Idriss Mohamad, Tannous Halim, Istrate Dan, Perrochon Anaick, Salle Jean-Yves, Ho Ba Tho Marie-Christine, Dao Tien-Tuan
Sorbonne University, Université de technologie de Compiègne, CNRS, UMR 7338 Biomechanics and Bioengineering, Compiègne, France.
HAVAE EA 6310, Université de Limoges, Limoges, France.
JMIR Serious Games. 2017 Jul 4;5(3):e14. doi: 10.2196/games.7284.
The progress in information and communication technology (ICT) led to the development of a new rehabilitation technique called "serious game for functional rehabilitation." Previous works have shown that serious games can be used for general health and specific disease management. However, there is still lack of consensus on development and evaluation guidelines. It is important to note that the game performance depends on the designed scenario.
The objective of this work was to develop specific game scenarios and evaluate them with a panel of musculoskeletal patients to propose game development and evaluation guidelines.
A two-stage workflow was proposed using determinant framework. The development guideline includes the selection of three-dimensional (3D) computer graphics technologies and tools, the modeling of physical aspects, the design of rehabilitation scenarios, and the implementation of the proposed scenarios. The evaluation guideline consists of the definition of evaluation metrics, the execution of the evaluation campaign, the analysis of user results and feedbacks, and the improvement of the designed game.
The case study for musculoskeletal disorders on the healthy control and patient groups showed the usefulness of these guidelines and associated games. All participants enjoyed the 2 developed games (football and object manipulation), and found them challenging and amusing. In particular, some healthy subjects increased their score when enhancing the level of difficulty. Furthermore, there were no risks and accidents associated with the execution of these games.
It is expected that with the proven effectiveness of the proposed guidelines and associated games, this new rehabilitation game may be translated into clinical routine practice for the benefit of patients with musculoskeletal disorders.
信息与通信技术（ICT）的进步催生了一种名为“功能康复严肃游戏”的新型康复技术。先前的研究表明，严肃游戏可用于一般健康和特定疾病管理。然而，在开发和评估指南方面仍缺乏共识。需要注意的是，游戏性能取决于所设计的场景。
本研究旨在开发特定的游戏场景，并由一组肌肉骨骼疾病患者进行评估，以提出游戏开发和评估指南。
采用决定因素框架提出了一个两阶段工作流程。开发指南包括三维（3D）计算机图形技术和工具的选择、物理方面的建模、康复场景的设计以及所提出场景的实施。评估指南包括评估指标的定义、评估活动的执行、用户结果和反馈的分析以及所设计游戏的改进。
针对健康对照组和患者组的肌肉骨骼疾病案例研究表明了这些指南及相关游戏的实用性。所有参与者都喜欢这两款开发的游戏（足球和物体操纵），并认为它们具有挑战性且有趣。特别是，一些健康受试者在提高难度级别时提高了分数。此外，执行这些游戏没有风险和事故。
预计随着所提出的指南及相关游戏的有效性得到证实，这种新型康复游戏可能会转化为临床常规实践，以造福肌肉骨骼疾病患者。
