120703 gfh2012プレゼン

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Evalua&on  of  the  Rehabilita&on  Game  to  Support  Stand-­‐up  Exercise    

Games  For  Health  2012

Zaitsu  Kousuke,  Graduate  School  of  Integrated  Fron&er  Sciences,  Kyushu  University,JAPAN  

kousuke.z714@gmail.com

@xi2ko

June  12-­‐14,  2013  Boston,  MA  

Games  For  Health  2012

Agenda

About  me  

Experimental  results  

Progress  work    &  Future  Research  

Games  For  Health  2012

1 About  me  

Now  I’m  Playing…

Games  For  Health  2012

About  me

I’m  concerned  about…

p Seriousgame  &  Gamifica&on  p Games  for  Health  p Games  for  Learning  p Games  for  Change  p Gameliteracy

Games  For  Health  2012

About  me

This  is  the  most  impressed  book  for  me  in  2011.

My  Work  is… p Educa&onal  Effects  of  Serious  game  about  Environment  and  User’s  Characteris&cs  (Journal  of  Digital  Games  Research,  vol.5,  no.2,  2011)  

p Developing  the  scale  of  Game  Literacy  (under  refereeing)

Games  For  Health  2012

About  me

Ainiikuken  -­‐Dog  the  sweeper-­‐  

(Matsuguma  et  al,2010)

My  Dream  is…  

Games  For  Health  2012

About  me

Applying  the  Power  of  Game  to  various  situa&ons  for  Happiness  and  Well-­‐being

So,  My  Mission  is…  

Research

Prac&ce Design

Games  For  Health  2012

2 Experimental  Results  

Games  For  Health  2012

Introduc&on

What’s  Rehabilita&on  Game?

Standing  Growing  Blooming  Tree  Rehabilium

Matsuguma  et  al,  2011

Why  Support  Stand-­‐up  Exercise?  

Games  For  Health  2012

Introduc&on

Stand-­‐up  Exercise  is v Core  training  in  a  rehabilita&on  v Basics  of  an  ac&vity  of  daily  life

But…

Tedious  Boring  Hard  

Feature  of  the  game

Games  For  Health  2012

Introduc&on

Rule  &  Goal:  Grow  a  tree  by  stand-­‐up  exercise Feedback:  Rewards(cards,  medals  and  flowers)  and  Posi&ve  sound(cheerful  voice  and  SE).  

Games  For  Health  2012

Introduc&on

Demo  

The  verifica&on  experiment  from  the  medical  aspect  (Matsuguma,  2011)

Games  For  Health  2012

Introduc&on

◆  Maximum  number  of  &mes  to  stand-­‐up: 〔times〕

Self  training training  with  game

training  with  therapist

Training  with  Rehabilium  has  effect  on  con&nuing  stand-­‐up  exercise

Purpose  of  a  research

Games  For  Health  2012

Introduc&on

To  Evaluate  the  physiological  and  psychological  effects  of  Rehabilium

Need  addi&onal  research  to  feedback  to  design  process.  

Especially,  it’s  necessary  to  evaluate  from  both  aspects;  physiology  and  psychology  .  

Research  Hypotheses  are…

Games  For  Health  2012

Introduc&on

Training  with  Rehabilium  has  the  same  physical  effects  of  stand-­‐up  exercise  as  self  training  .

Compared  self  training,  training  with  Rehabilium  has  more  posi&ve  effects  of  stand-­‐up  exercise  psychologically.

Previous  works  revealed  the  posi&ve  psychological  effects  of  playing  videogames.  ex)  Kato  et  al  (2008)  and  so.

Subjects

Ø 12  students  in  Kyushu  university  Ø Age:  22  (21~24)  Ø Height:  171.2cm  Ø Weight:  59.3kg  

Games  For  Health  2012

Method

Experimental  Design Within  subject:  two  condi&ons

Games  For  Health  2012

Method

Game Self

Counter  Balance

Measurement

Games  For  Health  2012

Method

Psychological

Physical  (physiological)

v Profile  of  Mood  States  (POMS)  v Ra&ng  of  Perceived  Exer&on  (RPE)  v Salivary  Cor&sol    

v Oxygen  uptake  (O2)  v Carbon  dioxide  emission(CO2)  v Heart  rate  v Electromyography:  EMG  (rectus  femoris,    anterior  &bial)    

Protocol

Games  For  Health  2012

Method

10~15 5

min

5 20 20

rest  &me  ques&onnaire①  equipping

saliva  sampling①  

stand-­‐up  exercise  (200  &mes)

rest  &me  ques&onnaire②  

saliva  sampling②  

laboratory  Condi&on  

Games  For  Health  2012

Method

monitor

2m

Wii  boad

chair

VO2(VCO2)

Games  For  Health  2012

Result

0  

50  

100  

150  

200  

250  

300  

game   self  

game   self  

VO2(ml/k

g)

No  Significant

Heart  Rate

Games  For  Health  2012

Result

80  

90  

100  

110  

120  

130  

140  

Game  

Self  

No  Significant

0-­‐40 40-­‐80 80-­‐120 120-­‐160 160-­‐200  

Heart  rate(&m

es/m

inute)

&mes

EMG

Games  For  Health  2012

Result

0  

10  

20  

30  

40  

50  

0~40回 160~200回 0~40回 160~200回

%MVC

Game条件

Self条件

anterior  &bial

rectus  femoris

No  Significant &mes &mes

Salivary  Cor&sol

Games  For  Health  2012

Result

0  

0.5  

1  

1.5  

2  

2.5  

game   self  

**

Salivary  Co

r&sol(μg

/dL)

before          arer before          arer

Significant  (**  p<.01)

RPE

Games  For  Health  2012

Result

7  

9  

11  

13  

15  

17  

19  

0   40   80   120   160   200  

self条件

game条件

Borg  Scale

&mes

No  Significant

POMS(depression)

Games  For  Health  2012

Result

30  32  34  36  38  40  42  44  46  48  50  

game   self  

T  score *

Significant  (*  p<.05)

before          arer before          arer

Physical(physiological)  effects

Games  For  Health  2012

Discussion

VO2,  VCO2,  Heart  Rate,  EMG No  Significant

1Training  with  Rehabilium  has  the  same  physical  effects  of  stand-­‐up  exercise  as  self  training  .

Hypothesis

Adop&on

Psychological  effects

Games  For  Health  2012

Discussion

Salivary  cor&sol game  condi&on  Before  <  Arer

Hypothesis

Adop&on???

POMS(depression)

2Compered  self  training,  training  with  Rehabilium  has  more  posi&ve  effects  of  stand-­‐up  exercise  psychologically.

Cor&sol  response  in  game  condi&on v   …short-­‐term  physical  exercise  with  a  lower  workload  appears  to  exert  no  or  only  minor  cor<sol  response(Friedmann  et  al,  1989)  

v Considering  HR  and  RPE,  it’s  not  enough  hard    physically  to  exert  some  cor&sol  response  

Games  For  Health  2012

Discussion

Psychological  workload  may  result  in  cor&sol  response  in  game  condi&on  

What’s  psychological  workload?  

Determinant  of  cor&sol  response

v …cor<sol  responses  if  they  are  uncontrollable  or  characterized  by  social-­‐evalua<ve  threat(Dickerson  and  Kemeny,  2004)  

v Cogni<on  of  controllability  to  exercise  has  effects  on  salivary  cor<sol  (Nagamine  et  al,  2001)  

Games  For  Health  2012

Discussion

Cogni&on  of  exercise,  stand-­‐up  exercise  with  game,  may  result  in  cor&sol  response  ???  

Games  For  Health  2012

3 Progress  work    &  Future  Research  

Development  of  Rehabilium

Games  For  Health  2012

Progress  work

Rehabilium Refine  as  a  game  for  group  (Daycare  group  and  so)  

Rehabilium2   Develop  as  a  game  completely    for  a  single  person  

To  be  con&nued…

Demo(Rehabilium(group))

Games  For  Health  2012

Progress  work

Demo(Rehabilium2)

Games  For  Health  2012

Progress  work

I’d  like  to…

Games  For  Health  2012

Future  Research

reveal  the  influence  of  the  power  of  game  on  intrinsic  mo&va&on

make  the  Home-­‐based  rehabilita&on  game  to  support  stand-­‐up  exercise

Thank  you  for  listening  !!

Games  For  Health  2012

kousuke.z714@gmail.com

@xi2ko