REHACOM

A device for computer-assisted cognitive rehabilitation, that helps the doctor in the treatment of cognitive disorders. The system supports the recovery and replacement processes, exercising certain compensation strategies and offering targeted therapeutic solutions for hospitals and medical centres. Several procedures for the recovery of cognitive functions are provided, such as:

  • Attention training (attention and concentration, distributed attention, two-dimensional operations, three-dimensional operations, etc.)

  • Memory training (figurative memory, photographic memory, etc.)

  • Training for executive activities (purchases, planning of a day out of the house)

In particular, in the recovery of cognitive functions related to attention, concentration and two- and three-dimensional operations, the patient is asked to compare a series of figures and identify the image that exactly corresponds to the required target. In the recovery of cognitive functions linked to memory, the patient is required to memorise the terms that designate an object and once the learning phase is completed, the patient must be able to select them each time they appear correctly as they flow on the screen from left to right. For the recovery of cognitive functions connected to the activities carried out, the patient is asked to carry out a list of out of the house activities using a map of the city with various buildings and roads and reach one place after another based on the program, and then report it on his or her activity diary. In detail, three different types of requests are developed: prioritising, minimising path journey times and maximising the number of activities performed.

ERIKA

A software based on exercises aimed at neuropsychological rehabilitation of patients with cognitive deficits resulting from brain injury, developmental disorders, degenerative and psychiatric pathologies. The administration by the rehabilitator is supported in the setting up phase of the various exercises through an intuitive interface with which it is possible to customise all the parameters of the exercise (type of stimuli, exposure times, duration of the task, number of attempts). The rehabilitator can manage the patient’s rehabilitation record from the management of the personal data and clinical observations, to the definition of the treatment plan, up to the historicization of all the work carried out with the patients. During the rehabilitation session all the parameters related to the administration of the exercises are tracked and made available to the rehabilitator’s analysis within the medical record, in the form of detailed reports that can be stored, printed or exported. An important difference with respect to the Rehacom device is the possibility to customise the rehabilitation exercises in all the possible variations of number and target and destructive stimuli entity as well as the respective times of appearance and disappearance to facilitate or increase the difficulty level of each exercise. Moreover, specific functional areas can be rehabilitated of the various cognitive functions that are exercised such as the following procedures with the corresponding specific sub-procedures:

  • Training for attention (focused attention, selective attention, alternating attention, divided attention, sustained attention)

  • Memory training (short-term memory, long-term memory, verbal memory, visual-spatial memory, working memory, procedural memory, semantic and episodic declarative memory, autobiographical memory, perspective memory, retrograde and anterograde memory)

  • Training for spatial cognition (with regard to the deficit of unilateral spatial neglect or neglect)

  • Training for executive activities (non-verbal executive functions, verbal executive functions).

NIRVANA

A device developed by BTS based on immersion technology in a virtual environment for the rehabilitation of patients suffering from neuromotor disorders. The system, connected to a video projector or to a large screen, reproduces a series of interactive exercises and, thanks to an infrared camera that analyses the patient’s movements, it creates interactivity. For each patient, it is possible to export the complete list of all the exercises performed with the scores obtained at the end of each session. The physiotherapist can evaluate the patient’s progress and modify the rehabilitation program by increasing or reducing the level of difficulty. The activity can also be recorded by a webcam in order to review the work done and therefore keep a visual track of the patient’s evolution. There is a wide range of exercises that can be classified according to 5 types of scopes depending on the rehabilitation purpose. In particular, the ‘sprites’ exercises allow the exploration of a single space or both sides with the upper limbs and this mode is very suitable to recover activities in pathologies such as unilateral spatial neglect. The type of ‘follow me’ exercises is well suited for the training of the upper or lower limbs for the coordination of movements. The type of “hunt” exercises involves reaching elements that appear randomly and for a limited time on the projection surface, so it is suited for the recovery of attention combined with the movement coordination. The “motion” exercises consist in covering the widest spatial surface or trying to control the movements within fixed positions to improve the control of the limbs and trunk. The “games” exercises allow the interaction of several patients at the same time that I can practice exchanging a virtual balloon projected on the wall in the space. The methods of projection of these 5 types of exercises can be selected according to the rehabilitation aim and they are two: wall projection and floor projection.

 

Khymeia VRRS (Virtual Reality Rehabilitation System)

A Class I medical device certified internationally and based on a virtual reality rehabilitation and tele-rehabilitation system. The extreme ease of use, the high capacity of customisation, the complete automatic reporting, the tele-rehabilitation function, are some of the guiding principles of the ongoing development of the system. In fact, VRRS is conceived as a “central HUB” to which it is possible to connect a series of specialised peripheral devices via USB, completely synchronised and integrated with the system. VRRS, with the exclusive magnetic kinematic acquisition system, is used as a clinical routine for the rehabilitation of a wide spectrum of pathologies through the numerous rehabilitative modules including a vast library of clinically validated exercises for the neurological recovery (motor, cognitive, speech therapy, posturographic, hand, fingers and wrist, cervical head, immersive virtual reality, occupational therapy, muscle synergies) and orthopaedic (ankle, knee, pelvis, hip, hand, fingers, wrist, elbow, shoulder, back, cervical head).