# Design of Exergaming Platform for Upper Limb Rehabilitation Using Surface Electromyography
## 7 Conclusions  
This paper examines the integration of exergames into rehabilitation practices, effectively addressing the challenges associated with traditional physiotherapy. The implementation of an exergaming platform not only complements conventional methods but also introduces a more engaging and dynamic treatment approach. The proposed system architecture promotes the widespread accessibility of therapeutic exergaming, making it accessible to a diverse range of users, including those who may face technological or economic limitations.  
Furthermore, the system's design, which allows health professionals to monitor and adjust settings remotely, ensures personalized and continuous care for each patient. This is supported by the Myo armband technology, which integrates seamlessly into the game, providing accurate tracking and feedback on the user's performance. By embedding the gaming elements into a narrative and structuring exercises around engaging challenges, the platform effectively maintains patient engagement and motivation, despite the potential constraints of its strictly defined routines.  
The effectiveness of this approach was validated through testing with both health professionals and neurological patients. The feedback was overwhelmingly positive, highlighting the system's acceptance by patients, due to ease of use, the engaging nature of the game, and the practical benefits observed in patient adherence and therapy outcomes. These results underscore the potential of similar exergames to enhance the delivery and effectiveness of physiotherapy, offering a more enjoyable and sustainable option for patients.  
This research aims to make a contribution to the field of rehabilitation, rooted in the belief that enhancing the lives of individuals not only benefits those directly affected but also yields widespread positive effects for the caregivers and practitioners' community.  
Conceptualization, A.S.; methodology, S.L., N.A. and A.S.; software, N.P.; validation, N.P., S.L., N.A. and A.S.; formal analysis, N.P., S.L., N.A. and A.S.; investigation, N.P., S.L., N.A. and A.S.; resources, S.L., N.A. and A.S.; data curation, N.P.; writing--original draft preparation, N.P.; writing--review and editing, N.P., S.L., N.A. and A.S.; visualization, N.P., N.A. and A.S.; supervision, N.A. and A.S.; project administration, N.A. and A.S. All authors have read and agreed to the published version of the manuscript.  
This research received no external funding.  
The study was conducted in accordance with the Declaration of Helsinki and approved by the University Hospital of Patras (Ethics Committee--No. 64/04-02-21).  
Informed Consent Statement: Informed consent was obtained from all subjects involved in the study.  
The original contributions of this study are included in the article; further inquiries can be directed to the corresponding author.  
The authors are grateful to [PERSON] of the Neurology Department and the Neuromuscular Diseases Unit (National Center of Excellence for Rare Diseases) of the University Hospital of Patras for the selection of the patients, providing access to clinics, and receiving the approval for the assessment of the developed application by the patients. They would like also to express their gratitude to [PERSON] for her contributions throughout this work. Her suggestions during the initial design phase shaped the direction of the platform, and her testing and insightful feedback in each iteration greatly enhanced its quality and functionality. Additionally, her support during the evaluation phase with end-users was instrumental to the successful execution of this part of the study.  
The authors declare no conflicts of interest.  
The following abbreviations are used in this manuscript:  
\begin{tabular}{l l} CAVE & Cave Automatic Virtual Environment \\
3D & Three-Dimensional \\ sEMG & Surface electromyography \\ AI & Artificial intelligence \\ TCN & Temporal Convolutional Network \\ \end{tabular}