telerehabilitation based on monitoring of real activities...

Telerehabilitation based on monitoring of real Activities

of Daily LivingRound table on innovation

Felip MIRALLESManager Unit eHealth

20/10/2016

“ innovation for the industry” 2

Eurecat technology centre

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ELECTRONICS

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Eurecat is the result of a merge, last year 2015, from Ascamm, Barcelona Media, BDigital, Cetemmsa, CTM y CTNS.

Cerdanyola del Vallès Barcelona Manresa Mataró Reus

3The eHealth Unit

• Clinical Decision Support systems for early diagnosis, patient stratification, prognosis and therapy management

• Simulation of predictive models linked to clinical data, omics data, lifestyle and environmental data

• Data analytics and anomaly recognition

• mHealth for self-management, patient empowerment• Tele assistance, tele health, telemonitoring, tele rehabilitation• Adaptive case management.• Assistive technologies for people with special needs (the elderly, the disabled,...)

eurecat – eHealth unit

Personalised medicine Integrated care

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• Gait and Motion analysis• Musculoskeletal Modeling and

Inverse Dynamics• Medical and Occupational Health

protocols design • Integration of Hardware into a

personalized software

Biomechanics

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Telerehabilitation

• Telerehabilitation is the application of telecommunication technology for supporting rehabilitation services (Russell, T.G., 2007)

• The primary goal of occupational therapy is to enable people to participate in the activities of everyday life (WFOT, 2012)

• Availability of broadband connections in most homes -> a new paradigm to the way telerehabilitation is delivered and managed: (Parmanto, B., Saptono, A., 2009)

• Benefits, as in telemedicine: access, continuity, personalization, engagement,sustainability• The rehabilitation process typically needs continuous and frequent monitoring of the

patient’s functionality in order to test the delivered therapy and/or adapt it to the patient’s progress.

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Monitoring ADLs

• The rehabilitation process to recover motor function, cognitive function, or both, require of sustainable services based on technologies which enable:

• ubiquity,• personalization and • measurability of therapies

• The current trend is:

• Leveraging rehabilitation and assistive SoA technologies based on controlled environments

• Towards solutions integrated into real home environments, by monitoring of Activities of Daily Living (ADLs) through non-intrusive technologies

Rehabilitative Wayout In Responsive home Environments

Rehabilitation platform

Rehabilitation at home…

HOSPITAL

…under remote hospital monitoring

NETWORKING STATION

HOSPITAL STATION

PATIENT STATION

Rehabilitation platform

HOSPITAL

Hospital Station

Patient Station

1. Therapist schedules the rehab session

2. Patient runs the session

3. PS sends the session results

4. Therapist reviews the results

Critical point!

OK

OK

OK

Closed Loop Treatment

Patient Station

Microsoft Kinect Camera

Tyromotion Balance Board Haptic device

TV / Projector

MIHealth Forum · Barcelona · 26-28 June, 2013

Patient Station

Therapeutic exercises

Community

• Planned by clinicians• Simple games

• News• Forum• Calendar• Ranking• Achievements• Videoconference

Patient Station

Patient Station

• Playing videogames

• Interaction through body movements

Patient empowerment through

• Quantitative evaluation

• Audio-visual feedback

Hospital Station

Therapy management tool

• Therapists assess patients

• Therapists schedule rehabilitation sessions

Brain Computer Interfaces on Track to Home

• Brain Computer Interfaces (BCI) for the first time to end-users’ homes as an alternative Assistive Technology (AT).

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Backhome User station: easy to use software

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BackHome User station: web browser and email

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BackHome User station: cognitive rehabilitationPerception, attention, concentration, memory, executive functions

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BackHome Therapist station: rehabilitationplanning and follow-up

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Acceptance of BackHome by end users at home

• Home User 1 (male, 50, ABI since 2001) and Home User 3 (male, 37, ABI since 2004)

www.ekauri.com

Teleassistance of 3rd generation to promote autonomy, safety and wellness for the elderly

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Clinical cases defined:

ADALT - Activities of Daily Augmented Living Toolkit

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ADALT - solutions

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ADALT – monitoring ADLs

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ADALT – monitoring ADLs

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Engaging patients with a 360º approach

360º approach: to reach and engage patients along their care journey through many-ways communication and collaboration tools.

1. Longitudinal data collection for ongoing monitoring

2. Passive data capture through IoT for objective continuous monitoring

3. Patient portals for two-way communication and self-management

4. Data aggregation and analytics for Real-Time Shared decision support

5. Dashboards and management tools totrigger collaborative actions andimprovements

Source: www.datstat.com

Moltes gràcies!¡Muchas gracias!

Thank you!Merci!

felip.miralles@eurecat.org