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Software Engineering Frameworks Used for Serious Games Development in Physical Rehabilitation: Systematic Review.

Jorge Fernando Ambros-Antemate1, María Del Pilar Beristain-Colorado1, Marciano Vargas-Treviño2

  • 1Doctorado en Biociencias, Facultad de Medicina y Cirugía, Universidad Autónoma "Benito Juárez" de Oaxaca, Oaxaca de Juárez, Mexico.

JMIR Serious Games
|November 11, 2021
PubMed
Summary

Most serious games for physical rehabilitation lack a software engineering framework, hindering patient recovery. Implementing such frameworks can improve game design and patient engagement in rehabilitation.

Keywords:
frameworkmethodologyphysical rehabilitationserious game

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Area of Science:

  • Rehabilitation Medicine
  • Software Engineering
  • Game Design

Background:

  • Serious games are valuable tools in physical rehabilitation for individuals with disabilities.
  • Current serious games often fail to meet patient needs due to a lack of structured software engineering development.
  • A structured approach involving patient/therapist requirements, planned development, and feedback is crucial for effective serious game design.

Purpose of the Study:

  • To conduct a systematic review of serious games used in physical rehabilitation.
  • To identify the benefits of employing a software engineering framework in the development of these games.

Main Methods:

  • A systematic literature search was performed across multiple scientific databases (PubMed, PEDro, IEEE Xplore, etc.).
  • The initial search yielded 701 papers, which were then screened based on inclusion criteria.
  • A final selection of 83 papers was included in the systematic review.

Main Results:

  • Only 8 out of the 83 reviewed papers utilized a software engineering framework in their development process.
  • These 8 papers predominantly focused on specific aspects like data processing, game mechanics, user motivation, and therapist oversight.

Conclusions:

  • A significant majority of serious games for physical rehabilitation are not developed using a software engineering framework.
  • This lack of a standardized development process leads to the omission of critical implementation aspects.
  • The absence of a structured framework negatively impacts the overall effectiveness of serious games and can prolong patient recovery times.