Improving Brain Injury Cognitive Rehabilitation by Personalized Telerehabilitation Services: Guttmann Neuropersonal Trainer
Improving Brain Injury Cognitive Rehabilitation by Personalized Telerehabilitation Services: Guttmann Neuropersonal Trainer
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DOI：
10.1109/jbhi.2014.2354537
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发表时间：
2015-01-01
影响因子：
7.7
通讯作者：
Gomez, Enrique J.
中科院分区：
文献类型：
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作者：
Solana, Javier;Caceres, Cesar;Gomez, Enrique J.
认知康复旨在修复或减轻获得性脑损伤（ABI）发作后出现的认知缺陷。这项工作的目的是描述称为Guttmann神经私人教练（GNPT）的远程康复平台，该平台为认知康复提供了新的策略，提高了效率和获得治疗的机会，并增加了从这个过程中产生的知识。一个认知康复过程已经被建模来设计和开发系统，它允许神经心理学家配置和安排康复疗程，包括一套基于神经科学和可塑性原理的个性化计算机认知练习。它通过异步通信策略提供对患者表现的远程连续监测。采用知识自动提取的方法实现了决策支持系统，提高了治疗方案的可定制性。GNPT已在27个康复中心和83个患者之家实施，为获得治疗提供了便利。总共有1660名患者接受了治疗。可用性和成本分析方法已被应用于衡量实际临床环境中的效率。可用性评估显示，所有目标用户的系统可用性得分高于70分。与面对面康复相比，成本-效率的关系为1-20。GNPT使脑损伤患者能够在医院外继续并进一步扩展康复，提高了康复过程的效率。它允许定制治疗计划，为进一步制定临床实践指南提供信息。
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.