From Novelty to Clinical Practice: Exploring VR Exergames with Physical Therapists
Article No.: 303, Pages 1 - 29
Abstract
The COVID-19 pandemic, the rise of telehealth and virtual medicine, and the increased accessibility of commercial VR headsets have created opportunities to revitalize the physical therapy field and introduce more innovative tools to complement traditional practice. Researchers are actively exploring the intersection of VR, exergames, and gamified exercise to create new products that can improve both provider efficiency and patient care. This study builds on that momentum by delving into the perspectives of practitioners. We interviewed eight physical therapists after letting them experience a state-of-the-art VR exercise product (i.e., Supernatural VR). Participants loved the game and were most optimistic about the mental benefits of using VR exergames alongside traditional PT, but cautioned the lack of feedback and expert guidance that could lead to misuse and further injury. Regarding the future integration of VR and PT, participants were cautiously optimistic and offered design feedback and recommendations, with warnings regarding the potential barriers to innovating clinical practice.
Supplemental Material
MP4 File - Video Figure
Video figure for "From Novelty to Clinical Practice: Exploring VR Exergames with Physical Therapists"
- Download
- 354.66 MB
- Transcript
ZIP File
Three files are included in this zipped folder. (1) Supplemental Video_Playtest.mp4 (2) Supplemental Video_Playtest.srt (3) Supplemental Video_README.txt (this file) The mp4 is a video of a playtest of Supernatural VR. (Not a participant) The srt contains the subtitles for the video. This video is meant to supplement the reader's understanding of the type of game Supernatural is, and what the game mechanics entail.
- Download
- 193.94 MB
References
[1]
Vero Vanden Abeele, Katta Spiel, Lennart Nacke, Daniel Johnson, and Kathrin Gerling. 2020. Development and validation of the player experience inventory: A scale to measure player experiences at the level of functional and psychosocial consequences. International Journal of Human-Computer Studies, Vol. 135 (March 2020), 102370. https://doi.org/10.1016/j.ijhcs.2019.102370
[2]
Imad Afyouni, Faizan Ur Rehman, Ahmad Qamar, Akhlaq Ahmad, Mohamed Abdur Rahman, and Sohaib Ghani. 2016. Gamifying hand physical therapy with intelligent 3D navigation. SIGSPATIAL Special, Vol. 8, 1 (June 2016), 42--49. https://doi.org/10.1145/2961028.2961035
[3]
Khalid A. Alahmari, Patrick J. Sparto, Gregory F. Marchetti, Mark S. Redfern, Joseph M. Furman, and Susan L. Whitney. 2013. Comparison of Virtual Reality Based Therapy With Customized Vestibular Physical Therapy for the Treatment of Vestibular Disorders. IEEE Transactions on Neural Systems and Rehabilitation Engineering, Vol. 22, 2 (Dec. 2013), 389--399. https://doi.org/10.1109/TNSRE.2013.2294904
[4]
Rahaf Alharbi, Robin N. Brewer, Gesu India, Lotus Zhang, Leah Findlater, Yixin Zou, and Abigale Stangl. 2023. Bridging the Gap: Towards Advancing Privacy and Accessibility. In Proceedings of the 25th International ACM SIGACCESS Conference on Computers and Accessibility (ASSETS '23). Association for Computing Machinery, New York, NY, USA, 1--4. https://doi.org/10.1145/3597638.3615653
[5]
Bhasker Amatya and Fary Khan. 2022. Implementation of Rehabilitation Innovations: A Global Priority for a Healthier Society. Journal of the International Society of Physical and Rehabilitation Medicine, Vol. 5, 2 (June 2022), 51. https://doi.org/10.4103/jisprm.JISPRM-000160
[6]
K August, D Bleichenbacher, and S Adamovich. 2005. Virtual reality physical therapy: a telerehabilitation tool for hand and finger movement exercise monitoring and motor skills analysis. In Proceedings of the IEEE 31st Annual Northeast Bioengineering Conference, 2005. 73--74. https://doi.org/10.1109/NEBC.2005.1431931
[7]
Soumya C. Barathi, Daniel J. Finnegan, Matthew Farrow, Alexander Whaley, Pippa Heath, Jude Buckley, Peter W. Dowrick, Burkhard C. Wuensche, James L. J. Bilzon, Eamonn O'Neill, and Christof Lutteroth. 2018. Interactive Feedforward for Improving Performance and Maintaining Intrinsic Motivation in VR Exergaming. In Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems (CHI '18). Association for Computing Machinery, New York, NY, USA, 1--14. https://doi.org/10.1145/3173574.3173982
[8]
Jennifer J. Beck, Nicole West, Kylie G. Shaw, Nicholas Jackson, and Richard E. Bowen. 2020. Delays in Obtaining Knee MRI in Pediatric Sports Medicine: Impact of Insurance Type. Journal of Pediatric Orthopedics, Vol. 40, 10 (2020), e952--e957. https://doi.org/10.1097/BPO.0000000000001653
[9]
Leslie Bennett, Vanessa Jewell, Linda Scheirton, Molly McCarthy, and Brittney Muir. 2019. Productivity Standards and the Impact on Quality of Care: A National Survey of Inpatient Rehabilitation Professionals. The Open Journal of Occupational Therapy, Vol. 7, 4 (Oct. 2019), 1--11. https://doi.org/10.15453/2168--6408.1598
[10]
Justin W. Berry and Charles C. Hosford. 2014. Burnout among physical therapist assistant program directors: a nationwide survey and analysis. Journal of Allied Health, Vol. 43, 2 (2014), 72--78.
[11]
Beth C. Bock, Shira I. Dunsiger, Joseph T. Ciccolo, Eva R. Serber, Wen-Chih Wu, Peter Tilkemeier, Kristen A. Walaska, and Bess H. Marcus. 2019. Exercise Videogames, Physical Activity, and Health: Wii Heart Fitness: A Randomized Clinical Trial. American Journal of Preventive Medicine, Vol. 56, 4 (April 2019), 501--511. https://doi.org/10.1016/j.amepre.2018.11.026
[12]
Tim Bowman. 1997. VR meets physical therapy. Commun. ACM, Vol. 40, 8 (Aug. 1997), 59--60. https://doi.org/10.1145/257874.257887
[13]
Stephen C. Bronack. 2011. The Role of Immersive Media in Online Education. The Journal of Continuing Higher Education, Vol. 59, 2 (May 2011), 113--117. https://doi.org/10.1080/07377363.2011.583186 Publisher: Routledge _eprint: https://doi.org/10.1080/07377363.2011.583186.
[14]
Sabrina D. Burri, Kaleigh M. Smyrk, Mostafa S. Melegy, Melanie M. Kessler, Nadim I. Hussein, Brandi D. Tuttle, and Derek J. Clewley. 2022. Risk factors associated with physical therapist burnout: a systematic review. Physiotherapy, Vol. 116 (Feb. 2022), 9--24. https://doi.org/10.1016/j.physio.2022.01.005
[15]
Tracy J. Bury and Emma K. Stokes. 2013. A Global View of Direct Access and Patient Self-Referral to Physical Therapy: Implications for the Profession. Physical Therapy, Vol. 93, 4 (April 2013), 449--459. https://doi.org/10.2522/ptj.20120060
[16]
Dario Calafiore, Marco Invernizzi, Antonio Ammendolia, Nicola Marotta, Francesco Fortunato, Teresa Paolucci, Francesco Ferraro, Claudio Curci, Agnieszka Cwirlej-Sozanska, and Alessandro de Sire. 2021. Efficacy of Virtual Reality and Exergaming in Improving Balance in Patients With Multiple Sclerosis: A Systematic Review and Meta-Analysis. Frontiers in Neurology, Vol. 12 (2021), 773459. https://doi.org/10.3389/fneur.2021.773459
[17]
Michael Calnan, David Montaner, and Rob Horne. 2004. How acceptable are innovative health-care technologies? A survey of public beliefs and attitudes in England and Wales. Social Science & Medicine, Vol. 60, 9 (Nov. 2004), 1937--1948. https://doi.org/10.1016/j.socscimed.2004.08.058
[18]
Pablo Campo-Prieto, José Mª Cancela-Carral, and Gustavo Rodríguez-Fuentes. 2022. Wearable Immersive Virtual Reality Device for Promoting Physical Activity in Parkinson's Disease Patients. Sensors, Vol. 22, 9 (Jan. 2022), 3302. https://doi.org/10.3390/s22093302 Number: 9 Publisher: Multidisciplinary Digital Publishing Institute.
[19]
Carlo Camporesi, Marcelo Kallmann, and Jay J. Han. 2013. VR solutions for improving physical therapy. In 2013 IEEE Virtual Reality (VR). 77--78. https://doi.org/10.1109/VR.2013.6549371
[20]
Jiayin Chen, Calvin Kalun Or, and Tianrong Chen. 2022. Effectiveness of Using Virtual Reality-Supported Exercise Therapy for Upper Extremity Motor Rehabilitation in Patients With Stroke: Systematic Review and Meta-analysis of Randomized Controlled Trials. Journal of Medical Internet Research, Vol. 24, 6 (June 2022), e24111. https://doi.org/10.2196/24111
[21]
Karen Sui Geok Chua and Christopher Wee Keong Kuah. 2017. Innovating With Rehabilitation Technology in the Real World: Promises, Potentials, and Perspectives. American Journal of Physical Medicine & Rehabilitation, Vol. 96, 10 (Oct. 2017), S150. https://doi.org/10.1097/PHM.0000000000000799
[22]
Morad Chughtai, John J. Kelly, Jared M. Newman, Assem A. Sultan, Anton Khlopas, Nipun Sodhi, Anil Bhave, Michael C. Kolczun, and Michael A. Mont. 2019. The Role of Virtual Rehabilitation in Total and Unicompartmental Knee Arthroplasty. The Journal of Knee Surgery, Vol. 32, 1 (Jan. 2019), 105--110. https://doi.org/10.1055/s-0038--1637018
[23]
Franzina Coutinho, Marie Brien, Dinesh Krishna, Gauri Saxena, Ramasubramanian Ponnusamy, and Navamani Venkatachalapathy. 2024. Digital technology to improve accessibility to rehabilitation services in India: The Enabling Inclusion® app. Societal Impacts, Vol. 3 (June 2024), 100042. https://doi.org/10.1016/j.socimp.2024.100042
[24]
Emily J. Curry, Ian R. Penvose, Brock Knapp, Robert L. Parisien, and Xinning Li. 2021. National disparities in access to physical therapy after rotator cuff repair between patients with Medicaid vs. private health insurance. JSES International, Vol. 5, 3 (May 2021), 507--511. https://doi.org/10.1016/j.jseint.2020.11.006
[25]
Elizabeth Dean. 2009. Physical therapy in the 21st century (Part I): toward practice informed by epidemiology and the crisis of lifestyle conditions. Physiotherapy Theory and Practice, Vol. 25, 5--6 (July 2009), 330--353. https://doi.org/10.1080/09593980802668027
[26]
Elizabeth Dean. 2009. Physical Therapy in the 21st Century (Part II): Evidence-Based Practice Within the Context of Evidence-Informed Practice. Physiotherapy theory and practice, Vol. 25 (July 2009), 354--68. https://doi.org/10.1080/09593980902813416
[27]
Elizabeth Dean, Saud Alobaidi, Armele Dornelas de Andrade, Rik Gosselink, Gloria Umerah, Sami Alabdulwahab, Anthony Joseph, Anjali Bhise, Selma Bruno, Scotty Butcher, Monika Fagevik Olsén, Donna Frownfelter, Eduard Gappmaier, Sif Gylfadóttir, Mehrdad Habibi, Susan Hanekom, Scott Hasson, Alice Jones, Tanya Lapier, and Wai Pong Wong. 2011. The First Physical Therapy Summit on Global Health: Implications and Recommendations for the 21st century. Physiotherapy theory and practice, Vol. 27 (May 2011), 531--47. https://doi.org/10.3109/09593985.2010.544052
[28]
Paula Delgado-Santos, Giuseppe Stragapede, Ruben Tolosana, Richard Guest, Farzin Deravi, and Ruben Vera-Rodriguez. 2022. A Survey of Privacy Vulnerabilities of Mobile Device Sensors. Comput. Surveys, Vol. 54, 11s (Sept. 2022), 224:1--224:30. https://doi.org/10.1145/3510579
[29]
Anthony Delitto. 2008. We Are What We Do. Physical Therapy, Vol. 88, 10 (Oct. 2008), 1219--1227. https://doi.org/10.2522/ptj.2008.mcmillan.lecture
[30]
Sebastian Deterding, Dan Dixon, Rilla Khaled, and Lennart Nacke. 2011. From game design elements to gamefulness: defining "gamification". In Proceedings of the 15th International Academic MindTrek Conference: Envisioning Future Media Environments (MindTrek '11). Association for Computing Machinery, New York, NY, USA, 9--15. https://doi.org/10.1145/2181037.2181040
[31]
Hayden Dingman. 2022. Exercise by Accident: VR Games To Help You Work Out at Home textbar Meta Quest Blog. https://www.oculus.com/blog/exercise-by-accident-vr-games-to-help-you-work-out-at-home/
[32]
Rosie Essery, Adam W. A. Geraghty, Sarah Kirby, and Lucy Yardley. 2017. Predictors of adherence to home-based physical therapies: a systematic review. Disability and Rehabilitation, Vol. 39, 6 (March 2017), 519--534. https://doi.org/10.3109/09638288.2016.1153160
[33]
Anders Farholm and Marit Sørensen. 2016. Motivation for physical activity and exercise in severe mental illness: A systematic review of intervention studies. International Journal of Mental Health Nursing, Vol. 25, 3 (June 2016), 194--205. https://doi.org/10.1111/inm.12214
[34]
Hao Feng, Cuiyun Li, Jiayu Liu, Liang Wang, Jing Ma, Guanglei Li, Lu Gan, Xiaoying Shang, and Zhixuan Wu. 2019. Virtual Reality Rehabilitation Versus Conventional Physical Therapy for Improving Balance and Gait in Parkinson's Disease Patients: A Randomized Controlled Trial. Med Sci Monit, Vol. 25 (June 2019), 4186--4192. https://doi.org/10.12659/MSM.916455
[35]
Ernesto Filgueiras and Gustavo Desouzart. 2020. Gamedesign and Physiotherapy: Contribution of Gamification and UX Techniques to Physical Teenagers? Recovery. In HCII 2020. https://doi.org/10.1007/978--3-030--49757--6_15
[36]
Yue Gao and Regan Mandryk. 2012. The acute cognitive benefits of casual exergame play. In CHI '12: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. 1863--1872. https://doi.org/10.1145/2207676.2208323
[37]
Frano Giakoni-Ramírez, Andrés Godoy-Cumillaf, Paola Fuentes-Merino, Claudio Farías-Valenzuela, Daniel Duclos-Bastías, José Bruneau-Chávez, Eugenio Merellano-Navarro, and Ronald Velásquez-Olavarría. 2023. Intensity of a Physical Exercise Programme Executed through Immersive Virtual Reality. Healthcare, Vol. 11, 17 (Jan. 2023), 2399. https://doi.org/10.3390/healthcare11172399 Number: 17 Publisher: Multidisciplinary Digital Publishing Institute.
[38]
Linda Graf, Sophie Abramowski, Felix Born, and Maic Masuch. 2023. Emotional Virtual Characters for Improving Motivation and Performance in VR Exergames. Proceedings of the ACM on Human-Computer Interaction, Vol. 7, CHI PLAY (Oct. 2023), 417:1115--417:1135. https://doi.org/10.1145/3611063
[39]
Allene L. Gremaud, Lucas J. Carr, Jacob E. Simmering, Nicholas J. Evans, James F. Cremer, Alberto M. Segre, Linnea A. Polgreen, and Philip M. Polgreen. 2018. Gamifying Accelerometer Use Increases Physical Activity Levels of Sedentary Office Workers. Journal of the American Heart Association, Vol. 7, 13 (July 2018), e007735. https://doi.org/10.1161/JAHA.117.007735
[40]
Mohammed Gumaa and Aliaa Rehan Youssef. 2019. Is Virtual Reality Effective in Orthopedic Rehabilitation? A Systematic Review and Meta-Analysis. Physical Therapy, Vol. 99, 10 (Oct. 2019), 1304--1325. https://doi.org/10.1093/ptj/pzz093
[41]
Neeru Gupta, Carla Castillo-Laborde, and Michel Landry. 2011. Health-Related Rehabilitation Services: Assessing the Global Supply of and Need for Human Resources. BMC health services research, Vol. 11 (Oct. 2011), 276. https://doi.org/10.1186/1472--6963--11--276
[42]
Mark A. Havran and Douglas E. Bidelspach. 2021. Virtual Physical Therapy and Telerehabilitation. Physical Medicine and Rehabilitation Clinics of North America, Vol. 32, 2 (May 2021), 419--428. https://doi.org/10.1016/j.pmr.2020.12.005
[43]
Keita Higuchi, Tetsuro Shimada, and Jun Rekimoto. 2011. Flying sports assistant: external visual imagery representation for sports training. In AH '11: Proceedings of the 2nd Augmented Human International Conference. Association for Computing Machinery, 1--4. https://doi.org/10.1145/1959826.1959833
[44]
Hunter G. Hoffman, David A. Boe, Eric Rombokas, Christelle Khadra, Sylvie LeMay, Walter J. Meyer, Sam Patterson, Ann Ballesteros, and Stephen W. Pitt. 2020. Virtual Reality Hand Therapy: A new tool for non-opioid analgesia for acute procedural pain, hand rehabilitation, and VR embodiment therapy for phantom limb pain. Journal of hand therapy : official journal of the American Society of Hand Therapists, Vol. 33, 2 (2020), 254--262. https://doi.org/10.1016/j.jht.2020.04.001
[45]
Stefan G. Hofmann and Angelina F. Gómez. 2017. Mindfulness-Based Interventions for Anxiety and Depression. The Psychiatric clinics of North America, Vol. 40, 4 (Dec. 2017), 739--749. https://doi.org/10.1016/j.psc.2017.08.008
[46]
Qiangru Huang, Junqing Lin, Rui Han, Cheng Peng, and Aji Huang. 2022. Using Virtual Reality Exposure Therapy in Pain Management: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Value in Health: The Journal of the International Society for Pharmacoeconomics and Outcomes Research, Vol. 25, 2 (Feb. 2022), 288--301. https://doi.org/10.1016/j.jval.2021.04.1285
[47]
Andrew H. Hwang, Margaret M. Hwang, Hui-Wen Xie, Brian E. Hardy, and David L. Skaggs. 2005. Access to urologic care for children in California: Medicaid versus private insurance. Urology, Vol. 66, 1 (July 2005), 170--173. https://doi.org/10.1016/j.urology.2005.01.065
[48]
Kiran Ijaz, Yifan Wang, Naseem Ahmadpour, and Rafael A. Calvo. 2019. Immersive VR Exergames for Health and Wellbeing. In Extended Abstracts of the 2019 CHI Conference on Human Factors in Computing Systems (CHI EA '19). Association for Computing Machinery, New York, NY, USA, 1--4. https://doi.org/10.1145/3290607.3313281
[49]
Kirsten Jack, Sionnadh Mairi McLean, Jennifer Klaber Moffett, and Eric Gardiner. 2010. Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review. Manual Therapy, Vol. 15, 3 (June 2010), 220--228. https://doi.org/10.1016/j.math.2009.12.004
[50]
Joep Janssen, Olaf Verschuren, Willem Jan Renger, Jose Ermers, Marjolijn Ketelaar, and Raymond van Ee. 2017. Gamification in Physical Therapy: More Than Using Games. Pediatric Physical Therapy, Vol. 29, 1 (Jan. 2017), 95--99. https://doi.org/10.1097/PEP.0000000000000326
[51]
Tiago S. Jesus, Gerald Koh, Michel Landry, Peck-Hoon Ong, António M.F. Lopes, Peter L. Green, and Helen Hoenig. 2016. Finding the 'Right-Size' Physical Therapy Workforce: International Perspective Across 4 Countries. Physical Therapy, Vol. 96, 10 (Oct. 2016), 1597--1609. https://doi.org/10.2522/ptj.20160014
[52]
Atreyi Kankanhalli. 2015. Gamification in Fitness Apps: How do Leaderboards influence Exercise?
[53]
Regina Kaplan-Rakowski and Kay Meseberg. 2019. Immersive Media and Their Future. In Educational Media and Technology Yearbook: Volume 42, Robert Maribe Branch, Hyewon Lee, and Sheng Shiang Tseng (Eds.). Springer International Publishing, Cham, 143--153. https://doi.org/10.1007/978--3-030--27986--8_13
[54]
Sukran Karaosmanoglu, Sebastian Cmentowski, Lennart E. Nacke, and Frank Steinicke. 2024. Born to Run, Programmed to Play: Mapping the Extended Reality Exergames Landscape. In Proceedings of the CHI Conference on Human Factors in Computing Systems. 1--28. https://doi.org/10.1145/3613904.3642124 arXiv:2403.06776 [cs].
[55]
Tuomas Kari, Jenni Piippo, Lauri Frank, Markus Makkonen, and Panu Moilanen. 2016. To Gamify or Not to Gamify? Gamification in Exercise Applications and Its Role in Impacting Exercise Motivation. BLED 2016 Proceedings (Jan. 2016). https://aisel.aisnet.org/bled2016/20
[56]
Muhammad Kashif, Ashfaq Ahmad, Muhammad Ali Mohseni Bandpei, Syed Amir Gilani, Asif Hanif, and Humaira Iram. 2022. Combined effects of virtual reality techniques and motor imagery on balance, motor function and activities of daily living in patients with Parkinson's disease: a randomized controlled trial. BMC Geriatrics, Vol. 22 (April 2022), 381. https://doi.org/10.1186/s12877-022-03035--1
[57]
Aymen Kayal. 1999. Measuring the Pace of Technological Progress: Implications for Technological Forecasting. Technological Forecasting and Social Change, Vol. 60, 3 (March 1999), 237--245. https://doi.org/10.1016/S0040--1625(98)00030--4
[58]
Ju-Hyun Kim, Ae-Ryoung Kim, Myung-Gwan Kim, Chul-Hyun Kim, Ki-Hoon Lee, Donghwi Park, and Jong-Moon Hwang. 2020. Burnout Syndrome and Work-Related Stress in Physical and Occupational Therapists Working in Different Types of Hospitals: Which Group Is the Most Vulnerable? International Journal of Environmental Research and Public Health, Vol. 17, 14 (July 2020), 5001. https://doi.org/10.3390/ijerph17145001
[59]
Karen E. Lasser, David U. Himmelstein, and Steffie Woolhandler. 2006. Access to care, health status, and health disparities in the United States and Canada: results of a cross-national population-based survey. American Journal of Public Health, Vol. 96, 7 (July 2006), 1300--1307. https://doi.org/10.2105/AJPH.2004.059402
[60]
Hoo Kyung Lee and Jooyeon Jin. 2023. The effect of a virtual reality exergame on motor skills and physical activity levels of children with a developmental disability. Research in Developmental Disabilities, Vol. 132 (Jan. 2023), 104386. https://doi.org/10.1016/j.ridd.2022.104386
[61]
Cheng Lei, Kejimu Sunzi, Fengling Dai, Xiaoqin Liu, Yanfen Wang, Baolu Zhang, Lin He, and Mei Ju. 2019. Effects of virtual reality rehabilitation training on gait and balance in patients with Parkinson's disease: A systematic review. PLoS ONE, Vol. 14, 11 (Nov. 2019), e0224819. https://doi.org/10.1371/journal.pone.0224819
[62]
Keith Lohse, Navid Shirzad, Alida Verster, Nicola Hodges, and H. F. Machiel Van der Loos. 2013. Video Games and Rehabilitation Using Design Principles to Enhance Engagement in Physical Therapy. Journal of Neurologic Physical Therapy, Vol. 37, 4 (Dec. 2013), 166--175. https://doi.org/10.1097/NPT.0000000000000017
[63]
Mingmei Lyu, Benjamin Ng, and Chan-Tong Lam. 2022. A Practice of Combining Game and Exercise using Virtual Reality. In Proceedings of the 2021 3rd International Conference on Video, Signal and Image Processing (VSIP '21). Association for Computing Machinery, New York, NY, USA, 124--130. https://doi.org/10.1145/3503961.3503981
[64]
Rui Neves Madeira, Luis Costa, and Octavian Postolache. 2014. PhysioMate - Pervasive physical rehabilitation based on NUI and gamification. https://doi.org/10.1109/ICEPE.2014.6969982
[65]
Corey Thomas Martin, James Baumeister, Andrew Cunningham, and G Stewart Von Itzstein. 2021. The Spheres of Player Motivation: Towards a New Typology for Player Motivation in Digital Games. In Extended Abstracts of the 2021 Annual Symposium on Computer-Human Interaction in Play (CHI PLAY '21). Association for Computing Machinery, New York, NY, USA, 140--145. https://doi.org/10.1145/3450337.3483491
[66]
Amir Matallaoui, Jonna Koivisto, Juho Hamari, and Ruediger Zarnekow. 2017. How Effective Is 'Exergamification'' A Systematic Review on the Effectiveness of Gamification Features in Exergames. https://aisel.aisnet.org/hicss-50/hc/health_behavior/3/
[67]
Maria Matsangidou, Boris Otkhmezuri, Chee Siang Ang, Marios Avraamides, Giuseppe Riva, Andrea Gaggioli, Despoina Iosif, and Maria Karekla. 2020. 'Now i can see me' designing a multi-user virtual reality remote psychotherapy for body weight and shape concerns. Human--Computer Interaction, Vol. 37 (Oct. 2020), 314--340. https://doi.org/10.1080/07370024.2020.1788945
[68]
Maria Matsangidou, Boris Otkhmezuri, Chee Siang Ang, Marios Avraamides, Giuseppe Riva, Andrea Gaggioli, Despoina Iosif, and Maria Karekla. 2022. 'Now I can see me' designing a multi-user virtual reality remote psychotherapy for body weight and shape concerns. Human--Computer Interaction, Vol. 37, 4 (July 2022), 314--340. https://doi.org/10.1080/07370024.2020.1788945 Publisher: Taylor & Francis _eprint: https://doi.org/10.1080/07370024.2020.1788945.
[69]
Philipp A. E. Mayring. 2012. Qualitative Content Analysis. In Qualitative Content Analysis - an overview textbar ScienceDirect Topics 4 ed.). Elsevier Inc, 314--322. https://www.sciencedirect.com/topics/social-sciences/qualitative-content-analysis
[70]
Nathan Miner, Amir Abdollahi, Caleb Myers, Mehmet Kosa, Hamid Ghaednia, Joseph H. Schwab, Casper Harteveld, and Giovanni Maria Troiano. 2024. Stairway to Heaven: A Gamified VR Journey for Breath Awareness. In Proceedings of the CHI Conference on Human Factors in Computing Systems. ACM, Honolulu HI USA, 1--19. https://doi.org/10.1145/3613904.3641986
[71]
Nathan Miner, Caleb Myers, Viraj Shirodkar, Zinan Wang, Qiqing Zhang, and Casper Harteveld. 2022. Magic Mirror on the Wall: Reflecting the Realities of Lower Limb Rehabilitation in Virtual Reality. Singapore, 576--581. https://doi.org/10.1109/ISMAR-Adjunct57072.2022.00120
[72]
Courtney M. Monroe, Bo Cai, Sarah Edney, Danielle E. Jake-Schoffman, Keith Brazendale, Agnes Bucko, Bridget Armstrong, Chih-Hsiang Yang, and Gabrielle Turner-McGrievy. 2023. Harnessing technology and gamification to increase adult physical activity: a cluster randomized controlled trial of the Columbia Moves pilot. The International Journal of Behavioral Nutrition and Physical Activity, Vol. 20, 1 (Nov. 2023), 129. https://doi.org/10.1186/s12966-023-01530--1
[73]
Tadatsugu Morimoto, Takaomi Kobayashi, Hirohito Hirata, Koji Otani, Maki Sugimoto, Masatsugu Tsukamoto, Tomohito Yoshihara, Masaya Ueno, and Masaaki Mawatari. 2022. XR (Extended Reality: Virtual Reality, Augmented Reality, Mixed Reality) Technology in Spine Medicine: Status Quo and Quo Vadis. Journal of Clinical Medicine, Vol. 11, 2 (Jan. 2022), 470. https://doi.org/10.3390/jcm11020470 Number: 2 Publisher: Multidisciplinary Digital Publishing Institute.
[74]
Preetham Madapura Nagaraj, Wen Mo, and Catherine Holloway. 2024. Mindfulness-based Embodied Tangible Interactions for Stroke Rehabilitation at Home. In CHI '24: Proceedings of the CHI Conference on Human Factors in Computing Systems. Honolulu, Hawaii, 1--16. https://doi.org/10.1145/3613904.3642463
[75]
Joseph O'Hagan, Pejman Saeghe, Jan Gugenheimer, Daniel Medeiros, Karola Marky, Mohamed Khamis, and Mark McGill. 2023. Privacy-Enhancing Technology and Everyday Augmented Reality: Understanding Bystanders' Varying Needs for Awareness and Consent. Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies, Vol. 6, 4 (Jan. 2023), 177:1--177:35. https://doi.org/10.1145/3569501
[76]
Katherine E. Olson, Marita A. O'Brien, Wendy A. Rogers, and Neil Charness. 2011. Diffusion of Technology: Frequency of use for Younger and Older Adults. Ageing International, Vol. 36, 1 (March 2011), 123--145. https://doi.org/10.1007/s12126-010--9077--9
[77]
Triton Ong, Hattie Wilczewski, Samantha R Paige, Hiral Soni, Brandon M Welch, and Brian E Bunnell. 2021. Extended Reality for Enhanced Telehealth During and Beyond COVID-19: Viewpoint. JMIR Serious Games, Vol. 9, 3 (July 2021), e26520. https://doi.org/10.2196/26520
[78]
Rupal M. Patel and John Bartholomew. 2021. Impact of Job Resources and Job Demands on Burnout among Physical Therapy Providers. International Journal of Environmental Research and Public Health, Vol. 18, 23 (Nov. 2021), 12521. https://doi.org/10.3390/ijerph182312521
[79]
Jacek Polecho'ski, Bartosz Szczechowicz, Jakub Rynik, and Rajmund Tomik. 2024. Recreational cycling provides greater satisfaction and flow in an immersive virtual environment than in real life. BMC Sports Science, Medicine and Rehabilitation, Vol. 16, 1 (Jan. 2024), 31. https://doi.org/10.1186/s13102-024-00818--4
[80]
Octavian Postolache, Filipe Lourenco, J. M. Dias Pereira, and Pedro Girao. 2017. Serious game for physical rehabilitation: Measuring the effectiveness of virtual and real training environments. In 2017 IEEE International Instrumentation and Measurement Technology Conference (I2MTC). 1--6. https://doi.org/10.1109/I2MTC.2017.7969978
[81]
Sabhya Pritwani, Purnima Shrivastava, Shruti Pandey, Ajit Kumar, Rajesh Malhotra, Ralph Maddison, and Niveditha Devasenapathy. 2024. Mobile and Computer-Based Applications for Rehabilitation Monitoring and Self-Management After Knee Arthroplasty: Scoping Review. JMIR mHealth and uHealth, Vol. 12 (Jan. 2024), e47843. https://doi.org/10.2196/47843
[82]
Michel Probst. 2017. Physiotherapy and Mental Health. In Clinical Physical Therapy. BoD - Books on Demand, 179--204. doi.org/10.5772/67595
[83]
Janet Prvu Bettger, Cynthia L. Green, DaJuanicia N. Holmes, Anang Chokshi, Richard C. Mather, Bryan T. Hoch, Arthur J. de Leon, Frank Aluisio, Thorsten M. Seyler, Daniel J. Del Gaizo, John Chiavetta, Laura Webb, Vincent Miller, Joseph M. Smith, and Eric D. Peterson. 2020. Effects of Virtual Exercise Rehabilitation In-Home Therapy Compared with Traditional Care After Total Knee Arthroplasty: VERITAS, a Randomized Controlled Trial. The Journal of Bone and Joint Surgery. American Volume, Vol. 102, 2 (Jan. 2020), 101--109. https://doi.org/10.2106/JBJS.19.00695
[84]
Miranda J. Rogers, Ian Penvose, Emily J. Curry, Joseph W. Galvin, and Xinning Li. 2019. Insurance status affects access to physical therapy following rotator cuff repair surgery: A comparison of privately insured and Medicaid patients. Orthopedic Reviews (Pavia), Vol. 11, 2 (May 2019). https://doi.org/10.4081/or.2019.7989
[85]
Neta Roitenberg and Noa Ben-Ami. 2023. Qualitative exploration of physical therapists' experiences providing telehealth physical therapy during COVID-19. Musculoskeletal Science & Practice, Vol. 66 (Aug. 2023), 102789. https://doi.org/10.1016/j.msksp.2023.102789
[86]
Trevor G. Russell, Peter Buttrum, Richard Wootton, and Gwendolen A. Jull. 2011. Internet-based outpatient telerehabilitation for patients following total knee arthroplasty: a randomized controlled trial. The Journal of Bone and Joint Surgery. American Volume, Vol. 93, 2 (Jan. 2011), 113--120. https://doi.org/10.2106/JBJS.I.01375
[87]
Carla Sabus and Ellen Spake. 2016. Innovative physical therapy practice: a qualitative verification of factors that support diffusion of innovation in outpatient physical therapy practice. Journal of Healthcare Leadership, Vol. 8 (2016), 107--120. https://doi.org/10.2147/JHL.S115772
[88]
Natalya Sarkisova, Ryan Smith, Curtis VandenBerg, J. Lee Pace, and Rachel Y. Goldstein. 2019. Access to Physical Therapy for Pediatric and Adolescent Patients Following Orthopedic Surgery. Global Pediatric Health, Vol. 6 (2019), 2333794X19848676. https://doi.org/10.1177/2333794X19848676
[89]
Sabine Schootemeijer, Nicolien M. van der Kolk, Terry Ellis, Anat Mirelman, Alice Nieuwboer, Freek Nieuwhof, Michael A. Schwarzschild, Nienke M. de Vries, and Bastiaan R. Bloem. 2020. Barriers and Motivators to Engage in Exercise for Persons with Parkinson's Disease. Journal of Parkinson's Disease, Vol. 10, 4 (2020), 1293--1299. https://doi.org/10.3233/JPD-202247
[90]
Zev Schuman-Olivier, Marcelo Trombka, David A. Lovas, Judson A. Brewer, David R. Vago, Richa Gawande, Julie P. Dunne, Sara W. Lazar, Eric B. Loucks, and Carl Fulwiler. 2020. Mindfulness and Behavior Change. Harvard Review of Psychiatry, Vol. 28, 6 (2020), 371--394. https://doi.org/10.1097/HRP.0000000000000277
[91]
N. D. Schuster, D. L. Nelson, and C. Quisling. 1984. Burnout among physical therapists. Physical Therapy, Vol. 64, 3 (March 1984), 299--303. https://doi.org/10.1093/ptj/64.3.299
[92]
Sam R. Sharar, Gretchen J. Carrougher, Dana Nakamura, Hunter G. Hoffman, David K. Blough, and David R. Patterson. 2007. Factors Influencing the Efficacy of Virtual Reality Distraction Analgesia During Postburn Physical Therapy: Preliminary Results from 3 Ongoing Studies. Archives of Physical Medicine and Rehabilitation, Vol. 88, 12 (Nov. 2007), S43--S49. https://doi.org/10.1016/j.apmr.2007.09.004
[93]
Harrison She, Jared Young, Ofek Wittenberg, Patrick Poole, Alexander Mercer, Alex Shaw, and Burkhard C. Wünsche. 2021. HIITCopter: Analysis of the Suitability of VR Exergaming for High-Intensity Interval Training. In Proceedings of the 32nd Australian Conference on Human-Computer Interaction (OzCHI '20). Association for Computing Machinery, New York, NY, USA, 293--302. https://doi.org/10.1145/3441000.3441009
[94]
D. L. Skaggs, S. M. Clemens, M. G. Vitale, J. D. Femino, and R. M. Kay. 2001. Access to orthopedic care for children with medicaid versus private insurance in California. Pediatrics, Vol. 107, 6 (June 2001), 1405--1408. https://doi.org/10.1542/peds.107.6.1405
[95]
David L. Skaggs, Charles L. Lehmann, Christie Rice, Brigid K. Killelea, Rebecca M. Bauer, Robert M. Kay, and Michael G. Vitale. 2006. Access to orthopaedic care for children with medicaid versus private insurance: results of a national survey. Journal of Pediatric Orthopedics, Vol. 26, 3 (2006), 400--404. https://doi.org/10.1097/01.bpo.0000217715.87857.24
[96]
E. M. Sluijs, G. J. Kok, and J. van der Zee. 1993. Correlates of exercise compliance in physical therapy. Physical Therapy, Vol. 73, 11 (Nov. 1993), 771--782; discussion 783--786. https://doi.org/10.1093/ptj/73.11.771
[97]
Ainsley C.J. Smith, Jessica Belgrave Sookhoo, Caitlin McArthur, Stephen Surlin, Adekunle Akinyemi, Paula Gardner, and Alexandra Papaioannou. 2021. 'Think of It Like a Game': Older Adults? and Health Professionals? Perspectives on Interactive Exercise Technology Design. Physiotherapy Canada, Vol. 73, 3 (2021), 286--295. https://doi.org/10.3138/ptc-2019-0115
[98]
SOCHi. 2023. What's the difference between rehabilitation and physical therapy? - Southern California Health Institute. https://sochi.edu/difference-between-rehabilitation-physical-therapy/ Section: PTA Education.
[99]
Gordon Tao, Bernie Garrett, Tarnia Taverner, Elliott Cordingley, and Crystal Sun. 2021. Immersive virtual reality health games: a narrative review of game design. Journal of NeuroEngineering and Rehabilitation, Vol. 18, 1 (Feb. 2021), 31. https://doi.org/10.1186/s12984-020-00801--3
[100]
thecurlyclinician. 2017. PTCAS: Observation Hours. https://thecurlyclinician.com/2017/12/09/ptcas-observation-hours/
[101]
Edward C. Wang, Meeryo C. Choe, John G. Meara, and Jeffrey A. Koempel. 2004. Inequality of access to surgical specialty health care: why children with government-funded insurance have less access than those with private insurance in Southern California. Pediatrics, Vol. 114, 5 (Nov. 2004), e584--590. https://doi.org/10.1542/peds.2004-0210
[102]
Amarins J. Wijma, Anouck N. Bletterman, Jacqui R. Clark, Sigrid C. J. M. Vervoort, Anneke Beetsma, Doeke Keizer, Jo Nijs, and C. Paul Van Wilgen. 2017. Patient-centeredness in physiotherapy: What does it entail? A systematic review of qualitative studies. Physiotherapy Theory and Practice, Vol. 33, 11 (Nov. 2017), 825--840. https://doi.org/10.1080/09593985.2017.1357151
[103]
Jinlong Wu, Aihua Zeng, Ziyan Chen, Ye Wei, Kunlun Huang, Jiafeng Chen, and Zhanbing Ren. 2021. Effects of Virtual Reality Training on Upper Limb Function and Balance in Stroke Patients: Systematic Review and Meta-Meta-Analysis. Journal of Medical Internet Research, Vol. 23, 10 (Oct. 2021), e31051. https://doi.org/10.2196/31051
[104]
Wenge Xu, Hai-Ning Liang, Nilufar Baghaei, Xiaoyue Ma, Kangyou Yu, Xuanru Meng, and Shaoyue Wen. 2021. Effects of an Immersive Virtual Reality Exergame on University Students? Anxiety, Depression, and Perceived Stress: Pilot Feasibility and Usability Study. JMIR Serious Games, Vol. 9, 4 (Nov. 2021), e29330. https://doi.org/10.2196/29330 Company: JMIR Serious Games Distributor: JMIR Serious Games Institution: JMIR Serious Games Label: JMIR Serious Games Publisher: JMIR Publications Inc., Toronto, Canada.
[105]
Momona Yamagami, Kelly Mack, Jennifer Mankoff, and Katherine M. Steele. 2022. 'I'm Just Overwhelmed': Investigating Physical Therapy Accessibility and Technology Interventions for People with Disabilities and/or Chronic Conditions., Vol. 15, 4 (Oct. 2022), 1--22. https://doi.org/10.1145/3563396
[106]
Elisa Yansun, Daniel Kim, and Burkhard Claus Wünsche. 2022. CoXercise - Perceptions of a Social Exercise Game and its Effect on Intrinsic Motivation. In Proceedings of the 2022 Australasian Computer Science Week (ACSW '22). Association for Computing Machinery, New York, NY, USA, 176--185. https://doi.org/10.1145/3511616.3513113
[107]
Hui Zhang, Junqing Wang, Zekun Jiang, Tao Deng, Kang Li, and Yong Nie. 2023. Home-based tele-rehabilitation versus hospital-based outpatient rehabilitation for pain and function after initial total knee arthroplasty: A systematic review and meta-analysis. Medicine, Vol. 102, 51 (Dec. 2023), e36764. https://doi.org/10.1097/MD.0000000000036764
[108]
Yan Zhang and Barbara M. Wildemuth. 2005. Qualitative Analysis of Content By. Human Brain Mapping, Vol. 30, 7 (2005), 2197--2206. https://doi.org/10.1002/hbm.20661
[109]
Junyi Zhu, Yuxuan Lei, Aashini Shah, Gila Schein, Hamid Ghaednia, Joseph Schwab, Casper Harteveld, and Stefanie Mueller. 2022. Musclerehab: Improving unsupervised physical rehabilitation by monitoring and visualizing muscle engagement. In Proceedings of the 35th Annual ACM Symposium on User Interface Software and Technology. 1--14.
[110]
Janice L. Zimbelman, Stephen P. Juraschek, Xiaoming Zhang, and Vernon Lin. 2010. Physical Therapy Workforce in the United States: Forecasting Nationwide Shortages. PM&R, Vol. 2, 11 (Nov. 2010), 1021--1029. https://doi.org/10.1016/j.pmrj.2010.06.015
Index Terms
- From Novelty to Clinical Practice: Exploring VR Exergames with Physical Therapists
Recommendations
Immersive VR Exergames for Health and Wellbeing
CHI EA '19: Extended Abstracts of the 2019 CHI Conference on Human Factors in Computing SystemsThis paper describes a Virtual Reality (VR) exergame platform used to investigate player motivation and experience of physical activity through variations of game designs. The VR-Rides platform combines a desk cycle, real-world imagery, an HTC VIVE head-...
ExoInterfaces: novel exosceleton haptic interfaces for virtual reality, augmented sport and rehabilitation
AH '10: Proceedings of the 1st Augmented Human International ConferenceWe developed novel haptic interfaces, FlexTorque and FlexTensor that enable realistic physical interaction with real and Virtual Environments. The idea behind FlexTorque is to reproduce human muscle structure, which allows us to perform dexterous ...
Exploring The Relationship Between VR Immersion, Adaptive Resistance and Physical Exertion
CHI EA '18: Extended Abstracts of the 2018 CHI Conference on Human Factors in Computing SystemsThe objective of this research is to examine the relationships that exist between immersion, adaptive resistance and physical exertion. It explores, through physiological gaming interventions whether decoupling human and machine haptics, when ...
Comments
Information & Contributors
Information
Published In
October 2024
1726 pages
Copyright © 2024 Owner/Author.
This work is licensed under a Creative Commons Attribution International 4.0 License.
Publisher
Association for Computing Machinery
New York, NY, United States
Publication History
Published: 15 October 2024
Published in PACMHCI Volume 8, Issue CHI PLAY
Check for updates
Author Tags
Qualifiers
- Research-article
Contributors
Other Metrics
Bibliometrics & Citations
Bibliometrics
Article Metrics
- 0Total Citations
- 209Total Downloads
- Downloads (Last 12 months)209
- Downloads (Last 6 weeks)89
Reflects downloads up to 30 Dec 2024
Other Metrics
Citations
View Options
Login options
Check if you have access through your login credentials or your institution to get full access on this article.
Sign in