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While researchers have demonstrated the potential utility of therapeutic games through controlled studies, relatively little work has explored their long-term home-based use. We conducted a six-week home study with a 62-year-old woman who was seventeen years post-stroke. She played therapeutic games for approximately one hour a day, five days a week. Over the six weeks, she recovered significant motor abilities, which is unexpected given the time since her stroke. We explore detecting such improvements early, using game logs for daily measurements of motor ability to complement the standard measurements that are taken less often. Through observations and interviews, we present lessons learned about the barriers and opportunities that arise from long-term home-based use of therapeutic games.<\/jats:p>","DOI":"10.1145\/2039339.2039342","type":"journal-article","created":{"date-parts":[[2011,11,17]],"date-time":"2011-11-17T08:49:37Z","timestamp":1321519777000},"page":"1-35","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":54,"title":["Stroke Therapy through Motion-Based Games"],"prefix":"10.1145","volume":"4","author":[{"given":"Gazihan","family":"Alankus","sequence":"first","affiliation":[{"name":"Washington University in St. Louis"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Proffitt","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin","family":"Kelleher","sequence":"additional","affiliation":[{"name":"Washington University in St. Louis"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Engsberg","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"320","published-online":{"date-parts":[[2011,11]]},"reference":[{"key":"e_1_2_1_1_1","doi-asserted-by":"publisher","DOI":"10.1162\/1054746053966996"},{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1145\/1753326.1753649"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1145\/1878803.1878842"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1108\/17549450200900014"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1310\/HHAD-6TU3-GR8Q-YPVX"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1145\/1753846.1754197"},{"key":"e_1_2_1_7_1","first-page":"77","article-title":"Virtual rehabilitation after stroke","volume":"136","author":"Broeren J.","year":"2008","unstructured":"Broeren , J. , Bjorkdahl , A. , Claesson , L. , Goude , D. , Lundgren-Nilsson , A. , Samuelsson , H. , Blomstrand , C. , Sunnerhagen , K. 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A design framework for a home-based stroke rehabilitation system: identifying the key components . In Proceedings of the 3rd International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth). 1--8. Egglestone, S. R., Axelrod, L., Nind, T., Turk, R., Wilkinson, A., Burridge, J., Fitzpatrick, G., Mawson, S., Robertson, Z., Hughes, A. M., Kher Hui Ng, Pearson, W., Shublaq, N., Probert-Smith, P., Rickets, I., and Rodden, T. 2009. A design framework for a home-based stroke rehabilitation system: identifying the key components. In Proceedings of the 3rd International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth). 1--8."},{"volume-title":"Proceedings of the 1st International Workshop on Interactive Systems in Healthcare (WISH). 49--52","author":"Fitzpatrick G.","key":"e_1_2_1_15_1","unstructured":"Fitzpatrick , G. , Balaam , M. , Axelrod , L. , Harris , E. , McAllister , G. , Hughes , A. 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