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Rehabilitation game for the
patients with Visual Field Defect
           Eri Shiroyama
       Mock-exam 31.05.2011
Eri Shiroyama
- Fukuoka / Japan

- International experience of
    working with other people
    who are totally different from
    my background


- Consultant & Researcher by
    creating solution with media
    and technology


-      Netherlands
How can we design a rehabilitation
game for the patients with visual
鍖eld defect after brain injury?

     Introduction - why did I chose the subject?

     What is Visual 鍖eld defect after brain injury?

     What kind of rehabilitation already exists for the patients?

      Communication Research - Play test and Interviews -

     What kind of Game Design is suitable for Hemianopsia
     patients?
INDEX
How can we design a rehabilitation game for the
patients with visual 鍖eld defect after brain injury?

       Introduction - why did I chose the subject?

       What is Visual 鍖eld defect after brain injury?

       What kind of rehabilitation already exists for the patients?

       Communication Research - Play test and Interviews -

       What kind of Game Design is suitable for Hemianopsia
       patients?
Introduction
                - Why did I chose the subject? -
- Stroke 

- Several rehabilitation game
   for paralysis of one side of the
   body


- Vogels!  Start to get
   interested in stroke patients


- 1/3 Visual disability in
   stroke patients

- Non digital game and
   demand for rehabilitation of
   visual defect
Introduction
     - Why did I chose the subject? -




But visual disability from brain injury is totally
different from problem of eye itself....
INDEX
How can we design a rehabilitation game for the
patients with visual 鍖eld defect after brain injury?

       Introduction - why did I chose the subject?

       What is Visual 鍖eld defect after brain injury?

       What kind of rehabilitation already exists for the patients?

       Communication Research - Play test and Interviews -

       What kind of Game Design is suitable for Hemianopsia
       patients?
What is Visual 鍖eld
  defect after brain injury?
Hemianopsia




  Half or quarter of visual 鍖elds are defected depending on
                which optic nerve are injured.
INDEX
How can we design a rehabilitation game for the
patients with visual 鍖eld defect after brain injury?

       Introduction - why did I chose the subject?

       What is Visual 鍖eld defect after brain injury?

       What kind of rehabilitation already exists for the patients?

       Communication Research - Play test and Interviews -

       What kind of Game Design is suitable for Hemianopsia
       patients?
What kind of rehabilitation already
           exists for the patients ?
There is new rehabilitation method for Hemianopsia patients by
using computer




Stimulate the boarder between Visual luck area and Visible area
What kind of rehabilitation already
     exists for the patients ?




            Medical thesis by Kagoshima University . 2007
What kind of rehabilitation already
      exists for the patients ?




But there is a Big problem...
ITS TOO
BORING
INDEX
How can we design a rehabilitation game for the
patients with visual 鍖eld defect after brain injury?

       Introduction - why did I chose the subject?

       What is Visual 鍖eld defect after brain injury?

       What kind of rehabilitation already exists for the patients?

       Communication Research - Play test and Interviews -

       What kind of Game Design is suitable for Hemianopsia
       patients?
Communication Research
      - Lots of experts Help for my project -




   Play test#1 & Interviews           Play test#1 & Interviews
 @ Kyushu university hospital            @ Nagao hospital




         Interviews               Helping for 鍖nding the patients
@ Kagoshima university hospital             @ Silver鍖t
Communication Research
  - Play test and Interviews -

                - Play test#1 in Japan
                - Idea*1 (Rhythm game)  Failed
                - But I learned a lot from the
                  play test and interviews

                   -   The way of stimulation wasnt correct
                       Line Points

                   -   Too dif鍖cult rule for the patients

                   -   Should be more familiar with elderly
                       people

                   -   Cant handle multiple keyboard
INDEX
How can we design a rehabilitation game for the
patients with visual 鍖eld defect after brain injury?

       Introduction - why did I chose the subject?

       What is Visual 鍖eld defect after brain injury?

       What kind of rehabilitation already exists for the patients?

       Communication Research - Play test and Interviews -

        What kind of Game Design is suitable for Hemianopsia
       patients?
What kind of Game Design is suitable
          for Hemianopsia patients?
1. Eye tracking by webcam




-   The game will know where the patients are looking at

-   They can play the game without watch by care persons (because patients has to
    keep their eyes 鍖xed at center of computer)

-   The patients can rehabilitate in their own house
What kind of Game Design is suitable
           for Hemianopsia patients?
      2. Idea*2 (Fishing game)

-   Simple art and Sound
    (If it is too much, the different parts of
    nerves will be stimulated )

-   Simple rule and One button
    game
-   Art performance for only                       A 鍖oat =
    feedback screen                              stimulation
                                                    point
-   Correct several kinds of 鍖sh
    and make own aquarium
What kind of Game Design is suitable
    for Hemianopsia patients?
3. Interface design




      Choose one of the 4 locations to place the interface
       (Depends on where is the visual disability)
What kind of Game Design is suitable
   for Hemianopsia patients?
Planning
           Play test #2          Play test #3      Project
           in Belgium            in Belgium       Deadline




Product          Improve the game

          Supportive narrative




   June                   July                  August
Reference
 Results from the National Health and Nutrition
  Examination Survey (1988-1994)

 Kazumi Kawahira etc , 2007| Quadranopsia
  improved by repetitive visual stimulation using a
  Computerized visual 鍖eld training machine in a
  stroke patient

 Polaski and Tatro, 1996 | Visual 鍖eld defects
  associated with hemianopia

 Hemispatial Neglect: Half the World Ends WithYou |
  http://troublethinking.wordpress.com/2010/07/09/
  hemispatial-neglect-half-the-world-ends-with-you/
Thank you
Any questions?
Two kinds of visual defect
  Hemispatial Neglect         Hemianopsia




Half of word doesnt exist
                              Half or quarter of visual 鍖eld defect
   for neglect patients
                                Not a lot of people have
  Heavy mental problem
                                heavy mental problem
 No ef鍖cient rehabilitation   There is some rehabilitation method

More Related Content

11.05.31 mock examination

  • 1. Rehabilitation game for the patients with Visual Field Defect Eri Shiroyama Mock-exam 31.05.2011
  • 2. Eri Shiroyama - Fukuoka / Japan - International experience of working with other people who are totally different from my background - Consultant & Researcher by creating solution with media and technology - Netherlands
  • 3. How can we design a rehabilitation game for the patients with visual 鍖eld defect after brain injury? Introduction - why did I chose the subject? What is Visual 鍖eld defect after brain injury? What kind of rehabilitation already exists for the patients? Communication Research - Play test and Interviews - What kind of Game Design is suitable for Hemianopsia patients?
  • 4. INDEX How can we design a rehabilitation game for the patients with visual 鍖eld defect after brain injury? Introduction - why did I chose the subject? What is Visual 鍖eld defect after brain injury? What kind of rehabilitation already exists for the patients? Communication Research - Play test and Interviews - What kind of Game Design is suitable for Hemianopsia patients?
  • 5. Introduction - Why did I chose the subject? - - Stroke - Several rehabilitation game for paralysis of one side of the body - Vogels! Start to get interested in stroke patients - 1/3 Visual disability in stroke patients - Non digital game and demand for rehabilitation of visual defect
  • 6. Introduction - Why did I chose the subject? - But visual disability from brain injury is totally different from problem of eye itself....
  • 7. INDEX How can we design a rehabilitation game for the patients with visual 鍖eld defect after brain injury? Introduction - why did I chose the subject? What is Visual 鍖eld defect after brain injury? What kind of rehabilitation already exists for the patients? Communication Research - Play test and Interviews - What kind of Game Design is suitable for Hemianopsia patients?
  • 8. What is Visual 鍖eld defect after brain injury? Hemianopsia Half or quarter of visual 鍖elds are defected depending on which optic nerve are injured.
  • 9. INDEX How can we design a rehabilitation game for the patients with visual 鍖eld defect after brain injury? Introduction - why did I chose the subject? What is Visual 鍖eld defect after brain injury? What kind of rehabilitation already exists for the patients? Communication Research - Play test and Interviews - What kind of Game Design is suitable for Hemianopsia patients?
  • 10. What kind of rehabilitation already exists for the patients ? There is new rehabilitation method for Hemianopsia patients by using computer Stimulate the boarder between Visual luck area and Visible area
  • 11. What kind of rehabilitation already exists for the patients ? Medical thesis by Kagoshima University . 2007
  • 12. What kind of rehabilitation already exists for the patients ? But there is a Big problem...
  • 14. INDEX How can we design a rehabilitation game for the patients with visual 鍖eld defect after brain injury? Introduction - why did I chose the subject? What is Visual 鍖eld defect after brain injury? What kind of rehabilitation already exists for the patients? Communication Research - Play test and Interviews - What kind of Game Design is suitable for Hemianopsia patients?
  • 15. Communication Research - Lots of experts Help for my project - Play test#1 & Interviews Play test#1 & Interviews @ Kyushu university hospital @ Nagao hospital Interviews Helping for 鍖nding the patients @ Kagoshima university hospital @ Silver鍖t
  • 16. Communication Research - Play test and Interviews - - Play test#1 in Japan - Idea*1 (Rhythm game) Failed - But I learned a lot from the play test and interviews - The way of stimulation wasnt correct Line Points - Too dif鍖cult rule for the patients - Should be more familiar with elderly people - Cant handle multiple keyboard
  • 17. INDEX How can we design a rehabilitation game for the patients with visual 鍖eld defect after brain injury? Introduction - why did I chose the subject? What is Visual 鍖eld defect after brain injury? What kind of rehabilitation already exists for the patients? Communication Research - Play test and Interviews - What kind of Game Design is suitable for Hemianopsia patients?
  • 18. What kind of Game Design is suitable for Hemianopsia patients? 1. Eye tracking by webcam - The game will know where the patients are looking at - They can play the game without watch by care persons (because patients has to keep their eyes 鍖xed at center of computer) - The patients can rehabilitate in their own house
  • 19. What kind of Game Design is suitable for Hemianopsia patients? 2. Idea*2 (Fishing game) - Simple art and Sound (If it is too much, the different parts of nerves will be stimulated ) - Simple rule and One button game - Art performance for only A 鍖oat = feedback screen stimulation point - Correct several kinds of 鍖sh and make own aquarium
  • 20. What kind of Game Design is suitable for Hemianopsia patients? 3. Interface design Choose one of the 4 locations to place the interface (Depends on where is the visual disability)
  • 21. What kind of Game Design is suitable for Hemianopsia patients?
  • 22. Planning Play test #2 Play test #3 Project in Belgium in Belgium Deadline Product Improve the game Supportive narrative June July August
  • 23. Reference Results from the National Health and Nutrition Examination Survey (1988-1994) Kazumi Kawahira etc , 2007| Quadranopsia improved by repetitive visual stimulation using a Computerized visual 鍖eld training machine in a stroke patient Polaski and Tatro, 1996 | Visual 鍖eld defects associated with hemianopia Hemispatial Neglect: Half the World Ends WithYou | http://troublethinking.wordpress.com/2010/07/09/ hemispatial-neglect-half-the-world-ends-with-you/
  • 25. Two kinds of visual defect Hemispatial Neglect Hemianopsia Half of word doesnt exist Half or quarter of visual 鍖eld defect for neglect patients Not a lot of people have Heavy mental problem heavy mental problem No ef鍖cient rehabilitation There is some rehabilitation method