TED2015
Cosmin Mihaiu: Physical therapy is boring -- play a game instead
Cosmin Mihaiu: 康复理疗太枯燥无趣了-- 不如来玩游戏吧
Filmed:
Readability: 5.1
1,507,249 views
假设你受伤了，刚做完了1个小时的物理康复治疗准备回家。你一定不希望因为弄不清怎么做理疗锻炼，从而拖延康复时间。 TED伙伴Cosmin Mihaiu演示了一个有趣而低成本的解决方案，将枯燥的理疗训练变成了视频游戏，来清楚地指导训练要点。
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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在我小时候，
我很喜欢玩躲猫猫的游戏。
我很喜欢玩躲猫猫的游戏。
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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有一次，我找到了个最佳藏身点
--爬到树上去，
--爬到树上去，
00:22
but I fell and broke my arm.
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可是我掉了下来，摔断了胳臂。
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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我身上打了一个巨大的石膏固定，
就这样开始了我的小学一年级。
就这样开始了我的小学一年级。
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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六周后，石膏拆掉了，
然后我的手肘没法伸直了。
然后我的手肘没法伸直了。
00:34
and I had to do physical therapy
to flex and extend it,
to flex and extend it,
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我必须通过复健理疗
来弯曲和伸直手臂，
来弯曲和伸直手臂，
00:37
100 times per day, seven days per week.
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每天100次，每周七天。
我基本上没有做到，
因为我觉得又无聊又痛苦。
因为我觉得又无聊又痛苦。
00:41
I barely did it, because
I found it boring and painful,
I found it boring and painful,
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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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结果，我又多花了6周时间才好了些。
00:48
Many years later, my mom
developed frozen shoulder,
developed frozen shoulder,
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许多年以后，
我妈妈患上了肩周炎，
我妈妈患上了肩周炎，
00:51
which leads to pain
and stiffness in the shoulder.
and stiffness in the shoulder.
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这种病会让人肩膀疼痛和僵硬。
00:56
The person I believed for half of my life
to have superpowers
to have superpowers
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这个我信仰了半辈子的，
以为有超能力的人，
以为有超能力的人，
00:59
suddenly needed help
to get dressed or to cut food.
to get dressed or to cut food.
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突然间，需要人来帮她穿衣服，
帮她切开食物，
帮她切开食物，
01:03
She went each week to physical therapy,
but just like me,
but just like me,
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她每周都去做复健理疗，
可她跟我一样，
可她跟我一样，
01:06
she barely followed the home treatment,
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在家的练习总是不好好做，
01:08
and it took her
over five months to feel better.
over five months to feel better.
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她用了5个多月才好起来。
01:11
Both my mom and I
required physical therapy,
required physical therapy,
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我妈妈和我都曾经历复健理疗，
01:14
a process of doing a suite
of repetitive exercises
of repetitive exercises
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这一系列不断重复的练习过程，
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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能帮助患者重新恢复
受伤部位的活动能力。
受伤部位的活动能力。
01:21
At first, a physical therapist
works with patients,
works with patients,
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刚开始，会由一位复健理疗医师
指导帮助患者，
指导帮助患者，
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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接下来，就靠患者自己在家继续练习。
01:27
But patients find physical therapy
boring, frustrating, confusing
boring, frustrating, confusing
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可是患者发觉复健治疗枯燥无味，
令人沮丧，而且摸不到门道，
令人沮丧，而且摸不到门道，
01:30
and lengthy before seeing results.
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见效还很慢。
01:33
Sadly, patient noncompliance
can be as high as 70 percent.
can be as high as 70 percent.
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很遗憾，
不好好做复健的病人比例高达70%。
不好好做复健的病人比例高达70%。
01:38
This means the majority of patients
don't do their exercises
don't do their exercises
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也就是说，大部分的病人
都没有完成复健练习的要求，
都没有完成复健练习的要求，
01:42
and therefore take
a lot longer to get better.
a lot longer to get better.
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因而也就需要更长时间来恢复。
01:46
All physical therapists agree
that special exercises
that special exercises
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所有的复健理疗师都同意，
01:48
reduce the time needed for recovery,
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特殊的锻炼可以减少
康复所需要的时间，
康复所需要的时间，
01:50
but patients lack
the motivation to do them.
the motivation to do them.
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可病人就是缺乏动力去做好它。
01:54
So together with three friends,
all of us software geeks,
all of us software geeks,
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我和三个朋友一起，
我们都是程序猿，
我们都是程序猿，
01:58
we asked ourselves,
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我们问自己，
如果让病人玩着游戏就康复了，
这是不是挺有趣的？
这是不是挺有趣的？
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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02:05
We started building MIRA,
A P.C. software platform
A P.C. software platform
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我们开始写MIRA，
这是个PC机上的软件平台，
这是个PC机上的软件平台，
02:08
that uses this Kinect device,
a motion capture camera,
a motion capture camera,
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使用Kinect感应器
（动态捕捉摄像头）
（动态捕捉摄像头）
02:11
to transform traditional exercises
into video games.
into video games.
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将传统的复健练习
转化成视频游戏。
转化成视频游戏。
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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我的复健理疗师
已为我设好了理疗计划。
已为我设好了理疗计划。
02:20
Let's see how this looks.
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我们看看它是怎样进行的。
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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第一个游戏要我操作
一只蜜蜂飞高飞低
一只蜜蜂飞高飞低
02:28
to gather pollen to deposit in beehives,
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采集花粉存进蜂巢。
02:31
all while avoiding the other bugs.
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同时要避开其他的昆虫。
02:33
I control the bee by doing
elbow extension and flexion,
elbow extension and flexion,
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我通过伸直和弯曲手肘
来控制蜜蜂，
来控制蜜蜂，
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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就和我七岁那年
拆了石膏后的情形一样。
拆了石膏后的情形一样。
02:41
When designing a game,
we speak to physical therapists at first
we speak to physical therapists at first
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设计游戏时，
我们首先和理疗师们探讨，
我们首先和理疗师们探讨，
02:44
to understand what movement
patients need to do.
patients need to do.
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弄清楚病人需要做哪些运动。
02:47
We then make that a video game
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然后我们再把它做成视频游戏，
02:49
to give patients simple,
motivating objectives to follow.
motivating objectives to follow.
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让病人能有简化的目标，
激励他们持续练习。
激励他们持续练习。
02:53
But the software is very customizable,
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这个软件可以根据客户要求定制，
02:55
and physical therapists can also
create their own exercises.
create their own exercises.
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理疗师们也可以建立
他们自己的理疗训练。
他们自己的理疗训练。
02:59
Using the software, my physical therapist
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使用这个软件，
03:01
recorded herself performing
a shoulder abduction,
a shoulder abduction,
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我的理疗师录下了
她自己做肩部伸展的运动的过程，
她自己做肩部伸展的运动的过程，
03:03
which is one of the movements
my mom had to do
my mom had to do
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这是我妈妈患肩周炎接受治疗时，
03:05
when she had frozen shoulder.
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其中一个必须做的练习动作，
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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我可以看屏幕左边，
跟着理疗师做动作，
跟着理疗师做动作，
03:10
while on the right, I see myself
doing the recommended movement.
doing the recommended movement.
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在屏幕右边，
我可以看到我自己的动作。
我可以看到我自己的动作。
03:14
I feel more engaged and confident,
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这样我觉得更有信心，也更投入，
03:16
as I'm exercising alongside my therapist
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因为我有理疗师在身边陪着，
03:19
with the exercises my therapist
thinks are best for me.
thinks are best for me.
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练习着她认为我最应该做的复健动作。
03:22
This basically extends the application
for physical therapists
for physical therapists
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这基本上扩展了理疗师们的治疗手段，
03:25
to create whatever exercises
they think are best.
they think are best.
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让他们可以建立
任何他们认为恰当的复健练习。
任何他们认为恰当的复健练习。
03:30
This is an auction house game
for preventing falls,
for preventing falls,
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这里是一个拍卖会游戏，
作用是预防跌倒，
作用是预防跌倒，
03:33
designed to strengthen muscles
and improve balance.
and improve balance.
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它能强壮肌肉和提高平衡感。
03:36
As a patient, I need to do
sit and stand movements,
sit and stand movements,
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假设我是病人，我需要完成
坐下和起立的动作，
坐下和起立的动作，
03:39
and when I stand up,
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当我站起来时，
03:41
I bid for the items I want to buy.
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我就出价一次，竞标我想买的，
03:43
(Laughter)
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（笑声）
还有两天，我的外祖母就满82岁了，
03:45
In two days, my grandmother
will be 82 years old,
will be 82 years old,
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03:48
and there's a 50 percent chance
for people over 80
for people over 80
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80岁以上的老人们有50%的几率
03:51
to fall at least once per year,
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一年会跌倒一次或者更多次，
03:53
which could lead to a broken hip
or even worse.
or even worse.
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这会让他们摔伤髋部，或者更糟。
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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缺乏健康肌群和平衡感变差
是造成跌倒的头号原因，
是造成跌倒的头号原因，
04:00
so reversing these problems
through targeted exercise
through targeted exercise
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所以通过设定目标的锻炼
来扭转这一状况，
来扭转这一状况，
04:03
will help keep older people
like my grandmother
like my grandmother
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能够让像我祖母一样的老人们
04:06
safer and independent for longer.
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更加安全和独立。
04:09
When my schedule ends,
MIRA briefly shows me
MIRA briefly shows me
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当我的疗程结束时，
MIRA能够显示纪录概况，
MIRA能够显示纪录概况，
04:11
how I progressed throughout my session.
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告诉我自己在疗程中的全程表现如何。
04:15
I have just shown you
three different games
three different games
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以上我向大家介绍了
三个不同的游戏，
三个不同的游戏，
04:17
for kids, adults and seniors.
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分别适用于儿童，成人，和老人。
它们同样可以被应用在
骨科或是神经系统的病患身上，
骨科或是神经系统的病患身上，
04:20
These can be used with orthopedic
or neurologic patients,
or neurologic patients,
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但我们很快还会有其他的游戏
来帮助治疗
来帮助治疗
04:22
but we'll soon have options
for children with autism,
for children with autism,
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04:25
mental health or speech therapy.
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患有自闭症，有心理疾病
或是有语言困难的儿童。
或是有语言困难的儿童。
04:28
My physical therapist
can go back to my profile
can go back to my profile
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我的理疗师可以进到
我的个人档案，
我的个人档案，
04:30
and see the data gathered
during my sessions.
during my sessions.
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查看我在训练过程中
系统所采集的数据。
系统所采集的数据。
04:33
She can see how much I moved,
how many points I scored,
how many points I scored,
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她可以看到
我运动的情况和我得了多少分。
我运动的情况和我得了多少分。
04:36
with what speed I moved my joints,
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我在每个得分点之间
运动的速度怎样。
运动的速度怎样。
04:38
and so on.
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诸如此类。
我的理疗师可以将
这一切数据应用于我的治疗中。
这一切数据应用于我的治疗中。
04:39
My physical therapist can use all of this
to adapt my treatment.
to adapt my treatment.
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我非常高兴的看到，
目前这版软件
目前这版软件
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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已经在欧美的十多个诊所得到运用，
04:49
and we're working on the home version.
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我们正在研发家庭版。
04:51
We want to enable physical therapists
to prescribe this digital treatment
to prescribe this digital treatment
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我们希望能使理疗师们
开出这项游戏复健的处方，
开出这项游戏复健的处方，
04:55
and help patients play their way
to recovery at home.
to recovery at home.
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以帮助病人们在家治疗，
在游戏中迈向康复之路。
在游戏中迈向康复之路。
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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以前我妈和我在做理疗的时候，
如果有这样的软件，
如果有这样的软件，
05:03
then we would have been more successful
following the treatment,
following the treatment,
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我们按照要求做锻炼
会恢复得更好，
会恢复得更好，
05:06
and perhaps gotten better a lot sooner.
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康复进程也许会快得多。
05:10
Thank you.
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谢谢大家。
05:11
(Applause)
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（掌声）
05:14
Tom Rielly: So Cosmin, tell me
what hardware is this
what hardware is this
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Tom Rielly:
Cosmin，说说这是什么硬件，
Cosmin，说说这是什么硬件，
05:17
that they're rapidly putting away?
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怎么这么快就可以拿走了？
05:19
What is that made of,
and how much does it cost?
and how much does it cost?
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它是用什么做的，
大概要花多少钱？
大概要花多少钱？
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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Cosmin Milhau:
演示所用的是微软的Surface Pro 3 笔记本，
演示所用的是微软的Surface Pro 3 笔记本，
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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但其实你只需要
一台电脑和一个大概120美元的Kinect。
一台电脑和一个大概120美元的Kinect。
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：好的，Kinect就是人们玩Xbox时，
用来玩3D游戏的那个设备，对么？
05:31
to do 3D games, right?
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CM：就是那个，但你不需要用到Xbox，
你只需要一个摄像头。
你只需要一个摄像头。
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：好的，所以这是一个
成本低于一千美金的解决方案。
成本低于一千美金的解决方案。
05:36
TR: Right, so this is less
than a $1,000 solution.
than a $1,000 solution.
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CM：肯定的，只要四百美元，
你就可以运行它了。
你就可以运行它了。
05:38
CM: Definitely, 400 dollars,
you can definitely use it.
you can definitely use it.
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TR：那么现在，你们正在
各诊所里做临床版本的试运行？
各诊所里做临床版本的试运行？
05:41
TR: So right now, you're doing
clinical trials in clinics.
clinical trials in clinics.
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CM：对。
05:44
CM: Yes.
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TR：那么我们就希望一切顺利，
然后再有家庭版本，
然后再有家庭版本，
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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我就可以在家里进行自由练习了，
05:47
and I can do my exercise remotely,
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而理疗师坐在诊所里
就可以看到我怎么练习的，诸如此类。
就可以看到我怎么练习的，诸如此类。
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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CM：完全正确。
TR：太棒了。非常感谢。
CM：感谢您。
CM：感谢您。
05:52
CM: Exactly.
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TR: Cool. Thanks so much.
CM: Thank you.
CM: Thank you.
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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