Development and Test of a Serious Game for Dorsiflexion and Plantarflexion Exercises of the Feet

Daniel Rogério Ferreira; Caio Kaufman Baptista; Bruno da Silva Rodrigues; Barbara Campos Siqueira; Silvana M. Blascovi-Assis; Ana Grasielle Corrêa

doi:10.5753/jis.2021.1916

Authors

Daniel Rogério Ferreira Universidade Presbiteriana Mackenzie
Caio Kaufman Baptista Universidade Presbiteriana Mackenzie
Bruno da Silva Rodrigues Universidade Presbiteriana Mackenzie https://orcid.org/0000-0001-9567-4910
Barbara Campos Siqueira
Silvana M. Blascovi-Assis Universidade Presbiteriana Mackenzie https://orcid.org/0000-0002-5437-891X
Ana Grasielle Corrêa Universidade Presbiteriana Mackenzie https://orcid.org/0000-0002-0393-8710

DOI:

https://doi.org/10.5753/jis.2021.1916

Keywords:

congenital clubfoot, dorsiflexion and plantarflexion, motor rehabilitation, game therapy, wearable technology

Abstract

Congenital clubfoot is the most common disease of the musculoskeletal system, causing deformities in the musculature of the foot and requiring long-term motor rehabilitation. This article shows the design and development of a serious game to support the process of motor rehabilitation of clubfoot through dorsiflexion and plantarflexion exercises. The game is controlled by a wearable device (Papeteshoes), where the accelerometers are responsible for detecting the movement of the foot. A pilot test was carried out withtwo children with and without clubfoot (Congenital Talipes Equi-novarus-CTE) to examine the feasibility of the game as a therapy instrument. Usability and applicability questionnaires were applied after using the game. The results show that both children reacted in the same way to the proposals, performing the necessary movements for the motor recruitment of the muscles related to the leg and foot and maintaining the range of motion of the ankle joint.

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References

Alcover, E.A., Jaume-i-Capó, A., & Moyà-Alcover, B. (2018). PROGame: A process framework for serious game development for motor rehabilitation therapy. PloS one, 13(5):e0197383.

Alexandre, R., & Postolache, O. (2018). Wearable and IoT technologies application for physical rehabilitation. In 2018 International Symposium in Sensing and Instru-mentation in IoT Era (ISSI), pages 1-+.

Bonato, P., Mork, P. J., Sherrill, D. M., & Westgaard, R. H. (2003). Data mining of motor patterns recorded with wearable technology. IEEE engineering in medicine and biology magazine, 22(3):110-119.

Burke, J. W., McNeill, M. D. J., Charles, D. K., Morrow, P. J., Crosbie, J. H., & McDonough, S. M. (2010). Aug-mented reality games for upper-limb stroke rehabilita-tion. In 2010 second international conference on games and virtual worlds for serious applications, pages 75-+.

Caetano, C. Funcionalidade biomecânica, Available from: https://www.ctborracha.com/borracha-sintese-historica/aplicacoes/calcado/classificacao-do-calcado/funcionalidade-biomecanica/, Access in 04 aug 2020.

Campos, C. M. B. F., Santos, R. T. G. D., Holanda, N. S. D. O., Farias, P. H. S. D., & Pereira, S. A. (2019). Órteses de EVA no tratamento para pé torto congênito em recém-nascidos. Cadernos Brasileiros de Terapia Ocupacional, 27(4):703-709.

Cataldi, P. C. P., & Pontes, T. B. (2017). Parâmetros para a concepção e avaliação de jogos para reabilitação de pa-cientes vítimas de AVE. Design e Tecnologia, 7(14):69-90.

Chen, D. K., Haller, M., & Besier, T. F. (2017). Wearable lower limb haptic feedback device for retraining foot progression angle and step width. Gait & pos-ture, 55:177-183.

Cifuentes, C., Braidot, A., Rodríguez, L., Frisoli, M., Santi-ago, A., & Frizera, A. (2012, June). Development of a wearable ZigBee sensor system for upper limb rehabili-tation robotics. In 2012 4th IEEE RAS & EMBS Interna-tional Conference on Biomedical Robotics and Biomech-atronics (BioRob), pages 1989-+.

Corbu, A., Cosma, D. I., Vasilescu, D. E., & Cristea, S. (2020). Posteromedial Release versus Ponseti Treatment of Congenital Idiopathic Clubfoot: A Long-Term Retro-spective Follow-Up Study into Adoles-cence. Therapeutics and Clinical Risk Manage-ment, 16:813-819.

Corrêa, A. G. D., Kintschner, N. R., & Blascovi-Assis, S. M. (2019, June). System of Upper Limb Motor Rehabili-tation Training Using Leap Motion and Gear VR in Ses-sions of Home Game Therapy. In 2019 IEEE Symposium on Computers and Communications (ISCC), pages 1097-+.

Csíkszentmihályi, M. (1990). Flow: The Psychology of Optimal Experience. New York: Harper and Row.

Csíkszentmihályi, M. (1996). Creativity: Flow and the Psychology of Discovery and Invention. New York: Harper Perennial.

Csíkszentmihályi, M. (1998). Finding Flow: The Psychology of Engagement With Everyday Life. Basic Books.

Daneault, J. F., Vergara-Diaz, G., Parisi, F., Admati, C., Alfonso, C., Bertoli, M., ... & Bonato, P. (2021). Accel-erometer data collected with a minimum set of wearable sensors from subjects with Parkinson’s disease. Scientific Data, 8(1):1-13.

Dimeglio, A., & Canavese, F. (2012). The French function-al physical therapy method for the treatment of congeni-tal clubfoot. Journal of Pediatric Orthopaedics B, 21(1): 28-39.

Domingues, M. F., Tavares, C., Rosa, V., Pereira, L., Al-berto, N., Andre, P., ... & Radwan, A. (2019). Wearable eHealth system for physical rehabilitation: Ankle plan-tar-dorsi-flexion monitoring. In 2019 IEEE Global Communications Conference (GLOBECOM), pages 1-+.

Faragó, P., Grama, L., Farago, M. A., & Hintea, S. (2021). A Novel Wearable Foot and Ankle Monitoring System for the Assessment of Gait Biomechanics. Applied Sciences, 11(1):1-31.

Ferreira, D. R. D. M. J. (2018) Análise cinemática do andar de crianças com pé torto congênito tratadas pelo método funcional francês adaptado (Doctoral dissertation, Uni-versidade de São Paulo), pages 44.

Gil-Gómez, J. A., Lloréns, R., Alcañiz, M., & Colomer, C. (2011). Effectiveness of a Wii balance board-based sys-tem (eBaViR) for balance rehabilitation: a pilot random-ized clinical trial in patients with acquired brain injury. Journal of neuroengineering and rehabilitation, 8:1-10.

Gouwanda, D., Gopalai, A. A., & Khoo, B. H. (2016). A low cost alternative to monitor human gait temporal pa-rameters–wearable wireless gyroscope. IEEE Sensors Journal, 16(24):9029-9035.

Hamill, J., & Knutzen, K. M. (2006). Biomechanical basis of human movement. Lippincott Williams & Wilkins, 2nd Ed, 512 pages.

Hee, C. L., Chong, T. H., Gouwanda, D., Gopalai, A. A., Low, C. Y., & binti Hanapiah, F. A. (2017). Developing interactive and simple electromyogram PONG game for foot dorsiflexion and plantarflexion rehabilitation exer-cise. In 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), pages 275-+.

Ianculescu, M., Andrei, B., & Alexandru, A. (2019). A smart assistance solution for remotely monitoring the or-thopaedic rehabilitation process using wearable technol-ogy: Re. flex system. Studies in Informatics and Control, 28(3): 317-326.

Kaewkannate, K., & Kim, S. (2016). A comparison of wear-able fitness devices. BMC public health, 16(1):1-16.

Kloos, A. D., Fritz, N. E., Kostyk, S. K., Young, G. S., & Kegelmeyer, D. A. (2013). Video game play (Dance Dance Revolution) as a potential exercise therapy in Huntington’s disease: a controlled clinical trial. Clinical rehabilitation, 27(11): 972-982.

Lara, L. C. R., Montesi Neto, D. J. C., Prado, F. R., & Bar-reto, A. P. (2013). Tratamento do pé torto congênito idi-opático pelo método de Ponseti: 10 anos de experiên-cia. Revista Brasileira de Ortopedia, 48(4):362-367.

Lv, Z., Feng, S., Khan, M. S. L., Ur Réhman, S., & Li, H. (2014). Foot motion sensing: augmented game interface based on foot interaction for smartphone. In CHI'14 Ex-tended Abstracts on Human Factors in Computing Sys-tems, pages 293-+.

Ma, C. Z. H., Ling, Y. T., Shea, Q. T. K., Wang, L. K., Wang, X. Y., & Zheng, Y. P. (2019). Towards wearable comprehensive capture and analysis of skeletal muscle activity during human locomotion. Sensors, 19(1):195-+.

Mader, S., Natkin, S., & Levieux, G. (2012). How to ana-lyse therapeutic games: the player/game/therapy model. In International conference on entertainment computing, Springer, Berlin, Heidelberg, pages 193-+.

Morri, M., Vigna, D., Raffa, D., Donati, D. M., & Benedet-ti, M. G. (2019). Effect of game based balance exercises on rehabilitation after knee surgery: a controlled obser-vational study. Journal of medical systems, 43(5): 1-6.

Nakamura, J. & Csikszentmihalyi, M. (2009). Flow theory and research. Handbook of positive psychology, p. 195-206.

Pichierri, G., Murer, K., & de Bruin, E. D. (2012). A cogni-tive-motor intervention using a dance video game to en-hance foot placement accuracy and gait under dual task conditions in older adults: a randomized controlled trial. BMC geriatrics, 12(1):1-14.

R. Picunko, U.S. Patent Application No. 12/514,261, 2010, US20100035688A1.

Santin, R. A. L., & Hungria Filho, J. S. (1977). Pé torto congênito. Rev Bras Ortop, 12(1):1-15.

Sato, K., Kuroki, K., Saiki, S., & Nagatomi, R. (2015). Improving walking, muscle strength, and balance in the elderly with an exergame using Kinect: A randomized controlled trial. Games for health journal, 4(3):161-167.

Soares, R.J., Cerqueira, A. S. O. D., Mochizuki, L., Serrão, J. C., Vilas-Boas, J. P., & Amadio, A. C. (2016). Parâmetros biomecânicos da marcha em crianças com pé torto congênito unilateral e bilateral. Revista Brasileira de Educação Física e Esporte, 30(2):271-277.

Toma, A., Madej, T., Diab, A. H., Matschke, K., & Knaut, M. (2018). The Wearable Cardioverter Defibrillator: A Safe, Noninvasive Solution for Patients with High-Risk for Sudden Cardiac Death following Heart Surgery. The Thoracic and Cardiovascular Surgeon, 66(S01), DGTHG-V248.

Yoon, H., Park, S. H., & Lee, K. T. (2016). Lightful user interaction on smart wearables. Personal and ubiquitous computing, 20(6):973-984.