Introduction to RehaCom

RehaCom

computer-based cognitive rehabilitation

Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

What is “Cognitive Rehabilitation ” ?

• Brain can be damaged after stroke, trauma or poisoning • Brain performance can be “retrained” • By training the nerve restitution works better • Frequent training causes better results

Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

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Goals of a neuropsychologists training • Reconstruction of damaged brain function • Bring patient back to his/her earlier life • Usage of learning techniques and problem solving strategies • Improvement of motor abilities • Optimal social reintegration • Help the patient to adjust to life with remaining damage

Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

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What is RehaCom? • Brain training is made by neuropsychologists or occupational therapists • The “stupid” repetitive part of the training is supported by a computer • RehaCom unites 32 therapy procedures • Each procedure has hundreds of tasks with different levels of difficulty • From very very easy • To very complex

• The computer enables training of attention, memory, perception and tasks of the daily life (executive functions).

• Developed in rehabilitation hospitals Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

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How to train?

• Patient works with RehaCom on a typical (Windows XP/Vista/Windows 7) PC • Tasks are presented on the screen, supported by sounds • Usage of RehaCom is easy to learn • Motor or seriously cognitively disabled people can use the RehaCom-patients keyboard • Alternatively you can work with a normal computer keyboard • Extensive manuals are available on the RehaCom CD, explaining both the theoretical background and the procedures Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

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RehaCom: 32 therapy procedures with 1000snds of tasks 6 procedure

level

material

procedure Plan a Day

55

„endless“ number of tasks

Shopping

18

100 photos

Logical reasoning

23

9 forms, 4 colors, 3 size (108 variants)

Visuoconstructional ability

18

More than 100 photos and images

Attention and concentration

24

68 image groups = 1088 images

Divided attention

14

tasks visual and acoustic

Vigilance

15

88 image groups = 352 images

level

material

Topological memory

20

29 image groups = 464 images

Memory for faces (expandable by editor)

21

47 persons = 188 photos

Two-dimensional operations

24

46 image groups = 736 images

Word memory

20

3 groups with 200 words

Spatial operations

42

80 objects in photo quality

200 photos

Spatial operations 3D

24

432 3D-objects in 67 groups

Saccadic training

28

20 objecte in variants

Exploration

30

80 symbols in 2 sizes

Overview and reading

18

words, letters, numbers, shapes…

Figural memory

9

Verbal memory (expandable by editor)

10

80 short stories

Multimodal observation

18

Acoustic reactivity

20

62 video sequences 60 natural sounds

Reaction behavior

16

45 traffic signs

Reactivity (expandable by editor)

20

More than 200 visual und acust. tasks

Mental activation Calculations

Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

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750 tasks cash notes, coins

Automatic performance adaptation

• After every task the result is evaluated by the system • The difficulty of next task is set automatically after evaluation Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

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Automatic performance adaptation

• After every task the result is evaluated by the system • The difficulty of next task is set automatically after evaluation Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

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Automatic performance adaptation

• After every task the result is evaluated by the system • The difficulty of next task is set automatically after evaluation Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

7

Automatic performance adaptation

• After every task the result is evaluated by the system • The difficulty of next task is set automatically after evaluation Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

7

Automatic performance adaptation

• After every task the result is evaluated by the system • The difficulty of next task is set automatically after evaluation Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

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More patients at the same time!

Auto-adaptive training means: • The computer monitors the patients • The computer changes difficulty of tasks • The computer repeats until the task is solved The therapist has more time: • To work with severely affected patients “hands-on” • To train two (or more) patients at the same time by computer, if the task is easy

Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

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Training room with 3 RehaCom places

(at Neurological Rehabilitation Center at Magdeburg, Germany)

Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

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Specific therapy

10

• Specific training of every kind of disturbance • Necessary: exact diagnosis of disturbance!

Figural memory

Topological memory

Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

Vigilance (long time attention)

Training of every day tasks

11

Day planning, dates, ways and times

Physiognomic memory (memory for faces and names)

Shopping at virtual supermarket Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

Measurement of performance

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• All results are automatically saved on the patients data after every task • Summary from single results to consultations • Each new consultation considers the results of the last consultation • File of all data in a SQL data base, Client server architecture • Thus simple possibility resuming data evaluations (statistics, science)

Complex evaluation (Therapist)

Evaluation easy to understand (Patient)

Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

Closed therapy loop over Internet • •

• •

Cognitive deficits needing attention for a long time Cognitive training, started at clinic, has to be continued at via (neuro-psychologist or occupational therapist), later training at home Data transfer from clinic to home user Support of patients home trainings by therapist over Internet Therapy plan

Patients login

Evaluation

Solving tasks at home

Feedback to the Therapist Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

Patient

Therapist

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Therapy procedures with the RehaCom system • Therapy of attention deficits • Common attention training • Reaction training • Training of spatial components of attention

• Memory training • Training of visual disorders and neglect • Eye- hand- coordination (Visuomotoric) • All days tasks (pragmatic therapy, executive functions)

Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

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Therapy procedures with the RehaCom system

Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

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For RehaCom quite naturally • Most therapy procedures translated into 20 Languages • English, French, Italian, Spain, Turk, Russian, Korean, …

• Works via institutional computer network • central clinic database (SQL), import and export of patients data

• Children's version • Therapy-procedures work dependent on the date of birth of the patient

• Patients mode • Protected work-surroundings for patients without supervision

• Cared training at home • Task designation and evaluation of the internet

• Modern software technique, colored graphics, continuous development • New procedures to continue training at occupational (job) training • Treat new damages: e.g. Aphasia, fine motor activity Cognitive rehabilitation with RehaCom • Frank Schulze, Germany • 12.03.2011

Wednesday, September 19, 2012

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