Name: 【TED】復健好枯燥──用遊戲代替吧！Cosmin Mihaiu: Physical therapy is boring — play a game instead
Uploaded: 2015-06-11T16:01:40.000Z
Duration: 5 min 58 s

程度副詞

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

在我成長期間，
我真的好喜歡玩捉迷藏。

轉承詞

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

但是有一次，我以為
爬上樹會找到很棒的藏匿點，

可是我跌了下來，摔斷了手臂。

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

一年級開學時我其實是
身體裹著大石膏去學校的。

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

六個星期後拆下石膏，
但那時候我還不能伸手臂，

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

我必須去復健才能彎曲及伸展。

一天要做一百次，每星期做七天。

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

我幾乎都沒做，
因為我發現那很枯燥又很痛，

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

結果我又花了六個星期才好轉。

Many years later, my mom
developed frozen shoulder,

多年以後，我媽媽得了五十肩，

which leads to pain
and stiffness in the shoulder.

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

這個我大半輩子
都相信有超能力的人，

suddenly needed help
to get dressed or to cut food.

突然間需要幫忙才能穿衣吃飯。

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

她每個星期都去看物理治療師，
但就像我一樣，

and it took her
over five months to feel better.

所以她花了五個多月
才覺得好一點。

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.

讓身體的靈活度能恢復到
和意外受傷前一樣。

At first, a physical therapist
works with patients,

首先，物理治療師會在旁指導病人，

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

但是之後病人就要在家做復健運動。

But patients find physical therapy
boring, frustrating, confusing

但是病人發現物理治療
很枯燥、讓人洩氣又難懂，

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

很可惜，患者不合作的
機率可高達 70%。

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

這意味著大部分的病人
都不做指定的運動，

and therefore take
a lot longer to get better.

因而要花更長的時間才會好轉。

All physical therapists agree
that special exercises

所有的物理治療師都同意
特別設計的運動

but patients lack
the motivation to do them.

但是病人缺乏動機去做這些運動。

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

所以我與三個朋友，
我們都是軟體達人，

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

如果病人能用玩的
走上康復之路不是很有趣嗎？

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

我們開始著手寫麥拉 (MIRA) ，
一套微軟的軟體平台，

that uses this Kinect device,
a motion capture camera,

利用 Kinect 體感裝置，
即動態捕捉攝影機，

to transform traditional exercises
into video games.

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

我已與我的物理治療師
約好要做某種治療。

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

第一個遊戲要我
讓一隻蜜蜂上下飛

I control the bee by doing
elbow extension and flexion,

我以伸展及彎曲手臂
來控制這隻蜜蜂，

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

就像我七歲時
拿掉石膏後要做的一樣。

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

在設計遊戲時，
我們先與物理治療師談過，

to understand what movement
patients need to do.

瞭解病人需要做什麼樣的動作。

to give patients simple,
motivating objectives to follow.

給患者簡單又能激勵他們的
治療目標來遵循。

and physical therapists can also
create their own exercises.

物理治療師也能
設計他們自己的運動。

Using the software, my physical therapist

recorded herself performing
a shoulder abduction,

which is one of the movements
my mom had to do

這是我媽媽當年得五十肩時
要做的動作之一。

我可以跟著治療師
在螢幕左邊的示範，

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

同時在右邊看見
自己做這項推薦動作。

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

因為我與我的治療師併肩運動，

一起做我的治療師認為
對我最有益的動作。

with the exercises my therapist
thinks are best for me.

這基本上讓物理治療師能擴大應用，

This basically extends the application
for physical therapists

to create whatever exercises
they think are best.

這是為避免跌倒
而設計的拍賣會遊戲，

This is an auction house game
for preventing falls,

為了強化肌肉及改善平衡能力。

designed to strengthen muscles
and improve balance.

身為患者，
我必須做坐下起立等動作，

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

我就對我想買的東西出價競標。

我的祖母再過兩天就要 82 歲了，

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

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

導致骨盆骨折，或甚至更糟的情況。

which could lead to a broken hip
or even worse.

肌力不足及平衡感變差
是跌倒的首要原因，

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

所以透過特定運動
來徹底改變這些問題，

so reversing these problems
through targeted exercise

就能幫助像我祖母一樣的老人家

will help keep older people
like my grandmother

更安全、更獨立的生活久一點。

在我的運動時間結束後，
麥拉會很快地向我顯示

When my schedule ends,
MIRA briefly shows me

我剛剛為大家示範了
三種不同的遊戲，

I have just shown you
three different games

分別針對小孩、大人及老人家。

這些可用在矯形科或
神經科的病人身上，

These can be used with orthopedic
or neurologic patients,

但我們很快就會提供
用於自閉症孩童、

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

我的物理治療師可以
回去看我的病歷資料，

My physical therapist
can go back to my profile

並看看在我的練習時間內
所收集到的資料。

and see the data gathered
during my sessions.

她可以看我如何移動，
我得多少分，

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

我移動關節的速度有多快…等等。

我的物理治療師可以用這一切
來調整我的療法。

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

I'm so pleased this version is now in use

而且我們現在正在研發家用版。

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

我們想讓物理治療師
能開這種數位治療處方，

並幫助患者在家用玩的達到康復。

We want to enable physical therapists
to prescribe this digital treatment

如果當時在我媽媽或我需要
物理治療時有像這樣的工具，

and help patients play their way
to recovery at home.

我們遵循醫囑的過程就會更順利，

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,

湯姆瑞利：柯思明，
告訴我這個硬體是什麼，

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

柯思明：那是做示範用的
微軟平板電腦 Surface Pro 3，

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

但你只需要一部電腦
及美金 120 元的 Kinect 體感就夠了。

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

湯：Kinect 體感
就是大家拿來玩 Xbox