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GRANT-AGREEMENT: 287320 Collaborative Project – STREP

An individually adaptable, BNCI-based, remote controlled Cognitive Enhancement Training for successful rehabilitation after stroke including home support and monitoring. GRANT-AGREEMENT: 287320 Collaborative Project – STREP. CONTRAST – Consortium. The Need and The Gap.

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GRANT-AGREEMENT: 287320 Collaborative Project – STREP

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  1. An individually adaptable, BNCI-based, remote controlled Cognitive Enhancement Training for successful rehabilitation after stroke including home support and monitoring GRANT-AGREEMENT: 287320 Collaborative Project – STREP

  2. CONTRAST – Consortium Dr. Donatella Mattia - ePractice, Brussels

  3. The Need and The Gap The Burden of stroke is predicted to increase from 38 Mio DALYs worldwide in 1990 to 61 Mio DALYs in 2020. [WHO, 2004] • Bridge the GAP betweeninstitutionalized REHA andhome • Provide an adaptive Human-Computer Interface Dr. Donatella Mattia - ePractice, Brussels

  4. The CONTRAST Product Will comprise • The Human-Computer Interface (HCI) withcognitivetrainingmodules • The medical andneuropsychologicaldecisionalgorithmforshareddecisionmaking • Test batteryforoutcomemeasurement • Remote monitoringandcontrol Dr. Donatella Mattia - ePractice, Brussels

  5. The Human-Computer Interface Training to modulate the EEG = Neurofeedback • Effects: • Voluntaryincreaseordecreaseofamplitudes • Improvedcognitivefunction (e.g. attention) Dr. Donatella Mattia - ePractice, Brussels

  6. Evaluation Framework Dr. Donatella Mattia - ePractice, Brussels

  7. Effects on Memory End-Users with Stroke Connectivity-based indices to monitor efficacy • Memory Task (Sternberg, 1966); • Memory training with COALA module; • Pre and post training behavioral and neurophysiological (hd-EEG) assessment After memory training patients showed a significant improvement in memory tests (up left) associated to a change in connectivity patterns (bottom right) pointing to a significant increase in the left temporal degree (bottom left) Dr. Donatella Mattia - ePractice, Brussels

  8. Remote ControlandSecure Data Transfer Dr. Donatella Mattia - ePractice, Brussels

  9. Interaction betweenend-users anddevelopers • early focus on users, tasks and environment; • the active involvement of users; • an appropriate allocation of function between user and system; • the incorporation of user-derived feedback into system design; • iterative design whereby a prototype is designed, tested and modified • Users: • Patients after stroke • Health professionals Dr. Donatella Mattia - ePractice, Brussels

  10. CONTRAST • Product COALA • Neuropsychological Test Batterywithautomatedoutputofresultsforshareddecisionmakingbetweendoctorsandpatients • Human-computer interfaceforneurofeedbacktraining • EEG headsetfor easy set-up • Remote controlledtraininganddatastorageformonitoringofrehabilitation • Improvedcognitivefunction • Potential Impact • Reduced time forinpatientrehabilitation • Continuationoftraining after releasefromrehabilitationunit • Increasedrehabilitationeffects • Increasedindependenceandautonomyof end-users • Continuoussupportandsupervisionpreventingexclusion Dr. Donatella Mattia - ePractice, Brussels

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