Vivifying Knee Rehabilitation: SquatEmUp, a Serious Game Utilizing the Wii Fit Balance Board.

Knee injuries are a common concern in orthopedic and sports medicine, often requiring extensive rehabilitation to restore function and alleviate pain. The rehabilitation process can be long and challenging, necessitating innovative approaches to engage and motivate patients effectively. Serious games have emerged as a promising tool in rehabilitation, offering an interactive and enjoyable way to perform therapeutic exercises. In this context, a new serious game that leverages the Wii Fit Balance Board as an input device supported by a keyboard to aid knee rehabilitation was developed. To tailor the game to the specific needs of knee rehabilitation, qualitative content analysis and requirement extraction based on three interviews with therapists were conducted. These insights were then iteratively integrated into the game's development, ensuring that the final game was both clinically relevant and engaging. A therapist subsequently re-evaluated the completed game, confirming its potential to enhance the rehabilitation process. It was also shown that further research is needed to detect squat movements on the Balance Board. But this initial approach, combining the Wii Fit Balance Board with squat exercises, uniquely addresses the challenges of knee rehabilitation, offering a novel video and game solution.

User Personas for a "Better Design" of Nation-Wide EHRs Based on Thorough Expert Evaluation and Field Analysis: Modeling Users as Individuals Plus Family Members for an Enhanced Mapping of Healthcare Situations.

Electronic Health Records (EHRs) are pivotal in prevention, therapy, and care. Their design necessitates the representation of users, activities, context, and technology. Among various participative and ethnographic design methods, user personas are an effective tool for encapsulating users in the design process. Goals and methods: This research focused on the creation of user personas for the design of a nation-wide EHR, specifically the German "elektronische Patientenakte" (ePA). We employed qualitative methods, such as field analysis and expert workshops, to generate, assess, and refine a set of user personas that can cover the complexity of real-life familial care environments. We used an innovative bottom-up approach applying a whole new process for persona generation especially in the context of family management. Results: The research yielded an initial set of five personas that accurately represent fictional user types. Importantly, at least two of these personas encapsulate the unique challenges inherent in family care work. These results provide a foundation for future work, which can utilize these personas for EHR design, as well as for further evaluation and refinement.

Standard Mobile Phones Plus a Balance Board Are Sufficient: Designing a Serious Game for Better Knee Rehabilitation.

The rehabilitation process after knee injuries is often challenging for patients and requires a high level of resilience, as it involves the frequent repetition of mostly monotonous exercises. Based on recent research, serious games can significantly improve motivation by merging exercising with entertainment aspects and even combining it with hardware to apply external tasks and track the progress. The aim of this research is to propose and evaluate a new serious game pattern. The development is performed using systematic feedback from domain experts. The test setup involves analysis of patients' feedback. The final game comprises an interaction with a balance board and an attached smartphone. Evaluation showed two main results. From a technical point of view: sensors of a standard smartphone (and it's sensitivity) paired with a PC and its screen are usable in a rehabilitation setting. From a psychological point of view: the motivation to perform the knee rehabilitation process can be enhanced with a serious game delivering entertaining aspects to it.

Challenges of a HL7 CDA Guideline for Telehealth Based DMP Systems.

BACKGROUND: Disease management programs (DMP) are a modern way of treating health conditions and are becoming a part of standard care. One telehealth DMP service has been in regular operation since 2017, named "HerzMobil Tirol". OBJECTIVES: This paper investigates, if the electronic health record standard HL7 CDA, which is widely accepted in the health care industry, could be used for telehealth DMP services as well. It is already in use in a legally required integrated element of healthcare in Austria called ELGA. An official guideline from the Austrian Ministry of Health sets the standard for telemonitoring with data logging. METHODS: After the background knowledge was built up, requirements have been gathered through existing official guidelines and interviews and existing documentation by "HerzMobil Tirol". RESULTS: Twenty-five requirements were collected, categorized and analyzed to determine if the existing CDA guidelines are suitable or a new standard must be designed. CONCLUSION: Based on the requirements, it was established that seven specific sections and two different CDA documents are needed.