1. June
12-­‐14,
2013
Boston,
MA
Evalua&on
of
the
Rehabilita&on
Game
to
Support
Stand-­‐up
Exercise
Zaitsu
Kousuke,
Graduate
School
of
Integrated
Fron&er
Sciences,
Kyushu
University,JAPAN
kousuke.z714@gmail.com
@xi2ko
Games
For
Health
2012

2. Agenda
１ About
me
２ Experimental
results
３ Progress
work
&
Future
Research
Games
For
Health
2012

3. １ About
me
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For
Health
2012

4. About
me
Now
I’m
Playing…
Games
For
Health
2012

5. About
me
I’m
concerned
about…
p Seriousgame
&
Gamifica&on
p Games
for
Health
p Games
for
Learning
p Games
for
Change
p Gameliteracy
This
is
the
most
impressed
book
for
me
in
2011.
Games
For
Health
2012

6. About
me
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)
Ainiikuken
-­‐Dog
the
sweeper-­‐
（Matsuguma
et
al,2010）
Games
For
Health
2012

7. About
me
My
Dream
is…
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

8. ２ Experimental
Results
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For
Health
2012

9. Introduc&on
What’s
Rehabilita&on
Game?
Standing
Growing
Blooming
Tree
Rehabilium
Matsuguma
et
al,
2011
Games
For
Health
2012

10. Introduc&on
Why
Support
Stand-­‐up
Exercise?
Stand-­‐up
Exercise
is
v Core
training
in
a
rehabilita&on
v Basics
of
an
ac&vity
of
daily
life
But…
Tedious
Boring
Hard
Games
For
Health
2012

11. Introduc&on
Feature
of
the
game
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

12. Introduc&on
Demo
Games
For
Health
2012

13. Introduc&on
The
verifica&on
experiment
from
the
medical
aspect
(Matsuguma,
2011)
◆
Maximum
number
of
&mes
to
stand-­‐up：
〔times〕
Self
training
training
with
training
with
game
therapist
Training
with
Rehabilium
has
effect
on
con&nuing
stand-­‐up
exercise
Games
For
Health
2012

14. Introduc&on
Purpose
of
a
research
Need
addi&onal
research
to
feedback
to
design
process.
Especially,
it’s
necessary
to
evaluate
from
both
aspects;
physiology
and
psychology
.
To
Evaluate
the
physiological
and
psychological
effects
of
Rehabilium
Games
For
Health
2012

15. Introduc&on
Research
Hypotheses
are…
Training
with
Rehabilium
has
the
same
１ physical
effects
of
stand-­‐up
exercise
as
self
training
.
Compared
self
training,
training
with
２ 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.
Games
For
Health
2012

16. Method
Subjects
Ø 12
students
in
Kyushu
university
Ø Age:
22
(21 24)
Ø Height:
171.2cm
Ø Weight:
59.3kg
Games
For
Health
2012

17. Method
Experimental
Design
Within
subject:
two
condi&ons
Game
Self
Counter
Balance
Games
For
Health
2012

18. Method
Measurement
v Profile
of
Mood
States
(POMS)
Psychological
v Ra&ng
of
Perceived
Exer&on
(RPE)
v Salivary
Cor&sol
v Oxygen
uptake
(O2)
Physical
v Carbon
dioxide
emission(CO2)
v Heart
rate
(physiological)
v Electromyography:
EMG
(rectus
femoris,
anterior
&bial)
Games
For
Health
2012

19. Method
Protocol
20
5
10 15
20
5
min
rest
&me
stand-­‐up
exercise
rest
&me
ques&onnaire①
(200
&mes)
ques&onnaire②
equipping
saliva
sampling①
saliva
sampling②
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Health
2012

20. Method
laboratory
Condi&on
monitor
Wii
boad
2m
chair
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For
Health
2012

21. Result
VO2(VCO2)
300
game
self
250
200
VO2（ml/kg）
150
100
50
0
game
self
No
Significant
Games
For
Health
2012

22. Result
Heart
Rate
140
Heart
rate（&mes/minute）
130
120
Game
110
Self
100
90
80
0-­‐40
40-­‐80
80-­‐120
120-­‐160
160-­‐200
&mes
No
Significant
Games
For
Health
2012

23. Result
EMG
50
Game条件
rectus
femoris
Self条件
40
anterior
&bial
30
%MVC
20
10
0
0~40回
160~200回
0~40回
160~200回
&mes
&mes
No
Significant
Games
For
Health
2012

24. Result
Salivary
Cor&sol
＊＊
2.5
Salivary
Cor&sol（μg/dL）
2
1.5
1
0.5
0
before
arer
before
arer
game
self
Significant
(**
p<.01)
Games
For
Health
2012

25. Result
RPE
19
self条件
game条件
17
Borg
Scale
15
13
11
9
7
0
40
80
120
160
200
&mes
No
Significant
Games
For
Health
2012

26. Result
POMS(depression)
＊
50
48
46
44
42
T
score
40
38
36
34
32
30
before
arer
before
arer
game
self
Significant
(*
p<.05)
Games
For
Health
2012

27. Discussion
Physical(physiological)
effects
VO2,
VCO2,
No
Significant
Heart
Rate,
EMG
Hypothesis
Training
with
Rehabilium
has
the
same
１ physical
effects
of
stand-­‐up
exercise
as
self
training
.
Adop&on
Games
For
Health
2012

28. Discussion
Psychological
effects
Salivary
cor&sol
game
condi&on
Before
<
Arer
POMS(depression)
Hypothesis
Compered
self
training,
training
with
２ Rehabilium
has
more
posi&ve
effects
of
stand-­‐up
exercise
psychologically.
Adop&on???
Games
For
Health
2012

29. Discussion
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
Psychological
workload
may
result
in
cor&sol
response
in
game
condi&on
What’s
psychological
workload?
Games
For
Health
2012

30. Discussion
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)
Cogni&on
of
exercise,
stand-­‐up
exercise
with
game,
may
result
in
cor&sol
response
???
Games
For
Health
2012

31. ３ Progress
work
&
Future
Research
Games
For
Health
2012

32. Progress
work
Development
of
Rehabilium
Refine
as
a
game
for
group
Rehabilium
(Daycare
group
and
so)
Develop
as
a
game
completely
Rehabilium2
for
a
single
person
To
be
con&nued…
Games
For
Health
2012

33. Progress
work
Demo(Rehabilium(group))
Games
For
Health
2012

34. Progress
work
Demo(Rehabilium2)
Games
For
Health
2012

35. Future
Research
I’d
like
to…
１ reveal
the
influence
of
the
power
of
game
on
intrinsic
mo&va&on
２ make
the
Home-­‐based
rehabilita&on
game
to
support
stand-­‐up
exercise
Games
For
Health
2012

36. Thank
you
for
listening
!!
kousuke.z714@gmail.com
@xi2ko
Games
For
Health
2012