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REHACOM
IMPROVING COGNITIVE FUNCTION
FOLLOWING BRAIN INJURY
Computer Based Cognition Training as Part of Cognitive Rehabilitation • www.rehacom.co.uk
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
"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
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
REHABILITATION
-
PUTTING THE PIECES
BACK TOGETHER
• Can we recover what has been lost?
• Improve Cognitive Function AND
Improve Everyday Functioning?
STRATEGY?
DON'T JUST CONSIDER
ONE ROUTE
COMPENSATION
THIS WAY
RESTITUTION
THIS WAY
COMPENSATION
IMPLIES RECOVERY
WILL BE LIMITED
RELY ON EXTERNAL AIDS,
ENVIRONMENTAL
MODIFICATIONS, MNEMONICS
RESTITUTION
WE USED TO THINK IT
IMPOSSIBLE
RELY ON TRAINING LIKE
REHACOM, STEM CELLS?, PHARMA
ETC
"NEUROPLASTICITY"
CAN BE EXPLOITED
BUT
IS NOT A "SILVER BULLET" AND CANT
BE A COMPLETE ANSWER ALONE FOR
EITHER COGNITIVE TRAINING OR
REHABILITATION
IS A COMPREHENSIVE
TOOL FOR COGNITION
TRAINING
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
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
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
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
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
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
"With RehaCom's Home
Training Therapists can
Train, Supervise and
Support Many Patients at a
Distance"
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
SUPERVISED
HOME TRAINING
OFFER
LOW - COST "PAY AS YOU GO" OFFER
UNTIL 30 JUNE 2020
UK CLIENTS ...
REHACOM-OFFER.CO.UK
REHACOM.CO.UK
REHACOM.COM

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RehaCom software for cognitive rehabilitation

  • 1. REHACOM IMPROVING COGNITIVE FUNCTION FOLLOWING BRAIN INJURY Computer Based Cognition Training as Part of Cognitive Rehabilitation • www.rehacom.co.uk
  • 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
  • 5. REHABILITATION - PUTTING THE PIECES BACK TOGETHER • Can we recover what has been lost? • Improve Cognitive Function AND Improve Everyday Functioning?
  • 6. STRATEGY? DON'T JUST CONSIDER ONE ROUTE COMPENSATION THIS WAY RESTITUTION THIS WAY
  • 7. COMPENSATION IMPLIES RECOVERY WILL BE LIMITED RELY ON EXTERNAL AIDS, ENVIRONMENTAL MODIFICATIONS, MNEMONICS
  • 8. RESTITUTION WE USED TO THINK IT IMPOSSIBLE RELY ON TRAINING LIKE REHACOM, STEM CELLS?, PHARMA ETC "NEUROPLASTICITY" CAN BE EXPLOITED BUT
  • 9. IS NOT A "SILVER BULLET" AND CANT BE A COMPLETE ANSWER ALONE FOR EITHER COGNITIVE TRAINING OR REHABILITATION
  • 10. IS A COMPREHENSIVE TOOL FOR COGNITION TRAINING
  • 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
  • 17. "With RehaCom's Home Training Therapists can Train, Supervise and Support Many Patients at a Distance"
  • 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
  • 19. SUPERVISED HOME TRAINING OFFER LOW - COST "PAY AS YOU GO" OFFER UNTIL 30 JUNE 2020 UK CLIENTS ... REHACOM-OFFER.CO.UK REHACOM.CO.UK REHACOM.COM