IEEE J Biomed Health Inform - Improving brain injury cognitive rehabilitation by personalized telerehabilitation services: Guttmann neuropersonal trainer.

Tópicos

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Resumo

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 telerehabilitation platform called Guttmann Neuropersonal Trainer (GNPT) which provides new strategies for cognitive rehabilitation, improving efficiency and access to treatments, and to increase knowledge generation from the process. A 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 1-20 compared to face-to-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.

Resumo Limpo

cognit rehabilit aim remedi allevi cognit deficit appear episod acquir brain injuri abi purpos work describ telerehabilit platform call guttmann neuroperson trainer gnpt provid new strategi cognit rehabilit improv effici access treatment increas knowledg generat process cognit rehabilit process model design develop system allow neuropsychologist configur schedul rehabilit session consist set person computer cognit exercis ground neurosci plastic principl provid remot continu monitor patient perform asynchron communic strategi automat knowledg extract method use implement decis support system improv treatment custom gnpt implement rehabilit center patient home facilit access treatment total patient treat usabl cost analysi methodolog appli measur effici real clinic environ usabl evalu reveal system usabl score higher target user cost effici studi result show relat compar facetofac rehabilit gnpt enabl braindamag patient continu extend rehabilit beyond hospit improv effici rehabilit process allow custom therapeut plan provid inform develop clinic practic guidelin

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