How does RehaCom work?

RehaCom has evolved over the years to become the leading European tool for computer-based cognitive rehabilitation. RehaCom is used extensively by neuropsychologists, occupational therapists and clinicians in rehabilitation centres, hospitals and clinics (both public and private).

For example, over 95% of German rehabilitation clinics using RehaCom every day! This software was not designed as a game - although many people find it is engaging to use. It was designed by clinicians and engineers to deliver real-world benefits for users with cognitive issues following a brain injury from whatever cause.

RehaCom has a wide range of applications but is used most commonly by those with acquired brain injury, including stroke. It can be used from the most acute stages, all the way through to the client’s recovery. RehaCom can also be useful for those with MS, ADHD, Depression, Visual Field difficulties and more.

A Brief Overview

RehaCom was designed as a clinician’s tool and therefore you can have an unlimited number of Therapist and Client profiles. Clients can be assigned to multiple therapists as required. You only need some basic information to create a profile but there is scope to add much more detail if required. Once you have created a Client Profile you might want to try one or two of the Screening Modules to get an idea of the client’s current status and get suggestions for which training modules to start with.

Increasingly RehaCom is being used in situations where clients are being supervised by the therapist over the internet. Therapists can prescribe modules for their patients to do, monitor progress and change their tasks using remote supervision. This is particularly favoured by Occupational Therapists working in the community who have a wide area to cover, or wish to enhance their patient’s therapy.

Screening

There are a number of screening modules available for use (Screening Modules are an optional add on for RehaCom), and these are improving and expanding on each release. Each screening module lasts around 15mins, so you may not want to test all of them in one go. We generally recommend beginning with Alertness screening as it points towards any attention deficits, which are the cornerstone of cognitive function. After all if you cannot “pay attention”, other forms of training are unlikely to be effective.

Each screening module begins with an example and a practice session to make sure the client understands the task. Once this is complete the screening will begin. After screening the results page will show you where the client’s performance sits against a set of aged-matched norms. This gives a helpful indication as to the severity of the deficit and advises on the particular training module to be used. You can move directly to the suggested training module from the results screen.

Training

There are more than 25 training modules now available in English, and this number is steadily growing. Once the therapist knows which module to select they can double click on the icon and select a number of variables from the Parameters screen which controls the behaviour of the module. For example, these general parameters include:
• Duration of session
• Starting Level of the session
• How sensitive the adaptivity should be

Adaptivity is an important feature of training. The tasks presented to the client should be not too easy nor too difficult; the software can automatically adjust the challenge presented by the training tasks based on the performance of the client.

There are additional module specific variables available including:
• time limit to solving tasks
• audio feedback
• stimuli choices and more

Once the therapist is happy with the settings, the client can begin training (with or without setup instructions from the RehaCom system). As the training goes on, the task will become easier or harder depending on the client’s performance. This means that it can remain challenging without becoming frustrating. Training can always be paused or instructions repeated if necessary.

Results

Once the training is complete the therapist can review the session from the Results screen. There is a wealth of data included that becomes richer as the software is used more frequently. The data can be presented in a variety of ways including charts, graphs and comparisons.
The most commonly read results are:
• Level progression of the client
• No of mistakes made
• Time taken for each task

By analysing the data thoroughly the therapist is able to identify particular weaknesses
e.g. noticing auditory stimuli, and address this further in the training.