Monique
  • Woman of 82 years old

  • COVID pandemic, no activities.

  • Motor skills greatly reduced.

Case study: Activation in a residential care centre

Monique’s story

Three years ago Monique moved to the residential care centre de Zonnebloem. In recent years, she has frequently participated actively in various activities and excursions inside and outside the centre. Monique moved completely independently, used no walking aids and was able to push other residents’ wheelchairs. Due to the current COVID pandemic and associated measures, activities within the centre were almost completely reduced.

As a result of this prolonged reduction in activities, Monique’s motor skills have been greatly reduced. Although she does not seem to need a walker at the moment, she currently moves insecurely through the room and often clings to stabilising objects in the room. Monique also seems to be very lonely due to the lack of interaction with both residents and visitors.

Integration Matti within therapy

How can Matti support Monique?

The most important thing is that Monique and the other residents keep moving every day. With Matti, a whole range of motor exercises can be offered in a simple way, around which group activities can be organised. The residents’ movement skills can also be stimulated and monitored in this way.

Monique’s balance can be quantified using the various analysis tools.

Hold Position Test

See how the game is played and where the settings are adjusted to suit your patient.

  • With this tool it is possible to measure how long Monique can maintain a certain posture (e.g. tandem position).

  • Due to the continuous storage and clear visualisation of the results, a sudden decrease in execution times will be quickly noticed. This enables the therapists to quickly intervene and provide Monique with the right exercises. In this way her balance can be maintained as well as possible.

Balance Test

See how the game is played and where the settings are adjusted to suit your patient.

  • With this tool Monique’s centre of gravity can be visualized and practiced.

  • By activating Lean Mode, a concrete target can be offered on the horizontal (or vertical) axis. When the centre of gravity is moved past this target line, Matti will turn green and Monique will receive immediate feedback. She can also clearly see on the screen where her centre of gravity is at that moment, and on which side she should take more support.

To get Monique and the other residents moving in a playful and interactive way, we can use the following exergames on the Matti platform. During these activities, Matti can be placed not only on the floor, but also on a table to stimulate activation of the upper limbs.

Simon says

See how the game is played and where the settings are adjusted to suit your patient.

  • This game is an ideal starting point to use and follow up Monique’s cognitive skills. By adjusting the length of the colour sequence, the game can be kept as challenging as necessary.

  • By changing the layout of the buttons you can work on different aspects of the movement. The Half Form allows the therapist to stimulate the ROM from a specific side. The Line Form in turn ensures that these ROM exercises can be made even more specific, for example, to practise only hip flexion or hip extension. Using the Free Form, the therapist can place the buttons on Matti himself. As a result, this exercise can also be performed with walking aids on the mat.

  • By involving other residents in Monique’s practice moment, this game can provide a challenging cognitive group activity.

Twister

See how the game is played and where the settings are adjusted to suit your patient.

  • This exercise stimulates the coordination of Monique.

  • Given her advanced age, the number of buttons for this exercise is set to ‘2’. In this way, there are no unnecessary risks of falling. Monique can go step by step to find the right position to press both buttons with her feet.

  • Social contact can be encouraged by using the Multiplayer mode. This allows a second resident to take a seat on the mat and carry out the exercise together with Monique.

  • Ensuring safety during this exercise is essential. The therapist himself can also sit on Matti without any problem, without this affecting the performance. Walking aids can also be used by the residents during this game without any problem.

Whack-a-light

See how the game is played and where the settings are adjusted to suit your patient.

  • This simple and intuitive exercise can be used in different ways.

  • The basic game exercises Monique’s coordination and responsiveness. The Timeout period determines how many seconds she has to touch the target. This setting can also be turned off to focus only on coordination skills.

  • The size of the moles can be adjusted to reduce any visual difficulties. The colour of the moles can also be adjusted to make the exercise less stimulating.

  • The restricted layout allows targets to be demarcated to one particular ‘active’ zone on the mat. This enables the therapist to work towards a specific quadrant.