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

Prevoditelj: Edin Badić Recezent: Ivan Stamenković

When I was growing up, I really liked playing hide-and-seek a lot.

Dok sam odrastao, volio sam se igrati skrivača.

One time, though, I thought climbing a tree would lead to a great hiding spot,

Jednom sam mislio kako ću, ako se popnem na drvo, naći sjajno mjesto za skrivanje,

but I fell and broke my arm.

no pao sam i slomio ruku.

I actually started first grade with a big cast all over my torso.

Krenuo sam u prvi razred s velikim gipsom preko trupa.

It was taken off six weeks later, but even then, I couldn't extend my elbow,

Gips su mi skinuli šest tjedana kasnije, no čak ni tad nisam mogao ispružiti lakat

and I had to do physical therapy to flex and extend it,

i morao sam ići na terapiju kako bih ga mogao saviti i ispružiti,

100 times per day, seven days per week.

sto puta dnevno, sedam dana u tjednu.

I barely did it, because I found it boring and painful,

Jedva sam uspio jer je bilo dosadno i bolno,

and as a result, it took me another six weeks to get better.

zbog čega mi je tek za šest tjedana bilo bolje.

Many years later, my mom developed frozen shoulder,

Kod moje se majke poslije razvio sindrom smrznutog ramena,

which leads to pain and stiffness in the shoulder.

kod kojeg se javlja bol i ukočenost u ramenu.

The person I believed for half of my life to have superpowers

Osobi koju sam pola svog života smatrao Superženom

suddenly needed help to get dressed or to cut food.

odjednom je bila potrebna pomoć pri odijevanju ili pripremi hrane.

She went each week to physical therapy, but just like me,

Svaki je tjedan išla na terapiju, no baš kao i ja,

she barely followed the home treatment,

jedva je mogla izvoditi vježbe kod kuće

and it took her over five months to feel better.

i tek nakon više od pet mjeseci bilo joj je bolje.

Both my mom and I required physical therapy,

I mojoj je majci i meni bila potrebna terapija,

a process of doing a suite of repetitive exercises

izvođenje niza vježbi s ponavljanjima

in order to regain the range of movement lost due to an accident or injury.

kako bismo vratili raspon pokreta izgubljen zbog nesreće ili ozljede.

At first, a physical therapist works with patients,

Isprva fizioterapeut vježba s pacijentima,

but then it's up to the patients to do their exercises at home.

no zatim pacijenti sami moraju izvoditi vježbe kod kuće.

But patients find physical therapy boring, frustrating, confusing

Međutim, pacijentima je terapija dosadna, frustrira ih i zbunjuje,

and lengthy before seeing results.

a rezultati su vidljivi tek nakon dužeg vremena.

Sadly, patient noncompliance can be as high as 70 percent.

Nažalost, u 70 % slučajeva pacijenti se ne pridržavaju terapije.

This means the majority of patients don't do their exercises

To znači da većina pacijenata ne izvodi svoje vježbe

and therefore take a lot longer to get better.

i stoga im treba duže da se oporave.

All physical therapists agree that special exercises

Svi se fizioterapeuti slažu da posebne vježbe

reduce the time needed for recovery,

smanjuju vrijeme potrebno za oporavak,

but patients lack the motivation to do them.

ali pacijentima nedostaje motivacija za vježbanje.

So together with three friends, all of us software geeks,

Troje prijatelja i ja, svi redom kompjutorski štreberi,

we asked ourselves,

zapitali smo se

wouldn't it be interesting if patients could play their way to recovery?

zar ne bi bilo zanimljivije da pacijenti do svog oporavka stignu kroz igru?

We started building MIRA, A P.C. software platform

Počeli smo graditi programsku platformu koja se zove MIRA

that uses this Kinect device, a motion capture camera,

i koristi se uređajem Kinect - kamerom koja snima pokrete,

to transform traditional exercises into video games.

kako bi tradicionalno vježbanje pretvorila u videoigre.

My physical therapist has already set up a schedule for my particular therapy.

Moja je fizioterapeutkinja već napravila raspored za moju terapiju.

Let's see how this looks.

Pa da vidimo kako to izgleda.

The first game asks me to fly a bee up and down

U prvoj igri upravljam pčelom koja leti gore-dolje

to gather pollen to deposit in beehives,

kako bi prikupila pelud i spremila ga u košnicu

all while avoiding the other bugs.

izbjegavajući druge kukce.

I control the bee by doing elbow extension and flexion,

Upravljam pčelom ispružujući i savijajući lakat,

just like when I was seven years old after the cast was taken off.

baš kao kad mi je bilo sedam godina nakon što sam skinuo gips.

When designing a game, we speak to physical therapists at first

Kad osmišljavamo igru, prvo razgovaramo s fizioterapeutima

to understand what movement patients need to do.

kako bismo razumjeli koje pokrete pacijenti moraju izvesti.

We then make that a video game

U videoigrama zatim

to give patients simple, motivating objectives to follow.

pacijentima postavljamo jednostavne, motivirajuće ciljeve.

But the software is very customizable,

Program je vrlo prilagodljiv.

and physical therapists can also create their own exercises.

Fizioterapeuti mogu izrađivati vlastite vježbe.

Using the software, my physical therapist

Koristeći se programom,

recorded herself performing a shoulder abduction,

moja se fizioterapeutkinja snimila kako izvodi

which is one of the movements my mom had to do

vježbe odmicanja, pokret koji je moja majka

when she had frozen shoulder.

izvodila kad je imala smrznuto rame.

I can follow my therapist's example on the left side of the screen,

Mogu slijediti svoju fizioterapeutkinju na lijevoj strani ekrana,

while on the right, I see myself doing the recommended movement.

dok na desnoj vidim sebe kako izvodim preporučeni pokret.

I feel more engaged and confident,

Osjećam se angažiranije i sigurnije

as I'm exercising alongside my therapist

jer vježbam uz svoju terapeutkinju

with the exercises my therapist thinks are best for me.

i izvodim vježbe koje ona smatra najboljima za mene.

This basically extends the application for physical therapists

Ovo fizioterapeutima zapravo omogućuje

to create whatever exercises they think are best.

osmišljavanje vježbi koje oni smatraju najboljima.

This is an auction house game for preventing falls,

Cilj ove igre s aukcijskom kućom jest sprječavanje padova,

designed to strengthen muscles and improve balance.

a osmišljena je kao vježba za jačanje mišića i ravnoteže.

As a patient, I need to do sit and stand movements,

Moram izvesti pokrete u stojećem i sjedećem položaju,

and when I stand up,

a kad ustanem,

I bid for the items I want to buy.

licitiram za predmete koje želim kupiti.

(Laughter)

(Smijeh)

In two days, my grandmother will be 82 years old,

Moja će baka za dva dana napuniti 82 godine.

and there's a 50 percent chance for people over 80

Svaka druga osoba starija od 80 godina

to fall at least once per year,

padne barem jednom godišnje,

which could lead to a broken hip or even worse.

zbog čega može slomiti kuk ili se još i teže ozlijediti.

Poor muscle tone and impaired balance are the number one cause of falls,

Nizak mišićni tonus i oslabljena ravnoteža najčešći su uzrok padova,

so reversing these problems through targeted exercise

pa će suzbijanje takvih problema izvođenjem ciljanih vježbi

will help keep older people like my grandmother

pomoći starijim osobama poput moje bake

safer and independent for longer.

da ostanu samostalni i sigurni što je duže moguće.

When my schedule ends, MIRA briefly shows me

Kad moj program završi, MIRA mi sažeto prikaže

how I progressed throughout my session.

kako sam napredovao tijekom treninga.

I have just shown you three different games

Pokazao sam vam tri različite videoigre

for kids, adults and seniors.

za djecu, odrasle i starije.

These can be used with orthopedic or neurologic patients,

Njima se mogu koristiti i ortopedski ili neurološki bolesnici.

but we'll soon have options for children with autism,

Uskoro ćemo imati videoigre za djecu s autizmom,

mental health or speech therapy.

za mentalno zdravlje ili terapije govora.

My physical therapist can go back to my profile

Moja terapeutkinja može posjetiti moj profil

and see the data gathered during my sessions.

i vidjeti podatke prikupljene tijekom treninga.

She can see how much I moved, how many points I scored,

Može vidjeti koliko sam se kretao, osvojene bodove,

with what speed I moved my joints,

brzinu kojom sam pomicao zglobove

and so on.

i tako dalje.

My physical therapist can use all of this to adapt my treatment.

Ona se njima može koristiti kako bi prilagodila moju terapiju.

I'm so pleased this version is now in use

Vrlo sam zadovoljan što se ova verzija

in over 10 clinics across Europe and the U.S.,

sada koristi u više od 10 klinika u Europi i SAD-u.

and we're working on the home version.

Radimo i na kućnoj verziji.

We want to enable physical therapists to prescribe this digital treatment

Fizioterapeutima želimo omogućiti propisivanje digitalne terapije,

and help patients play their way to recovery at home.

a pacijentima želimo pomoći da se pomoću igre oporave kod kuće.

If my mom or I had a tool like this when we needed physical therapy,

Da smo ja ili moja mama imali ovakav alat kad nam je trebala terapija,

then we would have been more successful following the treatment,

bili bismo uspješniji u njezinom praćenju

and perhaps gotten better a lot sooner.

te bismo se možda i brže oporavili.

Thank you.

Hvala.

(Applause)

(Pljesak)

Tom Rielly: So Cosmin, tell me what hardware is this

TR: Pa, Cosmine, reci mi, kakvo je to sklopovlje

that they're rapidly putting away?

koje tako brzo sklanjaju?

What is that made of, and how much does it cost?

Od čega je napravljeno i koliko košta?

Cosmin Milhau: So it's a Microsoft Surface Pro 3 for the demo,

CM: Za ovo predstavljanje koristili smo Microsoft Surface Pro 3,

but you just need a computer and a Kinect, which is 120 dollars.

no potrebno je samo imati računalo i uređaj Kinect koji košta 120 dolara.

TR: Right, and the Kinect is the thing that people use for their Xboxes

TR: Aha, a Kinect je ona naprava koja se koristi za Xbox

to do 3D games, right?

za igranje 3D igara?

CM: Exactly, but you don't need the Xbox, you only need a camera.

CM: Točno, ali ne treba ti Xbox - samo kamera.

TR: Right, so this is less than a $1,000 solution.

TR: Dakle, ovo rješenje košta manje od tisuću dolara.

CM: Definitely, 400 dollars, you can definitely use it.

CM: Da, košta 400 dolara, svakako ga možete koristiti.

TR: So right now, you're doing clinical trials in clinics.

TR: A trenutno radiš na probnim verzijama u klinikama?

CM: Yes.

TR: And then the hope is to get it so it's a home version

CM: Da.

TR: A onda se možemo nadati verziji za kućnu upotrebu,

and I can do my exercise remotely,

vježbati na daljinu,

and the therapist at the clinic can see how I'm doing and stuff like that.

a terapeut u klinici moći će vidjeti kako napredujem i slično.

CM: Exactly.

CM: Upravo tako.

TR: Cool. Thanks so much. CM: Thank you.

TR: Super. Puno vam hvala. CM: Hvala.

(Applause)

(Pljesak)