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

Prevodilac: Milos Mihaljevic Lektor: Mile Živković

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

Kao mali sam voleo da igram žmurke,

mnogo.

Jednom sam mislio da je krošnja drveta sjajno mesto za skrivanje,

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

but I fell and broke my arm.

ali sam pao i polomio ruku.

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

Počeo sam prvi razred sa gipsom preko celih grudi.

Skinuo sam ga posle šest nedelja, ali i dalje nisam mogao da pomeram lakat,

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

i morao sam da idem na fizikalnu terapiju, da ispravljam i savijam lakat,

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

100 times per day, seven days per week.

100 puta dnevno, 7 dana u nedelji.

Jedva sam uspeo.

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

Bilo mi je bolno i dosadno i zbog toga mi je trebalo još 6 nedelja da ozdravim.

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

Many years later, my mom developed frozen shoulder,

Mnogo godina kasnije, moja majka je dobila adhezivni kapsulitis,

which leads to pain and stiffness in the shoulder.

zbog čega je imala bolove i ukrućeno rame.

Osoba za koju sam mislio da ima super moći,

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

suddenly needed help to get dressed or to cut food.

odjednom nije mogla sama da se obuče, ni da spremi hranu.

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

Svake nedelje je išla na fizikalnu terapiju ali, kao i ja,

she barely followed the home treatment,

kod kuće skoro da i nije vežbala,

and it took her over five months to feel better.

i trebalo joj je preko 5 meseci da ozdravi.

Both my mom and I required physical therapy,

Bila nam je potrebna fizikalna terapija,

a process of doing a suite of repetitive exercises

proces izvođenja vežbi ponavljanja,

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

da bi povratili pokretljivost izgubljenu usled nesreće ili povrede.

At first, a physical therapist works with patients,

U početku terapeut radi sa pacijentom,

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

ali kasnije, pacijent mora sam da izvodi vežbe kod kuće.

But patients find physical therapy boring, frustrating, confusing

Ali pacijentima je terapija dosadna, nervira ih, i dugo traje.

and lengthy before seeing results.

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

Nažalost, oko 70% pacijenata ne ispoštuje terapiju.

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

To znači da većina pacijenata ne radi vežbe,

and therefore take a lot longer to get better.

i stoga, mnogo više vremena mora da prođe do poboljšanja.

Svi terapeuti se slažu da vežbe smanjuju vreme oporavka.

All physical therapists agree that special exercises

reduce the time needed for recovery,

but patients lack the motivation to do them.

Ali pacijentima nedostaje motivacije.

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

Zajedno sa troje prijatelja - svi smo kompjuterski štreberi -

we asked ourselves,

zapitali smo se,

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

zar ne bi bilo sjajno kada bi pacijenti mogli da se igraju do oporavka?

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

Počeli smo sa izgradnjom MIRA, softverom za PC,

koji koristi Kinect, kameru koja snima pokret,

that uses this Kinect device, a motion capture camera,

to transform traditional exercises into video games.

da bi pretvorili standardne vežbe u video igrice.

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

Moj terapeut je zakazao termin za terapiju.

Let's see how this looks.

Da vidimo kako to izgleda.

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

Prva igra zahteva da upravljate pčelom gore i dole,

to gather pollen to deposit in beehives,

da biste sakupili polen za košnicu, dok izbegavamo druge bube.

all while avoiding the other bugs.

I control the bee by doing elbow extension and flexion,

Ja kontrolišem pčelu, savijajući i ispravljajući lakat,

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

kao kada sam imao 7 godina, posle skidanja gipsa.

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

Pre pravljenja igre, pričali smo sa terapeutima,

to understand what movement patients need to do.

da bismo saznali koje pokrete pacijenti prave.

We then make that a video game

Onda smo napravili igru, da bismo dali pacijentima proste i motivišuće zadatke.

to give patients simple, motivating objectives to follow.

But the software is very customizable,

Softver je krajnje podesiv,

and physical therapists can also create their own exercises.

a i terapeuti mogu da kreiraju sopstvene vežbe.

Using the software, my physical therapist

Koristeći softver, moj terapeut se snimao izvodeći vežbe bočnog dizanja ruku,

recorded herself performing a shoulder abduction,

which is one of the movements my mom had to do

koji je jedan od pokreta koje je moja majka morala da radi.

when she had frozen shoulder.

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

Mogu da pratim mog terapetuta na levoj strani ekrana,

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

dok na desnoj vidim sebe kako izvodim pokrete.

I feel more engaged and confident,

Osećam se angažovanijim i samouverenijim, dok radim sa terapeutom,

as I'm exercising alongside my therapist

vežbe koje on misli da su najbolje za mene.

with the exercises my therapist thinks are best for me.

This basically extends the application for physical therapists

To faktički širi upotrebu programa za terapeute,

to create whatever exercises they think are best.

da smišljaju vežbe za koje oni misle da su najbolje.

This is an auction house game for preventing falls,

Ovo je igra aukcijske kuće za prevenciju padova.

designed to strengthen muscles and improve balance.

Dizajnirana je da ojača mišiće, i poboljša ravnotežu.

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

Kao pacijent, vežbam pokrete ustajanja i sedanja,

and when I stand up,

i kada ustanem,dajem ponudu za predmet koji želim da kupim.

I bid for the items I want to buy.

(Laughter)

(Smeh)

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

Za dva dana, moja baka će napuniti 82 godine,

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

i za ljude sa preko 80 godina, postoji 50% šanse

to fall at least once per year,

da padnu jednom godišnje, što može da dovede do lomljenja kuka ili nečeg goreg.

which could lead to a broken hip or even worse.

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

Slabi mišići i poremećena ravnoteža su glavni uzrok padova.

so reversing these problems through targeted exercise

Sprečavanjem uzročnika, kroz vežbanje će pomoći starijim ljudima

will help keep older people like my grandmother

kao što je moja baka, da budu bezbedniji.

safer and independent for longer.

When my schedule ends, MIRA briefly shows me

Kada završim sa vežbanjem,

how I progressed throughout my session.

MIRA mi pokaže izveštaj napretka mojih vežbi.

I have just shown you three different games

Upravo sam vam pokazao tri različite igre za decu, odrasle i penzionere.

for kids, adults and seniors.

Mogu se korstiti kod ortopedskih i neuroloških pacijenata,

These can be used with orthopedic or neurologic patients,

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

i uskoro će moći da se koristi kod dece sa autizmom,

mental health or speech therapy.

mentalnim problemima i problemima sa govorom.

My physical therapist can go back to my profile

Moj terapeut može da pogleda moj profil,

and see the data gathered during my sessions.

i vidi podatke prikupljene tokom mog vežbanja.

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

Može videti koliko sam pokreta napravio, koliko sam poena sakupio,

with what speed I moved my joints,

kojom brzinom sam pravio pokrete itd.

and so on.

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

Te podatke može koristiti da bi prilagodio tretman.

I'm so pleased this version is now in use

Veoma mi je drago što se program koristi u preko 10 klinika širom Evrope i Amerike,

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

a u toku je i izrada kućne varijante.

and we're working on the home version.

We want to enable physical therapists to prescribe this digital treatment

Želimo da omogućimo terapeutima da mogu da prepišu ovaj tretman,

and help patients play their way to recovery at home.

a i pacijentima da im bude zanimljivije tokom oporavka kod kuće.

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

Da smo moja majka i ja imali ovako nešto, kada nam je terapija bila potrebna,

then we would have been more successful following the treatment,

bili bismo uspešniji u praćenju terapije, i pre se oporavili.

and perhaps gotten better a lot sooner.

(Smeh) Hvala vam.

Thank you.

(Applause)

(Aplauz)

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

Tom Rajli: Kozmine, kaži mi, koji je ovo hardver koji užurbano nose odavde?

that they're rapidly putting away?

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

Od čega se sastoji i koliko košta?

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

Kozmin Mihaiu: To je Microsoft Surface Pro 3 demo, ali vam je dovoljan

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

običan računar i Kinect, koji je 120 dolara.

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

TR: U redu, a Kinect se koristi uz X-Box za 3D igre?

to do 3D games, right?

KM: Upravo tako, ali ti ne treba X-Box, treba ti samo kamera.

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

TR: Znači, ovo je rešenje za manje od 1000 dolara.

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

KM: Da, definitivno, za 400 dolara ga možete koristiti.

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

TR: Znači, sada radiš kliničke testove? KM: Da.

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

CM: Yes.

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

TR: I nadate se da će biti kućna verzija, da ću moći da radim vežbe kod kuće,

and I can do my exercise remotely,

a terapeut na klinici će moći da vidi kako mi ide.

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

KM: Upravo tako.

CM: Exactly.

TR: Kul. Hvala ti puno. KM: Hvala tebi.

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

(Aplauz)

(Applause)