CordiAAL: Enhanced Motivation for Cardiological Ergometer Training through Virtual Groups in Virtual Worlds

Israfil Akman, Rafael Bielen, Henning Brümmer, Egor Kudrjaschow, Stefan Tschentscher, Oliver Dohndorf, Heiko Krumm, Jan-Dirk Hoffmann, Anke Workowski, Detlev Willemsen


The project CordiAAL purposes the goal of developing a training system for patients with cardiovascular diseases. The first aim is to reduce the anxiety of overexertion by using a continuous monitoring of vital parameters and the second is to increase the patients' motivation according to a moderate physical activity by the virtual environment of the system. The training can be done alone or in common with several patients in a virtual group, regardless of the patients' location. When grouped together, the performance of the individual patient is aligned, so that patients with different fitness levels are able to work together. The evaluations revealed that the increase in motivation could be achieved by training in the virtual environment in virtual groups.


  1. Anderson, F., Annett, M., and Bischof, W. F. (2010). Annual Review of Cybertherapy and Telemedicine 2010. Studies in Health Technology and Informatics.
  2. Balady, G., Williams, M., Ades, P., Bittner, V., Comoss, P., Foody, J., Franklin, B., Sanderson, B., and Southard, D. (2007). Core components of cardiac rehabilitation/secondary prevention programs. Circulation, 115(20):2675-82.
  3. Bjarnason-Wehrens, B., Held, K., and Karoff, M. (2006). Herzgruppen in Deutschland: Status quo und Perspektiven. Herz, 31:559-565.
  4. Bjarnason.Wehrens, B., Drsch, M., Gielen, S., Halle, M., Hambrecht, R., and Kindermann, W. (2009). Leitlinie krperliche aktivitt zur sekundrprvention und therapie kardiovaskulrer erkrankungen. Clinical Research in Cardiology Supplement (CRICS), pages 1-44.
  5. Borg, G. (1970). Perceived exertion as an indicator of somatic stress. Scandinavian journal of Rehabilitation Medicine, 2:92-98.
  6. Boulos, M. N. K. and Yang, S. P. (2013). Exergames for health and fitness: the roles of GPS and geosocial apps. Technical report, International Journal of Health Geographics.
  7. Busch, C., Litvina, A., and Willemsen, D. (2009). Kardiale Telerehabilitation auf Basis einer flexiblen Plattform fü r verteilte Systeme - das OSAmI-D Projekt. e-Health, pages 218-221.
  8. Caprani, N., O'Connor, N. E., and Gurrin, C. (2012). Touch Screens for the Older User. In Cheein, D. F. A., editor, Assistive Technologies, chapter 5. InTech.
  9. Dohndorf, O., Gö ring, A., Krumm, H., Schneider, A., Sommer, A., Sladek, S., Busch, C., Hoffmann, J.-D., and Willemsen, D. (2012). RehaWeb - An information system for cardiologic rehabilitation assistance in the third phase. Technical report, TU Dortmund University.
  10. Eifert, G. H., Thompson, R. N., Zvolensky, M. J., Edwards, K., Frazer, N. L., Haddad, J. W., and Davig, J. (2000). The cardiac anxiety questionnaire: development and preliminary validity. In Behaviour Research and Therapy, volume 38, pages 1039-1053. Elsevier Ltd.
  11. Fielding, R. T. (2000). Architectural styles and the design of network-based software architectures. PhD thesis, University of California. AAI9980887.
  12. Gesundheit in Deutschland aktuell - Telefonischer Gesundheitssurvey (GEDA) (2009/2010). Gesundheit in Deutschland aktuell - Telefonischer Gesundheitssurvey (GEDA): Durchschnittliche sportliche Aktivität pro Woche (Anteil der Befragten in Prozent).
  13. Kotseva, K., Wood, D., Backer, G. D., Bacquer, D. D., Pyoeraelae, K., and Keil, U. (2009). Cardiovascular prevention guidelines in daily practice: a comparison of euroaspire i, ii, and iii surveys in eight european countries. The Lancet, 373(9667):929 - 940.
  14. Lampert, C., Schwinge, C., and Tolks, D. (2009). Der gespielte Ernst des Lebens: Bestandsaufnahme und Potenziale von Serious Games (for Health). Zeitschrift für Theorie und Praxis der Medienbildung, 15/16:1- 16.
  15. Lee, C., Folsom, A., and Blair, S. (2003). Physical activity and stroke risk: a meta-analysis. Stroke, 34(10):2475- 81.
  16. Lee, E. A. (5-7 May 2008). Cyber Physical Systems: Design Challenges. Object Oriented Real-Time Distributed Computing (ISORC), 2008 11th IEEE International Symposium on, pages pp.363-369.
  17. Nocon, M., Hiemann, T., Müller-Riemenschneider, F., Thalau, F., Roll, S., and Willich, S. N. (2008). Association of physical activity with all-cause and cardiovascular mortality: a systematic review and meta-analysis. Eur J Cardiovasc Prev Rehabil, 15:2239-246.
  18. Novick, A. (2008). Implementing crud operations using stored procedures: Part 1.
  19. Pautasso, C., Zimmermann, O., and Leymann, F. (2008). Restful web services vs. ”big”78 web services: making the right architectural decision. In Proceeding of the 17th international conference on World Wide Web, WWW 7808, pages 805-814, New York, NY, USA. ACM.
  20. Sattelmair, J., Pertman, J., Ding, E., Kohl 3rd, H., Haskell, W., and Lee, I. (2011). Dose response between physical activity and risk of coronary heart disease: a metaanalysis. Circulation, 124(7):789-95.
  21. Schulz, G. (2007). Regelungstechnik 1 Lineare und Nichtlineare Regelung, Rechnergesttzter Reglerentwurf. Oldenbourg Wissenschaftsverlag GmbH.
  22. Shahsavari, H., Shahriari, M., and Alimohammadi, N. (2012). Motivational factors of adherence to cardiac rehabilitation. Iranian Journal of Nursing and Midwifery Research, 17:7.
  23. Statistisches Bundesamt (2008). Herz/Kreislauferkrankungen verursachen die höchsten Krankheitskosten. Wiesbaden.
  24. Statistisches Bundesamt (2011). 2011: Todesfälle 2011 leicht rückläufig - häufigste Todesursache Herz/Kreislauferkrankungen. Wiesbaden.
  25. Yusuf, S., Hawken, S., Ounpuu, S., Dans, T., Avezum, A., Lanas, F., McQueen, M., Budaj, A., Pais, P., Varigos, J., and Lisheng, L. (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the interheart study): case-control study. Lancet, 364(9438):937-52.

Paper Citation

in Harvard Style

Akman I., Bielen R., Brümmer H., Kudrjaschow E., Tschentscher S., Dohndorf O., Krumm H., Hoffmann J., Workowski A. and Willemsen D. (2014). CordiAAL: Enhanced Motivation for Cardiological Ergometer Training through Virtual Groups in Virtual Worlds . In Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2014) ISBN 978-989-758-010-9, pages 78-89. DOI: 10.5220/0004797300780089

in Bibtex Style

author={Israfil Akman and Rafael Bielen and Henning Brümmer and Egor Kudrjaschow and Stefan Tschentscher and Oliver Dohndorf and Heiko Krumm and Jan-Dirk Hoffmann and Anke Workowski and Detlev Willemsen},
title={CordiAAL: Enhanced Motivation for Cardiological Ergometer Training through Virtual Groups in Virtual Worlds},
booktitle={Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2014)},

in EndNote Style

JO - Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2014)
TI - CordiAAL: Enhanced Motivation for Cardiological Ergometer Training through Virtual Groups in Virtual Worlds
SN - 978-989-758-010-9
AU - Akman I.
AU - Bielen R.
AU - Brümmer H.
AU - Kudrjaschow E.
AU - Tschentscher S.
AU - Dohndorf O.
AU - Krumm H.
AU - Hoffmann J.
AU - Workowski A.
AU - Willemsen D.
PY - 2014
SP - 78
EP - 89
DO - 10.5220/0004797300780089