telerehabilitation based on monitoring of real activities...
TRANSCRIPT
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
PRINTED
ELECTRONICS
1 step
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
