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！
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Readability: 5.1
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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。
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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在我成長期間，
我真的好喜歡玩捉迷藏。
我真的好喜歡玩捉迷藏。
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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但是有一次，我以為
爬上樹會找到很棒的藏匿點，
爬上樹會找到很棒的藏匿點，
00:22
but I fell and broke my arm.
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可是我跌了下來，摔斷了手臂。
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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一年級開學時我其實是
身體裹著大石膏去學校的。
身體裹著大石膏去學校的。
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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六個星期後拆下石膏，
但那時候我還不能伸手臂，
但那時候我還不能伸手臂，
00:34
and I had to do physical therapy
to flex and extend it,
to flex and extend it,
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我必須去復健才能彎曲及伸展。
00:37
100 times per day, seven days per week.
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一天要做一百次，每星期做七天。
00:41
I barely did it, because
I found it boring and painful,
I found it boring and painful,
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我幾乎都沒做，
因為我發現那很枯燥又很痛，
因為我發現那很枯燥又很痛，
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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結果我又花了六個星期才好轉。
00:48
Many years later, my mom
developed frozen shoulder,
developed frozen shoulder,
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多年以後，我媽媽得了五十肩，
00:51
which leads to pain
and stiffness in the shoulder.
and stiffness in the shoulder.
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導致肩膀又痛又僵硬。
00:56
The person I believed for half of my life
to have superpowers
to have superpowers
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這個我大半輩子
都相信有超能力的人，
都相信有超能力的人，
00:59
suddenly needed help
to get dressed or to cut food.
to get dressed or to cut food.
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突然間需要幫忙才能穿衣吃飯。
01:03
She went each week to physical therapy,
but just like me,
but just like me,
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她每個星期都去看物理治療師，
但就像我一樣，
但就像我一樣，
01:06
she barely followed the home treatment,
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她幾乎都沒做居家復健運動，
01:08
and it took her
over five months to feel better.
over five months to feel better.
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所以她花了五個多月
才覺得好一點。
才覺得好一點。
01:11
Both my mom and I
required physical therapy,
required physical therapy,
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我媽和我兩個都需要做復健，
01:14
a process of doing a suite
of repetitive exercises
of repetitive exercises
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過程是做一套重複運動，
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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讓身體的靈活度能恢復到
和意外受傷前一樣。
和意外受傷前一樣。
01:21
At first, a physical therapist
works with patients,
works with patients,
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首先，物理治療師會在旁指導病人，
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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但是之後病人就要在家做復健運動。
01:27
But patients find physical therapy
boring, frustrating, confusing
boring, frustrating, confusing
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但是病人發現物理治療
很枯燥、讓人洩氣又難懂，
很枯燥、讓人洩氣又難懂，
01:30
and lengthy before seeing results.
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而且要很久才看得到成效。
01:33
Sadly, patient noncompliance
can be as high as 70 percent.
can be as high as 70 percent.
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很可惜，患者不合作的
機率可高達 70%。
機率可高達 70%。
01:38
This means the majority of patients
don't do their exercises
don't do their exercises
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這意味著大部分的病人
都不做指定的運動，
都不做指定的運動，
01:42
and therefore take
a lot longer to get better.
a lot longer to get better.
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因而要花更長的時間才會好轉。
01:46
All physical therapists agree
that special exercises
that special exercises
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所有的物理治療師都同意
特別設計的運動
特別設計的運動
01:48
reduce the time needed for recovery,
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能減少康復所需的時間，
01:50
but patients lack
the motivation to do them.
the motivation to do them.
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但是病人缺乏動機去做這些運動。
01:54
So together with three friends,
all of us software geeks,
all of us software geeks,
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所以我與三個朋友，
我們都是軟體達人，
我們都是軟體達人，
01:58
we asked ourselves,
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我們問自己，
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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如果病人能用玩的
走上康復之路不是很有趣嗎？
走上康復之路不是很有趣嗎？
02:05
We started building MIRA,
A P.C. software platform
A P.C. software platform
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我們開始著手寫麥拉 (MIRA) ，
一套微軟的軟體平台，
一套微軟的軟體平台，
02:08
that uses this Kinect device,
a motion capture camera,
a motion capture camera,
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利用 Kinect 體感裝置，
即動態捕捉攝影機，
即動態捕捉攝影機，
02:11
to transform traditional exercises
into video games.
into video games.
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將傳統的運動轉變成電玩。
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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我已與我的物理治療師
約好要做某種治療。
約好要做某種治療。
02:20
Let's see how this looks.
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來看看這怎麼用。
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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第一個遊戲要我
讓一隻蜜蜂上下飛
讓一隻蜜蜂上下飛
02:28
to gather pollen to deposit in beehives,
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以採集花粉存到蜂巢，
02:31
all while avoiding the other bugs.
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同時還要避開其他的蟲子。
02:33
I control the bee by doing
elbow extension and flexion,
elbow extension and flexion,
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我以伸展及彎曲手臂
來控制這隻蜜蜂，
來控制這隻蜜蜂，
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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就像我七歲時
拿掉石膏後要做的一樣。
拿掉石膏後要做的一樣。
02:41
When designing a game,
we speak to physical therapists at first
we speak to physical therapists at first
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在設計遊戲時，
我們先與物理治療師談過，
我們先與物理治療師談過，
02:44
to understand what movement
patients need to do.
patients need to do.
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瞭解病人需要做什麼樣的動作。
02:47
We then make that a video game
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然後我們製作出一套遊戲
02:49
to give patients simple,
motivating objectives to follow.
motivating objectives to follow.
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給患者簡單又能激勵他們的
治療目標來遵循。
治療目標來遵循。
02:53
But the software is very customizable,
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但是這套軟體非常容易客製，
02:55
and physical therapists can also
create their own exercises.
create their own exercises.
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物理治療師也能
設計他們自己的運動。
設計他們自己的運動。
02:59
Using the software, my physical therapist
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我的物理治療師用這套軟體
03:01
recorded herself performing
a shoulder abduction,
a shoulder abduction,
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錄下她自己示範肩關節外展，
03:03
which is one of the movements
my mom had to do
my mom had to do
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這是我媽媽當年得五十肩時
要做的動作之一。
要做的動作之一。
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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我可以跟著治療師
在螢幕左邊的示範，
在螢幕左邊的示範，
03:10
while on the right, I see myself
doing the recommended movement.
doing the recommended movement.
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同時在右邊看見
自己做這項推薦動作。
自己做這項推薦動作。
03:14
I feel more engaged and confident,
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我覺得我更想做也更有信心，
03:16
as I'm exercising alongside my therapist
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因為我與我的治療師併肩運動，
03:19
with the exercises my therapist
thinks are best for me.
thinks are best for me.
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一起做我的治療師認為
對我最有益的動作。
對我最有益的動作。
03:22
This basically extends the application
for physical therapists
for physical therapists
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這基本上讓物理治療師能擴大應用，
03:25
to create whatever exercises
they think are best.
they think are best.
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設計出他們認為最佳的運動。
03:30
This is an auction house game
for preventing falls,
for preventing falls,
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這是為避免跌倒
而設計的拍賣會遊戲，
而設計的拍賣會遊戲，
03:33
designed to strengthen muscles
and improve balance.
and improve balance.
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為了強化肌肉及改善平衡能力。
03:36
As a patient, I need to do
sit and stand movements,
sit and stand movements,
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身為患者，
我必須做坐下起立等動作，
我必須做坐下起立等動作，
03:39
and when I stand up,
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我起立時，
03:41
I bid for the items I want to buy.
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我就對我想買的東西出價競標。
03:43
(Laughter)
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（笑聲）
03:45
In two days, my grandmother
will be 82 years old,
will be 82 years old,
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我的祖母再過兩天就要 82 歲了，
03:48
and there's a 50 percent chance
for people over 80
for people over 80
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超過 80 歲的人有 50％ 的機率
03:51
to fall at least once per year,
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每年至少跌倒一次，
03:53
which could lead to a broken hip
or even worse.
or even worse.
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導致骨盆骨折，或甚至更糟的情況。
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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肌力不足及平衡感變差
是跌倒的首要原因，
是跌倒的首要原因，
04:00
so reversing these problems
through targeted exercise
through targeted exercise
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所以透過特定運動
來徹底改變這些問題，
來徹底改變這些問題，
04:03
will help keep older people
like my grandmother
like my grandmother
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就能幫助像我祖母一樣的老人家
04:06
safer and independent for longer.
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更安全、更獨立的生活久一點。
04:09
When my schedule ends,
MIRA briefly shows me
MIRA briefly shows me
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在我的運動時間結束後，
麥拉會很快地向我顯示
麥拉會很快地向我顯示
04:11
how I progressed throughout my session.
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在這段期間我的進展如何。
04:15
I have just shown you
three different games
three different games
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我剛剛為大家示範了
三種不同的遊戲，
三種不同的遊戲，
04:17
for kids, adults and seniors.
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分別針對小孩、大人及老人家。
04:20
These can be used with orthopedic
or neurologic patients,
or neurologic patients,
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這些可用在矯形科或
神經科的病人身上，
神經科的病人身上，
04:22
but we'll soon have options
for children with autism,
for children with autism,
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但我們很快就會提供
用於自閉症孩童、
用於自閉症孩童、
04:25
mental health or speech therapy.
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精神健康或言語治療的選項。
04:28
My physical therapist
can go back to my profile
can go back to my profile
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我的物理治療師可以
回去看我的病歷資料，
回去看我的病歷資料，
04:30
and see the data gathered
during my sessions.
during my sessions.
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並看看在我的練習時間內
所收集到的資料。
所收集到的資料。
04:33
She can see how much I moved,
how many points I scored,
how many points I scored,
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她可以看我如何移動，
我得多少分，
我得多少分，
04:36
with what speed I moved my joints,
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我移動關節的速度有多快…等等。
04:38
and so on.
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04:39
My physical therapist can use all of this
to adapt my treatment.
to adapt my treatment.
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我的物理治療師可以用這一切
來調整我的療法。
來調整我的療法。
04:43
I'm so pleased this version is now in use
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我很高興這個版本現在
04:45
in over 10 clinics
across Europe and the U.S.,
across Europe and the U.S.,
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在歐美超過十個診所使用，
04:49
and we're working on the home version.
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而且我們現在正在研發家用版。
04:51
We want to enable physical therapists
to prescribe this digital treatment
to prescribe this digital treatment
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我們想讓物理治療師
能開這種數位治療處方，
能開這種數位治療處方，
04:55
and help patients play their way
to recovery at home.
to recovery at home.
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並幫助患者在家用玩的達到康復。
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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如果當時在我媽媽或我需要
物理治療時有像這樣的工具，
物理治療時有像這樣的工具，
05:03
then we would have been more successful
following the treatment,
following the treatment,
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我們遵循醫囑的過程就會更順利，
05:06
and perhaps gotten better a lot sooner.
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或許就能好得更快了。
05:10
Thank you.
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謝謝。
05:11
(Applause)
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（掌聲）
05:14
Tom Rielly: So Cosmin, tell me
what hardware is this
what hardware is this
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湯姆瑞利：柯思明，
告訴我這個硬體是什麼，
告訴我這個硬體是什麼，
05:17
that they're rapidly putting away?
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他們好快就收走了。
05:19
What is that made of,
and how much does it cost?
and how much does it cost?
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那是哪家製造的？多少錢？
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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柯思明：那是做示範用的
微軟平板電腦 Surface Pro 3，
微軟平板電腦 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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但你只需要一部電腦
及美金 120 元的 Kinect 體感就夠了。
及美金 120 元的 Kinect 體感就夠了。
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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湯：Kinect 體感
就是大家拿來玩 Xbox
就是大家拿來玩 Xbox
05:31
to do 3D games, right?
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3D 遊戲的，是嗎？
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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柯：沒錯，但是你不用 Xbox，
你只需要一部攝影機。
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。
不到美金一千元的解決方案。
05:36
TR: Right, so this is less
than a $1,000 solution.
than a $1,000 solution.
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柯：正是，四百元，
你絕對可以用它。
你絕對可以用它。
05:38
CM: Definitely, 400 dollars,
you can definitely use it.
you can definitely use it.
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湯：現在你在診所做臨床試驗。
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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柯：是的。
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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湯：之後希望能成功研發家用版，
05:47
and I can do my exercise remotely,
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我就可以在遠端運動，
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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門診治療師也能
看到我的進展和類似的東西。
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。
柯：謝謝。
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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05:55
(Applause)
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（掌聲）
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