| Summary: | Brain damage resulting from stroke and traumatic brain injury is the primary cause of complicated disability and one of the major causes of mortality in most countries, burdening healthcare systems owing to the growth in the number of brain injury victims. Rehabilitation is required to deal with the brain damage. With fewer therapists available, it is very challenging to manage patients and even motivate them to participate actively in their rehabilitation. Patients have frequently complained that many traditional rehabilitation systems are monotonous and uninteresting. The study's objective is to propose a telerehabilitation gaming system framework that can serve as guidance for developing an affordable rehabilitation gaming system that can motivate and engage patients and increase rehabilitation effectiveness. The research methodology is based on synthesizing related research and currently available technologies. The proposed framework includes the therapist and patient attached with vital constructs: tailoring tools, instructional content, game characteristics, tailored games, and performance. It is an internet-based communication structure that connects the Rehabilitation Gaming System to the hospital and other care provider networks. The proposed framework is evaluated by a panel of five experts. The results reveal that all experts believe that the proposed framework can serve as a useful guide for creating gaming interventions that can boost the patient's motivation and engagement and increase the effectiveness of rehabilitation. © 2023 IEEE.
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