The Journal of mHealth Vol 2 Issue 4 (August) - Page 46

Gaming for Health Continued from page 43 Another game Stephen plays is Move. This activity requires the same degree of upper limb control but with set movement patterns such as a circle or figure of eight. The patient is required to trace the shape without leaving the designated path. Deviating from the set path incurs a loss of points. In both games the activities can be specifically set up for the individual patients needs and when they show signs of progress the parameters can be altered easily to challenge the patient to achieve improved physical control and skills. Future Development, Application and Opportunity In these small trials it has been demonstrated that there are particular benefits of introducing gaming therapy including: reductions in the number of outpatient visits patients need to attend in person with physiotherapists; ensuring that follow-up outpatient visits are more worthwhile as results can be shared and discussed; making rehab more enjoyable, easier and fun for patients; improving health outcomes; and, reducing the costs of outpatient physiotherapy. Guy's and St. Thomas' NHS Foundation Trust has also trialed MIRA with a group of adult patients with neurological pathologies. Mark McGlinchey, Clinical Specialist Physiotherapist at Guy's and St. Thomas' NHS Foundation Trust, believes: "MIRA is an innovative product that could alter the way therapy is delivered to patients in the future. It has the potential for patients to be more active in their rehabilitation, which should result in improved patient and service outcomes." Cosmin Mihaiu, CEO of MIRA Rehab Ltd says: “We are very excited about how positively patients and physiotherapists are responding to MIRA. Based on feedback from the institutions using it, we are improving MIRA and adding more exergames to incorporate more exercises”. Gaming therapy is being developed to help with common disorders such as shoulder injuries and repairs, elderly fall prevention, speech therapy, autism motor control improvement, cognitive rehabilitation, and many more. The technology could also soon be playing a key role in supporting the rehabilitation of patients with artificial Continued from page 41 the Aravind model.” Community Eye Health Journal 27.85 (2014): 07-08. Print. 19. http://www.datadyne.org/magpi-mobile/ 20. Akter, S., Ray, P., “mHealth – an Ultimate Platform to Serve the Unserved.” IMIA Yearbook of Medical Informatics (2010). Print. 21. O’Brien, Paul., Gostin, Lawrence O., “Healthcare Worker Shortages And Global Justice.” Milbank Memorial Fund. October 2011. Web. . 22. http://www.iheed.org/reports/iheedreport_2011.pdf 23. Espinoza, Martin. "Sebastopol Startup Brings E-health Records to Developing Countries." PressDemocrat.com. N.p., 17 Dec. 2013. Web. 30 Apr. 2014. . 24. http://ehrinternational.com/harmonimobile/ 25. Ehrbeck, Tilman, Nicolaus Henke, and Thomas Kibasi. "The Emerging Market in Health Care Innovation." McKinsey & Company. N.p., May 2010. Web. 18 Apr. 2014. . 26. Kelland, Kate. "Analysis: Healthcare Sees Emerging Future in Frugal Innovation." Reuters. Thomson Reuters, 20 June 2012. Web. 01 May 2014. . 27. Wharton. "Harvard's Clayton Christensen: Can Medical Innovation in Developing Countries Disrupt the U.S. Healthcare System? - Knowl- 44 August 2015 28. 29. 30. 31. 32. 33. 34. 35. limbs and amputations. Gaming therapy offers alternatives and replacement treatments for some patients and has been shown in limited studies to be popular with patients and to support good health outcomes. This is the next frontier in health care being co-delivered by patient and clinician in partnership and it is hoped that in the near-future it will be introduced more widely within mainstream physiotherapy and rehabilitation care pathways. About the authors: Phyllissa Shelton is a Health Innovation Consultant and Mentor and Rebecca Scott is a Senior Physiotherapist at National Star College. Anyone interested in learning more about these case studies can contact Cosmin Mihaiu directly at cosminmihaiu@ mirarehab.com. n edge@Wharton." Harvards Clayton Christensen Can Medical Innovation in Developing Countries Disrupt the US Healthcare System Comments. Knowledge Wharton, 20 Feb. 2014. Web. 21 Apr. 2014. . Bottles, Ken. “Reverse Innovation and American Health Care in a Time of Cost Crisis.” Physicians Executive Journal. August 2012. Web. . http://www.medtroniceureka.com/innovation-articles/inspiration/innovating_for_ the_wider_world Chib, A. "The Promise and Peril of MHealth in Developing Countries." Mobile Media & Communication 1.1 (2013): 69-75. Print. Chib, A. "The Promise and Peril of MHealth in Developing Countries." Mobile Media & Communication 1.1 (2013): 69-75. Print. Kim, Jim Yong, Paul Farmer, and Michael E. Porter. "Redefining Global Health-care Delivery." The Lancet 382.9897 (2013): 1060-069. Print. Chib, A. "The Promise and Peril of MHealth in Developing Countries." Mobile Media & Communication 1.1 (2013): 69-75. Print. Mars, Maurice., Scott, Richard E., “Global E-Health Policy: A Work In Progress.” Health Affairs, 29, no.2 (2010):237-243. Print. Ehrbeck, Tilman, Nicolaus Henke, and Thomas Kibasi. "The Emerging Market in Health Care Innovation." McKinsey & Company. N.p., May 2010. Web. 18 Apr. 2014.