NIHR funding award for stroke rehabilitation video game


The National Institute of Health Research (NIHR) has awarded Clinical Senior Lecturer and Consultant Neurologist Dr Paul Bentley and his team of researchers £1.1m to develop a multiplayer video game to improve rehabilitation outcomes for patients.

The award will enable the team to build a web-based version of Balloon Buddies, a social video game that enables those recovering from conditions such as a stroke to engage and play together with healthy volunteers such as therapists and family as a form of rehabilitation. The researchers plan to put Balloon Buddies and other interactive arm-exercise games on to the web to create the world’s first rehabilitation social gaming network.

In a previous study, Dr Bentley’s team found that by increasing engagement with healthy volunteers, compared to playing alone, patients may be more likely to increase the effort they put into training, which could ultimately lead to greater gains in physical performance. This type of collaboration makes it more rewarding for the less-abled partner, more challenging for the better partner, and overall more fun for both, as they have to continuously work together to score points.

Balloon Buddies uses animation, sounds, and vibration-feedback, similar to conventional video games. It requires users to balance a ball on a beam, which is lifted at each of its ends by balloons controlled by the players.  The main aim of the game is for the players to vary the height of the beam so that the ball collides with moving targets in order to collect points.  Players are also required to work together to keep the beam horizontal so that the ball doesn’t roll off the platform.  It is played with a wireless handgrip called GripAble, enabling people with arm weakness to control video games on any standard tablet device.

The project represents a collaboration between the Imperial College Human Robotics Group and Brain Sciences Division, University of Southampton, and the startup GripAble Ltd. Early development of the GripAble device was supported by project funding from the NIHR Imperial BRC.

Dr Bentley said: “Video games can play an integral role in aiding the recovery of patients with physical impairments alongside more traditional methods.  They can make physiotherapy more engaging, stimulating and motivate patients to carry out their exercises.  However, most are designed for users to play on their own which can leave some patients feeling isolated. Balloon Buddies is the first of its kind rehabilitation game which allows for real-time collaboration between players.  This type of interaction leads to better outcomes for patients.  I am pleased to be awarded the funding from the NIHR which will allow us to further develop the technology and help more patients.”

  • Dr Paul Bentley
    Dr Paul Bentley
    Senior Clinical Research Fellow & Consultant Neurologist
  • National Institute for Health and Care Research (UK)