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Advisor(s)
Abstract(s)
Com o advento tecnolĆ³gico dos Ćŗltimos anos, tem-se observado uma proliferaĆ§Ć£o de jogos
sĆ©rios com intuito terapĆŖutico, a par do desenvolvimento de novas interfaces humanocomputador para aumentar a sua acessibilidade a qualquer pessoa. Dentro destes, jogos
sĆ©rios ativos, que envolvem movimento do utilizador como forma de interaĆ§Ć£o, baseados em
visĆ£o computacional e sistemas de realidade virtual tĆŖm sido cada vez mais utilizados para
reabilitaĆ§Ć£o e promoĆ§Ć£o de habilidades funcionais em populaĆ§Ć£o pediĆ”trica. De acordo com a
literatura, estes jogos virtuais interativos tĆŖm os āingredientesā necessĆ”rios para aumentar a
eficiĆŖncia de um programa de reabilitaĆ§Ć£o e potenciam a motivaĆ§Ć£o e envolvimento das
crianƧas com paralisia cerebral no processo de reabilitaĆ§Ć£o.
CrianƧas com paralisia cerebral necessitam de acompanhamento terapĆŖutico ao longo de
toda a sua vida, levando a uma sobrecarga cada vez maior nos sistemas de saĆŗde e
desmotivaĆ§Ć£o com as tradicionais abordagens de reabilitaĆ§Ć£o, tornando-se desta forma
crucial a implementaĆ§Ć£o de novas metodologias na intervenĆ§Ć£o do terapeuta ocupacional.
Com este estudo pretende-se avaliar a eficƔcia de dois planos de jogo da plataforma web
Timocco, na promoĆ§Ć£o de competĆŖncias de movimento do membro superior em crianƧas com
paralisia cerebral, quando realizados em formato de telereabilitaĆ§Ć£o. SerĆ” igualmente
avaliada a motivaĆ§Ć£o dos participantes, bem como, a experiĆŖncia de utilizador percecionada
por eles e pelas suas famĆlias.
Neste sentido, foi implementado um programa de reabilitaĆ§Ć£o composto por dois planos
de jogo da plataforma Timocco: o plano 1 designado de āatenĆ§Ć£o por favor miniā, e o plano 2
designado de ācruzamento da linha mĆ©diaā. Estes planos foram jogados consecutivamente,
num perĆodo de cinco semanas, pelas 10 crianƧas com paralisia cerebral que constituem a
amostra, em formato de telereabilitaĆ§Ć£o. Foram analisadas estatisticamente, as diferenƧas no
desempenho no jogo ābanho de espumaā no plano 1, e no jogo ācesto de frutasā do plano 2, do
inĆcio para o final da intervenĆ§Ć£o. O nĆvel de motivaĆ§Ć£o e experiĆŖncia de utilizador obtidos
respetivamente na subescala prazer/interesse do inventĆ”rio de motivaĆ§Ć£o intrĆnseca (IMI) e
no questionĆ”rio de usabilidade da telereabilitaĆ§Ć£o foram analisados descritivamente.
No plano 1, observou-se um aumento das pontuaƧƵes totais, dos nĆveis jogados e
diminuiĆ§Ć£o do tempo mĆ©dio de resposta ao longo das repetiƧƵes do jogo 'banho de espuma',
o que reflete um maior nĆŗmero de repetiƧƵes de movimentos e movimento mais rĆ”pidos dos
membros superiores. Observou-se igualmente aumento dos movimentos realizados com o
membro superior mais afetado.
No que respeita o plano 2, verificam-se igualmente evoluƧƵes na pontuaĆ§Ć£o total. O
tempo mĆ©dio de resposta e nĆŗmero de nĆveis jogados manteve-se semelhante ao longo das
repetiƧƵes o que pode estar relacionado com o aumento da dificuldade e necessidade de
maior precisĆ£o de movimento para completar este jogo.
Os participantes mostraram um alto nĆvel de motivaĆ§Ć£o na utilizaĆ§Ć£o da plataforma
Timocco, bem como, uma boa experiĆŖncia de utilizador, refletida nas mĆ©dias de classificaĆ§Ć£o
alta dos diferentes domĆnios da usabilidade avaliados.
Esta investigaĆ§Ć£o fornece evidĆŖncias iniciais de que Ć© viĆ”vel o recurso a jogos virtuais
interativos em casa, ministrados e supervisionados pela internet em formato de
telereabilitaĆ§Ć£o para intervenĆ§Ć£o com crianƧas com paralisia cerebral. De acordo com os
resultados obtidos, a plataforma Timocco Ʃ uma alternativa vƔlida para promover melhorias
no movimento de membro superior.
The technological advent of the last few years has been promoting a proliferation of serious games for therapeutic purposes, together with the development of new humancomputer interfaces to increase their accessibility to anyone. Within these, exergames, which involve user movement as a form of interaction, based on computer vision and virtual reality systems, have been increasingly used for rehabilitation and promotion of functional skills in the pediatric population. According to the literature, these virtual interactive games have the right āingredientsā to increase the efficiency of a rehabilitation program and enhance the motivation and involvement of children with cerebral palsy in the rehabilitation process. Children with cerebral palsy need therapeutic monitoring throughout their lives, leading to an increasing burden on health systems and lack of motivation with traditional rehabilitation approaches, thus making it crucial to implement new methodologies in the Occupational Therapist's intervention. The aim of the present study is to evaluate the effectiveness of Timoccoās web platform games plans, in promoting upper limb movement skills in children with cerebral palsy, in telerehabilitation context. Participants' motivation will also be assessed, as well as the user experience perceived by them and their families. In this sense, a rehabilitation program was implemented consisting of two Timoccoās game plans platform: plan 1 called āattention please miniā, and plan 2 called ācrossing midlineā. These plans were played consecutively over a period of five weeks by the 10 children with cerebral palsy who make up the sample, in telerehabilitation format. The performance differences in ābubble bathā game in plan 1, and in āfruit basketā game in plan 2 were analyzed statistically from the beginning to the end of the intervention. The level of motivation and user experience obtained respectively in the pleasure / interest subscale of the intrinsic motivation inventory (IMI) and in the tele-rehabilitation usability questionnaire (TUQ) were descriptively analyzed. In plan 1, there was an increase in total scores, levels played and a decrease in the average response time over the repetitions of the 'bubble bath' game, which reflects a greater number of repetitions of movements and faster movement of upper limbs. There was also an increase in movements performed with the most affected upper limb. Regarding plan 2, there were also developments in the total score. The average response time and number of levels played remained similar throughout the repetitions, which may be related to the increased difficulty and the need for greater precision of movement to complete this game. The participants showed a high level of motivation with Timocco platform, as well as a good user experience, reflected in the high-ranking averages of the different usability domains assessed. This investigation provides initial evidence that it is viable to use interactive virtual games at home, taught and supervised by the internet in a telerehabilitation format for intervention with children with cerebral palsy. According to the results obtained, the Timocco platform is a valid alternative to promote improvements in upper limb movement.
The technological advent of the last few years has been promoting a proliferation of serious games for therapeutic purposes, together with the development of new humancomputer interfaces to increase their accessibility to anyone. Within these, exergames, which involve user movement as a form of interaction, based on computer vision and virtual reality systems, have been increasingly used for rehabilitation and promotion of functional skills in the pediatric population. According to the literature, these virtual interactive games have the right āingredientsā to increase the efficiency of a rehabilitation program and enhance the motivation and involvement of children with cerebral palsy in the rehabilitation process. Children with cerebral palsy need therapeutic monitoring throughout their lives, leading to an increasing burden on health systems and lack of motivation with traditional rehabilitation approaches, thus making it crucial to implement new methodologies in the Occupational Therapist's intervention. The aim of the present study is to evaluate the effectiveness of Timoccoās web platform games plans, in promoting upper limb movement skills in children with cerebral palsy, in telerehabilitation context. Participants' motivation will also be assessed, as well as the user experience perceived by them and their families. In this sense, a rehabilitation program was implemented consisting of two Timoccoās game plans platform: plan 1 called āattention please miniā, and plan 2 called ācrossing midlineā. These plans were played consecutively over a period of five weeks by the 10 children with cerebral palsy who make up the sample, in telerehabilitation format. The performance differences in ābubble bathā game in plan 1, and in āfruit basketā game in plan 2 were analyzed statistically from the beginning to the end of the intervention. The level of motivation and user experience obtained respectively in the pleasure / interest subscale of the intrinsic motivation inventory (IMI) and in the tele-rehabilitation usability questionnaire (TUQ) were descriptively analyzed. In plan 1, there was an increase in total scores, levels played and a decrease in the average response time over the repetitions of the 'bubble bath' game, which reflects a greater number of repetitions of movements and faster movement of upper limbs. There was also an increase in movements performed with the most affected upper limb. Regarding plan 2, there were also developments in the total score. The average response time and number of levels played remained similar throughout the repetitions, which may be related to the increased difficulty and the need for greater precision of movement to complete this game. The participants showed a high level of motivation with Timocco platform, as well as a good user experience, reflected in the high-ranking averages of the different usability domains assessed. This investigation provides initial evidence that it is viable to use interactive virtual games at home, taught and supervised by the internet in a telerehabilitation format for intervention with children with cerebral palsy. According to the results obtained, the Timocco platform is a valid alternative to promote improvements in upper limb movement.
Description
DissertaĆ§Ć£o de mestrado
Keywords
Jogos virtuais interativos NeuroreabilitaĆ§Ć£o Paralisia cerebral TelereabilitaĆ§Ć£o Exergames Neurorehabilitation Cerebral palsy Tele-rehabilitation