Clinic Features

Our Clinic Account provides clinicians, caregivers, and other users with multiple features to monitor, document, and dose all their player-patient’s game sessions.  Clinicians can monitor patient game play performance in real time either in person (on site clinic sessions) or remotely (home exercise sessions) and they can adjust game parameters to change game difficulty during or between sessions (on site or with remote use). This remote option gives a clinician the ability to monitor how often the patient participated in a home exercise program and how successful the experience was towards achieving therapy goals. From the clinician website, the clinician can adjust the home game parameters to meet the patient needs and move towards achieving therapy goals.

Features include:

• View All Patient Sessions – An overview of their entire group of patients where the therapist can track progress over time.
• View Session Details – Details of a single play session where the therapist can see patient game performance metrics: scores, duration, and performance through graphs and tables
• 3D playback – An avatar replay of the patient’s movements from a play session for remote evaluation of quality of movement.
• Changing/Adjusting Game Parameters – The ability to override game parameters remotely to adjust in-home game sessions.

In addition to the longitudinal data on patient performance over time, each session includes detailed individual performance data. Clinicians can examine patient movement from any game play session to determine if the patient is meeting therapy goals and if the game parameters need to be revised to optimize movement. (i.e., joint Range of Motion (ROM). Clinicians may view details of any session, including:

• Patient gaming performance – game score and game duration (timing)
• Patient joint ROM during a game play session (from a table of 23 body marker min/max positions)
• Position graphs of 3D (X,Y,Z) body marker data for 23 body markers over an entire session, and min-max summary tables.
• Graphs of joint angles and velocities over an entire session (including uniaxial, biaxial and tri-axial joints) for over one dozen joints, and min-max ROM summary tables
• Interactive graphs allow you to zoom in on session data to see sub-second motion.

The clinician has the ability to view the patient sessions using the 3D Playback feature using an avatar. This feature allows the clinician to see the ‘quality, extent and amount of movement’ during the gaming session. This information is not available from charts and graphs and gives the clinician the sense of the patient’s movement capacity during game play. The ability to view patient movement during gaming sessions may inform the clinician as to if and how they should adjust game parameters for future game play sessions in the clinic or at home.

Advantages of the avatar driven 3D Playback over video recording of the patient include:

• No HIPAA violations because patient images are not saved in the game data recording.
• Ability to view sessions from multiple angles and not just a 2-D video recording
• DVR-like controls including rewind, playback speed with fast forward (up to 10X) and slow motion, pause and reverse features
• Full camera control including zoom, pan, and rotate.
• Tracing body parts to generate movement/reach volumes for visualizing movement without monitoring entire session.
• Virtual goniometers/protractors show real time joint ROM during the 3-D playback session to identify joint movement during the gaming session

A clinician may decide to adjust game parameters after reviewing patient performance. Clinicians have the opportunity to adjust multiple gaming parameters for each of the games available in the EAG suite of games. Adjusting game parameters will help make the games more accessible to patients and will give clinicians the opportunity to increase or decrease game difficulty to achieve the patient’s therapy goals. All game parameters for all of the video games in the enAbleGames site can be changed/adjusted either on site for clinic game play sessions or remotely for home exercise programs by using our simple web interface.

Flexible gaming parameters allow the clinician to make changes to the following areas:

• Body tracking & movement that will ‘engage’ the game
  • Allows a game to be played by motion from unilateral or bilateral upper extremity (UE) or lower extremity (LE) movement or by trunk lateral flexion or weight shifting
  • Enables the clinician to choose game play to focus on desired patient movement
• Number of objects in the game that are ‘positive’ (ones to collect/hit) or ‘negative’ (ones to avoid) during game play to change degree of difficulty and scoring
• Length of a game play session (duration)
• Speed of a game play session (intensity)
• Graphic design (theme) of a game play session (engagement)
• A variety of special effects that can be used or disabled depending on patients sensory needs. These special effects may:
  • Promote attention/memory by adjusting features
  • Help motivate players and provide feedback (voice coach feature)
  • Increase motivation by adding ‘paint splats’ to create colorful visuals
  • Increase enjoyment and motivation with music