Modelling Ecological Cognitive Rehabilitation Therapies for Building Virtual Environments in Brain Injury

J. M. Martínez-Moreno; P. Sánchez-González; M. Luna; T. Roig; J. M. Tormos; E. J. Gómez

doi:10.3414/ME15-01-0050

Methods of Information in Medicine, Table of Contents

Methods Inf Med 2016; 55(01): 50-59
DOI: 10.3414/ME15-01-0050

Original Articles

Schattauer GmbH

Modelling Ecological Cognitive Rehabilitation Therapies for Building Virtual Environments in Brain Injury

Authors

J. M. Martínez-Moreno

¹Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación. Universidad Politécnica de Madrid, Madrid, Spain

²Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine, Madrid, Spain
P. Sánchez-González

¹Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación. Universidad Politécnica de Madrid, Madrid, Spain

²Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine, Madrid, Spain
M. Luna

¹Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación. Universidad Politécnica de Madrid, Madrid, Spain

²Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine, Madrid, Spain
T. Roig

³Instituto Universitario de Neurorrehabilitación Guttmann, Badalona, Spain
J. M. Tormos

³Instituto Universitario de Neurorrehabilitación Guttmann, Badalona, Spain
E. J. Gómez

¹Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación. Universidad Politécnica de Madrid, Madrid, Spain

²Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine, Madrid, Spain

Abstract

Summary

Background: Brain Injury (BI) has become one of the most common causes of neurological disability in developed countries. Cognitive disorders result in a loss of independence and patients’ quality of life. Cognitive rehabilitation aims to promote patients’ skills to achieve their highest degree of personal autonomy. New technologies such as virtual reality or interactive video allow developing rehabilitation therapies based on reproducible Activities of Daily Living (ADLs), increasing the ecological validity of the therapy. However, the lack of frameworks to formalize and represent the definition of this kind of therapies can be a barrier for widespread use of interactive virtual environments in clinical routine. Objectives: To provide neuropsychologists with a methodology and an instrument to design and evaluate cognitive rehabilitation therapeutic interventions strategies based on ADLs performed in interactive virtual environments. Methods: The proposed methodology is used to model therapeutic interventions during virtual ADLs considering cognitive deficit, expected abnormal interactions and therapeutic hypotheses. It allows identifying abnormal behavioural patterns and designing interventions strategies in order to achieve errorless-based rehabilitation. Results: An ADL case study (’buying bread’) is defined according to the guidelines established by the ADL intervention model. This case study is developed, as a proof of principle, using interactive video technology and is used to assess the feasibility of the proposed methodology in the definition of therapeutic intervention procedures. Conclusions: The proposed methodology provides neuropsychologists with an instrument to design and evaluate ADL-based therapeutic intervention strategies, attending to solve actual limitation of virtual scenarios, to be use for ecological rehabilitation of cognitive deficit in daily clinical practice. The developed case study proves the potential of the methodology to design therapeutic interventions strategies; however our current work is devoted to designing more experiments in order to present more evidence about its values.

Keywords

Neurorehabilitation - cognitive rehabilitation - ecological rehabilitation - virtual rehabilitation - interactive video - eye-tracking - activity of daily living - brain injury

Full Text

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