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An individually adaptable, BNCI-based, remote controlled Cognitive Enhancement Training for successful rehabilitation after stroke including
home support and monitoring
GRANT-AGREEMENT: 287320Collaborative Project – STREP
CONTRAST – Consortium
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The Need and The Gap
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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 between institutionalized REHA and home
Provide an adaptive Human-Computer Interface
The CONTRAST Product
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Will comprise– The Human-Computer Interface
(HCI) with cognitive training modules
– The medical and neuropsychological decision algorithm for shared decision making
– Test battery for outcome measurement
– Remote monitoring and control
The Human-Computer Interface
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Training to modulate the EEG = Neurofeedback
Effects:-Voluntary increase or decrease of amplitudes-Improved cognitive function (e.g. attention)
Evaluation Framework
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Effects on Memory End-Users with Stroke
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• 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)
Connectivity-based indices to monitor efficacy
Remote Control and Secure Data Transfer
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Interaction between end-users and developers
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Users:Patients after strokeHealth professionals
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
CONTRAST
• Product COALA– Neuropsychological Test Battery with automated output of results for shared
decision making between doctors and patients– Human-computer interface for neurofeedback training– EEG headset for easy set-up– Remote controlled training and data storage for monitoring of rehabilitation– Improved cognitive function
• Potential Impact– Reduced time for inpatient rehabilitation– Continuation of training after release from rehabilitation unit– Increased rehabilitation effects– Increased independence and autonomy of end-users– Continuous support and supervision preventing exclusion
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