SilverFit, a virtual rehabilitation system
A. Rademaker,, S. van der Linden, J. Wiersinga
Physiotherapy and fitness tool. Motivates frail and elderly to Trains full set of gross motor
Computer games train elderly exercise movements
• System support physiotherapist
• Games create fun and motivate Walking Balance
to keep exercising
• Patient can train independently
• Allows extra therapy/training at
less than 50% of hourly costs
Seated Cardio
• Used for rehabilitation after CVA,
hip/orthopedic surgery, heart
surgery/ bypass, Parkinson, MS, Wheel-
Alzheimer and in general fitness Arms
chair
Ease of use was vital design System used in practice in Early evidence for benefits
criterium >98% of working days e.g., in fall prevention
Time of flight camera technology
Traditional SilverFit
allows people to exercise freely 0,6
Patient position
0,6
Patient position
7:00 PM 0,4
0,4 over time over time
0,2
without holding anything Less predictable 0,2
0
6:00 PM The computer training is less predictable. This 0
-1 -0,8 -0,6 -0,4 -0,2 0 0,2 0,4 0,6 0,8
-1 -0,8 -0,6 -0,4 -0,2 0 0,2 0,4 0,6 0,8 -0,2
improves the generalization of the trained ability -0,2
-0,4
-0,4
5:00 PM to daily life. -0,6
-0,6
-0,8
-0,8
4:00 PM -1
-1
Accessible game design allows 3:00 PM
Nr/times Nr/times
people to immediately start 2:00 PM per exercise (n=7) per exercise (n=7)
More intense 30 30 27 22
1:00 PM The computer training is objectively and 20 20
playing subjectively more intense, e.g., people make 10 5 3 10
5x more sidewards and 7x more backwards 0 0
12:00 PM
movements that are vital for balance Move Move Move Move
11:00 AM training. sidewards backwards sidewards backwards
10:00 AM
Custom remote control makes it
9:00 AM
very easy to select the right More fun “I would give “But the mole
8:00 AM The computer training is more fun for the
patients, so they train longer and harder, normal therapy game gets 6
exercise 7:00 AM and they enjoy it more than normal
17-01-200924-01-200931-01-200907-02-200914-02-200921-02-200928-02-2009
200907-03-200914-03-200921-03-200928-03-200904-04-200911-04-2009 therapy.
5 out of 5 points” out of 5…”
Literature
1. Van Campen, C. Grijswaarden: monitor ouderenbeleid 2008. (2008).
Demonstration Contact information
2. Wendel-Vos GCW (RIVM) Lichamelijke activiteit : Wat zijn de mogelijke gezondheidsgevolgen van lichamelijke activiteit? In: Volksgezondheid Toekomst Verkenning, Nationaal Kompas Volksgezondheid. (2008).bij
<http://www.rivm.nl/vtv/object_document/o1201n19090.html> Joris Wiersinga
3. Gezondheidsraad Vergrijzen met ambitie. (2005).
4. Deeg, D. & Visser, M. Het beweeggedrag van ouderen. Trendrapport Bewegen en Gezondheid 2004/2005 179-190 (2007). A demonstration will take place on Wednesday
5. NISB Review "Ouderen en beweging". (2007).
6. Jans, M., de Vreede, P., Tak, E. & van Meeteren, N. TNO Rapport Ontwikkeling van een beweegnorm voor ouderen in verpleeg- en verzorgingshuizen.
7. www.rhochi.nl/abstractsstudenten/marleen%20huyben.doc. Email: research@silverfit.nl
8. Nederlandse vereniging voor neurologie/ CBO Conceptrichtlijn diagnostiek, behandeling en zorg voor patiënten met een beroerte. (2008).
9. Bernhardt, J., Chan, J., Nicola, I. & Collier, J.M. Little therapy, little physical activity: rehabilitation within the first 14 days of organized stroke unit care. J Rehabil Med 39, 43-48 (2007). July 8th from 10:30-12:00
12:00 AM. You can try the
10. Wann, J.P. & Turnbull, J.D. Motor skill learning in cerebral palsy: movement, action and computer-enhanced therapy. Baillieres Clin Neurol 2, 15-28 (1993).
11. Holden, M.K. Virtual environments for motor rehabilitation: review. Cyberpsychol Behav 8, 187-211; discussion 212-9 (2005).
12. Jannink, M.J. State of the art. CVA-revalidatie van beperkte arm- en handfunctie: robotica en virtual reality? Ned. Tijdschr. Fyiother. 118, 86-94 (2008). Phone: + 31 6 510 24 332
13. Fulk, G.D. Locomotor training and virtual reality-based balance training for an individual with multiple sclerosis: a case report. J Neurol Phys Ther 29, 34-42 (2005).
14. Albani, G. e.a. Common daily activities in the virtual environment: a preliminary study in parkinsonian patients. Neurol Sci 23 Suppl 2, S49-50 (2002). exercises yourself if you want. If you missed
15. Boniver, R. Virtual vestibular re-education. A new technology. B-ENT 2, 147-50 (2006).
16. Deutsch, J.E., Borbely, M., Filler, J., Huhn, K. & Guarrera-Bowlby, P. Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Phys Ther 88, 1196-1207 (2008). 1e Jerichostraat 58B Rotterdam The Netherlands
17. IJsselsteijn, W., Nap, H.H., Kort, Y.D. & Poels, K. Digital game design for elderly users. Proceedings of the 2007 conference on Future Play 17-22 (2007).doi:10.1145/1328202.1328206
18. Maki, B.E. e.a. Preventing falls in older adults: new interventions to promote more effective change-in-support balance reactions. J Electromyogr Kinesiol 18, 243-254 (2008). the demonstration, please watch our video!
19. Maki, B.E. & McIlroy, W.E. Change-in-support balance reactions in older persons: an emerging research area of clinical importance. Neurol Clin 23, 751-783, vi-vii (2005).
20. Zijlstra, A., Ufkes, T., Skelton, D.A., Lundin-Olsson, L. & Zijlstra, W. Do dual tasks have an added value over single tasks for balance assessment in fall prevention programs? A mini-review. Gerontology 54, 40-49 (2008).
Website: www.silverfit.nl
