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  • When I was growing up, I really liked playing hide-and-seek a lot.

  • One time, though, I thought climbing a tree would lead to a great hiding spot,

  • but I fell and broke my arm.

  • I actually started first grade with a big cast all over my torso.

  • It was taken off six weeks later, but even then, I couldn't extend my elbow,

  • and I had to do physical therapy to flex and extend it,

  • 100 times per day, seven days per week.

  • I barely did it, because I found it boring and painful,

  • and as a result, it took me another six weeks to get better.

  • Many years later, my mom developed frozen shoulder,

  • which leads to pain and stiffness in the shoulder.

  • The person I believed for half of my life to have superpowers

  • suddenly needed help to get dressed or to cut food.

  • She went each week to physical therapy, but just like me,

  • she barely followed the home treatment,

  • and it took her over five months to feel better.

  • Both my mom and I required physical therapy,

  • a process of doing a suite of repetitive exercises

  • in order to regain the range of movement lost due to an accident or injury.

  • At first, a physical therapist works with patients,

  • but then it's up to the patients to do their exercises at home.

  • But patients find physical therapy boring, frustrating, confusing

  • and lengthy before seeing results.

  • Sadly, patient noncompliance can be as high as 70 percent.

  • This means the majority of patients don't do their exercises

  • and therefore take a lot longer to get better.

  • All physical therapists agree that special exercises

  • reduce the time needed for recovery,

  • but patients lack the motivation to do them.

  • So together with three friends, all of us software geeks,

  • we asked ourselves,

  • wouldn't it be interesting if patients could play their way to recovery?

  • We started building MIRA, A P.C. software platform

  • that uses this Kinect device, a motion capture camera,

  • to transform traditional exercises into video games.

  • My physical therapist has already set up a schedule for my particular therapy.

  • Let's see how this looks.

  • The first game asks me to fly a bee up and down

  • to gather pollen to deposit in beehives,

  • all while avoiding the other bugs.

  • I control the bee by doing elbow extension and flexion,

  • just like when I was seven years old after the cast was taken off.

  • When designing a game, we speak to physical therapists at first

  • to understand what movement patients need to do.

  • We then make that a video game

  • to give patients simple, motivating objectives to follow.

  • But the software is very customizable,

  • and physical therapists can also create their own exercises.

  • Using the software, my physical therapist

  • recorded herself performing a shoulder abduction,

  • which is one of the movements my mom had to do

  • when she had frozen shoulder.

  • I can follow my therapist's example on the left side of the screen,

  • while on the right, I see myself doing the recommended movement.

  • I feel more engaged and confident,

  • as I'm exercising alongside my therapist

  • with the exercises my therapist thinks are best for me.

  • This basically extends the application for physical therapists

  • to create whatever exercises they think are best.

  • This is an auction house game for preventing falls,

  • designed to strengthen muscles and improve balance.

  • As a patient, I need to do sit and stand movements,

  • and when I stand up,

  • I bid for the items I want to buy.

  • (Laughter)

  • In two days, my grandmother will be 82 years old,

  • and there's a 50 percent chance for people over 80

  • to fall at least once per year,

  • which could lead to a broken hip or even worse.

  • Poor muscle tone and impaired balance are the number one cause of falls,

  • so reversing these problems through targeted exercise

  • will help keep older people like my grandmother

  • safer and independent for longer.

  • When my schedule ends, MIRA briefly shows me

  • how I progressed throughout my session.

  • I have just shown you three different games

  • for kids, adults and seniors.

  • These can be used with orthopedic or neurologic patients,

  • but we'll soon have options for children with autism,

  • mental health or speech therapy.

  • My physical therapist can go back to my profile

  • and see the data gathered during my sessions.

  • She can see how much I moved, how many points I scored,

  • with what speed I moved my joints,

  • and so on.

  • My physical therapist can use all of this to adapt my treatment.

  • I'm so pleased this version is now in use

  • in over 10 clinics across Europe and the U.S.,

  • and we're working on the home version.

  • We want to enable physical therapists to prescribe this digital treatment

  • and help patients play their way to recovery at home.

  • If my mom or I had a tool like this when we needed physical therapy,

  • then we would have been more successful following the treatment,

  • and perhaps gotten better a lot sooner.

  • Thank you.

  • (Applause)

  • Tom Rielly: So Cosmin, tell me what hardware is this

  • that they're rapidly putting away?

  • What is that made of, and how much does it cost?

  • Cosmin Milhau: So it's a Microsoft Surface Pro 3 for the demo,

  • but you just need a computer and a Kinect, which is 120 dollars.

  • TR: Right, and the Kinect is the thing that people use for their Xboxes

  • to do 3D games, right?

  • CM: Exactly, but you don't need the Xbox, you only need a camera.

  • TR: Right, so this is less than a $1,000 solution.

  • CM: Definitely, 400 dollars, you can definitely use it.

  • TR: So right now, you're doing clinical trials in clinics.

  • CM: Yes.

  • TR: And then the hope is to get it so it's a home version

  • and I can do my exercise remotely,

  • and the therapist at the clinic can see how I'm doing and stuff like that.

  • CM: Exactly.

  • TR: Cool. Thanks so much. CM: Thank you.

  • (Applause)

When I was growing up, I really liked playing hide-and-seek a lot.

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B1 US TED physical therapist therapy cm kinect

【TED】Cosmin Mihaiu: Physical therapy is boring — play a game instead

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    CUChou posted on 2015/06/11
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