Self-monitoring and professional feedback through CloudRehab, a Mobile Cloud Platform for Neuro-rehabiliation Gustavo Cuberos Urbano Dpto. Personalidad, Evaluación y Tratamiento Psicológico University of Granada Granada, Spain
[email protected]
Angel Ruiz-Zafra, Manuel Noguera, Kawtar Benghazi Dpto. Lenguajes y Sistemas Informáticos University of Granada Granada, Spain
[email protected],
[email protected],
[email protected]
ABSTRACT
Alfonso Caracuel Dpto. Psicología Evolutiva y de la Educación Centro de Investigación Mente Cerebro Comportamiento University of Granada Granada, Spain
[email protected]
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fiQH IHHGEDFN WR SDWLHQWV LQ WKH PRUH XVXDO IRUPDW LQ QHXUR UHKDELOLWDWLRQWKHJURXSWUDLQLQJ
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2. THE REHABILITATION PROCESS SUPPORTED BY CloudRehab
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2.1. Case description 7KHSDUWLFLSDQWZDVD\HDUVROGPDOHZLWKULJKWKHPLSOHJLDDIWHU DVWURNHPRQWKVDJR7KHPDLQGLVDELOLW\ZDVWKHPRELOLW\RIWKH ULJKWXSSHUOLPEDQGULJKWORZHUOLPEFDXVLQJOLPLWDWLRQVLQILQJHU H[WHQVLRQDQGIOH[LRQ+LVERG\DZDUHQHVVDQGVSDWLDOFRPSHWHQFH ZHUH QRUPDO DQG WKHUH ZHUH QR OLPLWDWLRQV LQ XQGHUVWDQGLQJ WKH LQIRUPDWLRQ JLYHQ 0RVW RI KLV DFWLYLWLHV RI GDLO\ OLYLQJ $'/V ZHUHDFFRPSOLVKHGE\FRPSHQVDWLQJZLWKWKHOHIWDUP
2.2. Research Design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
2.3.4. Heart rate monitoring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
2.3. Procedure
2.3.5. Therapeutic session programmer
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2.3.6. Collect and sharing rehabilitation process data. Communication between professionals and patients
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2.3.2. Recording the performance of the rehabilitation exercise
2.4. The application for supporting the neurorehabilitation process
2.3.1. Training of patient at the medical center
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2.3.3. Training of patient at home
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4. DISCUSSION
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3. RESULTS OF EFFECTIVENESS
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