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
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• 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
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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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