Supporting Stroke Rehabilitation Through Gamified Daily Activity Simulations

• Lucas D. Barboza Unisales
• Franciely R. da Silva Unisales
• Humberto G. de Oliveira Unisales
• Jullia C. de Oliveira Unisales
• Antônio R. A. Brasil Unisales

DOI: https://doi.org/10.5753/sbcas_estendido.2025.6923

Resumo

This paper introduces the creation of an open-source virtual reality (VR) game for stroke rehabilitation by simulating daily activities. The game proposes immersive environments, including a tea room, bathroom, garden, and kitchen, designed to promote functional gesture movements and enhance user engagement by introducing gamification. Patients are rewarded with points for task completion, for example, grabbing a fruit and eating, thus creating a competitive and motivating environment. Preliminary testing with university students received positive responses, particularly regarding the realism of the tasks. However, extended use of VR resulted in reports of physical discomfort and headaches. Next steps include the approval for further testing by the Ethics Committee involving stroke patients.

Referências

Cameirão, M. S., Badia, S. B. I., Oller, E. D., and Verschure, P. F. (2010). Neurorehabilitation using the virtual reality based rehabilitation gaming system: methodology, design, psychometrics, usability and validation. Journal of neuroengineering and rehabilitation, 7:1–14.

Castro Feitosa, F., Gomes dos Santos, G., Pereira Santos, S., Nazareth Dias, Á. R., Nunes da Silva, C., and Mendes Paranhos, A. C. (2022). Jogos e acidente vascular cerebral: perspectivas da terapia ocupacional no campo da reabilitação neuropsicológica. Revista Família, Ciclos de Vida e Saúde no Contexto Social, pages 143–153.

Darekar, A., McFadyen, B. J., Lamontagne, A., and Fung, J. (2015). Efficacy of virtual reality-based intervention on balance and mobility disorders post-stroke: a scoping review. Journal of neuroengineering and rehabilitation, 12:1–14.

Demeco, A., Zola, L., Frizziero, A., Martini, C., Palumbo, A., Foresti, R., Buccino, G., and Costantino, C. (2023). Immersive virtual reality in post-stroke rehabilitation: a systematic review. Sensors, 23(3):1712.

Fregna, G., Schincaglia, N., Baroni, A., Straudi, S., and Casile, A. (2022). A novel immersive virtual reality environment for the motor rehabilitation of stroke patients: A feasibility study. Frontiers in Robotics and AI, 9:906424.

Gibbons, E. M., Thomson, A. N., de Noronha, M., and Joseph, S. (2016). Are virtual reality technologies effective in improving lower limb outcomes for patients following stroke–a systematic review with meta-analysis. Topics in stroke rehabilitation, 23(6):440–457.

Hadjipanayi, C., Banakou, D., and Michael-Grigoriou, D. (2024). Virtual reality exergames for enhancing engagement in stroke rehabilitation: A narrative review. Heliyon, 10(18).

Henderson, A., Korner-Bitensky, N., and Levin, M. (2007). Virtual reality in stroke rehabilitation: a systematic review of its effectiveness for upper limb motor recovery. Topics in stroke rehabilitation, 14(2):52–61.

Kang, D., Park, J., and Eun, S.-D. (2023). Home-based virtual reality exergame program after stroke rehabilitation for patients with stroke: A study protocol for a multicenter, randomized controlled trial. Life, 13(12):2256.

Langhorne, P., Bernhardt, J., and Kwakkel, G. (2011). Stroke rehabilitation. The Lancet, 377(9778):1693–1702.

Larentis, A. V., de Carvalho, J. V., Bez, M. R., da Silva, V., and Kurtz, D. M. (2024). Play blow-um jogo para auxiliar na fisioterapia respiratória. In Simpósio Brasileiro de Computação Aplicada à Saúde (SBCAS), pages 669–674. SBC.

Laver, K. E., Lange, B., George, S., Deutsch, J. E., Saposnik, G., and Crotty, M. (2017). Virtual reality for stroke rehabilitation. Cochrane database of systematic reviews, (11).

Lee, K., Lee, D., Hong, S., Shin, D., Jeong, S., Shin, H., Choi, W., An, S., and Lee, G. (2021). The relationship between sitting balance, trunk control and mobility with predictive for current mobility level in survivors of sub-acute stroke. PLoS One, 16(8):e0251977.

Li, X., He, Y., Wang, D., and Rezaei, M. J. (2024). Stroke rehabilitation: from diagnosis to therapy. Frontiers in neurology, 15:1402729.

Lindsay, M. P., Norrving, B., Sacco, R. L., Brainin, M., Hacke, W., Martins, S., Pandian, J., and Feigin, V. (2019). World stroke organization (wso): global stroke fact sheet 2019.

Mendes, D. A. T. (2023). Physio games: Ambiente de integração de jogos sérios para reabilitação física de amputados.

Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., Biller, J., Brown, M., Demaerschalk, B. M., Hoh, B., et al. (2019). Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the american heart association/american stroke association. Stroke, 50(12):e344–e418.

Rocha, G. C., Schmidt, D., Schaan, C. W., and Rossato, D. (2021). Efeitos da utilização da realidade virtual não imersiva na reabilitação de membro superior de pacientes acometidos por avc em um hospital público de porto alegre. Clinical and biomedical research. Porto Alegre. vol, 41, no. 1 (2021), p. 53-56.

Thornton, M., Marshall, S., McComas, J., Finestone, H., McCormick, A., and Sveistrup, H. (2005). Benefits of activity and virtual reality based balance exercise programmes for adults with traumatic brain injury: perceptions of participants and their caregivers. Brain injury, 19(12):989–1000.

Tsekleves, E., Paraskevopoulos, I. T., Warland, A., and Kilbride, C. (2016). Development and preliminary evaluation of a novel low cost vr-based upper limb stroke rehabilitation platform using wii technology. Disability and Rehabilitation: Assistive Technology, 11(5):413–422.