發展性遲緩 (Developmental Delay)於每位兒童的盛行率為6-8%，在台灣，發展遲緩孩童估計有1.2萬~1.6萬位，這類兒童可能會對於手部動作感到困難，導致他們排斥動作訓練。本研究目的在於設計一款復健遊戲軟體，使用Kinect感測器來達到手部動作復健，且不需要昂貴的配備與治療師的複診需求。儘管已有些研究專為中風患者開發了復健遊戲，但這類遊戲缺少了畫質內容或是重複遊玩價值，將可能使遊戲本身成為重複性的過程，讓患者失去復健的動力。本研究加入了寵物養成的遊戲元素，藉由餵食及裝飾寵物，以達到一個兼具娛樂性、復健性質與紀錄遊戲結果的系統設計。本研究邀請三位孩童的家長，觀看孩童們(三至五歲)的操作過程，另外也邀請兩位職能治療研究員操作遊戲，再以半結構式訪談大綱蒐集想法與建議，作為系統修正之依據。本研究發現，透過寵物養成機制確實能提升復健遊戲的重複遊玩價值與樂趣，亦透過系統功能，提供治療師一個無需撰寫程式的自訂環境，並依照患者的情況需求，量身訂做一款具寵物養成特色的復健遊戲。

Developmental Delay (DD) is a significant problem that affects between 6-8% of all children, meaning that there are approximately 12,000-16,000 children influenced by DD in Taiwan. Children with DD may experience difficulty with hand motor function, and therefore may be deterred from performing regular physical exercises which require strength and efforts. The purpose of this study is to develop a game software for hand motor function rehabilitation using Kinect sensor, aiming to provide an affordable way of rehabilitation that sparks interest and does not require constant supervision of the therapists. Although there has been some digital games developed specifically for stroke rehabilitation purpose, these games are still devoid of replay values. Games should provide motivation to replay, avoiding players feeling trapped in a repetitive process. In this study, elements of simulation game are used, in which the patients can feed and dress up their own pets, offering entertainment and rehabilitation, at the same time, displaying performance records. Children’s parents were invited to watch three children playing the game, and two Occupational Therapy researchers to use the game system. Semi-structured interviews were then given to them to gather feedbacks and it was found that the game’s replay value could be increased through pet-raising activities. The game also allows for occupational therapists with little or no programming background to assign patient-tailored calibrations, making it a unique pet-raising rehabilitation game system.

摘要 .................................................................i
Abstract ...........................................................ii
Acknowledgments ....................................................iv
List of Tables ......................................................v
List of Figures ....................................................vi
1. Introduction ................................................1
1.1 Problem Background .............................................1
1.2 Project Work ...................................................2
1.3 Limitation of the Study ........................................3
2. Related Work.................................................5
2.1 Animal-assisted Therapy ........................................5
2.2 Digital Games for Rehabilitation ...............................6
2.3 Implications for the System.....................................7
3. System Design ..................................................9
3.1 Development Tool ...............................................9
3.2 System Flowchart ..............................................10
3.3 Patient Data Organization and Performance Record ..............11
3.3.1 Creating New Patient Account ...........................12
3.4 Game Level Design .............................................13
3.4.1 Running Game ...........................................13
3.4.2 Washing Game ...........................................15
3.5 Patient-tailored Game Setting .................................16
3.6 Simulation Game Element .......................................17
3.7 Displaying the Performance Record .............................20
3.7.1 Establishing the Scoring Criteria ......................21
4. Research Findings and Discussion ..............................23
4.1 Participants ..................................................23
4.2 Game Instruction and User Interface ...........................25
4.3 Levels of Grading .............................................26
4.4 Sensor Control Issue ..........................................27
4.5 Result Discussion .............................................28
5.Conclusion .......................................................29
References .........................................................31
Appendix 1 Semi-structured Interview Questions ................35
Vita ...............................................................36

中文文獻:


何正宇、王志龍、盧玉強、孫淑芬、張兆宏、蔡欣宜 (2010)。以Wii建構虛擬
實境輔助慢性中風患者復健訓練之療效評估。台灣復健醫誌，1，11-18。

鄭啟英 (2000)。虛擬實境在復健之應用，國立中央大學機械工程研究所，碩士
論文，桃園縣。

簡聰富、黃宏銘、林俊念、王善右 (2013)。用虛擬實境及遊戲增強遠距離手
部復健診療系統。南臺學報，3，33-44。


英文文獻:

Anita, C., Gary, L., Lee, C. (1999). Animals, Horseback Riding, and Implications for Rehabilitation Therapy. Journal of Rehabilitation, 65(3), 49-54.

Bracher, M. (2000). Therapeutic Horse Riding: What Has This to Do with Occu-
pational Therapists? British Journal of Occupational Therapy, 63(6), 277-282. doi: 10.1177/030802260006300606

Boyse, K. (2010). Developmental Delay. University of Michigan Health System Web Site: Retrieved from http://www.med.umich.edu/yourchild/topics/devdel.htm

Burdea, G., Cioi, D., Angad, K., Janes, W., Ross, S., & Engsberg, J. (2011). Robotics and Gaming to Improve Ankle Strength, Motor Control and Function in Children with Cerebral Palsy – A Case Study Series. IEEE Neural Systems and Rehabilita, 21(2), 165-173.

Cole, K. M., & Gawlinski, A. (1995). Animal-assisted therapy in the intensive care unit. Nursing Clinics of North America, 30(3), 520-537.

Deutsch, J., Borbely, M., Filler, J., Huhn, K., & Guarrera, P. (2008). Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Physical Therapy, 88(10), 1196-1207.

Flores, E., Tobon, G., Cavallaro, E., Cavallaro, F. I., Perry, J. C., & Keller, T. (2008). improving patient motivation in game development for motor deficit rehabilitation. Paper presented at the Proceedings of the 2008 International Conference on Advances in Computer Entertainment Technology, Yokohama, Japan. Abstract retrieved from http://www.academia.edu/3312918/Improving_patient_motivation_in_game_deve
lopment_for_motor_deficit_rehabilitation

Flynn, S., Palma, P., & Bender, A. (2007). Feasibility of using the Sony PlayStation 2 gamingplatform for an individual poststroke: a case report. Journal of Neuro. Physical Therapy: JNP T, 31(4), 180-187.

Mitani, Y., Doi, K., Yano, T. (2008). Effect of exercise using a horse-riding simulator on physical ability of frail seniors. Journal of Physical Therapy Science, 20(3), 177-183.
Rauh, S. (2006). Is Your Baby on Track? WebMD Web Site: Retrieved from http://www.webmd.com/parenting/baby/features/is-your-baby-on-track

Rollings, A., Adams, E. (2003). Andrew Rollings and Ernest Adams on Game Design. New Riders Publishing. pp. 477-487. ISBN 1-59273-001-9.

Shin, J., Ryu, H. & Jang, S. (2014). A task-specific interactive game-based virtual reality rehabilitation system for patients with stroke: a usability test and
clinical experiments. Journal of NeuroEngineering and Rehabilitation, 11(32), 1-10.
doi:10.1186/1743-0003-11-32

Spink, J. (1993). Developmental riding therapy: a team approach to assessment and treatment. Tucson, AZ: Therapy Skill Builders.

Tam, S. (2010). An Environment for Stroke Therapy Game Authoring. (Master’s thesis, Washington University in St. Louis). Retrieved from http://cse.wustl.edu/Research/Lists/Technical%20Reports/Attachments/919/Tam_thesis.pdf
Yang, M. (2009). A Thesis Towards Development of an Occupational Therapy Game Syste-m (Master’s thesis, Washington University in St. Louis). Retrieved from http://openscholarship.wustl.edu/etd/459/


網路資料:

宜蘭縣政府衛生局 (2014年11月28日)。衛生保健【新聞論壇】。取自http:
//www.ilshb.gov.tw/index.php?catid=14&fieldid=2&cid=8&id=59&action=view

How Kids Develop (no date). Developmental Delay. Retrieved May 25, 2015,
from http:// www.howkidsdevelop.com/developDevDelay.html