ABOUT THE SPEAKER
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.

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.

More profile about the speaker
Cosmin Mihaiu | Speaker | TED.com
TED2015

Cosmin Mihaiu: Physical therapy is boring -- play a game instead

柯思明: 復健好枯燥──用遊戲代替吧!

Filmed:
1,507,249 views

你才受了傷,做了一小時的物理治療後,正在回家的路上。你一點都不想在家自己做難懂的復健運動,而且這還要花好長的時間才能看到成效。TED 研究會員柯思明示範了一套好玩又便宜的解決方案,將枯燥的物理治療運動變成電玩,並提供非常清楚的使用說明。
- 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

Double-click the English transcript below to play the video.

00:12
When I was growing生長 up, I really
liked喜歡 playing播放 hide-and-seek捉迷藏 a lot.
0
903
5473
在我成長期間,
我真的好喜歡玩捉迷藏。
00:18
One time, though雖然, I thought climbing攀登
a tree would lead to a great hiding spot,
1
6383
4109
但是有一次,我以為
爬上樹會找到很棒的藏匿點,
00:22
but I fell下跌 and broke打破 my arm.
2
10492
2903
可是我跌了下來,摔斷了手臂。
00:25
I actually其實 started開始 first grade年級
with a big cast all over my torso軀幹.
3
13395
4083
一年級開學時我其實是
身體裹著大石膏去學校的。
00:30
It was taken採取 off six weeks later後來,
but even then, I couldn't不能 extend延伸 my elbow彎頭,
4
18178
4145
六個星期後拆下石膏,
但那時候我還不能伸手臂,
00:34
and I had to do physical物理 therapy治療
to flex柔性 and extend延伸 it,
5
22323
3053
我必須去復健才能彎曲及伸展。
00:37
100 times per day, seven days per week.
6
25376
2895
一天要做一百次,每星期做七天。
00:41
I barely僅僅 did it, because
I found發現 it boring無聊 and painful痛苦,
7
29021
3042
我幾乎都沒做,
因為我發現那很枯燥又很痛,
00:44
and as a result結果, it took me
another另一個 six weeks to get better.
8
32063
3631
結果我又花了六個星期才好轉。
00:48
Many許多 years年份 later後來, my mom媽媽
developed發達 frozen凍結的 shoulder,
9
36684
2864
多年以後,我媽媽得了五十肩,
00:51
which哪一個 leads引線 to pain疼痛
and stiffness剛性 in the shoulder.
10
39548
4496
導致肩膀又痛又僵硬。
00:56
The person I believed相信 for half of my life
to have superpowers超級大國
11
44044
3111
這個我大半輩子
都相信有超能力的人,
00:59
suddenly突然 needed需要 help
to get dressed連衣裙的 or to cut food餐飲.
12
47155
3308
突然間需要幫忙才能穿衣吃飯。
01:03
She went each week to physical物理 therapy治療,
but just like me,
13
51474
2809
她每個星期都去看物理治療師,
但就像我一樣,
01:06
she barely僅僅 followed其次 the home treatment治療,
14
54283
1904
她幾乎都沒做居家復健運動,
01:08
and it took her
over five months個月 to feel better.
15
56187
3041
所以她花了五個多月
才覺得好一點。
01:11
Both my mom媽媽 and I
required需要 physical物理 therapy治療,
16
59848
2655
我媽和我兩個都需要做復健,
01:14
a process處理 of doing a suite套房
of repetitive重複 exercises演習
17
62503
2763
過程是做一套重複運動,
01:17
in order訂購 to regain恢復 the range範圍 of movement運動
lost丟失 due應有 to an accident事故 or injury.
18
65266
4528
讓身體的靈活度能恢復到
和意外受傷前一樣。
01:21
At first, a physical物理 therapist治療師
works作品 with patients耐心,
19
69794
2377
首先,物理治療師會在旁指導病人,
01:24
but then it's up to the patients耐心
to do their exercises演習 at home.
20
72171
2963
但是之後病人就要在家做復健運動。
01:27
But patients耐心 find physical物理 therapy治療
boring無聊, frustrating洩氣, confusing撲朔迷離
21
75134
3789
但是病人發現物理治療
很枯燥、讓人洩氣又難懂,
01:30
and lengthy冗長 before seeing眼看 results結果.
22
78923
2921
而且要很久才看得到成效。
01:33
Sadly可悲的是, patient患者 noncompliance違規
can be as high as 70 percent百分.
23
81844
4993
很可惜,患者不合作的
機率可高達 70%。
01:38
This means手段 the majority多數 of patients耐心
don't do their exercises演習
24
86837
3389
這意味著大部分的病人
都不做指定的運動,
01:42
and therefore因此 take
a lot longer to get better.
25
90226
3785
因而要花更長的時間才會好轉。
01:46
All physical物理 therapists治療師 agree同意
that special特別 exercises演習
26
94011
2786
所有的物理治療師都同意
特別設計的運動
01:48
reduce減少 the time needed需要 for recovery復甦,
27
96797
2160
能減少康復所需的時間,
01:50
but patients耐心 lack缺乏
the motivation動機 to do them.
28
98957
2376
但是病人缺乏動機去做這些運動。
01:54
So together一起 with three friends朋友,
all of us software軟件 geeks怪才,
29
102393
4505
所以我與三個朋友,
我們都是軟體達人,
01:58
we asked ourselves我們自己,
30
106898
2089
我們問自己,
02:00
wouldn't不會 it be interesting有趣 if patients耐心
could play their way to recovery復甦?
31
108987
4598
如果病人能用玩的
走上康復之路不是很有趣嗎?
02:05
We started開始 building建造 MIRAMIRA,
A P.C. software軟件 platform平台
32
113585
2856
我們開始著手寫麥拉 (MIRA) ,
一套微軟的軟體平台,
02:08
that uses使用 this KinectKinect的 device設備,
a motion運動 capture捕獲 camera相機,
33
116441
2898
利用 Kinect 體感裝置,
即動態捕捉攝影機,
02:11
to transform轉變 traditional傳統 exercises演習
into video視頻 games遊戲.
34
119339
3733
將傳統的運動轉變成電玩。
02:15
My physical物理 therapist治療師 has already已經 set up
a schedule時間表 for my particular特定 therapy治療.
35
123702
4662
我已與我的物理治療師
約好要做某種治療。
02:20
Let's see how this looks容貌.
36
128364
2252
來看看這怎麼用。
02:25
The first game遊戲 asks me
to fly a bee蜜蜂 up and down
37
133867
2879
第一個遊戲要我
讓一隻蜜蜂上下飛
02:28
to gather收集 pollen花粉 to deposit存款 in beehives蜂箱,
38
136746
2531
以採集花粉存到蜂巢,
02:31
all while avoiding避免 the other bugs蟲子.
39
139277
2461
同時還要避開其他的蟲子。
02:33
I control控制 the bee蜜蜂 by doing
elbow彎頭 extension延期 and flexion屈曲,
40
141738
3226
我以伸展及彎曲手臂
來控制這隻蜜蜂,
02:36
just like when I was seven years年份 old
after the cast was taken採取 off.
41
144964
3882
就像我七歲時
拿掉石膏後要做的一樣。
02:41
When designing設計 a game遊戲,
we speak說話 to physical物理 therapists治療師 at first
42
149865
3064
在設計遊戲時,
我們先與物理治療師談過,
02:44
to understand理解 what movement運動
patients耐心 need to do.
43
152929
2927
瞭解病人需要做什麼樣的動作。
02:47
We then make that a video視頻 game遊戲
44
155856
1671
然後我們製作出一套遊戲
02:49
to give patients耐心 simple簡單,
motivating激勵 objectives目標 to follow跟隨.
45
157527
3195
給患者簡單又能激勵他們的
治療目標來遵循。
02:53
But the software軟件 is very customizable定制,
46
161312
1927
但是這套軟體非常容易客製,
02:55
and physical物理 therapists治療師 can also
create創建 their own擁有 exercises演習.
47
163239
3413
物理治療師也能
設計他們自己的運動。
02:59
Using運用 the software軟件, my physical物理 therapist治療師
48
167192
1991
我的物理治療師用這套軟體
03:01
recorded記錄 herself她自己 performing執行
a shoulder abduction綁架,
49
169183
2288
錄下她自己示範肩關節外展,
03:03
which哪一個 is one of the movements運動
my mom媽媽 had to do
50
171471
2193
這是我媽媽當年得五十肩時
要做的動作之一。
03:05
when she had frozen凍結的 shoulder.
51
173664
1697
03:07
I can follow跟隨 my therapist's治療師 example
on the left side of the screen屏幕,
52
175361
3458
我可以跟著治療師
在螢幕左邊的示範,
03:10
while on the right, I see myself
doing the recommended推薦的 movement運動.
53
178819
3692
同時在右邊看見
自己做這項推薦動作。
03:14
I feel more engaged訂婚 and confident信心,
54
182511
2043
我覺得我更想做也更有信心,
03:16
as I'm exercising行使 alongside並肩 my therapist治療師
55
184554
2461
因為我與我的治療師併肩運動,
03:19
with the exercises演習 my therapist治療師
thinks are best最好 for me.
56
187015
3855
一起做我的治療師認為
對我最有益的動作。
03:22
This basically基本上 extends擴展 the application應用
for physical物理 therapists治療師
57
190870
2925
這基本上讓物理治療師能擴大應用,
03:25
to create創建 whatever隨你 exercises演習
they think are best最好.
58
193795
4528
設計出他們認為最佳的運動。
03:30
This is an auction拍賣 house game遊戲
for preventing防止 falls下降,
59
198323
3251
這是為避免跌倒
而設計的拍賣會遊戲,
03:33
designed設計 to strengthen加強 muscles肌肉
and improve提高 balance平衡.
60
201574
2995
為了強化肌肉及改善平衡能力。
03:36
As a patient患者, I need to do
sit and stand movements運動,
61
204569
2995
身為患者,
我必須做坐下起立等動作,
03:39
and when I stand up,
62
207564
1858
我起立時,
03:41
I bid出價 for the items項目 I want to buy購買.
63
209422
2345
我就對我想買的東西出價競標。
03:43
(Laughter笑聲)
64
211767
2113
(笑聲)
03:45
In two days, my grandmother祖母
will be 82 years年份 old,
65
213880
2995
我的祖母再過兩天就要 82 歲了,
03:48
and there's a 50 percent百分 chance機會
for people over 80
66
216875
2415
超過 80 歲的人有 50% 的機率
03:51
to fall秋季 at least最小 once一旦 per year,
67
219290
1881
每年至少跌倒一次,
03:53
which哪一個 could lead to a broken破碎 hip臀部
or even worse更差.
68
221171
3088
導致骨盆骨折,或甚至更糟的情況。
03:56
Poor較差的 muscle肌肉 tone and impaired受損 balance平衡
are the number one cause原因 of falls下降,
69
224259
4156
肌力不足及平衡感變差
是跌倒的首要原因,
04:00
so reversing倒車 these problems問題
through通過 targeted針對 exercise行使
70
228415
3111
所以透過特定運動
來徹底改變這些問題,
04:03
will help keep older舊的 people
like my grandmother祖母
71
231526
2670
就能幫助像我祖母一樣的老人家
04:06
safer更安全 and independent獨立 for longer.
72
234196
2833
更安全、更獨立的生活久一點。
04:09
When my schedule時間表 ends結束,
MIRAMIRA briefly簡要地 shows節目 me
73
237029
2485
在我的運動時間結束後,
麥拉會很快地向我顯示
04:11
how I progressed進展 throughout始終 my session會議.
74
239514
3179
在這段期間我的進展如何。
04:15
I have just shown顯示 you
three different不同 games遊戲
75
243553
2067
我剛剛為大家示範了
三種不同的遊戲,
04:17
for kids孩子, adults成年人 and seniors老年人.
76
245620
2493
分別針對小孩、大人及老人家。
04:20
These can be used with orthopedic骨科
or neurologic神經 patients耐心,
77
248113
2829
這些可用在矯形科或
神經科的病人身上,
04:22
but we'll soon不久 have options選項
for children孩子 with autism自閉症,
78
250942
2944
但我們很快就會提供
用於自閉症孩童、
04:25
mental心理 health健康 or speech言語 therapy治療.
79
253886
2425
精神健康或言語治療的選項。
04:28
My physical物理 therapist治療師
can go back to my profile輪廓
80
256661
2338
我的物理治療師可以
回去看我的病歷資料,
04:30
and see the data數據 gathered雲集
during my sessions會議.
81
258999
2991
並看看在我的練習時間內
所收集到的資料。
04:33
She can see how much I moved移動,
how many許多 points I scored進球,
82
261990
2670
她可以看我如何移動,
我得多少分,
04:36
with what speed速度 I moved移動 my joints關節,
83
264660
1950
我移動關節的速度有多快…等等。
04:38
and so on.
84
266610
1231
04:39
My physical物理 therapist治療師 can use all of this
to adapt適應 my treatment治療.
85
267841
3277
我的物理治療師可以用這一切
來調整我的療法。
04:43
I'm so pleased滿意 this version is now in use
86
271881
2066
我很高興這個版本現在
04:45
in over 10 clinics診所
across橫過 Europe歐洲 and the U.S.,
87
273947
3297
在歐美超過十個診所使用,
04:49
and we're working加工 on the home version.
88
277244
1953
而且我們現在正在研發家用版。
04:51
We want to enable啟用 physical物理 therapists治療師
to prescribe規定 this digital數字 treatment治療
89
279197
4473
我們想讓物理治療師
能開這種數位治療處方,
04:55
and help patients耐心 play their way
to recovery復甦 at home.
90
283670
3640
並幫助患者在家用玩的達到康復。
05:00
If my mom媽媽 or I had a tool工具 like this
when we needed需要 physical物理 therapy治療,
91
288030
3443
如果當時在我媽媽或我需要
物理治療時有像這樣的工具,
05:03
then we would have been more successful成功
following以下 the treatment治療,
92
291473
3046
我們遵循醫囑的過程就會更順利,
05:06
and perhaps也許 gotten得到 better a lot sooner.
93
294519
3530
或許就能好得更快了。
05:10
Thank you.
94
298049
1602
謝謝。
05:11
(Applause掌聲)
95
299651
2380
(掌聲)
05:14
Tom湯姆 Rielly裡利: So Cosmin科斯明, tell me
what hardware硬件 is this
96
302031
3576
湯姆瑞利:柯思明,
告訴我這個硬體是什麼,
05:17
that they're rapidly急速 putting away?
97
305607
1863
他們好快就收走了。
05:19
What is that made製作 of,
and how much does it cost成本?
98
307470
2240
那是哪家製造的?多少錢?
05:21
Cosmin科斯明 MilhauMilhau: So it's
a Microsoft微軟 Surface表面 Pro 3 for the demo演示,
99
309710
3079
柯思明:那是做示範用的
微軟平板電腦 Surface Pro 3,
05:24
but you just need a computer電腦
and a KinectKinect的, which哪一個 is 120 dollars美元.
100
312789
3745
但你只需要一部電腦
及美金 120 元的 Kinect 體感就夠了。
05:28
TRTR: Right, and the KinectKinect的 is the thing
that people use for their XboxesXbox遊戲機
101
316534
3447
湯:Kinect 體感
就是大家拿來玩 Xbox
05:31
to do 3D games遊戲, right?
102
319981
1071
3D 遊戲的,是嗎?
05:33
CM厘米: Exactly究竟, but you don't need the Xbox的Xbox,
you only need a camera相機.
103
321052
3061
柯:沒錯,但是你不用 Xbox,
你只需要一部攝影機。
湯:是,所以這是
不到美金一千元的解決方案。
05:36
TRTR: Right, so this is less
than a $1,000 solution.
104
324113
2762
柯:正是,四百元,
你絕對可以用它。
05:38
CM厘米: Definitely無疑, 400 dollars美元,
you can definitely無疑 use it.
105
326875
2583
湯:現在你在診所做臨床試驗。
05:41
TRTR: So right now, you're doing
clinical臨床 trials試驗 in clinics診所.
106
329458
2796
05:44
CM厘米: Yes.
107
332254
739
柯:是的。
05:44
TRTR: And then the hope希望 is to get it
so it's a home version
108
332993
2720
湯:之後希望能成功研發家用版,
05:47
and I can do my exercise行使 remotely遠程,
109
335713
1679
我就可以在遠端運動,
05:49
and the therapist治療師 at the clinic診所
can see how I'm doing and stuff東東 like that.
110
337392
3530
門診治療師也能
看到我的進展和類似的東西。
柯:沒錯。
湯:好酷。非常感謝你。
柯:謝謝。
05:52
CM厘米: Exactly究竟.
111
340922
1067
05:53
TRTR: Cool. Thanks謝謝 so much.
CM厘米: Thank you.
112
341989
1854
05:55
(Applause掌聲)
113
343843
741
(掌聲)
Translated by Regina Chu
Reviewed by Marssi Draw

▲Back to top

ABOUT THE SPEAKER
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.

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.

More profile about the speaker
Cosmin Mihaiu | Speaker | TED.com