"Gamification" is an informal umbrella term for the use of video game elements in non-gaming systems to improve user experience (UX) and user engagement. The recent introduction of 'gamified' applications to large audiences promises new additions to the existing rich and diverse research on the heuristics, design patterns and dynamics of games and the positive UX they provide. However, what is lacking for a next step forward is the integration of this precise diversity of research endeavors. Therefore, this workshop brings together practitioners and researchers to develop a shared understanding of existing approaches and findings around the gamification of information systems, and identify key synergies, opportunities, and questions for future research.

http://gamification-research.org/wp-content/uploads/2011/04/01-Deterding-Sicart-Nacke-OHara-Dixon.pdf

Gamification. using game-design elements in non-gaming contexts

Gamification has drawn the attention of academics, practitioners and business professionals in domains as diverse as education, information studies, human-computer interaction, and health. As yet, the term remains mired in diverse meanings and contradictory uses, while the concept faces division on its academic worth, underdeveloped theoretical foundations, and a dearth of standardized guidelines for application. Despite widespread commentary on its merits and shortcomings, little empirical work has sought to validate gamification as a meaningful concept and provide evidence of its effectiveness as a tool for motivating and engaging users in non-entertainment contexts. Moreover, no work to date has surveyed gamification as a field of study from a human-computer studies perspective. In this paper, we present a systematic survey on the use of gamification in published theoretical reviews and research papers involving interactive systems and human participants. We outline current theoretical understandings of gamification and draw comparisons to related approaches, including alternate reality games (ARGs), games with a purpose (GWAPs), and gameful design. We present a multidisciplinary review of gamification in action, focusing on empirical findings related to purpose and context, design of systems, approaches and techniques, and user impact. Findings from the survey show that a standard conceptualization of gamification is emerging against a growing backdrop of empirical participants-based research. However, definitional subjectivity, diverse or unstated theoretical foundations, incongruities among empirical findings, and inadequate experimental design remain matters of concern. We discuss how gamification may to be more usefully presented as a subset of a larger effort to improve the user experience of interactive systems through gameful design. We end by suggesting points of departure for continued empirical investigations of gamified practice and its effects. We present findings from a survey of the gamification literature.Theoretical findings suggest that gamification is a distinct concept.Conceptual foundations tend to converge on psychological theories of motivation.Early applied work suggests positive-leaning but mixed results.Empirical work on specific elements with direct ties to theory and stronger experimental designs is needed.

Gamification in theory and action

Effective stroke rehabilitation must be early, intensive and repetitive, which can lead to problems with patient motivation and engagement. The design of video games, often associated with good user engagement, may offer insights into how more effective systems for stroke rehabilitation can be developed. In this paper we identify game design principles for upper limb stroke rehabilitation and present several games developed using these principles. The games use low-cost video-capture technology which may make them suitable for deployment at home. Results from evaluating the games with both healthy subjects and people with stroke in their home are encouraging.

Optimising engagement for stroke rehabilitation using serious games

This paper reviews the literature relating to the biofeedback used in physical rehabilitation. The biofeedback methods used in rehabilitation are based on biomechanical measurements and measurements of the physiological systems of the body. The physiological systems of the body which can be measured to provide biofeedback are the neuromuscular system, the respiratory system and the cardiovascular system. Neuromuscular biofeedback methods include electromyography (EMG) biofeedback and real-time ultrasound imaging (RTUS) biofeedback. EMG biofeedback is the most widely investigated method of biofeedback and appears to be effective in the treatment of many musculoskeletal conditions and in post cardiovascular accident (CVA) rehabilitation. RTUS biofeedback has been demonstrated effective in the treatment of low back pain (LBP) and pelvic floor muscle dysfunction. Cardiovascular biofeedback methods have been shown to be effective in the treatment of a number of health conditions such as hypertension, heart failure, asthma, fibromyalgia and even psychological disorders however a systematic review in this field has yet to be conducted. Similarly, the number of large scale studies examining the use of respiratory biofeedback in rehabilitation is limited. Measurements of movement, postural control and force output can be made using a number of different devices and used to deliver biomechanical biofeedback. Inertial based sensing biofeedback is the most widely researched biomechanical biofeedback method, with a number of studies showing it to be effective in improving measures of balance in a number of populations. Other types of biomechanical biofeedback include force plate systems, electrogoniometry, pressure biofeedback and camera based systems however the evidence for these is limited. Biofeedback is generally delivered using visual displays, acoustic or haptic signals, however more recently virtual reality (VR) or exergaming technology have been used as biofeedback signals. VR and exergaming technology have been primarily investigated in post-CVA rehabilitation, however, more recent work has shown this type of biofeedback to be effective in improving exercise technique in musculoskeletal populations. While a number of studies in this area have been conducted, further large scale studies and reviews investigating different biofeedback applications in different clinical populations are required.

/pdf/biofeedback-in-rehabilitation-1qgwqzl42t.pdf

Biofeedback in rehabilitation

In this paper we present a review of the most current avenues of research into Kinect-based elderly care and stroke rehabilitation systems to provide an overview of the state of the art, limitations, and issues of concern as well as suggestions for future work in this direction. The central purpose of this review was to collect all relevant study information into one place in order to support and guide current research as well as inform researchers planning to embark on similar studies or applications. The paper is structured into three main sections, each one presenting a review of the literature for a specific topic. Elderly Care section is comprised of two subsections: Fall detection and Fall risk reduction. Stroke Rehabilitation section contains studies grouped under Evaluation of Kinect’s spatial accuracy, and Kinect-based rehabilitation methods. The third section, Serious and exercise games, contains studies that are indirectly related to the first two sections and present a complete system for elderly care or stroke rehabilitation in a Kinect-based game format. Each of the three main sections conclude with a discussion of limitations of Kinect in its respective applications. The paper concludes with overall remarks regarding use of Kinect in elderly care and stroke rehabilitation applications and suggestions for future work. A concise summary with significant findings and subject demographics (when applicable) of each study included in the review is also provided in table format.

/pdf/systematic-review-of-kinect-applications-in-elderly-care-and-36rex59g1q.pdf

Systematic review of Kinect applications in elderly care and stroke rehabilitation

Stroke is a leading cause of severe physical disability, causing a range of impairments.  Frequently stroke survivors are left with partial paralysis on one side of the body and movement can be severely restricted in the affected side’s hand and arm.  We know that effective rehabilitation must be early, intensive and repetitive, which leads to the challenge of how to maintain motivation for people undergoing therapy.  This paper discusses why games may be an effective way of addressing the problem of engagement in therapy and analyses which game design patterns may be important for rehabilitation.  We present a number of serious games that our group has developed for upper limb rehabilitation.  Results of an evaluation of the games are presented which indicate that they may be appropriate for people with stroke.

Serious Games for Upper Limb Rehabilitation Following Stroke

Stroke is the number one cause of severe physical disability in the UK. Recent studies have shown that technologies such as virtual reality and imaging can provide an engaging and motivating tool for physical rehabilitation. In this paper we summarize previous work in our group using virtual reality technology and webcam-based games. We then present early work we are conducting in experimenting with desktop augmented reality (AR) for rehabilitation. AR allows the user to use real objects to interact with computer-generated environments. Markers attached to the real objects enable the system (via a webcam) to track the position and orientation of each object as it is moved. The system can then augment the captured image of the real environment with computer-generated graphics to present a variety of game or task-driven scenarios to the user. We discuss the development of rehabilitation prototypes using available AR libraries and express our thoughts on the potential of AR technology.

Augmented Reality Games for Upper-Limb Stroke Rehabilitation

Recent studies have shown the potential benefits of applying technology to stroke rehabilitation. Traditional rehabilitation tasks are often mundane, and can lead to a lack of patient motivation, resulting in little or no independent patient exercise taking place. We describe a low-cost visual tracking system suitable for upper limb stroke rehabilitation in the home which does not require expensive or special equipment and which can be operated entirely independently by the patient. We look at past applications of imaging to stroke rehabilitation, and also game design theory and how it can be applied to stroke rehabilitation. We then describe two small prototype games which implement colour/object segmentation and motion detection to form the basis of our home rehabilitation system.

Vision Based Games for Upper-Limb Stroke Rehabilitation

Stroke is a leading cause of severe physical disability and can result in of a range of impairments, including loss of balance, attention and concentration deficiencies, pain, weakness and paralysis. This paper reports on the design of serious games for upper limb rehabilitation following stroke. In particular, we focus on identifying principles of video game design which are important in the context of rehabilitation and show how these principles canbe implemented. We also report on an evaluation of the games for playability, usability and engagement.

J.W. Burke

Papers

Optimising engagement for stroke rehabilitation using serious games

Serious Games for Upper Limb Rehabilitation Following Stroke

Augmented Reality Games for Upper-Limb Stroke Rehabilitation

Vision Based Games for Upper-Limb Stroke Rehabilitation

Designing engaging, playable games for rehabilitation