TED2015
Cosmin Mihaiu: Physical therapy is boring -- play a game instead
Kozmin Mihaju (Cosmin Mihaiu): Fizikalna terapija je dosadna - umesto toga, igrajte igru
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Upravo ste se povredili, i idete ka kući posle fizikalne terapije od sat vremena. Poslednja stvar koju biste sami radili su zbunjujuće vežbe za koje je mnogo vremena potrebno da biste videli rezultate. Učesnik TED Fellows programa, Kozmin Mihaju, prikazuje zabavno i jeftino rešenje koje pretvara dosadnu terapiju u video igru sa jasnim instrukcijama.
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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Kao mali sam voleo da igram žmurke,
mnogo.
Jednom sam mislio da je krošnja
drveta sjajno mesto za skrivanje,
drveta sjajno mesto za skrivanje,
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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00:22
but I fell and broke my arm.
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ali sam pao i polomio ruku.
Počeo sam prvi razred
sa gipsom preko celih grudi.
sa gipsom preko celih grudi.
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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Skinuo sam ga posle šest nedelja,
ali i dalje nisam mogao da pomeram lakat,
ali i dalje nisam mogao da pomeram lakat,
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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i morao sam da idem na fizikalnu terapiju,
da ispravljam i savijam lakat,
da ispravljam i savijam lakat,
00:34
and I had to do physical therapy
to flex and extend it,
to flex and extend it,
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100 puta dnevno,
7 dana u nedelji.
7 dana u nedelji.
00:37
100 times per day, seven days per week.
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Jedva sam uspeo.
00:41
I barely did it, because
I found it boring and painful,
I found it boring and painful,
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Bilo mi je bolno i dosadno i zbog toga
mi je trebalo još 6 nedelja da ozdravim.
mi je trebalo još 6 nedelja da ozdravim.
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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Mnogo godina kasnije,
moja majka je dobila adhezivni kapsulitis,
moja majka je dobila adhezivni kapsulitis,
00:48
Many years later, my mom
developed frozen shoulder,
developed frozen shoulder,
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00:51
which leads to pain
and stiffness in the shoulder.
and stiffness in the shoulder.
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zbog čega je imala bolove
i ukrućeno rame.
i ukrućeno rame.
Osoba za koju sam mislio
da ima super moći,
da ima super moći,
00:56
The person I believed for half of my life
to have superpowers
to have superpowers
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odjednom nije mogla sama da se obuče,
ni da spremi hranu.
ni da spremi hranu.
00:59
suddenly needed help
to get dressed or to cut food.
to get dressed or to cut food.
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Svake nedelje je išla
na fizikalnu terapiju ali, kao i ja,
na fizikalnu terapiju ali, kao i ja,
01:03
She went each week to physical therapy,
but just like me,
but just like me,
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01:06
she barely followed the home treatment,
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kod kuće skoro da i nije vežbala,
01:08
and it took her
over five months to feel better.
over five months to feel better.
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i trebalo joj je preko 5 meseci
da ozdravi.
da ozdravi.
01:11
Both my mom and I
required physical therapy,
required physical therapy,
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Bila nam je potrebna fizikalna terapija,
01:14
a process of doing a suite
of repetitive exercises
of repetitive exercises
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proces izvođenja vežbi ponavljanja,
da bi povratili pokretljivost
izgubljenu usled nesreće ili povrede.
izgubljenu usled nesreće ili povrede.
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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U početku terapeut radi sa pacijentom,
01:21
At first, a physical therapist
works with patients,
works with patients,
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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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ali kasnije, pacijent mora sam
da izvodi vežbe kod kuće.
da izvodi vežbe kod kuće.
Ali pacijentima je terapija dosadna,
nervira ih, i dugo traje.
nervira ih, i dugo traje.
01:27
But patients find physical therapy
boring, frustrating, confusing
boring, frustrating, confusing
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01:30
and lengthy before seeing results.
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01:33
Sadly, patient noncompliance
can be as high as 70 percent.
can be as high as 70 percent.
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Nažalost, oko 70% pacijenata
ne ispoštuje terapiju.
ne ispoštuje terapiju.
To znači da većina pacijenata
ne radi vežbe,
ne radi vežbe,
01:38
This means the majority of patients
don't do their exercises
don't do their exercises
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01:42
and therefore take
a lot longer to get better.
a lot longer to get better.
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i stoga, mnogo više vremena
mora da prođe do poboljšanja.
mora da prođe do poboljšanja.
Svi terapeuti se slažu da vežbe
smanjuju vreme oporavka.
smanjuju vreme oporavka.
01:46
All physical therapists agree
that special exercises
that special exercises
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01:48
reduce the time needed for recovery,
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Ali pacijentima nedostaje motivacije.
01:50
but patients lack
the motivation to do them.
the motivation to do them.
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Zajedno sa troje prijatelja -
svi smo kompjuterski štreberi -
svi smo kompjuterski štreberi -
01:54
So together with three friends,
all of us software geeks,
all of us software geeks,
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zapitali smo se,
01:58
we asked ourselves,
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zar ne bi bilo sjajno kada bi pacijenti
mogli da se igraju do oporavka?
mogli da se igraju do oporavka?
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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Počeli smo sa izgradnjom MIRA,
softverom za PC,
softverom za PC,
02:05
We started building MIRA,
A P.C. software platform
A P.C. software platform
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koji koristi Kinect,
kameru koja snima pokret,
kameru koja snima pokret,
02:08
that uses this Kinect device,
a motion capture camera,
a motion capture camera,
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02:11
to transform traditional exercises
into video games.
into video games.
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da bi pretvorili standardne vežbe
u video igrice.
u video igrice.
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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Moj terapeut je zakazao
termin za terapiju.
termin za terapiju.
Da vidimo kako to izgleda.
02:20
Let's see how this looks.
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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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Prva igra zahteva da upravljate pčelom
gore i dole,
gore i dole,
da biste sakupili polen za košnicu,
dok izbegavamo druge bube.
dok izbegavamo druge bube.
02:28
to gather pollen to deposit in beehives,
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02:31
all while avoiding the other bugs.
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Ja kontrolišem pčelu,
savijajući i ispravljajući lakat,
savijajući i ispravljajući lakat,
02:33
I control the bee by doing
elbow extension and flexion,
elbow extension and flexion,
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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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kao kada sam imao 7 godina,
posle skidanja gipsa.
posle skidanja gipsa.
02:41
When designing a game,
we speak to physical therapists at first
we speak to physical therapists at first
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Pre pravljenja igre,
pričali smo sa terapeutima,
pričali smo sa terapeutima,
02:44
to understand what movement
patients need to do.
patients need to do.
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da bismo saznali
koje pokrete pacijenti prave.
koje pokrete pacijenti prave.
02:47
We then make that a video game
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Onda smo napravili igru, da bismo dali
pacijentima proste i motivišuće zadatke.
pacijentima proste i motivišuće zadatke.
02:49
to give patients simple,
motivating objectives to follow.
motivating objectives to follow.
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Softver je krajnje podesiv,
02:53
But the software is very customizable,
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a i terapeuti mogu da kreiraju
sopstvene vežbe.
sopstvene vežbe.
02:55
and physical therapists can also
create their own exercises.
create their own exercises.
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02:59
Using the software, my physical therapist
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Koristeći softver, moj terapeut se snimao
izvodeći vežbe bočnog dizanja ruku,
izvodeći vežbe bočnog dizanja ruku,
03:01
recorded herself performing
a shoulder abduction,
a shoulder abduction,
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03:03
which is one of the movements
my mom had to do
my mom had to do
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koji je jedan od pokreta
koje je moja majka morala da radi.
koje je moja majka morala da radi.
03:05
when she had frozen shoulder.
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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 da pratim mog terapetuta
na levoj strani ekrana,
na levoj 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 pokrete.
kako izvodim pokrete.
Osećam se angažovanijim i samouverenijim,
dok radim sa terapeutom,
dok radim sa terapeutom,
03:14
I feel more engaged and confident,
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03:16
as I'm exercising alongside my therapist
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vežbe koje on misli
da su najbolje za mene.
da su najbolje za mene.
03:19
with the exercises my therapist
thinks are best for me.
thinks are best for me.
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03:22
This basically extends the application
for physical therapists
for physical therapists
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To faktički širi upotrebu
programa za terapeute,
programa za terapeute,
03:25
to create whatever exercises
they think are best.
they think are best.
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da smišljaju vežbe
za koje oni misle da su najbolje.
za koje oni misle da su najbolje.
Ovo je igra aukcijske kuće
za prevenciju padova.
za prevenciju padova.
03:30
This is an auction house game
for preventing falls,
for preventing falls,
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03:33
designed to strengthen muscles
and improve balance.
and improve balance.
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Dizajnirana je da ojača mišiće,
i poboljša ravnotežu.
i poboljša ravnotežu.
03:36
As a patient, I need to do
sit and stand movements,
sit and stand movements,
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Kao pacijent, vežbam pokrete
ustajanja i sedanja,
ustajanja i sedanja,
i kada ustanem,dajem ponudu
za predmet koji želim da kupim.
za predmet koji želim da kupim.
03:39
and when I stand up,
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03:41
I bid for the items I want to buy.
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(Smeh)
03:43
(Laughter)
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03:45
In two days, my grandmother
will be 82 years old,
will be 82 years old,
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Za dva dana,
moja baka će napuniti 82 godine,
moja baka će napuniti 82 godine,
03:48
and there's a 50 percent chance
for people over 80
for people over 80
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i za ljude sa preko 80 godina,
postoji 50% šanse
postoji 50% šanse
03:51
to fall at least once per year,
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da padnu jednom godišnje, što može da
dovede do lomljenja kuka ili nečeg goreg.
dovede do lomljenja kuka ili nečeg goreg.
03:53
which could lead to a broken hip
or even worse.
or even worse.
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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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Slabi mišići i poremećena ravnoteža
su glavni uzrok padova.
su glavni uzrok padova.
04:00
so reversing these problems
through targeted exercise
through targeted exercise
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Sprečavanjem uzročnika,
kroz vežbanje će pomoći starijim ljudima
kroz vežbanje će pomoći starijim ljudima
04:03
will help keep older people
like my grandmother
like my grandmother
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kao što je moja baka,
da budu bezbedniji.
da budu bezbedniji.
04:06
safer and independent for longer.
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04:09
When my schedule ends,
MIRA briefly shows me
MIRA briefly shows me
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Kada završim sa vežbanjem,
04:11
how I progressed throughout my session.
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MIRA mi pokaže
izveštaj napretka mojih vežbi.
izveštaj napretka mojih vežbi.
04:15
I have just shown you
three different games
three different games
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Upravo sam vam pokazao tri različite igre
za decu, odrasle i penzionere.
za decu, odrasle i penzionere.
04:17
for kids, adults and seniors.
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Mogu se korstiti kod ortopedskih
i neuroloških pacijenata,
i neuroloških pacijenata,
04:20
These can be used with orthopedic
or neurologic patients,
or neurologic patients,
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i uskoro će moći da se koristi
kod dece sa autizmom,
kod dece sa autizmom,
04:22
but we'll soon have options
for children with autism,
for children with autism,
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mentalnim problemima
i problemima sa govorom.
i problemima sa govorom.
04:25
mental health or speech therapy.
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04:28
My physical therapist
can go back to my profile
can go back to my profile
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Moj terapeut može da pogleda moj profil,
04:30
and see the data gathered
during my sessions.
during my sessions.
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i vidi podatke prikupljene
tokom mog vežbanja.
tokom mog vežbanja.
Može videti koliko sam pokreta napravio,
koliko sam poena sakupio,
koliko sam poena sakupio,
04:33
She can see how much I moved,
how many points I scored,
how many points I scored,
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04:36
with what speed I moved my joints,
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kojom brzinom sam pravio pokrete itd.
04:38
and so on.
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Te podatke može koristiti
da bi prilagodio tretman.
da bi prilagodio tretman.
04:39
My physical therapist can use all of this
to adapt my treatment.
to adapt my treatment.
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Veoma mi je drago što se program koristi
u preko 10 klinika širom Evrope i Amerike,
u preko 10 klinika širom Evrope i Amerike,
04:43
I'm so pleased this version is now in use
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04:45
in over 10 clinics
across Europe and the U.S.,
across Europe and the U.S.,
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a u toku je i izrada kućne varijante.
04:49
and we're working on the home version.
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04:51
We want to enable physical therapists
to prescribe this digital treatment
to prescribe this digital treatment
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Želimo da omogućimo terapeutima
da mogu da prepišu ovaj tretman,
da mogu da prepišu ovaj tretman,
04:55
and help patients play their way
to recovery at home.
to recovery at home.
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a i pacijentima da im bude zanimljivije
tokom oporavka kod kuće.
tokom oporavka 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 moja majka i ja imali ovako nešto,
kada nam je terapija bila potrebna,
kada nam je terapija bila potrebna,
05:03
then we would have been more successful
following the treatment,
following the treatment,
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bili bismo uspešniji u praćenju terapije,
i pre se oporavili.
i pre se oporavili.
05:06
and perhaps gotten better a lot sooner.
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(Smeh)
Hvala vam.
Hvala vam.
05:10
Thank you.
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(Aplauz)
05:11
(Applause)
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05:14
Tom Rielly: So Cosmin, tell me
what hardware is this
what hardware is this
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Tom Rajli: Kozmine, kaži mi, koji je ovo
hardver koji užurbano nose odavde?
hardver koji užurbano nose odavde?
05:17
that they're rapidly putting away?
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Od čega se sastoji i koliko košta?
05:19
What is that made of,
and how much does it cost?
and how much does it cost?
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Kozmin Mihaiu: To je Microsoft
Surface Pro 3 demo, ali vam je dovoljan
Surface Pro 3 demo, ali vam je dovoljan
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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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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običan računar i Kinect,
koji je 120 dolara.
koji je 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: U redu, a Kinect se koristi
uz X-Box za 3D igre?
uz X-Box za 3D igre?
05:31
to do 3D games, right?
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KM: Upravo tako, ali ti ne treba X-Box,
treba ti samo kamera.
treba ti samo kamera.
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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TR: Znači, ovo je rešenje
za manje od 1000 dolara.
za manje od 1000 dolara.
05:36
TR: Right, so this is less
than a $1,000 solution.
than a $1,000 solution.
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KM: Da, definitivno,
za 400 dolara ga možete koristiti.
za 400 dolara ga možete koristiti.
05:38
CM: Definitely, 400 dollars,
you can definitely use it.
you can definitely use it.
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TR: Znači, sada radiš kliničke testove?
KM: Da.
KM: Da.
05:41
TR: So right now, you're doing
clinical trials in clinics.
clinical trials in clinics.
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05:44
CM: Yes.
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TR: I nadate se da će biti kućna verzija,
da ću moći da radim vežbe kod kuće,
da ću moći da radim vežbe kod kuće,
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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05:47
and I can do my exercise remotely,
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a terapeut na klinici će moći
da vidi kako mi ide.
da vidi kako mi 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.
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KM: Upravo tako.
TR: Kul. Hvala ti puno.
KM: Hvala tebi.
KM: Hvala tebi.
05:52
CM: Exactly.
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05:53
TR: Cool. Thanks so much.
CM: Thank you.
CM: Thank you.
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(Aplauz)
05:55
(Applause)
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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