wurden 26 Frauen und 65 Männer mit Schädelhirnverletzungen einbezogen. Abhängige Variable war die Standardabweichung der Reaktionszeiten (Untertest Alertness, Testbatterie zur Aufmerksamkeitsprüfung). Prädiktorvariablen in der multivariaten Kovarianzanalyse waren das Alter der Probanden und folgende Testrohwerte: Trail Making Test (Formen A und B), Parameter GSI der Symptomcheckliste, Untertest Zahlennachsprechen vorwärts aus der Wechsler Memory Scale, Strukturierter Fragebogen Simulierter Symptome, der mittlere Wert der in Prozentzahlen ausgedrückten richtigen Antworten der Parameter IR, DR und CNS des Word Memory Tests (WMT), das Geschlecht der Probanden sowie die dichotomisierte Gruppierung von Patienten mit oder ohne klinisch fassbaren Auffälligkeiten der Aufmerksamkeit. Von den Prädiktorvariablen stellte sich allein der mittlere Wert der in Prozent ausgedrückten richtigen Antworten des WMT als signifikant heraus. Probanden mit einer geringen Anzahl richtiger Antworten im WMT zeigten größere Standardabweichungen. Alle weiteren einbezogenen Prädiktoren – insbesondere beide Aufmerksamkeitsparameter – hatten in Bezug auf die Standardabweichungen keinen signifikanten Einfluss.

Querschnittsuntersuchung von Bewohnern einer stationären Eingliederungsmaßnahme mit der Diagnose einer Psychose aus dem schizophrenen Formenkreis

2018 ◽  
Vol 46 (6) ◽  
pp. 505-515
Author(s):  
Micha Werner ◽  
Maike Hofsaess ◽  
Anina Burgbacher ◽  
Katarina Müller ◽  
Matthias Martin ◽  
...  
Keyword(s):  
Trail Making Test ◽  
Kognitive Leistungsfähigkeit ◽  
Adult Intelligence ◽  
Intelligence Score ◽  
Trail Making ◽  
Wechsler Adult Intelligence

Zusammenfassung. Fragestellung: Das Ziel der vorliegenden Untersuchung ist es, das neuropsychologische Funktionsniveau, die Behandlungszufriedenheit und die Medikation bei Kindern und Jugendlichen zu evaluieren, die an einer Psychose aus dem schizophrenen Formenkreis erkrankt sind und zum Zeitpunkt der Untersuchung an einer stationären Eingliederungsmaßnahme in dem Kinder- und Jugendwohnheim Leppermühle teilnahmen. Zusätzlich sollen bekannte Prädiktoren auf ihren Einfluss auf verschiedene Verlaufsvariablen hin untersucht werden. Methodik: Es konnten 42 Patienten (37.2 %) der insgesamt 113 Bewohner des Kinder- und Jugendwohnheims mit einer entsprechenden Diagnose untersucht werden. Ergebnisse: Die Patienten waren bei Erkrankungsbeginn durchschnittlich 14.5 Jahre alt und zum Zeitpunkt der Untersuchung waren sie im Mittel 20.0 Jahre alt. Für den Gesamtintelligenzquotient lag der Wert bei 87.0 Punkten, für den Trail Making Test Teil A (TMT-A) bei 73.1 Punkten und für den Trail Making Test Teil B (TMT-B) bei 75.6 Punkten. Die Behandlungszufriedenheit lag in allen Skalen und Subskalen des Fragebogens zur Beurteilung der Behandlung (FBB) bei 2.50 bis 3.50 Punkten, was einer guten Bewertung entspricht. Die Medikation entsprach nicht in allen Punkten den Leitlinien. Als Prädiktoren für das neuropsychologische Funktionsniveau konnte nur die prämorbide kognitive Leistungsfähigkeit bestätigt werden. Schlussfolgerungen: Die gefundenen Ergebnisse im Wechsler Adult Intelligence Score IV (WAIS-IV) und im TMT-A/B sprechen für eine deutliche Beeinträchtigung der Patienten im neuropsychologischen Funktionsniveau und decken sich überwiegend mit den Werten bisher durchgeführter Studien.

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