004 Datenverarbeitung; Informatik
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Background:
Research into the application of virtual reality technology in the health care sector has rapidly increased, resulting in a large body of research that is difficult to keep up with.
Objective:
We will provide an overview of the annual publication numbers in this field and the most productive and influential countries, journals, and authors, as well as the most used, most co-occurring, and most recent keywords.
Methods:
Based on a data set of 356 publications and 20,363 citations derived from Web of Science, we conducted a bibliometric analysis using BibExcel, HistCite, and VOSviewer.
Results:
The strongest growth in publications occurred in 2020, accounting for 29.49% of all publications so far. The most productive countries are the United States, the United Kingdom, and Spain; the most influential countries are the United States, Canada, and the United Kingdom. The most productive journals are the Journal of Medical Internet Research (JMIR), JMIR Serious Games, and the Games for Health Journal; the most influential journals are Patient Education and Counselling, Medical Education, and Quality of Life Research. The most productive authors are Riva, del Piccolo, and Schwebel; the most influential authors are Finset, del Piccolo, and Eide. The most frequently occurring keywords other than “virtual” and “reality” are “training,” “trial,” and “patients.” The most relevant research themes are communication, education, and novel treatments; the most recent research trends are fitness and exergames.
Conclusions:
The analysis shows that the field has left its infant state and its specialization is advancing, with a clear focus on patient usability.
The objectives of this study were to examine (a) the effect
of dynamic assessment (DA) in a 3D Immersive Virtual Reality
(IVR) environment as compared with computerized 2D and noncomputerized
(NC) situations on cognitive modifiability, and (b) the
transfer effects of these conditions on more difficult problem solving
administered two weeks later in a non-computerized environment. A
sample of 117 children aged 6:6-9:0 years were randomly assigned
into three experimental groups of DA conditions: 3D, 2D, and NC, and
one control group (C). All groups received the pre- and post-teaching
Analogies subtest of the Cognitive Modifiability Battery (CMB-AN).
The experimental groups received a teaching phase in conditions similar
to the pre-and post-teaching phases. The findings showed that cognitive
modifiability, in a 3D IVR, was distinctively higher than in the two
other experimental groups (2D computer group and NC group). It was
also found that the 3D group showed significantly higher performance
in transfer problems than the 2D and NC groups.
How can interactive devices connect with users in the most immediate and intimate way? This question has driven interactive computing for decades. Throughout the last decades, we witnessed how mobile devices moved computing into users’ pockets, and recently, wearables put computing in constant physical contact with the user’s skin. In both cases moving the devices closer to users allowed devices to sense more of the user, and thus act more personal. The main question that drives our research is: what is the next logical step?
Some researchers argue that the next generation of interactive devices will move past the user’s skin and be directly implanted inside the user’s body. This has already happened in that we have pacemakers, insulin pumps, etc. However, we argue that what we see is not devices moving towards the inside of the user’s body, but rather towards the body’s biological “interface” they need to address in order to perform their function.
To implement our vision, we created a set of devices that intentionally borrow parts of the user’s body for input and output, rather than adding more technology to the body.
In this dissertation we present one specific flavor of such devices, i.e., devices that borrow the user’s muscles. We engineered I/O devices that interact with the user by reading and controlling muscle activity. To achieve the latter, our devices are based on medical-grade signal generators and electrodes attached to the user’s skin that send electrical impulses to the user’s muscles; these impulses then cause the user’s muscles to contract.
While electrical muscle stimulation (EMS) devices have been used to regenerate lost motor functions in rehabilitation medicine since the 1960s, in this dissertation, we propose a new perspective: EMS as a means for creating interactive systems.
We start by presenting seven prototypes of interactive devices that we have created to illustrate several benefits of EMS. These devices form two main categories: (1) Devices that allow users eyes-free access to information by means of their proprioceptive sense, such as the value of a variable in a computer system, a tool, or a plot; (2) Devices that increase immersion in virtual reality by simulating large forces, such as wind, physical impact, or walls and heavy objects.
Then, we analyze the potential of EMS to build interactive systems that miniaturize well and discuss how they leverage our proprioceptive sense as an I/O modality. We proceed by laying out the benefits and disadvantages of both EMS and mechanical haptic devices, such as exoskeletons.
We conclude by sketching an outline for future research on EMS by listing open technical, ethical and philosophical questions that we left unanswered.