Guttmann, NeuroPersonalTrainer for

cognitive training

Rocío Sánchez-CarriónAlejandro García

Institut Universitari de Neurorehabilitació Guttmann-UAB

Institut Guttmann, is a leading hospital in the medical treatment, surgery and full rehabilitation of patients with spinal cord injury,

acquired brain damage or any other serious neurological disability

Centre of excellence Centre of Knowledge

Institut Guttmann’s main goal is to provide the best medical and rehabilitation care, specialized, customized and comprehensive at the highest human, scientific and technical level.

To ensure effectiveness and quality, rehabilitation must be:

• Holistic

• Patient focused

• Inclusive

• Participatory

• Ecological

• Continued

• Resolutive

• Adaptable to Social environment

Neuropsychological rehabilitation

Cognitive and behavioral consequences persist for a long time, impact on

patient’s functional adaptation, independence and quality of life.

Objective:

Help patients to improve their cognitive functioning, to better understand their disorders and to develop strategies to compensate deficits.

Cognitive rehabilitation:

Systematic use of well-defined and structured activities, designed toimprove functioning in brain injury subjects or to facilitate theiradaptation by learning compensatory methods.

Telerehabilitation Experiences

• Cognitive rehabilitation

– EuroPaNet: European Psycho-

pedagogical Assistance Network

(e-Ten; 2001-2002)

– PREVIRNEC: Computer assisted

cognitive program (DURSI; 2004-

2007)

– CLEAR:Clinical Leading Environment

for the Assessment and validation of

Rehabilitation Protocols in home

care (CIP-ICT-PSP-2008-2012)

Neuropsychological Rehabilitation

Active process for helping patients to optimize the recovery of

higher cognitive functions, to better understand the

alterations it entails and develop strategies to compensate

the disorders.

(G.Prigatano, 1989)

Neuropsychological Rehabilitation

• Ictus

• Traumatic Brain Injury (TBI)

• Cerebral tumor

• Infections (encefalitis, meningitis)

• Cerebral anoxia

• Neurodegenerative diseases

Challenge: Telerehabilitation

Plataforma de Telerrehabilitación Cognitiva

An ICT innovative solution

Clinical centerResidence

Regional Hospital

Home

Hospital

Neuropsychologist

• A tool for professionals

– Structured treatments designed based on cognitive profile

– Real time monitoring

– Efficient data management

– Evolution profiles generation

An ICT innovative solution

NeuroPersonalTrainer Users

31%

49%

20%

Ictus

TCE

Otras

TBI

Stroke

Other

n = 1488 Patients with Cognitive Impairment

72%

28%

Mejora Global

IMPROVEMENT

NO CHANGE

Results

64%

36%

Memoria

58%42%

Atención

64%

36%

Funciones Ejecutivas

Global Improvement

Memory

Attention

Executive Functions

Professionals’ online survey

Satisfaction

>>>>(1=“No, nothing”; 7=“Yes, surely”)

0 2 4 6

1

3

5

7

9

11

TherapistTherapistTherapistTherapist

Integrated, intuitive and easy to use structure for transmitting competitive

products in an atractive, modern and fun way with highest scientific evidence

Guttmann, NeuroPersonalTrainer®

Acquired Brain Injury (Adults)

Acquired Brain Injury (Children)

Mental Health

Intelectual Disability

Neurodegenerative Diseases

Aging

Project nr-610359

Social Cognition

Processingspeed

Arithmetic

Perception

Executivefunctions

Language

Cognitive tele-rehabilitation platform for :

• Set up customized therapeutic plans

• Monitorize performance

• Optimize execution level

Attention

Are you easily distracted, finding

troubles in concentrating? Difficulties for

speaking in noisy places or execute two

tasks simultaneously?

Guttmann, NeuroPersonalTrainer®

Strengthens concentration, divided

attention, ignore irrelevant information...

Attention

Memory

Guttmann, NeuroPersonalTrainer®

MemoryDo you have trouble remembering where

you leave things? Forget people’s names,

retain new information or remember the

book you are reading?

Guttmann, NeuroPersonalTrainer®

stimulates working memory, learning, free

and cued recall and recognition

Executive Functions

Is it difficult for you to take decisions, plan

activities, solve a problematic situation, deal

with time or use your mobile phone?

Guttmann, NeuroPersonalTrainer® helps you

improving organization skills, planning,

reasoning and mental flexibility.

Language

Do you have troubles in finding words?

Difficulties expressing yourself, understanding

conversations, reading or writing?

Guttmann, NeuroPersonalTrainer® stimulates

verbal comprehension and attention, words

and sounds discrimination, writing and reading.

Perception

Do you have problems in

perception? Distinguishing visual or

auditory stimuli or identifying

objects or sounds?

Guttmann, NeuroPersonalTrainer®

boosts visual attention capacity,

visual and auditory stimuli

discrimitation.

Arithmetic

Do you find difficulties in arithmetic

operations during activities of daily

living? Problems handling money?

Guttmann, NeuroPersonalTrainer®

reinforces numerical skills, mental

operation and mathematical problems.

Processing Speed

Do you have difficulties in reacting

quickly? Do you think slowly?

Guttmann, NeuroPersonalTrainer®

stimulates reaction time and increases

response speed.

Social Cognition

Is it difficult for you to put yourself in

other people’s position? Recognizing

emotions? Adapting your behaviour

according to the social situations?

Guttmann, NeuroPersonalTrainer®

stimulates emotional recognition, helps

to analyze social situations, problems

resolution and establishing alternatives.

agarciar@guttmann.comrsanchezcarrion@guttmann.com

www.guttmann.com