TED2015
Cosmin Mihaiu: Physical therapy is boring -- play a game instead
Cosmin Mihaiu: Fizioterapija je dosadna - zaigrajte videoigru umjesto nje
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Upravo si se ozlijedio i ideš kući nakon jednosatne fizioterapije. Posljednje što želiš sam raditi jest izvoditi zbunjujuće vježbe čiji se rezultati vide tek nakon dužeg vremena. Naš suradnik Cosmin Mihaiu predstavlja zabavno i jeftino rješenje koje dosadnu fizioterapiju pretvara u videoigru s iznimno jasnim uputama.
Cosmin Mihaiu - Physical therapy entrepreneur
Cosmin Mihaiu is the CEO and co-founder of MIRA Rehab, which develops software that engages patients in interactive and therapeutic games, making physical rehabilitation fun. Full bio
Cosmin Mihaiu is the CEO and co-founder of MIRA Rehab, which develops software that engages patients in interactive and therapeutic games, making physical rehabilitation fun. Full bio
Double-click the English transcript below to play the video.
00:12
When I was growing up, I really
liked playing hide-and-seek a lot.
liked playing hide-and-seek a lot.
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Dok sam odrastao,
volio sam se igrati skrivača.
volio sam se igrati skrivača.
00:18
One time, though, I thought climbing
a tree would lead to a great hiding spot,
a tree would lead to a great hiding spot,
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Jednom sam mislio kako ću, ako se popnem
na drvo, naći sjajno mjesto za skrivanje,
na drvo, naći sjajno mjesto za skrivanje,
00:22
but I fell and broke my arm.
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no pao sam i slomio ruku.
00:25
I actually started first grade
with a big cast all over my torso.
with a big cast all over my torso.
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Krenuo sam u prvi razred
s velikim gipsom preko trupa.
s velikim gipsom preko trupa.
00:30
It was taken off six weeks later,
but even then, I couldn't extend my elbow,
but even then, I couldn't extend my elbow,
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Gips su mi skinuli šest tjedana kasnije,
no čak ni tad nisam mogao ispružiti lakat
no čak ni tad nisam mogao ispružiti lakat
00:34
and I had to do physical therapy
to flex and extend it,
to flex and extend it,
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i morao sam ići na terapiju
kako bih ga mogao saviti i ispružiti,
kako bih ga mogao saviti i ispružiti,
00:37
100 times per day, seven days per week.
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sto puta dnevno, sedam dana u tjednu.
00:41
I barely did it, because
I found it boring and painful,
I found it boring and painful,
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Jedva sam uspio
jer je bilo dosadno i bolno,
jer je bilo dosadno i bolno,
00:44
and as a result, it took me
another six weeks to get better.
another six weeks to get better.
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zbog čega mi je
tek za šest tjedana bilo bolje.
tek za šest tjedana bilo bolje.
00:48
Many years later, my mom
developed frozen shoulder,
developed frozen shoulder,
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Kod moje se majke poslije
razvio sindrom smrznutog ramena,
razvio sindrom smrznutog ramena,
00:51
which leads to pain
and stiffness in the shoulder.
and stiffness in the shoulder.
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kod kojeg se javlja bol i
ukočenost u ramenu.
ukočenost u ramenu.
00:56
The person I believed for half of my life
to have superpowers
to have superpowers
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Osobi koju sam pola svog života
smatrao Superženom
smatrao Superženom
00:59
suddenly needed help
to get dressed or to cut food.
to get dressed or to cut food.
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odjednom je bila potrebna pomoć
pri odijevanju ili pripremi hrane.
pri odijevanju ili pripremi hrane.
01:03
She went each week to physical therapy,
but just like me,
but just like me,
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Svaki je tjedan išla
na terapiju, no baš kao i ja,
na terapiju, no baš kao i ja,
01:06
she barely followed the home treatment,
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jedva je mogla izvoditi vježbe kod kuće
01:08
and it took her
over five months to feel better.
over five months to feel better.
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i tek nakon više od pet mjeseci
bilo joj je bolje.
bilo joj je bolje.
01:11
Both my mom and I
required physical therapy,
required physical therapy,
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I mojoj je majci i meni
bila potrebna terapija,
bila potrebna terapija,
01:14
a process of doing a suite
of repetitive exercises
of repetitive exercises
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izvođenje niza vježbi s ponavljanjima
01:17
in order to regain the range of movement
lost due to an accident or injury.
lost due to an accident or injury.
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kako bismo vratili raspon pokreta
izgubljen zbog nesreće ili ozljede.
izgubljen zbog nesreće ili ozljede.
01:21
At first, a physical therapist
works with patients,
works with patients,
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Isprva fizioterapeut vježba s pacijentima,
01:24
but then it's up to the patients
to do their exercises at home.
to do their exercises at home.
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no zatim pacijenti sami
moraju izvoditi vježbe kod kuće.
moraju izvoditi vježbe kod kuće.
01:27
But patients find physical therapy
boring, frustrating, confusing
boring, frustrating, confusing
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Međutim, pacijentima je terapija dosadna,
frustrira ih i zbunjuje,
frustrira ih i zbunjuje,
01:30
and lengthy before seeing results.
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a rezultati su vidljivi tek
nakon dužeg vremena.
nakon dužeg vremena.
01:33
Sadly, patient noncompliance
can be as high as 70 percent.
can be as high as 70 percent.
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Nažalost, u 70 % slučajeva
pacijenti se ne pridržavaju terapije.
pacijenti se ne pridržavaju terapije.
01:38
This means the majority of patients
don't do their exercises
don't do their exercises
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To znači da većina pacijenata
ne izvodi svoje vježbe
ne izvodi svoje vježbe
01:42
and therefore take
a lot longer to get better.
a lot longer to get better.
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i stoga im treba duže da se oporave.
01:46
All physical therapists agree
that special exercises
that special exercises
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Svi se fizioterapeuti slažu
da posebne vježbe
da posebne vježbe
01:48
reduce the time needed for recovery,
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smanjuju vrijeme potrebno za oporavak,
01:50
but patients lack
the motivation to do them.
the motivation to do them.
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ali pacijentima nedostaje
motivacija za vježbanje.
motivacija za vježbanje.
01:54
So together with three friends,
all of us software geeks,
all of us software geeks,
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Troje prijatelja i ja,
svi redom kompjutorski štreberi,
svi redom kompjutorski štreberi,
01:58
we asked ourselves,
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zapitali smo se
02:00
wouldn't it be interesting if patients
could play their way to recovery?
could play their way to recovery?
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zar ne bi bilo zanimljivije da pacijenti
do svog oporavka stignu kroz igru?
do svog oporavka stignu kroz igru?
02:05
We started building MIRA,
A P.C. software platform
A P.C. software platform
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Počeli smo graditi programsku platformu
koja se zove MIRA
koja se zove MIRA
02:08
that uses this Kinect device,
a motion capture camera,
a motion capture camera,
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i koristi se uređajem Kinect
- kamerom koja snima pokrete,
- kamerom koja snima pokrete,
02:11
to transform traditional exercises
into video games.
into video games.
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kako bi tradicionalno vježbanje
pretvorila u videoigre.
pretvorila u videoigre.
02:15
My physical therapist has already set up
a schedule for my particular therapy.
a schedule for my particular therapy.
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Moja je fizioterapeutkinja već
napravila raspored za moju terapiju.
napravila raspored za moju terapiju.
02:20
Let's see how this looks.
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Pa da vidimo kako to izgleda.
02:25
The first game asks me
to fly a bee up and down
to fly a bee up and down
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U prvoj igri upravljam pčelom
koja leti gore-dolje
koja leti gore-dolje
02:28
to gather pollen to deposit in beehives,
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kako bi prikupila pelud i
spremila ga u košnicu
spremila ga u košnicu
02:31
all while avoiding the other bugs.
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izbjegavajući druge kukce.
02:33
I control the bee by doing
elbow extension and flexion,
elbow extension and flexion,
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Upravljam pčelom ispružujući
i savijajući lakat,
i savijajući lakat,
02:36
just like when I was seven years old
after the cast was taken off.
after the cast was taken off.
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baš kao kad mi je bilo sedam godina
nakon što sam skinuo gips.
nakon što sam skinuo gips.
02:41
When designing a game,
we speak to physical therapists at first
we speak to physical therapists at first
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Kad osmišljavamo igru,
prvo razgovaramo s fizioterapeutima
prvo razgovaramo s fizioterapeutima
02:44
to understand what movement
patients need to do.
patients need to do.
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kako bismo razumjeli koje pokrete
pacijenti moraju izvesti.
pacijenti moraju izvesti.
02:47
We then make that a video game
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U videoigrama zatim
02:49
to give patients simple,
motivating objectives to follow.
motivating objectives to follow.
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pacijentima postavljamo jednostavne,
motivirajuće ciljeve.
motivirajuće ciljeve.
02:53
But the software is very customizable,
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Program je vrlo prilagodljiv.
02:55
and physical therapists can also
create their own exercises.
create their own exercises.
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Fizioterapeuti mogu izrađivati vlastite vježbe.
02:59
Using the software, my physical therapist
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Koristeći se programom,
03:01
recorded herself performing
a shoulder abduction,
a shoulder abduction,
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moja se fizioterapeutkinja
snimila kako izvodi
snimila kako izvodi
03:03
which is one of the movements
my mom had to do
my mom had to do
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vježbe odmicanja, pokret koji je
moja majka
moja majka
03:05
when she had frozen shoulder.
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izvodila kad je imala
smrznuto rame.
smrznuto rame.
03:07
I can follow my therapist's example
on the left side of the screen,
on the left side of the screen,
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Mogu slijediti svoju fizioterapeutkinju
na lijevoj strani ekrana,
na lijevoj strani ekrana,
03:10
while on the right, I see myself
doing the recommended movement.
doing the recommended movement.
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dok na desnoj vidim sebe kako
izvodim preporučeni pokret.
izvodim preporučeni pokret.
03:14
I feel more engaged and confident,
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Osjećam se angažiranije i sigurnije
03:16
as I'm exercising alongside my therapist
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jer vježbam uz svoju terapeutkinju
03:19
with the exercises my therapist
thinks are best for me.
thinks are best for me.
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i izvodim vježbe koje ona
smatra najboljima za mene.
smatra najboljima za mene.
03:22
This basically extends the application
for physical therapists
for physical therapists
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Ovo fizioterapeutima zapravo omogućuje
03:25
to create whatever exercises
they think are best.
they think are best.
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osmišljavanje vježbi koje oni
smatraju najboljima.
smatraju najboljima.
03:30
This is an auction house game
for preventing falls,
for preventing falls,
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Cilj ove igre s aukcijskom kućom
jest sprječavanje padova,
jest sprječavanje padova,
03:33
designed to strengthen muscles
and improve balance.
and improve balance.
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a osmišljena je kao vježba za
jačanje mišića i ravnoteže.
jačanje mišića i ravnoteže.
03:36
As a patient, I need to do
sit and stand movements,
sit and stand movements,
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Moram izvesti pokrete
u stojećem i sjedećem položaju,
u stojećem i sjedećem položaju,
03:39
and when I stand up,
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a kad ustanem,
03:41
I bid for the items I want to buy.
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licitiram za predmete koje želim kupiti.
03:43
(Laughter)
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(Smijeh)
03:45
In two days, my grandmother
will be 82 years old,
will be 82 years old,
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Moja će baka za dva dana
napuniti 82 godine.
napuniti 82 godine.
03:48
and there's a 50 percent chance
for people over 80
for people over 80
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Svaka druga osoba starija od 80 godina
03:51
to fall at least once per year,
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padne barem jednom godišnje,
03:53
which could lead to a broken hip
or even worse.
or even worse.
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zbog čega može slomiti kuk
ili se još i teže ozlijediti.
ili se još i teže ozlijediti.
03:56
Poor muscle tone and impaired balance
are the number one cause of falls,
are the number one cause of falls,
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Nizak mišićni tonus i oslabljena ravnoteža
najčešći su uzrok padova,
najčešći su uzrok padova,
04:00
so reversing these problems
through targeted exercise
through targeted exercise
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pa će suzbijanje takvih problema
izvođenjem ciljanih vježbi
izvođenjem ciljanih vježbi
04:03
will help keep older people
like my grandmother
like my grandmother
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pomoći starijim osobama poput moje bake
04:06
safer and independent for longer.
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da ostanu samostalni i sigurni
što je duže moguće.
što je duže moguće.
04:09
When my schedule ends,
MIRA briefly shows me
MIRA briefly shows me
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Kad moj program završi,
MIRA mi sažeto prikaže
MIRA mi sažeto prikaže
04:11
how I progressed throughout my session.
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kako sam napredovao tijekom treninga.
04:15
I have just shown you
three different games
three different games
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Pokazao sam vam tri različite videoigre
04:17
for kids, adults and seniors.
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za djecu, odrasle i starije.
04:20
These can be used with orthopedic
or neurologic patients,
or neurologic patients,
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Njima se mogu koristiti i ortopedski
ili neurološki bolesnici.
ili neurološki bolesnici.
04:22
but we'll soon have options
for children with autism,
for children with autism,
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Uskoro ćemo imati
videoigre za djecu s autizmom,
videoigre za djecu s autizmom,
04:25
mental health or speech therapy.
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za mentalno zdravlje ili terapije govora.
04:28
My physical therapist
can go back to my profile
can go back to my profile
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Moja terapeutkinja
može posjetiti moj profil
može posjetiti moj profil
04:30
and see the data gathered
during my sessions.
during my sessions.
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i vidjeti podatke
prikupljene tijekom treninga.
prikupljene tijekom treninga.
04:33
She can see how much I moved,
how many points I scored,
how many points I scored,
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Može vidjeti koliko sam se kretao,
osvojene bodove,
osvojene bodove,
04:36
with what speed I moved my joints,
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brzinu kojom sam pomicao zglobove
04:38
and so on.
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i tako dalje.
04:39
My physical therapist can use all of this
to adapt my treatment.
to adapt my treatment.
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Ona se njima može koristiti
kako bi prilagodila moju terapiju.
kako bi prilagodila moju terapiju.
04:43
I'm so pleased this version is now in use
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Vrlo sam zadovoljan što se ova verzija
04:45
in over 10 clinics
across Europe and the U.S.,
across Europe and the U.S.,
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sada koristi u više od
10 klinika u Europi i SAD-u.
10 klinika u Europi i SAD-u.
04:49
and we're working on the home version.
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Radimo i na kućnoj verziji.
04:51
We want to enable physical therapists
to prescribe this digital treatment
to prescribe this digital treatment
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Fizioterapeutima želimo omogućiti
propisivanje digitalne terapije,
propisivanje digitalne terapije,
04:55
and help patients play their way
to recovery at home.
to recovery at home.
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a pacijentima želimo pomoći
da se pomoću igre oporave kod kuće.
da se pomoću igre oporave kod kuće.
05:00
If my mom or I had a tool like this
when we needed physical therapy,
when we needed physical therapy,
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Da smo ja ili moja mama imali
ovakav alat kad nam je trebala terapija,
ovakav alat kad nam je trebala terapija,
05:03
then we would have been more successful
following the treatment,
following the treatment,
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bili bismo uspješniji u njezinom praćenju
05:06
and perhaps gotten better a lot sooner.
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te bismo se možda i brže oporavili.
05:10
Thank you.
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Hvala.
05:11
(Applause)
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(Pljesak)
05:14
Tom Rielly: So Cosmin, tell me
what hardware is this
what hardware is this
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TR: Pa, Cosmine, reci mi,
kakvo je to sklopovlje
kakvo je to sklopovlje
05:17
that they're rapidly putting away?
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koje tako brzo sklanjaju?
05:19
What is that made of,
and how much does it cost?
and how much does it cost?
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Od čega je napravljeno i koliko košta?
05:21
Cosmin Milhau: So it's
a Microsoft Surface Pro 3 for the demo,
a Microsoft Surface Pro 3 for the demo,
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CM: Za ovo predstavljanje koristili smo
Microsoft Surface Pro 3,
Microsoft Surface Pro 3,
05:24
but you just need a computer
and a Kinect, which is 120 dollars.
and a Kinect, which is 120 dollars.
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no potrebno je samo imati računalo
i uređaj Kinect koji košta 120 dolara.
i uređaj Kinect koji košta 120 dolara.
05:28
TR: Right, and the Kinect is the thing
that people use for their Xboxes
that people use for their Xboxes
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TR: Aha, a Kinect je ona naprava
koja se koristi za Xbox
koja se koristi za Xbox
05:31
to do 3D games, right?
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za igranje 3D igara?
05:33
CM: Exactly, but you don't need the Xbox,
you only need a camera.
you only need a camera.
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CM: Točno, ali ne treba
ti Xbox - samo kamera.
ti Xbox - samo kamera.
05:36
TR: Right, so this is less
than a $1,000 solution.
than a $1,000 solution.
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TR: Dakle, ovo rješenje košta
manje od tisuću dolara.
manje od tisuću dolara.
05:38
CM: Definitely, 400 dollars,
you can definitely use it.
you can definitely use it.
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CM: Da, košta 400 dolara,
svakako ga možete koristiti.
svakako ga možete koristiti.
05:41
TR: So right now, you're doing
clinical trials in clinics.
clinical trials in clinics.
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TR: A trenutno radiš
na probnim verzijama u klinikama?
na probnim verzijama u klinikama?
05:44
CM: Yes.
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CM: Da.
05:44
TR: And then the hope is to get it
so it's a home version
so it's a home version
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TR: A onda se možemo nadati
verziji za kućnu upotrebu,
verziji za kućnu upotrebu,
05:47
and I can do my exercise remotely,
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vježbati na daljinu,
05:49
and the therapist at the clinic
can see how I'm doing and stuff like that.
can see how I'm doing and stuff like that.
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a terapeut u klinici moći će vidjeti
kako napredujem i slično.
kako napredujem i slično.
05:52
CM: Exactly.
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CM: Upravo tako.
05:53
TR: Cool. Thanks so much.
CM: Thank you.
CM: Thank you.
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TR: Super. Puno vam hvala.
CM: Hvala.
CM: Hvala.
05:55
(Applause)
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(Pljesak)
ABOUT THE SPEAKER
Cosmin Mihaiu - Physical therapy entrepreneurCosmin Mihaiu is the CEO and co-founder of MIRA Rehab, which develops software that engages patients in interactive and therapeutic games, making physical rehabilitation fun.
Why you should listen
When Cosmin Mihaiu noticed that injured patients hated physical therapy — and often took longer to recover because of it — he dedicated himself to making the dreaded process more engaging, or even fun. In 2011 he and his colleagues founded MIRA Rehab, where they develop software that lets patients play interactive, therapeutic games.
As MIRA’s CEO, Mihaiu now focuses on building relationships with medical institutions around the US and the UK, showing them how video games can make recovery more effective for patients and physical therapists alike.
Cosmin Mihaiu | Speaker | TED.com