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  4. Trends in robot-assisted and virtual reality-assisted neuromuscular therapy: a systematic review of health-related multiplayer games

Trends in robot-assisted and virtual reality-assisted neuromuscular therapy: a systematic review of health-related multiplayer games

Journal of NeuroEngineering and Rehabilitation, 2018 · DOI: https://doi.org/10.1186/s12984-018-0449-9 · Published: October 23, 2018

Assistive TechnologyNeurorehabilitationRehabilitation

Simple Explanation

Multiplayer games are being explored as a way to make rehabilitation therapy more engaging for patients. The review looks at studies involving patients with cognitive or motor impairments using health-related multiplayer games. The study examines if playing multiplayer games affects how much people enjoy the game and how well they perform compared to playing alone. It also discusses how well the difficulty of the game matches the player's skill level. Robotic assistance and virtual reality can be used to adapt the game to each player's needs, such as providing more support or resistance as needed. The flow theory and challenge point framework are used to explain how adapting the game can improve the experience.

Study Duration
Not specified
Participants
13 studies reviewed, including healthy individuals, patients with motor/cognitive impairments, adolescents, and students.
Evidence Level
Systematic Review

Key Findings

  • 1
    Multiplayer modes generally improve game experience and performance compared to single-player modes.
  • 2
    Adapting game conditions to individual skill levels is important in competitive multiplayer games.
  • 3
    Robotic assistance and virtual reality can enhance individualization by adapting haptic conditions.

Research Summary

This systematic review evaluated recent publications in health-related multiplayer games that involved patients with cognitive and/or motor impairments to investigate the effect of multiplayer gaming on game experience and game performance in healthy and non-healthy populations in comparison to individual game play. The multiplayer modes of training reviewed improved game experience and game performance compared to single-player modes. However, the methods reviewed were quite heterogeneous and not exhaustive. One important take-away is that adaptation of the game conditions can individualize the difficulty of a game to a player’s skill level in competitive multiplayer games.

Practical Implications

Improved Engagement

Multiplayer games can be used to increase patient motivation and engagement in neurorehabilitation.

Personalized Therapy

Robotic assistance and virtual reality can be used to adapt the game difficulty to match individual patient skill levels.

New Multiplayer Modes

Exploring different multiplayer modes and co-player characteristics may lead to more effective interventions.

Study Limitations

  • 1
    Heterogeneity in methods across reviewed studies.
  • 2
    Small number of relevant studies published so far.
  • 3
    Potential publication and language bias.

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