Service Manual

11
The Ice Cave sub-activity involves freeing a variety of Cave Penguins from ice blocks
by raising and lowering ones arms a number of times in order to trigger the appearance
of day-night cycles. Different numbers of cycles necessary to fully free a penguin can
be controlled by the HCP through difficulty settings. Upon each Cave Penguin’s
release, the patient receives an award that is saved in their game record. This activity
creates an incentive for the patient to do multiple repetitions of this exercise if called
for by the patient’s rehabilitation plan.
Therapy Game 4: Bird Forest
The Bird Forest experience incorporates standard functional exercises into a virtual
reality experience by requiring the patient to reach out with one or both hands to
allow a bird in their immediate vicinity to jump into their hand.
Patients have opportunities to reach from low to high, high to low, from left to right
crossing their midline, etc. These exercises mimic standard functional exercises that
would be practiced during rehabilitation to help the patient regain skills necessary to
live at home with a degree of functional independence, and perform activities such
as unpacking groceries, cooking, unloading a dishwasher, self-care, etc.
Adjustable settings include the number of nests and their placement around the pa-
tient, whether the hand must properly pronate and supinate in order to pick up and
deposit a bird, the smoothness and/or speed of movement required to get a bird to a
nest before they fly away, the color of target nests and the patterns applicable to the
cognitive exercises.
Sub-Activity 1: Free Birds
The patient must use their hand(s) to pick up a bird and then move their hand(s) to a
nest, also within arm’s reach, and maintain that position in order to deposit the bird into
the nest. Filling all nests with a bird will reset of the game so it can be played again.
Sub-Activity 2: Nest Hop
The patient should use their hand(s) to pick up a bird and move it to a colored target
nest in a specific order under time pressure. This sub-activity will exercise both the
patient’s functional and cognitive ability. When a target nest has been filled, a new
target nest will appear, and our patient will have to move the bird from the previous
nest to the new target.
Sub-Activity 3: Bird Match
A bird will need to be picked up and dropped off to colored target nests in a spe-
cific order. Only one target nest will be active at a time. The bird will be placed in a
sequence of non-repeating colored target nests. When all nests have been filled, the
exercise will reset.
Therapy Game 5: Penguin Sports Park
In this activity, the patient must move their upper extremities to intersect with an
object coming at them, in a time dependent manner. These activities require quick
cognitive processing and visual-motor integration to succeed, and thus are more
advanced activities for a neurorehabilitation patient.
Sub-Activity 1: ChuckleBall™
The patient fends off approaching Chuckleballs by deflecting them with his head or
hands. There are no additional difficulty levels. The Chuckleballs will be kicked con-
tinually until a new activity is started.
Sub-Activity 2: Chuckleball Arena
Chuckleball requires the patient to protect their goal from kicked Chuckleballs com-
ing from the penguin in front of them. Chuckleballs can be deflected by either hand
or the head. Depending on the plane of contact of the hand or head, the Chuckle-
ball will deflect in specific directions and advanced patients can learn to deflect the
chuckle back into the opposing goal. Other objects and animals in the environment