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NU!REHA A PLATFORM FOR
DEVELOPMENT OF REHABILITATION
AT HOME
ING. RICCARDO MAGNI PRAGMA ENGINEERING SRL PERUGIA ITALIA
EUROPEAN BIOTECHNOLOGY CONGRESS 2011 SEP 28TH OCT 1ST
ISTANBUL TURKEY
ABOUT US
PRAGMA ENGINEERING SRL
Founded in 1994 joins different competencies in the field of hardware and software design
supplying services and integrated systems in the industrial field and R&D applications.
MISSION:
To implement innovative approaches in learning and training.
To implement programmes for the assessment of skills and knowledge in Biotechnology.
To operate as a consultant in programmes concerning education and training.
INDUSTRIAL SYSTEM DIVISION (PERUGIA):
ATE (Automatic Test Equipment) Systems; Remote Monitoring Systems; Supervision Systems.
REHABILITATION TECHNOLOGIES DIVISION(TREVI):
Assistive Technology; Tele-Medicine and Diagnostics Applications.
HEAD OFFICE: VIA DELLA PALLOTTA 5 06126 PERUGIA
WEBSITE WWW.PRAGMAENG.IT
OUR MAIN PARTNERS IN TELE-REHABILITATION
TIMELINE OF EBTNA PROJECTS LIFE
RIN Trevi
Riabilitazione ASL3 Foligno
Istituto Riab. Agazzi Arezzo
Istituto Superiore di Sanità Roma
ABDEM Palma de Mallorca
Istituto Guttmann – Barcelona
NMSC - Melsbroek
STARTING POINT…
MOTIVATIONS
Are we able to provide a set of Occupational Therapy exercises at patent’s home with
technical and clinical efficacy?
Is a utility “care-giver” able to manage a Tele-Rehabilitation system?
Are we able to use same Hw/Sw system for different kind of patients?(Innovative Idea)
Are we able to implement portable applications to be installed at patient’s home?
INNOVATIVE IDEA
OCCUPATIONAL THERAPY CARE-GIVER PORTABLE SYSTEM
Extension of rehabilitative care
Patient pathways, prevailing at home rehabilitation in a more ecologic
understanding of healthcare
Acute event
In hospital
Rehabilitative
intervention
Rehabilitation at
home
Monitoring
Evaluation
New rehabilitation
protocol
Discharge
DEFINITION…
WHAT DO YOU MEAN FOR TELE-REHABILITATION SYSTEM
Tele-Rehabilitation system allows the monitoring of
rehabilitation activities at patient’s home.
MONITORING ACTIVITIES:
Audio-video connection with therapist
Exercise data recording
DESIGN PATH
H-CAD HOME CARE ACTIVITY DESK (IST 2001-2003)
HELLODOCHEALTHCARE SERVICE LINKING TELE-REHABILITATION TO DISABLE
PEOPLE AND CLINICIANS (ETEN 2005-2007)
NU!REHA TRADEMARK (2007)
PILOT SERVICES (2008-2011):
MALLORCA, IBIZA, MENORCA (ES)
AGAZZI (IT)
FOLIGNO (IT)
OCCUPATIONAL THERAPY TASK-ORIENTED”
EXERCISES
MAIN COMPONENTS OF UPPER LIMB MOVEMENTS:
REACHING
GRASPING
PINCH AND HOLDING
MANIPULATION AND DEXTERITY
OCCUPATIONAL THERAPY EXAMPLES
OT TELE-REHABILITATION SYSTEM
FEATURES…
THE MONITORING OF PATIENT’S ACTIVITY
STORE AND FORWARD LOGIC:
Recording of patient’s data during exercise session.
Transmission of data to a remote server.
DATABASE FOR PATIENT’S DATA STORING.
REMOTE ACCESS TO PATIENT’S DATA.
EXERCISE TYPOLOGIES
PENCIL EXERCISE” (PREGRAPHISM, WRITING)
“BOOK” (LUMBRICAL GRIP AND VERTICAL DISPLACEMENT)
JAR” (HORIZONTAL AND VERTICAL DISPLACEMENT)
“KEYBOARD” POS-LIKE INTERFACE
“CHECKERS” (FINE MOVEMENTS ON HORIZONTAL PLAIN)
“BOOK” EXERCISE
“KEYBOARD” EXERCISE
“CHECKERS” EXERCISE
“PRE-GRAPHISM” EXERCISE
MAIN COMPONENTS
REMOTE UNIT
Exercise execution unit (network connection is not necessary).
SERVER UNIT
It used to store patient’s data recorded and coming from the remote unit
SUPERVISION UNIT
Unit connect to network and equipped with sw application used to:
Download data from server
ARCHITECTURE SCHEME
CONFIG.
MANAGER DATA
ANALYSIS
DATA
Supervision unit
EXERCISE
MANAGER
CONFIG.
MANAGER
(local)
DATA
ANALYSIS
DATA
Remote Unit
Server
DATA
EXPORTING
DATA
EXPORTING
Exercise typologies can be easily added and interfaced…
Exercise
Manager
Plug-in D
(haptic based
exercises)
Plug-in B
(cognitive
exercises)
Plug-in A
(occupational
therapy
exercises)
Plug-in C
(VR
environment
exercises)
Plug-in X…
MODULARITY
REMOTE MONITORING OF EXERCISES
APPLICATION SCENARIO
IN-HOSPITAL
TELE-CENTRE
AT-HOME
Remote Unit
Remote Unit
Supervision
Unità supervisione
Server
Remote Unit
LAN
Therapist/MD
Patient
LAN
Rehabilitation Centre
APPLICATION SCENARIO
IN-HOSPITAL
TELE-CENTRE
AT-HOME
Supervision unit
Supervision unit
Server
LAN
Internet
Internet
Therapist/MD
Rehabilitation centre (hub)
SPOKE centre
Spoke centre
Remote Unit
Remote Unit
Remote Unit
Patient
+
Therapist
APPLICATION SCENARIO
IN-HOSPITAL
TELE-CENTRE
AT-HOME
Supervision unit
Supervision unit
Server
LAN
Internet
Internet
Therapist/MD
Rehabilitation centre (hub)
Patient Home
Remote Unit
Remote Unit
Remote Unit Patient
+
Caregiver
Patient Home
Patient Home
COGNITIVE REHABILITATION
VISUAL PERCEPTION
VISUAL-MOTOR COORDINATION
WORKING MEMORY
SUSTAINED ATTENTION
UDITIVE ATTENTION
COGNITION
CLASSIFICATION
SORTING
PROMPT
. . .
TELEREHABILITATION FOR COGNITIVE
REHABILITATION
PLATFORM FOR DEVELOPMENT OF COGNITIVE EXERCISE
TOUCH SCREEN BASED
ASSISTIVE TECHNOLOGY READY (PUSHBUTTONS, SPECIAL INTERFACES)
PORTABLE
RUGGED IP53
MEDICAL STANDARD COMPLIANT
HIGHLY CONFIGURABLE
SHARING SAME INFRASTRUCTURE OF DESK SYSTEM
HARDWARE
SENSORS
INTERFACE
KEYBOARD
SENSOR
HARDWARE & ACCESSORIES
COGNITIVE EXERCISES
WORKING MEMORY
COGNITIVE EXERCISES
PROCESS - MEMORY
MULTI-LEVEL APPROACH TO CONFIGURATION
AND PROGRAMMING FEATURES
Modification of
Exercise scheme
New exercise
design Conditional
Config Execution Data analysis
Modification of input
variables Manual management
Automatic sequence
Session list
Exercise list
Exercise category
Framework of specific education and training of
professionals
Immediate utilisation of the system
SERVICE SCHEME
Different levels:
1st level: configuration of exercise sets
already available
2nd level: modification of exercises
available
3rd level: realisation of new specific
exercises
THANKS
ING. RICCARDO MAGNI
PRAGMA ENGINEERING SRL
PERUGIA
ITALY
riccardo.magni@pragmaeng.it
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