Improving brain injury cognitive rehabilitation by personalized tele-rehabilitation services: Guttmann Neuro Personal Trainer

Cognitive rehabilitation aims to remediate or alleviate the cognitive deficits appearing after an episode of Acquired Brain Injury (ABI). The purpose of this work is to describe the tele-rehabilitation platform called Guttmann Neuro Personal Trainer (GNPT) which provides new strategies for cognitive...

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Detalles Bibliográficos
Autores: Solana Sánchez, Javier, Cáceres, César, García Molina, Alberto, Opisso, Eloy, Roig, Teresa, Tormos Muñoz, José María, Gómez, Enrique J.
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Universidad Católica de Valencia San Vicente Mártir
Repositorio:RIUCV. Repositorio de la Universidad Católica de Valencia San Vicente Mártir
Idioma:inglés
OAI Identifier:oai:riucv.ucv.es:20.500.12466/3317
Acceso en línea:http://hdl.handle.net/20.500.12466/3317
Access Level:acceso abierto
Palabra clave:Cognitive science
Rehabilitation
Telemedicine
2490 Neurociencias
3205.07 Neurología
Descripción
Sumario:Cognitive rehabilitation aims to remediate or alleviate the cognitive deficits appearing after an episode of Acquired Brain Injury (ABI). The purpose of this work is to describe the tele-rehabilitation platform called Guttmann Neuro Personal Trainer (GNPT) which provides new strategies for cognitive rehabilitation, improving efficiency and access to treatments, and to increase knowledge generation from the process. Cognitive rehabilitation process has been modeled to design and develop the system, which allows neuropsychologists to configure and schedule rehabilitation sessions, consisting of set of personalized computerized cognitive exercises grounded on neuroscience and plasticity principles. It provides remote continuous monitoring of patient's performance, by an asynchronous communication strategy. An automatic knowledge extraction method has been used to implement a decision support system, improving treatment customization. GNPT has been implemented in 27 rehabilitation centers and in 83 patients' homes, facilitating the access to the treatment. In total, 1660 patients have been treated. Usability and cost analysis methodologies have been applied to measure the efficiency in real clinical environments. The usability evaluation reveals a System Usability Score higher than 70 for all target users. The cost efficiency study results show a relation of 1 to 20 compared to faceto-face rehabilitation. GNPT enables brain-damaged patients to continue and further extend rehabilitation beyond the hospital, improving the efficiency of the rehabilitation process. It allows customized therapeutic plans, providing information to further development of clinical practice guidelines.