Learning to Use a Prosthetic Device: Can Serious Games Help?

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Raoul M. Bongers, PhD
Center for Human Movement Sciences, University Medical Center Groningen
University of Groningen
The Netherlands

Describing kinematics of grasping objects with a prosthesis and showing that this is less fluent than grasping withan anatomical hand is taken as a starting point to focus on learning to improve rehabilitation of the use of upper extremity prostheses. It will be argued that serious games have benefits for rehabilitation, and a main question addressed in the presentation is on the requirements of serious games for prosthetic rehabilitation. Results will be described of experiments on hand opening and closing control in 1-DOF prosthesis hands as well as the producing of triggers to switch between grip types in multi-DOF prosthesis hands and how these can be trained with serious games. It will be argued that a task specific approach, inspired from Ecological Psychology, is required when developing serious games for prosthesis use. Finally, it will be shown how different types of feedback in conventional training as well as training with a game affect the learning of the producing of grip types in multi-DOF prostheses controlled with pattern recognition. In the conclusions recommendations with regard to developing serious games for prosthesis use will be provided that is inspired from a combined approach of Ecological Psychology and Dynamical Systems Account to motor coordination.

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