Integrating vision-based head movement detection into a serious game towards game-based neck pain treatment

Johnny Javier Yépez Figueroa; Edwin D. Oña; Carlos Balaguer; Alberto Jardón

doi:10.17979/ja-cea.2024.45.10967

Autores/as

Johnny Javier Yépez Figueroa Universidad Carlos III de Madrid
Edwin D. Oña Universidad Carlos III de Madrid
Carlos Balaguer Universidad Carlos III de Madrid
Alberto Jardón Universidad Carlos III de Madrid

DOI:

https://doi.org/10.17979/ja-cea.2024.45.10967

Palabras clave:

Computer vision, Rehabilitation, Serious games, Face recognition

Resumen

Serious games extend beyond entertainment to applications like rehabilitation, enhancing patient motivation and therapy effectiveness. This project aims to develop a serious game for patients with cervicalgia, cervical osteoarthritis, or conditions affecting cervical mobility. Utilizing the classic Pac-Man game and a vision system detecting face orientation, Pac-Man's movement is controlled by the patient's head movements. This approach offers a significant advantage over conventional methods by objectively assessing patient progress through recorded quantitative variables. However, a potential drawback is patient fatigue or frustration if they struggle with the game. This can be mitigated by adjusting the game's difficulty to match the patient's abilities.

The integration of serious games in rehabilitation provides an engaging way to perform exercises, potentially increasing adherence to therapy. By personalizing the game’s difficulty, patients can experience a tailored rehabilitation process that evolves with their improvement, ensuring the therapy remains challenging yet achievable. This adaptability not only promotes sustained engagement but also optimizes therapeutic outcomes.

Citas

Aguilera-Rubio, Á., Cuesta-Gómez, A., Mallo-López, A., Jardón-Huete, A., Oña-Simbaña, E. D., Alguacil-Diego, I. M., 2022. Feasibility and efficacy of a virtual reality game-based upper extremity motor function rehabilitation therapy in patients with chronic stroke: A pilot study. International journal of environmental research and public health 19 (6), 3381. DOI: https://doi.org/10.3390/ijerph19063381

Arockia Doss, A. S., Lingampally, P. K., Nguyen, G. M. T., Schilberg, D., 2023. A comprehensive review of wearable assistive robotic devices used for head and neck rehabilitation. Results in Engineering 19, 101306. DOI: https://doi.org/10.1016/j.rineng.2023.101306

Beltran-Alacreu, H., Navarro-Fernández, G., Godia-Lledó, D., Graell-Pasarón, L., Ramos-González, Á., Raya, R., Zugasti, A. M.-P., Fernandez-Carnero, J., et al., 2022. A serious game for performing task-oriented cervical exercises among older adult patients with chronic neck pain: development, suitability, and crossover pilot study. JMIR Serious Games 10 (1), e31404. DOI: https://doi.org/10.2196/31404

Betke, M., Gips, J., Fleming, P., 04 2002. The camera mouse: Visual tracking of body features to provide computer access for people with severe disabilities. IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society 10, 1–10. DOI: 10.1109/TNSRE.2002.1021581 DOI: https://doi.org/10.1109/TNSRE.2002.1021581

Cuesta-Gómez, A., Sánchez-Herrera-Baeza, P., Oña-Simbaña, E. D., Martínez-Medina, A., Ortiz-Comino, C., Balaguer-Bernaldo-de Quirós, C., Jardón-Huete, A., Cano-de-la Cuerda, R., 2020. Effects of virtual reality associated with serious games for upper limb rehabilitation in patients with multiple sclerosis: Randomized controlled trial. Journal of neuroengineering and rehabilitation 17, 1–10. DOI: https://doi.org/10.1186/s12984-020-00718-x

Gonçalves, R. S., Prado, R. A., Ladeira, G. M. V., Gasparini, A. L. P., 2023. Development of serious games for the rehabilitation of the human vertebral spine for home care. Robotics 12 (2), 58. Kazeminasab, S., Nejadghaderi, S. A., Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, M. J., Kolahi, A.-A., Safiri, S., 2022. Neck pain: global epidemiology, trends and risk factors. BMC musculoskeletal disorders 23, 1–13.

Kazeminasab, S., Nejadghaderi, S. A., Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, M. J., Kolahi, A.-A., Safiri, S., 2022. Neck pain: global epidemiology, trends and risk factors. BMC musculoskeletal disorders 23, 1–13. DOI: https://doi.org/10.1186/s12891-021-04957-4

Lingampally, P., Arockia Doss, A., 12 2021. Design, Implementation, and Experimental Study on 3-RPS Parallel Manipulator-Based Cervical Collar Therapy Device for Elderly Patients Suffering from Cervical Spine Injuries. pp. 1–23. DOI: 10.1007/978-3-030-58675-1161−1 DOI: https://doi.org/10.1007/978-3-030-58675-1_161-1

Luc, A., Lambricht, N., Aujoulat, I., Detrembleur, C., Pitance, L., 2023. Experiences of using immersive virtual reality serious games at home in people with chronic non-specific neck pain: A qualitative study. In: European Congress Manual Therapy (ECMT) 2023.

Mihajlovic, Z., Popovic, S., Brkic, K., Cosic, K., 2018. A system for headneck rehabilitation exercises based on serious gaming and virtual reality. Multimedia Tools and Applications 77, 19113–19137. DOI: https://doi.org/10.1007/s11042-017-5328-z

Oña, E. D., Jardón, A., Cuesta-Gómez, A., Sánchez-Herrera-Baeza, P., Canode-la Cuerda, R., Balaguer, C., 2020. Validity of a fully-immersive vrbased version of the box and blocks test for upper limb function assessment in parkinson’s disease. Sensors 20 (10), 2773. DOI: https://doi.org/10.3390/s20102773

Röijezon, U., Björklund, M., Bergenheim, M., Djupsjöbacka, M., 2008. A novel method for neck coordination exercise – a pilot study on persons with chronic non-specific neck pain 5 (1), 36. DOI: 10.1186/1743-0003-5-36 DOI: https://doi.org/10.1186/1743-0003-5-36

Schönauer, C., Pintaric, T., Kaufmann, H., Jansen-Kosterink, S., Vollenbroek-Hutten, M., 2011. Chronic pain rehabilitation with a serious game using multimodal input. In: 2011 International Conference on Virtual Rehabilitation. IEEE, pp. 1–8. DOI: https://doi.org/10.1109/ICVR.2011.5971855

Tolentino, G. P., Battaglini, C., Pereira, A. C. V., Oliveria, R. J. d., Paula, M. G. M. d., 2011. Usability of serious games for health. In: 2011 Third International Conference on Games and Virtual Worlds for Serious Applications. pp. 172–175. DOI: 10.1109/VS-GAMES.2011.33 DOI: https://doi.org/10.1109/VS-GAMES.2011.33

Worsfold, C., 2020. Functional rehabilitation of the neck. Physical Therapy Reviews 25 (2), 61–72. DOI: 10.1080/10833196.2020.1759176 DOI: https://doi.org/10.1080/10833196.2020.1759176

Wu, A.-M., Cross, M., Elliott, J. M., Culbreth, G. T., Haile, L. M., Steinmetz, J. D., Hagins, H., Kopec, J. A., Brooks, P. M., Woolf, A. D., et al., 2024. Global, regional, and national burden of neck pain, 1990–2020, and projections to 2050: a systematic analysis of the global burden of disease study 2021. The Lancet Rheumatology 6 (3), e142–e155. DOI: https://doi.org/10.2139/ssrn.4478194