This presentation is a post-mortem of a grant investigating games for use in traumatic brain injury patient rehabilitation.

1. Games for Health Cognitive & Emotional Health Track An Experimental Game for Traumatic Brain Injury Post-mortem Bob Waddington, COO SimQuest LLC Supported by the US Army Medical Research and Materiel Command under Contract No. W81XWH-09-C-0122.

2. What I’m Playing…

4. Although many TBI patients may return to normal lives, many are circumscribed with disability, unmet care needs, or inability (sometimes temporarily, sometimes permanently) to successfully re-enter home, military, vocational, and/or community life. Bob Woodruff Gabby Gifford

5. The effectiveness of rehabilitation in TBI patients has been demonstrated repeatedly in the literature, with results that include changes in cortical organization, improved test scores, faster recovery, increased level of function, and increased functional independence

6. Cognitive/Motor Therapy Application Using Console-Based Video Game Platform SimQuest, LLC Novint Technologies, Inc. The Institute for Rehabilitation and Research (TIRR) at Memorial Hermann Hospital

7. Project Objectives Analyze effective TBI rehabilitationprotocols Establish TBI rehabilitative training goals and define strategies/performance metrics Investigate technology options for TBI rehabilitation Develop technology-based TBI rehabilitation game-goal structure Select candidate game/goal therapy topic for development Develop game presentation strategies Demonstrate sample scenario for prototype

9. Limited inpatient coverage – visit caps

11. Speech

12. Occupational

14. Assessment tools

15. Therapy protocols

16. Patient demographics

18. Stimulation of multiple areas of brain leads to more rapid return to function

19. Link to function

21. can support therapists’ desire for multimodal stimulation, and

25. Phase I proof of conceptPC Mouse/Keyboard Xbox 360 Gamepad Novint Falcon

27. Area of function (cognitive, motor, sensory, behavioral)

28. ID segment of the continuum of care of most pressing need

30. Conducive to brain training

31. Faster development

32. Bridge to real-world function

33. Difficult to create something truly novel

34. Traditional adventure style game

35. Increased engagement

36. Difficult if too challenging

39. MemoryAbstract game selected for prototype proof-of-concept

40. Sample Ideas

41. Sample Ideas

42. Sample Ideas

43. Sample Ideas

46. Results TBI rehabilitation games should not focus on single brain functions but should be multimodal to reflect the fact that in TBI therapy, stimulation of multiple areas of the brain leads to a more rapid return of functionality Established TBI rehabilitative training goals and defined strategies/performance metrics, subsequently determining that the game would focus on identification of target areas of function (cognitive, motor, sensory, behavioral) and would target Challenge Program and Project Victory patients

48. Successfully demonstrated the Novint Falcon manipulating an object running on the Xbox,

51. Conclusions Games have the potential to increase the reach of rehabilitative services to currently underserved individuals and would improve performance, thus reducing costs of care and other dependent services.