AGATHE: A tool for personalized rehabilitation of cognitive functions based on simulated activities of daily living

Abstract

is an open access repository that collects the work of Arts et Métiers ParisTech researchers and makes it freely available over the web where possible. AbstractEvery year, tens of thousands of people fall victim to one of invalidating neurological pathologies. Acquired brain injury leads to cognitive impairment and heavy loss of autonomy. Rehabilitation interventions are needed to enable people to recover capacity and return to Instrumental Activities of Daily Living (iADL), such as grocery shopping. Unfortunately, the resources made available in cognitive rehabilitation are insufficient for the growing needs of victims of brain damage. The goal of the AGATHE project is to develop a tool that will provide therapists with an innovative means of dealing with cognitive rehabilitation and offer patients customized rehabilitation sessions, on the basis of simulated iADL. AGATHE fits into accessibility prospects of the tool (for everyone, everywhere and anywhere) and reduction of the cost of rehabilitation. AGATHE allows the strengthening and diversification of skills and expertise of the project's clinical and research partners as well as the opening of a new application field to the technology of the industrial partners. Initial tests of the AGATHE tool have been performed among therapists and patients after brain injury in order to validate usability issues. Perspective of efficacy trials has been identified and development projects are explored.

Benefits of virtual reality based cognitive rehabilitation through simulated activities of daily living: a randomized controlled trial with stroke patients

“…Virtual Reality (VR) and interactive technologies have emerged as a valuable approach in stroke rehabilitation by providing the opportunity to practice cognitive and motor activities that are not or cannot be usually practiced within the clinical environment, such as training attention abilities in street crossing situations [22], executive functions by visiting a supermarket [23], or performing simulations of real-life scenarios and activities in urban virtual environments [24, 25]. Yet, the advantages of VR to address stroke impairments go beyond ecological validity of training, with a growing body of evidence especially in the motor rehabilitation domain [26].…”

“…The ADL’s simulation systems may represent a better real-world transfer rehabilitation, however, these systems lack difficulty customization [33, 34]. The AGATHE project developed a tool to suppress this demand, offering patients customized rehabilitation sessions through simulated ADL’s [25], however there are no efficacy clinical trials with this tool. Overall, we can conclude that results are encouraging but further research is needed, especially to clarify if VR, and more concretely training through the simulation of activities of daily living, is equivalent or more effective than conventional cognitive training [26].…”

Recognition of familiar people with a mobile cloud architecture for Alzheimer patients

“…In particular, assistive technology can help to ease the activities of daily living (ADL) and live more independently [3]. So far, assistive applications have been applied to a specific problem in the patient's daily life, such training activities to remember common tasks, assistance with way finding, conversation assistance, assistance with ADL such as making a coffee or using make up, among others [4].…”

A Graphical Tool for Designing Interactive Video Cognitive Rehabilitation Therapies

“…Additionally, we can find augmented reality systems, which add virtual elements onto the real environments where the task is performed, such as GenVirtual [9] or ARVe [10]. Finally, Virtual Reality systems can reproduce everyday situations and environments as supermarkets [11], kitchen [12], town neighborhood [13] or even a city [14]. These environments simulate situations of the patients' ADLs encouraging him/her to deal with them as in his/her everyday life.…”