TED2015
Cosmin Mihaiu: Physical therapy is boring -- play a game instead
Cosmin Mihaiu: Rehabilitácia je nudná, radšej sa zahrajte!
Filmed:
Readability: 5.1
1,507,249 views
Predstavte si, že ste po zranení a vraciate sa z rehabilitácie. To posledné, na čo máte doma náladu, je cvičiť. Neviete, či cvičíte správne, a navyše výsledky prichádzajú neskoro. Člen TEDu Cosmin Mihaiu vám predvedie zábavné a lacné riešenie, ktoré zmení nudnú rehabilitáciu na videohru s jasnými pokynmi.
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.
0
903
5473
Ako dieťa som sa veľmi
rád hrával na skrývačku.
rád hrával na skrývačku.
Raz som si myslel, že na strome
nájdem perfektný úkryt,
nájdem perfektný úkryt,
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,
1
6383
4109
ale spadol som a zlomil som si ruku.
00:22
but I fell and broke my arm.
2
10492
2903
Prvú triedu som začal s veľkou sadrou.
00:25
I actually started first grade
with a big cast all over my torso.
with a big cast all over my torso.
3
13395
4083
Keď mi ju o 6 týždňov dali dole,
nedokázal som vyrovnať ruku v lakti.
nedokázal som vyrovnať ruku v lakti.
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,
4
18178
4145
00:34
and I had to do physical therapy
to flex and extend it,
to flex and extend it,
5
22323
3053
Doma som mal ruku
v lakti ohýnať a vystierať
v lakti ohýnať a vystierať
00:37
100 times per day, seven days per week.
6
25376
2895
a to 100-krát denne, 7 dní v týždni.
Skoro vôbec som necvičil,
lebo to bolo nudné a bolestivé.
lebo to bolo nudné a bolestivé.
00:41
I barely did it, because
I found it boring and painful,
I found it boring and painful,
7
29021
3042
00:44
and as a result, it took me
another six weeks to get better.
another six weeks to get better.
8
32063
3631
Trvalo preto ešte 6 týždňov,
kým som sa uzdravil.
kým som sa uzdravil.
Prešlo veľa rokov a moju mamu
začalo trápiť tzv. zamrznuté rameno.
začalo trápiť tzv. zamrznuté rameno.
00:48
Many years later, my mom
developed frozen shoulder,
developed frozen shoulder,
9
36684
2864
00:51
which leads to pain
and stiffness in the shoulder.
and stiffness in the shoulder.
10
39548
4496
Mala ho stuhnuté a bolelo ju.
Pol života som veril,
že má nadprirodzenú moc,
že má nadprirodzenú moc,
00:56
The person I believed for half of my life
to have superpowers
to have superpowers
11
44044
3111
a zrazu potrebovala pomoc
pri obliekaní a krájaní potravín.
pri obliekaní a krájaní potravín.
00:59
suddenly needed help
to get dressed or to cut food.
to get dressed or to cut food.
12
47155
3308
Každý týždeň chodila na rehabilitácie,
01:03
She went each week to physical therapy,
but just like me,
but just like me,
13
51474
2809
ale doma ani ona skoro vôbec necvičila.
01:06
she barely followed the home treatment,
14
54283
1904
Lepšie sa začala cítiť až po 5 mesiacoch.
01:08
and it took her
over five months to feel better.
over five months to feel better.
15
56187
3041
Obaja sme potrebovali rehabilitáciu,
01:11
Both my mom and I
required physical therapy,
required physical therapy,
16
59848
2655
pri ktorej sa opakuje zostava cvičení,
01:14
a process of doing a suite
of repetitive exercises
of repetitive exercises
17
62503
2763
01:17
in order to regain the range of movement
lost due to an accident or injury.
lost due to an accident or injury.
18
65266
4528
aby ste sa opäť mohli hýbať tak
ako pred nehodou alebo zranením.
ako pred nehodou alebo zranením.
Najprv s pacientom cvičí fyzioterapeut,
01:21
At first, a physical therapist
works with patients,
works with patients,
19
69794
2377
01:24
but then it's up to the patients
to do their exercises at home.
to do their exercises at home.
20
72171
2963
ale potom už pacient musí cvičiť sám doma.
Rehabilitácia však pacientov nudí,
znechucuje, presne jej nerozumejú
znechucuje, presne jej nerozumejú
01:27
But patients find physical therapy
boring, frustrating, confusing
boring, frustrating, confusing
21
75134
3789
01:30
and lengthy before seeing results.
22
78923
2921
a výsledky nie sú okamžité.
Až 70 % pacientov ju nedodržiava.
01:33
Sadly, patient noncompliance
can be as high as 70 percent.
can be as high as 70 percent.
23
81844
4993
Inými slovami, väčšina doma necvičí,
01:38
This means the majority of patients
don't do their exercises
don't do their exercises
24
86837
3389
a preto im uzdravenie trvá oveľa dlhšie.
01:42
and therefore take
a lot longer to get better.
a lot longer to get better.
25
90226
3785
Všetci fyzioterapeuti sa zhodujú na tom,
01:46
All physical therapists agree
that special exercises
that special exercises
26
94011
2786
že špeciálne cviky znižujú
čas potrebný na uzdravenie,
čas potrebný na uzdravenie,
01:48
reduce the time needed for recovery,
27
96797
2160
01:50
but patients lack
the motivation to do them.
the motivation to do them.
28
98957
2376
ale pacientom jednoducho chýba motivácia.
01:54
So together with three friends,
all of us software geeks,
all of us software geeks,
29
102393
4505
Spolu s 3 kamarátmi,
všetci sme počítačoví maniaci,
všetci sme počítačoví maniaci,
sme chceli zistiť,
01:58
we asked ourselves,
30
106898
2089
či by pre pacientov nebolo zaujímavejšie,
keby sa mohli uzdraviť hrou.
keby sa mohli uzdraviť hrou.
02:00
wouldn't it be interesting if patients
could play their way to recovery?
could play their way to recovery?
31
108987
4598
Začali sme vyvíjať program MIRA,
softvérovú plataformu pre PC,
softvérovú plataformu pre PC,
02:05
We started building MIRA,
A P.C. software platform
A P.C. software platform
32
113585
2856
02:08
that uses this Kinect device,
a motion capture camera,
a motion capture camera,
33
116441
2898
ktorá pomocou Kinectu, kamery,
ktorá zachytáva pohyb,
ktorá zachytáva pohyb,
02:11
to transform traditional exercises
into video games.
into video games.
34
119339
3733
mení tradičné cvičenia na videohry.
Moja fyzioterapeutka
mi už pripravila časový rozvrh.
mi už pripravila časový rozvrh.
02:15
My physical therapist has already set up
a schedule for my particular therapy.
a schedule for my particular therapy.
35
123702
4662
Pozrime si ho.
02:20
Let's see how this looks.
36
128364
2252
[Ahoj, Cosmin
Tvoj plán hneď začne]
Tvoj plán hneď začne]
V prvej hre som včela,
mám lietať hore-dole,
mám lietať hore-dole,
02:25
The first game asks me
to fly a bee up and down
to fly a bee up and down
37
133867
2879
zbierať peľ, nosiť ho do úľov,
02:28
to gather pollen to deposit in beehives,
38
136746
2531
a pritom sa vyhýbať hmyzu.
02:31
all while avoiding the other bugs.
39
139277
2461
Ovládam ju ohýbaním
a vystieraním ruky v lakti tak,
a vystieraním ruky v lakti tak,
02:33
I control the bee by doing
elbow extension and flexion,
elbow extension and flexion,
40
141738
3226
02:36
just like when I was seven years old
after the cast was taken off.
after the cast was taken off.
41
144964
3882
ako som to mal robiť, keď som
mal 7 rokov a dali mi dole sadru.
mal 7 rokov a dali mi dole sadru.
Pri vývoji hry sa najprv
pýtame fyzioterapeuta,
pýtame fyzioterapeuta,
02:41
When designing a game,
we speak to physical therapists at first
we speak to physical therapists at first
42
149865
3064
02:44
to understand what movement
patients need to do.
patients need to do.
43
152929
2927
aký pohyb pacient potrebuje cvičiť.
Potom vyvinieme videohru, v ktorej pacient
02:47
We then make that a video game
44
155856
1671
02:49
to give patients simple,
motivating objectives to follow.
motivating objectives to follow.
45
157527
3195
spĺňa jednoduché motivujúce úlohy.
Softvér je veľmi prispôsobiteľný
02:53
But the software is very customizable,
46
161312
1927
02:55
and physical therapists can also
create their own exercises.
create their own exercises.
47
163239
3413
a fyzioterapeuti môžu
vytvoriť aj vlastné cvičenia.
vytvoriť aj vlastné cvičenia.
Moja fyzioterapeutka sa pomocou softvéru
nahráva pri abdukcii ramena.
nahráva pri abdukcii ramena.
02:59
Using the software, my physical therapist
48
167192
1991
03:01
recorded herself performing
a shoulder abduction,
a shoulder abduction,
49
169183
2288
03:03
which is one of the movements
my mom had to do
my mom had to do
50
171471
2193
Ide o jeden z cvikov,
ktoré mala cvičiť mama.
03:05
when she had frozen shoulder.
51
173664
1697
Vľavo vidím ako cvičí ona
03:07
I can follow my therapist's example
on the left side of the screen,
on the left side of the screen,
52
175361
3458
a vpravo súčasne vidím,
ako odporúčaný pohyb cvičím ja.
ako odporúčaný pohyb cvičím ja.
03:10
while on the right, I see myself
doing the recommended movement.
doing the recommended movement.
53
178819
3692
Mám väčší pocit angažovanosti
a viac sebavedomia,
a viac sebavedomia,
03:14
I feel more engaged and confident,
54
182511
2043
03:16
as I'm exercising alongside my therapist
55
184554
2461
pretože cvičím tie cvičenia,
ktoré sú pre mňa najvhodnejšie.
ktoré sú pre mňa najvhodnejšie.
03:19
with the exercises my therapist
thinks are best for me.
thinks are best for me.
56
187015
3855
Fyzioterapeuti môžu
našu aplikáciu využívať
našu aplikáciu využívať
03:22
This basically extends the application
for physical therapists
for physical therapists
57
190870
2925
03:25
to create whatever exercises
they think are best.
they think are best.
58
193795
4528
na vytváranie tých najvhodnejších cvikov.
Toto je hra na dražbu s cieľom
posilniť svalstvo a zlepšiť rovnováhu,
posilniť svalstvo a zlepšiť rovnováhu,
03:30
This is an auction house game
for preventing falls,
for preventing falls,
59
198323
3251
03:33
designed to strengthen muscles
and improve balance.
and improve balance.
60
201574
2995
aby sa zabránilo pádom.
Pacient si musí striedavo sadať a vstávať
03:36
As a patient, I need to do
sit and stand movements,
sit and stand movements,
61
204569
2995
a, keď vstane, urobí ponuku na predmet,
03:39
and when I stand up,
62
207564
1858
03:41
I bid for the items I want to buy.
63
209422
2345
ktorý chce kúpiť.
(smiech)
03:43
(Laughter)
64
211767
2113
O 2 dni moja starká oslávi 82 rokov.
03:45
In two days, my grandmother
will be 82 years old,
will be 82 years old,
65
213880
2995
Je 50-percentná šanca,
03:48
and there's a 50 percent chance
for people over 80
for people over 80
66
216875
2415
že ľudia starší ako 80 rokov
spadnú aspoň raz do roka,
spadnú aspoň raz do roka,
03:51
to fall at least once per year,
67
219290
1881
03:53
which could lead to a broken hip
or even worse.
or even worse.
68
221171
3088
čo môže skončiť zlomeným
bedrom alebo aj horšie.
bedrom alebo aj horšie.
Oslabené svalstvo a poruchy rovnováhy
sú hlavnou príčinou pádov.
sú hlavnou príčinou pádov.
03:56
Poor muscle tone and impaired balance
are the number one cause of falls,
are the number one cause of falls,
69
224259
4156
04:00
so reversing these problems
through targeted exercise
through targeted exercise
70
228415
3111
Cviky zamerané na tieto problémy
pomôžu starším ľuďom, ako je moja starká,
04:03
will help keep older people
like my grandmother
like my grandmother
71
231526
2670
znížiť riziko pádov
a byť dlhšie nezávislí.
a byť dlhšie nezávislí.
04:06
safer and independent for longer.
72
234196
2833
Na konci cvičenia mi MIRA ukáže,
aké som urobil pokroky.
aké som urobil pokroky.
04:09
When my schedule ends,
MIRA briefly shows me
MIRA briefly shows me
73
237029
2485
04:11
how I progressed throughout my session.
74
239514
3179
04:15
I have just shown you
three different games
three different games
75
243553
2067
Ukázal som vám 3 rôzne hry:
pre deti, dospelých a seniorov.
04:17
for kids, adults and seniors.
76
245620
2493
Môžu ich používať ortopedickí
a neurologickí pacienti,
a neurologickí pacienti,
04:20
These can be used with orthopedic
or neurologic patients,
or neurologic patients,
77
248113
2829
04:22
but we'll soon have options
for children with autism,
for children with autism,
78
250942
2944
ale chystáme aj verzie zamerané na deti
s autizmom, duševné zdravie a logopédiu.
s autizmom, duševné zdravie a logopédiu.
04:25
mental health or speech therapy.
79
253886
2425
Terapeutka si môže pozrieť môj profil,
04:28
My physical therapist
can go back to my profile
can go back to my profile
80
256661
2338
04:30
and see the data gathered
during my sessions.
during my sessions.
81
258999
2991
kde uvidí všetky údaje zozbierané pri hre.
Uvidí, koľko som sa hýbal,
koľko bodov som získal
koľko bodov som získal
04:33
She can see how much I moved,
how many points I scored,
how many points I scored,
82
261990
2670
04:36
with what speed I moved my joints,
83
264660
1950
alebo akou rýchlosťou som ohýbal kĺby.
04:38
and so on.
84
266610
1231
Vďaka týmto informáciám
mi môže liečbu upraviť.
mi môže liečbu upraviť.
04:39
My physical therapist can use all of this
to adapt my treatment.
to adapt my treatment.
85
267841
3277
Teší ma, že túto verziu hry momentálne
používa 10 kliník v Európe a v USA.
používa 10 kliník v Európe a v USA.
04:43
I'm so pleased this version is now in use
86
271881
2066
04:45
in over 10 clinics
across Europe and the U.S.,
across Europe and the U.S.,
87
273947
3297
Pracujeme na verzii pre domácnosti.
04:49
and we're working on the home version.
88
277244
1953
04:51
We want to enable physical therapists
to prescribe this digital treatment
to prescribe this digital treatment
89
279197
4473
Chceme, aby fyzioterapeuti
predpisovali túto „digitálnu liečbu“,
predpisovali túto „digitálnu liečbu“,
04:55
and help patients play their way
to recovery at home.
to recovery at home.
90
283670
3640
čím by pacientom pomohli
uzdraviť sa doma hrou.
uzdraviť sa doma hrou.
Keby sme s mamou boli
mali k dispozícii takúto hru,
mali k dispozícii takúto hru,
05:00
If my mom or I had a tool like this
when we needed physical therapy,
when we needed physical therapy,
91
288030
3443
naše domáce cvičenie by
bolo dopadlo úspešnejšie
bolo dopadlo úspešnejšie
05:03
then we would have been more successful
following the treatment,
following the treatment,
92
291473
3046
05:06
and perhaps gotten better a lot sooner.
93
294519
3530
a možno by sme sa
boli uzdravili oveľa skôr.
boli uzdravili oveľa skôr.
Ďakujem.
05:10
Thank you.
94
298049
1602
(potlesk)
05:11
(Applause)
95
299651
2380
05:14
Tom Rielly: So Cosmin, tell me
what hardware is this
what hardware is this
96
302031
3576
Tom Rielly: Cosmin, môžete mi povedať,
čo za hardvér to odnášajú preč?
čo za hardvér to odnášajú preč?
05:17
that they're rapidly putting away?
97
305607
1863
Z čoho pozostáva a koľko stál?
05:19
What is that made of,
and how much does it cost?
and how much does it cost?
98
307470
2240
Cosmin Milhau:
Použil som Microsoft Surface Pro 3,
Použil som Microsoft Surface Pro 3,
05:21
Cosmin Milhau: So it's
a Microsoft Surface Pro 3 for the demo,
a Microsoft Surface Pro 3 for the demo,
99
309710
3079
ale doma vám úplne stačí počítač
a Kinect za 120 dolárov.
a Kinect za 120 dolárov.
05:24
but you just need a computer
and a Kinect, which is 120 dollars.
and a Kinect, which is 120 dollars.
100
312789
3745
05:28
TR: Right, and the Kinect is the thing
that people use for their Xboxes
that people use for their Xboxes
101
316534
3447
TR: Kinect sa používa
pri 3D hrách na Xboxe, však?
pri 3D hrách na Xboxe, však?
05:31
to do 3D games, right?
102
319981
1071
CM: Nepotrebujete však Xbox,
len správnu kameru.
len správnu kameru.
05:33
CM: Exactly, but you don't need the Xbox,
you only need a camera.
you only need a camera.
103
321052
3061
TR: Stojí teda menej ako 1000 dolárov.
05:36
TR: Right, so this is less
than a $1,000 solution.
than a $1,000 solution.
104
324113
2762
CM: Úplne stačí 400 dolárov.
05:38
CM: Definitely, 400 dollars,
you can definitely use it.
you can definitely use it.
105
326875
2583
TR: Teraz prebiehajú klinické testy.
05:41
TR: So right now, you're doing
clinical trials in clinics.
clinical trials in clinics.
106
329458
2796
CM: Áno.
05:44
CM: Yes.
107
332254
739
TR: Chcete vytvoriť verzie,
pri ktorých by pacient cvičil doma
pri ktorých by pacient cvičil doma
05:44
TR: And then the hope is to get it
so it's a home version
so it's a home version
108
332993
2720
05:47
and I can do my exercise remotely,
109
335713
1679
a terapeut by na klinike videl,
ako mu to ide.
ako mu to ide.
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.
110
337392
3530
CM: Presne tak.
TR: Paráda. Ďakujem.
05:52
CM: Exactly.
111
340922
1067
CM: Ďakujem.
05:53
TR: Cool. Thanks so much.
CM: Thank you.
CM: Thank you.
112
341989
1854
(potlesk)
05:55
(Applause)
113
343843
741
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