User Perspectives on Exergames Designed to Explore the Hemineglected Space for Stroke Patients With Visuospatial Neglect: Usability Study

TOBLER-AMMANN, Bernadette C.
Sürer, Elif
KNOLS, Ruud H.
DE BRUIN, Eling D.
Background: Visuospatial neglect due to stroke is characterized by the inability to perceive stimuli emerging in the area opposite to the side of brain damage. Besides adopting conventional rehabilitation methods to treat neglect symptoms, the use of virtual reality (VR) is becoming increasingly popular. We designed a series of 9 exergames aimed to improve exploration of the neglected side of space. When new VR interventions are designed, it is important to assess the usability aspects of such management strategies within the target population. To date, most studies used questionnaires to assess user satisfaction with the intervention or product being tested. However, only a combination of both quantitative and qualitative data allows a full picture of user perspective.


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Stroke is defined as the acute neurological cerebrovascular disease based on interruptions to blood flow in the brain. These interruptions are caused by loss of blood supply due to vessel bursts or vessel blocked by clotting. Atherosclerosis, a main cause of stroke, is blockage of endothelium layer of arteries and losing the flexibility of tissue. The oxidative stress is known as a risk factor for atherosclerosis. The increased free radicals such as reactive oxygen species (ROS) and decreased antioxidant le...
Exergames Encouraging Exploration of Hemineglected Space in Stroke Patients With Visuospatial Neglect: A Feasibility Study
TOBLER-AMMANN, Bernadette C.; Sürer, Elif; DE BRUIN, Eling D.; RABUFFETTI, Marco; BORGHESE, Alberto; MAINETTI, Renato; PIROVANO, Michele; WITTWER, Lia; KNOLS, Ruud H. (2017-07-01)
Background: Use of exergames can complement conventional therapy and increase the amount and intensity of visuospatial neglect (VSN) training. A series of 9 exergames-games based on therapeutic principles-aimed at improving exploration of the neglected space for patients with VSN symptoms poststroke was developed and tested for its feasibility.
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Citation Formats
B. C. TOBLER-AMMANN, E. Sürer, R. H. KNOLS, A. BORGHESE, and E. D. DE BRUIN, “User Perspectives on Exergames Designed to Explore the Hemineglected Space for Stroke Patients With Visuospatial Neglect: Usability Study,” JMIR SERIOUS GAMES, pp. 0–0, 2017, Accessed: 00, 2020. [Online]. Available: