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.
Kao mali sam voleo da igram žmurke, mnogo. Jednom sam mislio da je krošnja drveta sjajno mesto za skrivanje, ali sam pao i polomio ruku. Počeo sam prvi razred sa gipsom preko celih grudi. Skinuo sam ga posle šest nedelja, ali i dalje nisam mogao da pomeram lakat, i morao sam da idem na fizikalnu terapiju, da ispravljam i savijam lakat, 100 puta dnevno, 7 dana u nedelji. Jedva sam uspeo. Bilo mi je bolno i dosadno i zbog toga mi je trebalo još 6 nedelja da ozdravim.
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.
Mnogo godina kasnije, moja majka je dobila adhezivni kapsulitis, zbog čega je imala bolove i ukrućeno rame. Osoba za koju sam mislio da ima super moći, odjednom nije mogla sama da se obuče, ni da spremi hranu. Svake nedelje je išla na fizikalnu terapiju ali, kao i ja, kod kuće skoro da i nije vežbala, i trebalo joj je preko 5 meseci da ozdravi.
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.
Bila nam je potrebna fizikalna terapija, proces izvođenja vežbi ponavljanja, da bi povratili pokretljivost izgubljenu usled nesreće ili povrede. U početku terapeut radi sa pacijentom, ali kasnije, pacijent mora sam da izvodi vežbe kod kuće. Ali pacijentima je terapija dosadna, nervira ih, i dugo traje. Nažalost, oko 70% pacijenata ne ispoštuje terapiju. To znači da većina pacijenata ne radi vežbe, i stoga, mnogo više vremena mora da prođe do poboljšanja. Svi terapeuti se slažu da vežbe smanjuju vreme oporavka. Ali pacijentima nedostaje motivacije.
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.
Zajedno sa troje prijatelja - svi smo kompjuterski štreberi - zapitali smo se, zar ne bi bilo sjajno kada bi pacijenti mogli da se igraju do oporavka? Počeli smo sa izgradnjom MIRA, softverom za PC, koji koristi Kinect, kameru koja snima pokret, da bi pretvorili standardne vežbe u video igrice.
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.
Moj terapeut je zakazao termin za terapiju. Da vidimo kako to izgleda. Prva igra zahteva da upravljate pčelom gore i dole, da biste sakupili polen za košnicu, dok izbegavamo druge bube. Ja kontrolišem pčelu, savijajući i ispravljajući lakat, kao kada sam imao 7 godina, posle skidanja gipsa.
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.
Pre pravljenja igre, pričali smo sa terapeutima, da bismo saznali koje pokrete pacijenti prave. Onda smo napravili igru, da bismo dali pacijentima proste i motivišuće zadatke. Softver je krajnje podesiv, a i terapeuti mogu da kreiraju sopstvene vežbe. Koristeći softver, moj terapeut se snimao izvodeći vežbe bočnog dizanja ruku, koji je jedan od pokreta koje je moja majka morala da radi. Mogu da pratim mog terapetuta na levoj strani ekrana, dok na desnoj vidim sebe kako izvodim pokrete. Osećam se angažovanijim i samouverenijim, dok radim sa terapeutom, vežbe koje on misli da su najbolje za mene. To faktički širi upotrebu programa za terapeute, da smišljaju vežbe za koje oni misle da su najbolje. Ovo je igra aukcijske kuće za prevenciju padova.
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)
Dizajnirana je da ojača mišiće, i poboljša ravnotežu. Kao pacijent, vežbam pokrete ustajanja i sedanja, i kada ustanem,dajem ponudu za predmet koji želim da kupim. (Smeh) Za dva dana, moja baka će napuniti 82 godine,
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 za ljude sa preko 80 godina, postoji 50% šanse da padnu jednom godišnje, što može da dovede do lomljenja kuka ili nečeg goreg. Slabi mišići i poremećena ravnoteža su glavni uzrok padova. Sprečavanjem uzročnika, kroz vežbanje će pomoći starijim ljudima kao što je moja baka, da budu bezbedniji. Kada završim sa vežbanjem, MIRA mi pokaže izveštaj napretka mojih vežbi.
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.
Upravo sam vam pokazao tri različite igre za decu, odrasle i penzionere. Mogu se korstiti kod ortopedskih i neuroloških pacijenata, i uskoro će moći da se koristi kod dece sa autizmom, mentalnim problemima i problemima sa govorom. Moj terapeut može da pogleda moj profil, i vidi podatke prikupljene tokom mog vežbanja. Može videti koliko sam pokreta napravio, koliko sam poena sakupio, kojom brzinom sam pravio pokrete itd. Te podatke može koristiti da bi prilagodio tretman.
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.
Veoma mi je drago što se program koristi u preko 10 klinika širom Evrope i Amerike, a u toku je i izrada kućne varijante. Želimo da omogućimo terapeutima da mogu da prepišu ovaj tretman, a i pacijentima da im bude zanimljivije tokom oporavka kod kuće. Da smo moja majka i ja imali ovako nešto, kada nam je terapija bila potrebna, bili bismo uspešniji u praćenju terapije, i pre se oporavili. (Smeh) Hvala vam.
Thank you.
(Aplauz)
(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?
Tom Rajli: Kozmine, kaži mi, koji je ovo hardver koji užurbano nose odavde? Od čega se sastoji i koliko košta? Kozmin Mihaiu: To je Microsoft Surface Pro 3 demo, ali vam je dovoljan
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.
običan računar i Kinect, koji je 120 dolara.
TR: Right, and the Kinect is the thing that people use for their Xboxes to do 3D games, right?
TR: U redu, a Kinect se koristi uz X-Box za 3D igre? KM: Upravo tako, ali ti ne treba X-Box, treba ti samo kamera.
CM: Exactly, but you don't need the Xbox, you only need a camera.
TR: Znači, ovo je rešenje za manje od 1000 dolara.
TR: Right, so this is less than a $1,000 solution.
KM: Da, definitivno, za 400 dolara ga možete koristiti.
CM: Definitely, 400 dollars, you can definitely use it.
TR: Znači, sada radiš kliničke testove? KM: Da.
TR: So right now, you're doing clinical trials in clinics.
CM: Yes.
TR: I nadate se da će biti kućna verzija, da ću moći da radim vežbe kod kuće,
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.
a terapeut na klinici će moći da vidi kako mi ide. KM: Upravo tako.
CM: Exactly.
TR: Kul. Hvala ti puno. KM: Hvala tebi.
TR: Cool. Thanks so much. CM: Thank you.
(Aplauz)
(Applause)