AUTHOR=Acharya Vrinda , Roy Hirakjyoti , Kamath Surekha , Acharya K Aneesha 

TITLE=Beyond the joystick: deep learning games for hand movement recovery

JOURNAL=Frontiers in Rehabilitation Sciences

VOLUME=Volume 6 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/rehabilitation-sciences/articles/10.3389/fresc.2025.1653302

DOI=10.3389/fresc.2025.1653302

ISSN=2673-6861

ABSTRACT=IntroductionThis research explores the use of Deep Learning (DL) techniques for hand and gesture recognition to support hand rehabilitation programs. The primary objective is to enhance cognitive function and hand-eye coordination through gamified therapeutic exercises that track and respond to hand gestures in real time.MethodsPre-trained Convolutional Neural Network (CNN) models were employed for hand recognition using Google's open-source MediaPipe Library. Four classic arcade games-Pong, Tetris, Fruit Ninja, and a Virtual Keyboard-were redeveloped as gesture-controlled rehabilitation tools within a web-based interface built using the Phaser.js framework. A score-based system was implemented to track user performance and progress. Usability was evaluated using the System Usability Scale (SUS), and statistical validation was performed with a one-sample t-test against the industry benchmark.ResultsData collected from 15 participants demonstrated consistent gesture recognition accuracy and stable game control performance. The SUS evaluation indicated favorable user responses, with usability scores exceeding the benchmark threshold, suggesting that participants found the system intuitive and engaging.DiscussionThe study confirms the feasibility of using monocular camera-based computer vision for hand rehabilitation. Compared to existing low-cost rehabilitation tools, the proposed system provides an accessible, interactive, and affordable alternative. Integrating gesture recognition with gamified interfaces effectively supports dexterity recovery and motivates users through engaging gameplay. These findings establish a foundation for future development of AI-based rehabilitation platforms using standard camera devices.