RehaCom is a clinical proven software tool to support cognitive training and rehabilitation following a brain injury. Best results rely on restitution as well as compensation strategies and RehaCom's evidence based approach is effective across the main application domains.
2. BRAIN INJURY SURVIVORS
Brain injury survivors can experience decades of debilitation and functional loss -affecting
many aspects of cognition - memory, attention deficits and executive function impairments
can be the result
3. "MILD"
TBI?
Although there is a
link between severity
of injury and likely
long term impairment,
the link is fuzzy. Really
there is no such thing
as a mild brain injury -
any injury can have
significant long-term
consequences
4. PERCENTAGE OF TBI PATIENTS
WITH UNMET COGNITION
NEEDS AFTER 1 YEAR
ACorrigan et al (2004) “Perceived needs following traumatic brain injury” J Head Trauma Rehabil, 2004; 19: 205 -216
11. BASIC PRINCIPLES
First of all - Encourage functions that are
still in good condition - Build confidence -
Increase readiness to deal with deficits.
Secondly - Aim to train specific functions.
Tasks should be specific rather than
abstract at the beginning.
Increase the level of difficulty with care
12. BASIC
PRINCIPLES
RehaCom Provides
• Variety of therapy content
• Variety of material (positive for
motivation and avoid boredom)
• Different functions to reflect client
interests
• Multiple Modalites - Visual, Linguistic
Tactile, Auditory
VARIETY
13. REHACOM'S PEDIGREE
• Developed in Germany and used around the
world
• Evidence based
• Extensive depth and breadth of content
• Supports multiple languages
• Can be used with severe deficits or higher
functioning persons
• Automically adjusts the training tasks to avoid
frustration or boredom
• Highly specific training organised in attention,
memory, executive function and visual field
groups.
• Optional Screening Modules for in-clinic use
14. Patients with attention deficits often complain that they are no
longer able to cope with everyday life and need to take more
frequent breaks from "mental"activities.
They are easily distracted and are quickly overwhelmed in
situations with many stimuli, e. g. in shopping centers.
Therapists should diagnose the different aspects of attention
separately.
RehaCom-supported tests can measure reaction speed and
processing.
Note: Screenings are only available for the classic offline
RehaCom version
ATTENTION TRAINING
15. Patients with memory disorders find it difficult to remember
information in everyday life. Information reception (encoding),
storage or retrieval of information from memory can be impaired.
This causes a high level of difficulty and frustration.
Patients learn to remember information better through deeper
processing (elaboration) or by applying strategies for learning and
recalling. Example: Patients should remember words or pictures by
imagining terms visually or linking them to a story. When
remembering later, the patient uses these images to recall the
original terms. RehaCom-supported training promotes the learning
and practice of these strategies. The therapist adapts the degree of
difficulty of the task to the patient's level of performance - at the
beginning only a little information is presented, but with ongoing
therapy, more pictures, words or contents are added
MEMORY TRAINING
16. Visuospatial neglect is a common attentional disorder resulting from
brain damage, most commonly from a stroke of the right hemisphere
but also from other conditions such as tumors or multiple sclerosis.
Patients with neglect pay little or no attention to the part of the brain
that is not effected by the brain injury, usually the left side. For
example, they overlook objects on one side of a table, bump into
other people, or find it difficult to read the beginning of a line of text.
The therapy directs the patient’s attention to the affected side. It
begins with simple tasks in which symbols or pictures are shown on a
screen. The patient should react as soon as a stimulus appears.
Further training of the affected side can be promoted by adding
moving points (optokinetic stimulation).
Less severely affected patients train with more complex tasks in
which they search the screen for objects or count them.
VISUO-SPATIAL TRAINING
18. Therapists can create a "prescription" for each client
working at home. The prescription consists of one or
more training modules with parameters tuned to the
person's need
When a client logs
in, they see their
training
programme and
any personal
instructions.
Their training
prescription can be
updated daily
The Therapist sees
the training results
on completion