Ambient Intelligence Environment for Home Cognitive Telerehabilitation

Higher life expectancy is increasing the number of age-related cognitive impairment cases. It is also relevant, as some authors claim, that physical exercise may be considered as an adjunctive therapy to improve cognition and memory after strokes. Thus, the integration of physical and cognitive ther...

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Main Authors: Miguel Oliver, Miguel A. Teruel, José Pascual Molina, Dulce Romero-Ayuso, Pascual González
Format: Article
Language:English
Published: MDPI AG 2018-10-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/18/11/3671
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author Miguel Oliver
Miguel A. Teruel
José Pascual Molina
Dulce Romero-Ayuso
Pascual González
author_facet Miguel Oliver
Miguel A. Teruel
José Pascual Molina
Dulce Romero-Ayuso
Pascual González
author_sort Miguel Oliver
collection DOAJ
description Higher life expectancy is increasing the number of age-related cognitive impairment cases. It is also relevant, as some authors claim, that physical exercise may be considered as an adjunctive therapy to improve cognition and memory after strokes. Thus, the integration of physical and cognitive therapies could offer potential benefits. In addition, in general these therapies are usually considered boring, so it is important to include some features that improve the motivation of patients. As a result, computer-assisted cognitive rehabilitation systems and serious games for health are more and more present. In order to achieve a continuous, efficient and sustainable rehabilitation of patients, they will have to be carried out as part of the rehabilitation in their own home. However, current home systems lack the therapist’s presence, and this leads to two major challenges for such systems. First, they need sensors and actuators that compensate for the absence of the therapist’s eyes and hands. Second, the system needs to capture and apply the therapist’s expertise. With this aim, and based on our previous proposals, we propose an ambient intelligence environment for cognitive rehabilitation at home, combining physical and cognitive activities, by implementing a Fuzzy Inference System (FIS) that gathers, as far as possible, the knowledge of a rehabilitation expert. Moreover, smart sensors and actuators will attempt to make up for the absence of the therapist. Furthermore, the proposed system will feature a remote monitoring tool, so that the therapist can supervise the patients’ exercises. Finally, an evaluation will be presented where experts in the rehabilitation field showed their satisfaction with the proposed system.
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spelling doaj.art-b13378fab39140419558a2b13f0c2d2e2022-12-22T03:10:30ZengMDPI AGSensors1424-82202018-10-011811367110.3390/s18113671s18113671Ambient Intelligence Environment for Home Cognitive TelerehabilitationMiguel Oliver0Miguel A. Teruel1José Pascual Molina2Dulce Romero-Ayuso3Pascual González4LoUISE Research Group, Research Institute of Informatics, University of Castilla-La Mancha, 02071 Albacete, SpainLoUISE Research Group, Research Institute of Informatics, University of Castilla-La Mancha, 02071 Albacete, SpainLoUISE Research Group, Computing Systems Department, University of Castilla-La Mancha, 02071 Albacete, SpainDepartment of Physical Therapy, Occupational Therapy Division, Faculty of Health Sciences, University of Granada, 18016 Granada, SpainLoUISE Research Group, Computing Systems Department, University of Castilla-La Mancha, 02071 Albacete, SpainHigher life expectancy is increasing the number of age-related cognitive impairment cases. It is also relevant, as some authors claim, that physical exercise may be considered as an adjunctive therapy to improve cognition and memory after strokes. Thus, the integration of physical and cognitive therapies could offer potential benefits. In addition, in general these therapies are usually considered boring, so it is important to include some features that improve the motivation of patients. As a result, computer-assisted cognitive rehabilitation systems and serious games for health are more and more present. In order to achieve a continuous, efficient and sustainable rehabilitation of patients, they will have to be carried out as part of the rehabilitation in their own home. However, current home systems lack the therapist’s presence, and this leads to two major challenges for such systems. First, they need sensors and actuators that compensate for the absence of the therapist’s eyes and hands. Second, the system needs to capture and apply the therapist’s expertise. With this aim, and based on our previous proposals, we propose an ambient intelligence environment for cognitive rehabilitation at home, combining physical and cognitive activities, by implementing a Fuzzy Inference System (FIS) that gathers, as far as possible, the knowledge of a rehabilitation expert. Moreover, smart sensors and actuators will attempt to make up for the absence of the therapist. Furthermore, the proposed system will feature a remote monitoring tool, so that the therapist can supervise the patients’ exercises. Finally, an evaluation will be presented where experts in the rehabilitation field showed their satisfaction with the proposed system.https://www.mdpi.com/1424-8220/18/11/3671computer-assisted telerehabilitationpervasive computingambient assisted livingwearable sensorelectroencephalogram (EEG) headsetKinecthaptic stimulusfuzzy inference systemdistributed systemserious game
spellingShingle Miguel Oliver
Miguel A. Teruel
José Pascual Molina
Dulce Romero-Ayuso
Pascual González
Ambient Intelligence Environment for Home Cognitive Telerehabilitation
Sensors
computer-assisted telerehabilitation
pervasive computing
ambient assisted living
wearable sensor
electroencephalogram (EEG) headset
Kinect
haptic stimulus
fuzzy inference system
distributed system
serious game
title Ambient Intelligence Environment for Home Cognitive Telerehabilitation
title_full Ambient Intelligence Environment for Home Cognitive Telerehabilitation
title_fullStr Ambient Intelligence Environment for Home Cognitive Telerehabilitation
title_full_unstemmed Ambient Intelligence Environment for Home Cognitive Telerehabilitation
title_short Ambient Intelligence Environment for Home Cognitive Telerehabilitation
title_sort ambient intelligence environment for home cognitive telerehabilitation
topic computer-assisted telerehabilitation
pervasive computing
ambient assisted living
wearable sensor
electroencephalogram (EEG) headset
Kinect
haptic stimulus
fuzzy inference system
distributed system
serious game
url https://www.mdpi.com/1424-8220/18/11/3671
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AT dulceromeroayuso ambientintelligenceenvironmentforhomecognitivetelerehabilitation
AT pascualgonzalez ambientintelligenceenvironmentforhomecognitivetelerehabilitation