Service Manual

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Section 6: SOFTWARE DESCRIPTION
The REAL Immersive System contains a variety of experiences that incorporate
clinically recognized, existing therapeutic and functional exercises to facilitate motor
and cognitive rehabilitation. Settings for each experience will involve parameters
such as turning on and off avatar features and environmental factors as well as
switching between activities. While using the REAL Immersive System, the HCP
remains responsible for the patient’s safety and the appropriateness of individual
exercises including range of motion (ROM) attempted and any other limb or joint
limitations unique to that patient.
Therapy Game 1: Hide and Seek
Hide and Seek can be used with or without a displayed avatar tracking the patient’s
upper body because it primarily relies on head movement and visual scanning ability.
Once the sensors have synced, the avatar should appear. Hide and Seek puts the pa-
tient in a pastoral setting with a number of animated animals that react to the patient’s
acknowledgement of them. This is the experience the patient first starts with, giving a
chance for the HCP to place sensors on the patient’s body and then activate visu-
alization of the avatar. It’s also the last experience prior to ending the patient’s session
which provides the ability for the HCP to remove the sensors and for the patient to
visualize overall progress they made during the session in the form of virtual “rewards.”
Patients “find” a little penguin by hovering a blue “gaze pointer” on the penguin by
turning and rotating their head. The penguin will then disappear and reappear in a dif-
ferent location. The pointer is positioned to represent the patient’s upper body vertical
midline, itself a useful tool as some patients in neurorehabilitation have lost their sense
of body position resulting in “midline shift.” The blue pointer provides a visual, external
cue as to their true body midline helping them relearn to position themselves in relation
to it. The Hide and Seek exercise encourages visual scanning of their environment, an
important functional ability, and cognitive recognition of nameable animals, objects,
and environmental locations in their immediate surrounding.
HCPs will have control over the range of locations that animals appear and wait to be
found through “difficulty” settings on the tablet. Hide and Seek locations in the world
will change and evolve over a number of sessions to provide an experience of logical
progression and achievement as the patient continues their course of rehabilitation.
Therapy Game 2: Hot Air Balloon
Hot Air Balloon is an introductory activity to help the patient work on core control
and strength as well as centering and postural proprioception. By leaning their torso
from a sitting position in a certain direction, and holding it there against gravity, they
fly a hot air balloon in that same direction. There are a number of objectives the
patient can achieve by flying the balloon around, such as knocking apples off a tree
and contacting other balloons or clouds. To fly the balloon away and towards them,
the patient uses thoracolumbar flexion and extension, and to fly from left to right
involves thoracolumbar flexion to the left or right.
Sub-Activity 1: Balloon Pilot
This sub-activity takes place near the ground. The patient-controlled balloon is teth-
ered to the ground to limit balloon travel and encourage simple torso centering. The
patient can pilot the balloon on-tether to nearby interactive objects
Sub-Activity 2: Bumper Band
This sub-activity takes place halfway up the mountainside. The patient uses trunk
extension, flexion, as well as lateral flexion to drive the balloon in an untethered
mode to bump other balloons with characters in them, back to the performance
stage. Objects, such as bridge components, can also be picked up and carried over
to the mountain to help hikers cross gaps.
Sub-Activity 3: Summit Rescue
This sub-activity takes place at the peak of the mountain where the player has to
steer the balloon to bring hikers which made it to the summit, over to the house