自2020年開始，龍骨王開發的步態分析系統有幸能獲得高雄長庚神內盧醫師和其研究團隊的青睞，用於巴金森氏病人的研究計畫之中，作為探討藥物反應與跌倒議題的有效評估工具。經過將近一年的來回資料分析與收案過程，終於在今年初投稿成功，刊登於Journal of Personalized Medicine的醫學國際刊物，我們非常高興此次有完備、傑出的研究成果產出，也特別感謝盧醫師的信賴給我們機會，樂意使用我們步態分析系統GaitBEST，加入到標準的研究方法，進行嚴謹到位的臨床試驗計畫。
而關於這篇研究的內容重點，主要的目的是探究巴金森氏疾病的嚴重程度是否會調節病人的步態表現，針對的變數是以速度、步長、跌倒風險，了解這些因子與疾病嚴重度之間產生交互作用的關係為主。在受試者的部分，收案對象是61位Hoehn and Yahr stages I-III的病人，實施的方法是收集調查他們的巴金森病疾病的臨床量表UPDRS total score，以及分別在用藥前後的各個步態參數結果(步速、步長、關節角度數據等)和跌倒風險，而使用的量測工具正是龍骨王的GaitBEST步態分析系統，在經過複雜的統計學分析與校正後，研究歸納之結論為步速、步長和疾病的嚴重程度的確存在明顯的關聯性，步長與步速的降低是造成跌倒事件的警訊，未來應著重持續的監測病患在動作障礙的改善與取得相關人體動作科學上的量測數據，以利作為可用的客觀基礎發展合適的復健策略來避免跌倒的發生。當然，研究還有許多的面向和不同深度的細節討論，以下附上全文連結和引用來源目錄供大家參考。
Lai Y-R, Lien C-Y, Huang C-C, Lin W-C, Chen Y-S, Yu C-C, et al. Clinical Disease Severity Mediates the Relationship between Stride Length and Speed and the Risk of Falling in Parkinson’s Disease. Journal of Personalized Medicine [Internet]. 2022;12:192.
Ever since the end of 2019 and the start of 2020, COVID-19 has caught the world by surprise. Whilst COVID-19 cases continue to surge due to its variants, equipping the knowledge of prevention, such as receiving vaccination, practicing physical distancing, and appropriate sterilization, has become more important than ever. LongGood, being one with its roots in the area of healthcare, supports the way of promoting a safe and correct way of facing the Coronavirus, to protect you and your loved ones. Our team used this concept and created the telerehabilitation training exergame, named “New Way To Live”, emphasizing that the pandemic has brought inevitable changes to the lives of every one of us.
With its theme focusing on the topic of COVID-19, the exergame conveys the concept of sterilizing objects, namely house keys, backpacks and watches etc., right after arriving home. The user will be shown as holding a virtual spray bottle on each hand on the screen, while the aforementioned objects of daily life come onto the screen in a conveyor belt fashion, all with several viruses on the surface. The user’s mission is to open and close the hands as if he were squeezing the spray bottle to sterilize the objects and kill the viruses.
From a physiotherapist’s point of view, the aim of this rehabilitation exergame is divided into three main categories, grasp training, hand – eye coordination training, and balance training. As the main movement of detection of the exergame, the grasping action is extremely helpful for maintaining muscle strength in the hands, as well as improving blood circulation in the fingers. Patients with stroke can also benefit from the training exergame to optimize recovery in the hands. Hand- eye coordination is another crucial component of the exergame, for the player has to target the viruses on the moving objects accurately to complete the task. Additionally, the therapist or caretaker can modify the exergame by adding in the rule of “fixating the standing or sitting position of the user”, so that the user’s balance ability is challenged as he reaches out to the side.
The impact of the pandemic has not only changed the way we implement certain hygiene measures in our lives, but has also disconnected many of us with the community. In other words, quarantine in many parts of the world has decreased the accessibility of rehabilitation resources for residents in long-term care centers and individuals. These residents, who often possess chronic diseases, might also be hesitant in visiting clinics or hospitals for regular rehabilitation due to the fear of contracting COVID-19 in the high risk environment. This is when telerehabilitation comes into handy – residents of the care centers could easily access the training exergames via a quick set-up of a sensor that connects to the computer and screen. Similar to the other exergames in our HappyGoGo system, the statistics collected by the sensor will be available in a separate application right after the training session. Caregivers or individuals, regardless of their amount of knowledge in the area of healthcare, can access information (joint range of motion, movement asymmetry, etc.) and obtain an overview of their performance. However, what makes this new exergame unique is the integration of distant rehabilitation with the seemingly frustrating but important disinfection concept of the current era. Violà: simultaneously preventing COVID-19 mentally (as in health education) and physically.
The idea of sterilizing will definitely continue to be part of our daily lives for a period of time, as eradication of the virus seems improbable to most scientists, according to an article in Nature in February, 2021. We believe that our concept of preventing the spread of COVID-19 via the training exergame is universal, and this might be one of the topics that can bring all of us around the globe together virtually amidst the pandemic.
Name of Exergame
New Way To Live
Main Training Movement
1. The user stands or sits in front of the sensor 2. Objects awaiting to be sterilized will come in from the left side. 3. The user opens and closes the hands to grasp the viruses shown on the objects to gain points. *Optional training method to enhance balance ability: once the exergame starts, the user will not be allowed to move his standing position. He can only reach out to the sides to complete the task.
Purpose Of Exergame
1. Grasp training 2. Hand- eye coordination training 3. Balance training
1. Residents of long-term care centers 2. The elderly 3. Patients with stroke