The Rehametrics virtual rehabilitation platform was designed taking into account scientific evidence gathered in multiple clinical studies over the years. These studies have proven that there are four key factors that will have a direct effect on the patient’s recovery during the rehabilitation process. These factors are:
Intensity of treatment: the intensity of the rehabilitation treatment will have a direct effect on the patient’s recovery. Treatment intensity can be managed by monitoring various factors such as the duration and difficulty of the prescribed exercises, the frequency with which rehabilitation sessions must be completed and the amount of effort required from the patient to complete the prescribed tasks.
Psychological factors: studies have shown that the patient’s level of motivation will affect his or her participation during the rehabilitation sessions. A poorly motivated patient will participate in a much less active way and, therefore, will obtain worse results during the rehabilitation process.
Task performance: the way in which rehabilitation tasks are performed also affects the results obtained during the recovery process. Thus, the amount of variability of the tasks prescribed for each clinical objective, as well as a gradual increase in their difficulty, will have a direct effect on the results obtained by the patient.
Information provided during task execution: the instructions and feedback received by the patient while completing the prescribed tasks are also very important to obtain the best possible results during the recovery process.
All physical rehabilitation and cognitive rehabilitation exercises developed for Rehametrics incorporate these four key factors for recovery as a fundamental part of their design. Below, we look at how these key factors are incorporated into our exercises in more detail:
Treatment intensity: all of the exercises included in Rehametrics allow professionals to modify the duration, difficulty and other key task parameters that enable a fine-tuning of the difficulty of the task at hand. All this can be done even during the session, without having to stop it, giving clinicians more flexibility. Moreover, clinicians have full control on the total duration of the daily session and on the weekly frequency in which the patient will have to complete rehabilitation sessions with Rehametrics. In addition, our virtual digital rehabilitation platform is designed so that all of this can be easily scheduled and modified throughout the rehabilitation process, as needed.
Psychological factors: Rehametrics incorporates different game techniques (gamification) that help to increase patient motivation. These include difficulty levels for all tasks, feedback during exercise execution, patient ranking based on points, exercise achievements and multiple virtual environments designed to be fun and motivating for patients. In this way, patients will participate more actively during their rehabilitation process.
Task performance: the physical rehabilitation and cognitive rehabilitation exercises available in Rehametrics are organized into multiple levels of difficulty. This allows our software to gradually adjust the difficulty of each exercise. In addition, Rehametrics uses artificial intelligence to evaluate patient performance and, based on this, automatically adjust the difficulty of each task. In this way, the Rehametrics virtual rehabilitation platform is constantly evaluating patient performance and adjusting the difficulty of prescribed tasks automatically, as they are being completed. This is done in order to find the optimal difficulty for each of the prescribed exercises: a difficulty that is neither too high to be frustrating for the patient nor too low to lower motivation. Rehabilitation professionals can modify exercise difficulty whenever they want, even during the execution of the exercises, without having to stop them.
Moreover, there are different types of exercises for each of the clinical objectives that can be targeted using Rehametrics. In this way, patient motivation is maintained and greater variability is achieved in the applied treatment, which enables better results from the rehabilitation process and improves their generalization. In addition, in order to increase the variability that encourages learning and generalization, cognitive tasks or movements that need to be performed by patients during the scheduled session will also change randomly. These random modifications, however, will always taking into account the level of difficulty and customization options selected by clinicians.
Information provided during task execution: all the Rehametrics rehabilitation exercises, regardless of whether they are physical or cognitive, will display short and easy to understand instructions to patients, indicating what they are expected to do to successfully complete each of the prescribed exercises. These instructions will be displayed using text on the screen, ensuring that patients have enough time to read them. At the same time, Rehametrics will read these instructions out loud, so that patients can receive instructions both ways. The same applies to the feedback delivered by the rehabilitation exercises available in Rehametrics. During the execution of all tasks, our software will give accurate and personalized feedback to patients based on their performance during the task. This feedback will appear in text format but will also be read out loud by our software.
The application of principles based on scientific evidence in the development of Rehametrics physical and cognitive rehabilitation exercises, as well as their personalization options, give clinicians greater control over the prescribed session and facilitate obtaining better results from the rehabilitation process.
Numerous clinical studies show the numerous benefits provided by the Rehametrics software platform when rehabilitating patients in both clinical and home settings. These studies show that the application of quantification, gamification and the implementation of key recovery factors as described by scientific evidence, improve the results obtained and facilitate a more efficient use of available resources. Below is a list of all the clinical studies published in peer-reviewed scientific journals that used Rehametrics with patients to address different clinical objectives.
- Calduch, Jordán, Elvira, Jovaní, Castillo. Aplicación de entornos virtuales en el proceso de rehabilitación funcional del hombro: valoración de la satisfacción del paciente. Revista Española de Traumatología Laboral. Vol. 3, Fasc. 2 Núm 6. Noviembre 2020.
- Sengupta, Gupta, Khanna, Krishnan, Chakrabarti. Role of Virtual Reality in Balance Training in PatientswithSpinal Cord Injury: A Prospective Comparative Pre-Post Study. Asian Spine Journal, 2019 (11/2019).
- Lu, Penades, Blasco, J. Chirivella, Gagliardo. Evaluation of Kinect2 based balance measurement.Neurocomputing, Volume 208, October 2016 (290-298).
- Blasco, J. Chirivella, Gagliardo, Ferreiro, Izquierdo, Penadés, Taylor. Comparison between traditional physiotherapy and the combination of traditional treatment with virtual reality. Brain Injury, 2016; 30 (5-6): 481-817
- Blasco, J. Chirivella, Gagliardo, C. Chirivella, Penadés, Taylor. Comparison between traditional neuropsychology treatment and the combination of traditional treatment with virtual reality. Brain Injury, 2016; 30 (5-6): 481-817
- Blasco, J. Chirivella, Gagliardo, C. Chirivella, Penadés, Taylor. Quantitative electroencephalography (qEEG), virtual reality (VR) and transcranial random noise stimulation (tRNS) in a case of cognitive impairment related to Parkinson’s disease. Brain Injury, 2016; 30 (5-6): 481-817
- Gagliardo, Ferreiro, Izquierdo, Penadés, J. Chirivella, Mas. NeuroAtHome: A software platform of clinical videogames specifically designed for the motor rehabilitation of stroke patients. Brain Injury, 2014; 28 (5-6): 517-878
- J. Chirivella, del Barco, Blasco, Penadés, Gagliardo, Mas. NeuroAtHome: A software platform of clinical videogames specifically designed for the cognitive rehabilitation of stroke patients.Brain Injury, 2014; 28 (5-6): 517-878
- Izquierdo, del Barco, Ferreiro, Blasco, Gagliardo, Penadés, J. Chirivella. Use of a home-based telerehabilitation platform for motor and cognitive treatment of a patient with progressive spinocerebellar ataxia type 7 (SCA-7): a case report.Brain Injury, 2014; 28 (5-6): 517-878
- Larson, Feigon, Dvorkin, Gagliardo. Virtual reality and cognitive rehabilitation: A review of current outcome research. NeuroRehabilitation 2014 (06/2014).
- Olmo, Enguer, Blasco. Effect of the NeuroAtHome platform versus traditional treatment in neuromuscular conditions. LXVIII Conference of the Spanish Neurological Society.
- Blasco, J. Chirivella, C. Chirivella, Manso, Gagliardo, Penadés, Taylor. Symposium:Using virtual reality and gamification in daily clinical rehabilitation practice. I Iberoamerican Congress on Neuropsychology.
- Blasco, J. Chirivella, C. Chirivella, Manso, Gagliardo, Penadés, Taylor. Using virtual reality in cognitive rehabilitation after stroke. I Iberoamerican Congress on Neuropsychology.
- Blasco, J. Chirivella, C. Chirivella, Manso, Gagliardo, Penadés, Taylor. Using virtual reality in memory and self-care for individuals with a toxic-metabolic syndrome. I Iberoamerican Congress on Neuropsychology.
- Blasco, J. Chirivella, C. Chirivella, Manso, Gagliardo, Penadés, Taylor. Gamificaition and motivation in attentional and functional rehabilitation after a traumatic brain injury. I Iberoamerican Congress on Neuropsychology.
- Blasco, J. Chirivella, C. Chirivella, Manso, Gagliardo, Penadés, Taylor. Virtual reality program for the treatment of mild cognitive impairments assessed with a qEEG. I Iberoamerican Congress on Neuropsychology.
- Blasco, Mas, Chirivella, Gagliardo, Penadés, Izquierdo, Ferreiro, Sanchis, Morera. Virtual reality in upper extremity rehabilitation after stroke. LXVII Conference of the Spanish Neurological Society.
- Blasco, Mas, Sanchis, Morera, Gagliardo, Penadés, Chirivella, del Barco, Chirivella. Outcome comparison between a treatment based on traditional cognitive therapy and a treatment combining traditional cognitive therapy with natural interfaces for the rehabilitation of patients with an acquired brain injury.LXVI Conference of the Spanish Neurological Society.
- Blasco, Sanchis, Mas, Morera, Gagliardo, Penadés, Chirivella, Ferreiro, Izquierdo. Outcome comparison between a treatment based on traditional physical therapy and a treatment combining traditional physical therapy with natural interfaces for the rehabilitation of patients with an acquired brain injury.LXVI Conference of the Spanish Neurological Society.
- Castilla, Gómez, López, Berra. Efficacy of a virtual rehabilitation treatment in unstable geriatric patients with mild cognitive impairments.LXVI Conference of the Spanish Neurorehabilitation Society.