CA2230056A1 - Computer system for cognitive rehabilitation - Google Patents
Computer system for cognitive rehabilitation Download PDFInfo
- Publication number
- CA2230056A1 CA2230056A1 CA002230056A CA2230056A CA2230056A1 CA 2230056 A1 CA2230056 A1 CA 2230056A1 CA 002230056 A CA002230056 A CA 002230056A CA 2230056 A CA2230056 A CA 2230056A CA 2230056 A1 CA2230056 A1 CA 2230056A1
- Authority
- CA
- Canada
- Prior art keywords
- processor
- patient
- portable
- therapist
- data processor
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
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Classifications
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F1/00—Details not covered by groups G06F3/00 - G06F13/00 and G06F21/00
- G06F1/16—Constructional details or arrangements
- G06F1/1613—Constructional details or arrangements for portable computers
- G06F1/1615—Constructional details or arrangements for portable computers with several enclosures having relative motions, each enclosure supporting at least one I/O or computing function
- G06F1/1616—Constructional details or arrangements for portable computers with several enclosures having relative motions, each enclosure supporting at least one I/O or computing function with folding flat displays, e.g. laptop computers or notebooks having a clamshell configuration, with body parts pivoting to an open position around an axis parallel to the plane they define in closed position
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F1/00—Details not covered by groups G06F3/00 - G06F13/00 and G06F21/00
- G06F1/16—Constructional details or arrangements
- G06F1/1613—Constructional details or arrangements for portable computers
- G06F1/1633—Constructional details or arrangements of portable computers not specific to the type of enclosures covered by groups G06F1/1615 - G06F1/1626
- G06F1/1662—Details related to the integrated keyboard
-
- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
- G09B5/00—Electrically-operated educational appliances
- G09B5/08—Electrically-operated educational appliances providing for individual presentation of information to a plurality of student stations
- G09B5/14—Electrically-operated educational appliances providing for individual presentation of information to a plurality of student stations with provision for individual teacher-student communication
-
- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
- G09B7/00—Electrically-operated teaching apparatus or devices working with questions and answers
- G09B7/02—Electrically-operated teaching apparatus or devices working with questions and answers of the type wherein the student is expected to construct an answer to the question which is presented or wherein the machine gives an answer to the question presented by a student
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S128/00—Surgery
- Y10S128/92—Computer assisted medical diagnostics
Abstract
A computer system (10) for therapeutically assisting in rehabilitation of patients having cognitive deficits. The system includes a base computer data processor (11), a remotely located therapist computer data processor (12) adapted for remote modem communication (14) with the base processor (11) and a portable programmable data processor (13) that is adapted for mobile use by the patient and is dockable to the base processor (11). The base, therapist and portable processors (11, 12, 13) are programmed for uploading programming to the portable processor (13) with prescribed patient activity information through the base processor (11) and interface (15) from the remote therapist processor (12) for controlling the operation of the portable processor (13) to communicate the prescribed information to the patient on a scheduled basis.
The system (10) is also programmed for downloading patient activity response information from the portable processor (13) to the therapist processor (12) for analysis.
The system (10) is also programmed for downloading patient activity response information from the portable processor (13) to the therapist processor (12) for analysis.
Description
W O 97/08605 PCT~US96/13~08 CO M PUTER SYSTE M FO R COG NITI~E ~UEH~UBnLIT~TIO N
BA~KGROUND OF THE INVE~NTION
The present invention pertains to a holistic system wllich employs co~ 7uler hardware~ software and peli~ ls, as well as training, monilo~ g and evaluation in the 5 ~ age~llent and remediation of cognitive deficits found in persons who have suffered brain injury or deterioration as a result of trauma or disease.
Persons with cognitive disorders reY7lting from birth defect or injury to the brain have ~ylllpLcJIlls which include lack of orient 7tion to time and place and the inability to recall, <,lgal~i;~e and process inr~"lllaLion. These injuries may be caused by trauma, disease 10 or deterioration and include aging, alcoholism, drug dependency, stroke,~Al7h~imer's disease and severe head wounds. Patients with such cognitive disorders require conci~7.erable 7~7~e in mzmz~gin~ their daily activities. A widely used source of ac~ictzm~e is a pe,sollal c~iver - usually a close family member. Further ~ e may be provided by plo~LheLic memory devices such as notebooks, daily olgani;ce~." pe,~ollal pagers and/or colllpul~s.
15 These devices or Sy~Lt;l.ls provide memory Ac~ictAn~e in many areas of daily life management.
Examples of such supported daily fimctionc are time orientation and m~nz~ge~nent with appoinl...k..l l~...in~le.s and ~e~ ine cues, specific task ~ An~e and co~ching, journaling of daily events, telephon~ contacts, help ill~olll,alion, ...A;..~nAn~e of (lue~_Lo ies, planning and cuing of daily chores and ,~,~,onsibilities, money management, support of self care and 20 grooming, pelrollll&lce of specific voc~tionAI tasks and tracking school A~ nm~nt~ and homework.
Colnl3u~l ~7y~L~llls, along with logic puzzles7 word games, etc. may also be used as ortheses to f~cilh~tç cognitive reme~i~ti-)n. Such ~y~lellls support the Of g~..i7.i-~ion) planning and management of ~c~ignmPntc which are fun~ 1 to the cv~lyday e~ict~n~e S of the patient and they ad-lition~lly provide the patient with the encuul~gement and confi~çn~e required to reenter the greater co-~ ;ly.
The goal of cognitive rehabilitation is to ~nh~n~e the ability of the patient to adapt at home7 in the co--....~-..;~y and at work or school, and to increase the patient7s function and indepen~1çnre. An Ad-lition~1 goal of co~nitive rehabilit~tion is to ~y~ lly increace 10 the patient's f~ n~tion~1ity through re~ n~l~n~y Experience has shown that co~ uLcl~ can be effective tools in the ll-anagcllle-lL and rçm~i~tion of cognitive deficits when they are integrated in a col--,o-t:hensive system of cognitive care and contin~ed usage of the present invention is expected to ~ nglllen short term memory thorough repetition and to assure that cognitive gains are not lost through memory seepage.
1~ There are a number of colll,uulel ~y~lel~ls plesenLly available on the market which are frequently employed in the m~n~gçmPnt of cognitive deficits. Typically such present day systems include c,r~inaly notebook and desk top co~ ul~l~ which are usually coupled with word proces~ing software and olg~ g software.
Other such systems are much simpler in function and generally consist of 20 nothing more than a memory jogging device or cuing device, or a paging device. These devices employ tr~lition~1 day timers or daily olga~ found in portable colll~ulc, form for normal offlce use.
One of the more recognized co~ uL~,l orthotic ~y~ ls ,.)lcse.~Lly found on the market is sold under the trademark NeuroPage. Another such system is sold under the 5 trademark MNEMOSYNE. The former is a prosthetic alpha numeric paging system which provide rçmin-~rs to individuals with memory deficits throughout the day. The latter utilizes convention~ int~h or IBM colll~,alilJle (PC) desk top co~ ,ul~ or a notebook co~ ,uL~
for patient use.
These devices clearly ~lomule in~1çp~nl1en~e for people with cognitive deficits 10 and also free up the time of profes~ion~l staff or theMpists. However, they do exhibit some shollco....l-gs which the co.ll~,uLer orthotic and l~ro~Lllclic system of the present invention ovclcolnes.
The CO~ ulel orthotic systems of the prior art do not permit co~ tion with the patient in all possible mo-l~lities (tactile, visual and audio), do not permit remote 15 progl~ g by the lhcla~ it of a truly portable device that is readily carried by the patient, do not permit ~ignm~nt of priority and difficulty levels to tasks to be ~)clÇolllled by the patient, and do not permit remote down1O~ling of patient input data to the ~.,la~ L for analysis, and do not in and of th~mcçlves actually assist in such analysis, nor have a capability of compiling or plmLillg progress and diagnostic reports. The ~y~t~,.lls of the prior 20 art provide no means for soliciting~ recoldhlg and storing patient responses to each message, which can be later remotely downlo~led and analyzed so âS to ",o~ ol and adjust the system , W O 97/0860S PCT~US96/13508to the patient's ch~nging needs and support contimled movement toward incledsed indepçnd~-nre and capability.
The h~vt;-lLol~ discovered these defi~ienries and conrlu(le~l that a system which ovelca-lle these sh~lko--~ings would be much more beneficial in accelerating the patient's 5 rehabilit~tiQn~ while, at the same time, providing the patient with much more indep~n-1enre and confi~enre than therefore possible to attain through the use of co...l.~"el orthotic Sy~lllS
or memory- jogging devices pr~senlly on the market.
~U~M A ~Y OF T~P T~E~rrIQ N
The patient management system of the present invention inrludes co..y~uler data 10 proc~ssing sy~t~ ~--s with peripherals, and sollv~e for these sy~-- s. The sollwale allows for prog,~.. il-g, training, monitoring and ev~lu~tion This holistic sy~stem the ~e~ lly assists the rehabilitation process for a patient requiring cognitive intervention by providing a truly portable, prog.a-l....al)le data l~luces~ûr adapted for use by persons with cognitive deficits.
The ,~,les~;lil,ed plan for a particular patient is entered into the therapist's co...~uler which is typically a general pu~l~ose proces~ur linked to the patient's base colll~vul~l through cùllvelllional modem The patient's base col.. yukl i-.lelr~ces (co-.. -i~tes) with its ~tt~chtqd ~kl~ing station to download the ~ncs~;libed patient activity ill~ol..laLion (including specif c task i~ll uclion when needed) into the patient's hand held device (portable processor~.
20 The docking i--lt;lrace not only allows the patient or caregiver to download the patient's daily W O 97/08605 PCT~US96/13508 sch~ le from the thllapi~l's CoLIlpulel~ but also allows the patient or caregiver to make certain ~ itions or cl~anges to the daily schP~ e as situationally required (i.e. time change in a sçhP,dlllP(l appoi..l~..e~-~
This stored plesc;liylion activity illrolllldlion is co..... u~lir~t~Pd (usually 5 Im~ ,it~d) on a schP~uled basis to the patient by the portable processor for patient response.
Priority levels and ~ifficlllty levels are ~ hle to specific tasks to be carried out by the patient for later therapist reference and eV~lllatio~ The patient is solicited to respond to the schP~lnled activit,y i Irolll~Lion. This patient response hlfolllldlion is recorded and stored in the portable proce~sor as input by the patient in response to the co....... ~ ted activity 10 information. The stored patient le~l>onse i.lrolll-dlon is periodically uplo~t~ecl from the portable processor through the base collll,uLef/docking station via modem to the l~ api~l'S
colll~nllel for moni~ g and analysis. This analysis can aid the therapist in mon;~o, i-.g a patient's progress and d~rll~ini~lg the efficacy of the plesclil~ed patient program.
Generally the portable processor is programmed from the IL~I~;sL com~,uLel 15 through a modem, a base co-ll,uuLer data processor located at the patient's home and a docking . r?~e for co.. ~ tion bt;~een the polLablc processor and the base processor.
The ~ pisL processor is also plcfelably programmed for analyzing ~is patient response i~ÇollllàLion and for providing progress reports The analysis can assist the 1 in deLellllih~illg the effectiveness of prescribed mPAi~ation on the patient.
CA 02230056 l998-02-20 The docl~ing station i~ races with the patient's base computer which allows the patient or caregiver to download his or her daily sch~d~lle from the therapist's col.lyulel to the portable processor and to upload a record of his daily activities and responses to the therapist's coll~ulel on a periodically scheduled basis. Purther, the docking station will 5 allow for ~hecking the status of the portable processor's batteries and recharging them as nlo~ç~ry.
The therapist's colll,uuler ",_;"~ a d~t~h~C~ of the patient's activities and r~yollses to portable processor l~ ion~, and checks status of the batteries in the hand held device (both of which have been uploaded through the base col..yule~ orking station).
10 The therapist's coll.l.uler also downloads any changes to the patient's daily schedll1e and gellc.dtes forms and reports required for the patient's case management.
Accoldingly, this holistic, comyuler based, orthotic and prosthetic system of cognitive rçmlodi~ic)n is sensitive to the requirements of t~e individual patient, greatly reduces therapy time, and thcl~r,le cost, frees up the therapist, the in~tihltion and the cdl~givel from 1~ much of the intensive pe-~o-lal therapy time, as well as provides the patient with increased independen-~e and self esteem.
The patient portable processor generally inch~(1es an operative i..le.co~ ected co..ll,illalion of a microcontroller, data storage memory, a signal alarm, a message , a patient Ics~oQse input, a power source, and an interface adapted for 20 co..~ u~ tinn connection to the base processor.
W O 97/0860~ PCT~US96/13508 The power source will generally consist of a rechal~,able battery that is adapted for recharging through the interface with the base unit.
The signal alarm may be an alarm of any sçlected modality, such as a tactile, visual or audio alarm and may be of any required ~h~ sily and repelilive appli(~tion S Similarly, the message lln~ which ll~~ the messages from the portable processor to the patient may signal in one or more modality, such as a tactile, visual and/or an audio R~lF.F DESC~TPrION OF T~F DRAWINf~
Other objects and advantages appear he~ arl~l in the following des~ lion 10 and claims. The acc~ allyil~g drawings show, for the purpose of exemplification, without limiting the invention or claims thereto, certain practical embo~limPnt~ of the invention wllt;~
FIG. 1 is a s~h~m~tic block drawing providing a diagl~ ic overview of the COIll~ r.l orthotic and prosthetic system of the present invention;
1~ FIG. 2 is an enlarged view of the patient portable processor portion of the system shown in FIG. l;
FIG. 3 is â h~dwal-e sch~m~ti~ block diagram of the patient portable processor shown in FIG. 2;
FIG. 4 is a software flow chart overview for the computer system of FIG. I;
FIG. S is a ~let~ilecl software flow chart for the alarm signal portion of the patient portable processor unit of F~G. 2; and FIGS. 6a, 6b and 6c show in combination a ~let~ile~l software flow chart for 5 the patient instruction and response functions of the patient portable processor unit of FIG.
BA~KGROUND OF THE INVE~NTION
The present invention pertains to a holistic system wllich employs co~ 7uler hardware~ software and peli~ ls, as well as training, monilo~ g and evaluation in the 5 ~ age~llent and remediation of cognitive deficits found in persons who have suffered brain injury or deterioration as a result of trauma or disease.
Persons with cognitive disorders reY7lting from birth defect or injury to the brain have ~ylllpLcJIlls which include lack of orient 7tion to time and place and the inability to recall, <,lgal~i;~e and process inr~"lllaLion. These injuries may be caused by trauma, disease 10 or deterioration and include aging, alcoholism, drug dependency, stroke,~Al7h~imer's disease and severe head wounds. Patients with such cognitive disorders require conci~7.erable 7~7~e in mzmz~gin~ their daily activities. A widely used source of ac~ictzm~e is a pe,sollal c~iver - usually a close family member. Further ~ e may be provided by plo~LheLic memory devices such as notebooks, daily olgani;ce~." pe,~ollal pagers and/or colllpul~s.
15 These devices or Sy~Lt;l.ls provide memory Ac~ictAn~e in many areas of daily life management.
Examples of such supported daily fimctionc are time orientation and m~nz~ge~nent with appoinl...k..l l~...in~le.s and ~e~ ine cues, specific task ~ An~e and co~ching, journaling of daily events, telephon~ contacts, help ill~olll,alion, ...A;..~nAn~e of (lue~_Lo ies, planning and cuing of daily chores and ,~,~,onsibilities, money management, support of self care and 20 grooming, pelrollll&lce of specific voc~tionAI tasks and tracking school A~ nm~nt~ and homework.
Colnl3u~l ~7y~L~llls, along with logic puzzles7 word games, etc. may also be used as ortheses to f~cilh~tç cognitive reme~i~ti-)n. Such ~y~lellls support the Of g~..i7.i-~ion) planning and management of ~c~ignmPntc which are fun~ 1 to the cv~lyday e~ict~n~e S of the patient and they ad-lition~lly provide the patient with the encuul~gement and confi~çn~e required to reenter the greater co-~ ;ly.
The goal of cognitive rehabilitation is to ~nh~n~e the ability of the patient to adapt at home7 in the co--....~-..;~y and at work or school, and to increase the patient7s function and indepen~1çnre. An Ad-lition~1 goal of co~nitive rehabilit~tion is to ~y~ lly increace 10 the patient's f~ n~tion~1ity through re~ n~l~n~y Experience has shown that co~ uLcl~ can be effective tools in the ll-anagcllle-lL and rçm~i~tion of cognitive deficits when they are integrated in a col--,o-t:hensive system of cognitive care and contin~ed usage of the present invention is expected to ~ nglllen short term memory thorough repetition and to assure that cognitive gains are not lost through memory seepage.
1~ There are a number of colll,uulel ~y~lel~ls plesenLly available on the market which are frequently employed in the m~n~gçmPnt of cognitive deficits. Typically such present day systems include c,r~inaly notebook and desk top co~ ul~l~ which are usually coupled with word proces~ing software and olg~ g software.
Other such systems are much simpler in function and generally consist of 20 nothing more than a memory jogging device or cuing device, or a paging device. These devices employ tr~lition~1 day timers or daily olga~ found in portable colll~ulc, form for normal offlce use.
One of the more recognized co~ uL~,l orthotic ~y~ ls ,.)lcse.~Lly found on the market is sold under the trademark NeuroPage. Another such system is sold under the 5 trademark MNEMOSYNE. The former is a prosthetic alpha numeric paging system which provide rçmin-~rs to individuals with memory deficits throughout the day. The latter utilizes convention~ int~h or IBM colll~,alilJle (PC) desk top co~ ,ul~ or a notebook co~ ,uL~
for patient use.
These devices clearly ~lomule in~1çp~nl1en~e for people with cognitive deficits 10 and also free up the time of profes~ion~l staff or theMpists. However, they do exhibit some shollco....l-gs which the co.ll~,uLer orthotic and l~ro~Lllclic system of the present invention ovclcolnes.
The CO~ ulel orthotic systems of the prior art do not permit co~ tion with the patient in all possible mo-l~lities (tactile, visual and audio), do not permit remote 15 progl~ g by the lhcla~ it of a truly portable device that is readily carried by the patient, do not permit ~ignm~nt of priority and difficulty levels to tasks to be ~)clÇolllled by the patient, and do not permit remote down1O~ling of patient input data to the ~.,la~ L for analysis, and do not in and of th~mcçlves actually assist in such analysis, nor have a capability of compiling or plmLillg progress and diagnostic reports. The ~y~t~,.lls of the prior 20 art provide no means for soliciting~ recoldhlg and storing patient responses to each message, which can be later remotely downlo~led and analyzed so âS to ",o~ ol and adjust the system , W O 97/0860S PCT~US96/13508to the patient's ch~nging needs and support contimled movement toward incledsed indepçnd~-nre and capability.
The h~vt;-lLol~ discovered these defi~ienries and conrlu(le~l that a system which ovelca-lle these sh~lko--~ings would be much more beneficial in accelerating the patient's 5 rehabilit~tiQn~ while, at the same time, providing the patient with much more indep~n-1enre and confi~enre than therefore possible to attain through the use of co...l.~"el orthotic Sy~lllS
or memory- jogging devices pr~senlly on the market.
~U~M A ~Y OF T~P T~E~rrIQ N
The patient management system of the present invention inrludes co..y~uler data 10 proc~ssing sy~t~ ~--s with peripherals, and sollv~e for these sy~-- s. The sollwale allows for prog,~.. il-g, training, monitoring and ev~lu~tion This holistic sy~stem the ~e~ lly assists the rehabilitation process for a patient requiring cognitive intervention by providing a truly portable, prog.a-l....al)le data l~luces~ûr adapted for use by persons with cognitive deficits.
The ,~,les~;lil,ed plan for a particular patient is entered into the therapist's co...~uler which is typically a general pu~l~ose proces~ur linked to the patient's base colll~vul~l through cùllvelllional modem The patient's base col.. yukl i-.lelr~ces (co-.. -i~tes) with its ~tt~chtqd ~kl~ing station to download the ~ncs~;libed patient activity ill~ol..laLion (including specif c task i~ll uclion when needed) into the patient's hand held device (portable processor~.
20 The docking i--lt;lrace not only allows the patient or caregiver to download the patient's daily W O 97/08605 PCT~US96/13508 sch~ le from the thllapi~l's CoLIlpulel~ but also allows the patient or caregiver to make certain ~ itions or cl~anges to the daily schP~ e as situationally required (i.e. time change in a sçhP,dlllP(l appoi..l~..e~-~
This stored plesc;liylion activity illrolllldlion is co..... u~lir~t~Pd (usually 5 Im~ ,it~d) on a schP~uled basis to the patient by the portable processor for patient response.
Priority levels and ~ifficlllty levels are ~ hle to specific tasks to be carried out by the patient for later therapist reference and eV~lllatio~ The patient is solicited to respond to the schP~lnled activit,y i Irolll~Lion. This patient response hlfolllldlion is recorded and stored in the portable proce~sor as input by the patient in response to the co....... ~ ted activity 10 information. The stored patient le~l>onse i.lrolll-dlon is periodically uplo~t~ecl from the portable processor through the base collll,uLef/docking station via modem to the l~ api~l'S
colll~nllel for moni~ g and analysis. This analysis can aid the therapist in mon;~o, i-.g a patient's progress and d~rll~ini~lg the efficacy of the plesclil~ed patient program.
Generally the portable processor is programmed from the IL~I~;sL com~,uLel 15 through a modem, a base co-ll,uuLer data processor located at the patient's home and a docking . r?~e for co.. ~ tion bt;~een the polLablc processor and the base processor.
The ~ pisL processor is also plcfelably programmed for analyzing ~is patient response i~ÇollllàLion and for providing progress reports The analysis can assist the 1 in deLellllih~illg the effectiveness of prescribed mPAi~ation on the patient.
CA 02230056 l998-02-20 The docl~ing station i~ races with the patient's base computer which allows the patient or caregiver to download his or her daily sch~d~lle from the therapist's col.lyulel to the portable processor and to upload a record of his daily activities and responses to the therapist's coll~ulel on a periodically scheduled basis. Purther, the docking station will 5 allow for ~hecking the status of the portable processor's batteries and recharging them as nlo~ç~ry.
The therapist's colll,uuler ",_;"~ a d~t~h~C~ of the patient's activities and r~yollses to portable processor l~ ion~, and checks status of the batteries in the hand held device (both of which have been uploaded through the base col..yule~ orking station).
10 The therapist's coll.l.uler also downloads any changes to the patient's daily schedll1e and gellc.dtes forms and reports required for the patient's case management.
Accoldingly, this holistic, comyuler based, orthotic and prosthetic system of cognitive rçmlodi~ic)n is sensitive to the requirements of t~e individual patient, greatly reduces therapy time, and thcl~r,le cost, frees up the therapist, the in~tihltion and the cdl~givel from 1~ much of the intensive pe-~o-lal therapy time, as well as provides the patient with increased independen-~e and self esteem.
The patient portable processor generally inch~(1es an operative i..le.co~ ected co..ll,illalion of a microcontroller, data storage memory, a signal alarm, a message , a patient Ics~oQse input, a power source, and an interface adapted for 20 co..~ u~ tinn connection to the base processor.
W O 97/0860~ PCT~US96/13508 The power source will generally consist of a rechal~,able battery that is adapted for recharging through the interface with the base unit.
The signal alarm may be an alarm of any sçlected modality, such as a tactile, visual or audio alarm and may be of any required ~h~ sily and repelilive appli(~tion S Similarly, the message lln~ which ll~~ the messages from the portable processor to the patient may signal in one or more modality, such as a tactile, visual and/or an audio R~lF.F DESC~TPrION OF T~F DRAWINf~
Other objects and advantages appear he~ arl~l in the following des~ lion 10 and claims. The acc~ allyil~g drawings show, for the purpose of exemplification, without limiting the invention or claims thereto, certain practical embo~limPnt~ of the invention wllt;~
FIG. 1 is a s~h~m~tic block drawing providing a diagl~ ic overview of the COIll~ r.l orthotic and prosthetic system of the present invention;
1~ FIG. 2 is an enlarged view of the patient portable processor portion of the system shown in FIG. l;
FIG. 3 is â h~dwal-e sch~m~ti~ block diagram of the patient portable processor shown in FIG. 2;
FIG. 4 is a software flow chart overview for the computer system of FIG. I;
FIG. S is a ~let~ilecl software flow chart for the alarm signal portion of the patient portable processor unit of F~G. 2; and FIGS. 6a, 6b and 6c show in combination a ~let~ile~l software flow chart for 5 the patient instruction and response functions of the patient portable processor unit of FIG.
2.
l~ETA~T.F.l~ DESCRIPTION OF A pREFEBI2F~n EMBODIMF.~T
Referring to FIG. 1, a diagl,.. ~ic overview of the cornputer system 10 of the present invention for tht;lal)euLically a~ ting in rehabilitation of a patient having 10 cognitive deficits is illustrated. The system l0 con~i~t~ of three basic components; namely, the base unit or computer data processor 11, the therapist col,lpuler data processor 12 and the portable pro~ ,lllable data processor or device 13.
The base unit 11 and the therapist processor 12 are general purpose processors, such as commercial PC computers with FAX modems. The therapist's processor 12 is 1~ remotely located for convenient access by the therapist and the base unit or processor 11 is usually located at the home or of fice of the patient to be treated and is operated by the patient or a caregiver.
SUBSTITUTE SHEET (RULE 26) , -W O 97/08605 PCT~US96/13508 The portable progl~.lllllable data processor 13 is custom m~m~factllred and adapted for mobil use by the patient. Detail of the portable pro~ .able data processor 13 is illustrated in FIG. 2.
The ~clapi~l co~ cates with the patient devices (base unit PC 11 and S portable processor or device 13) through the FAX modem connection 14.
The function of the base unit or processor 11 is to provide a co.. -.. ;r~tion link between the therapist and the portable device 13, and to program the portable device 13.
The base unit 11 further inrlud~s a co.~,....-i~ir~ti~n/battery charger link to the portable device 13.
The portable device or processor 13 is a hand held device (could be as small as a cellular telephf-n~) that the patient can readily carry. The device is puweled by internal lechalgeable batteries and the portable device 13 is connected to the base unit (hel~inartc~
referred to as docking) through a serial upload or interface 15 at the patient's or caregivers cwlvenience for the e~rh~n~e of ir,rollllaLion and battery charging.
With particular r~elence to FIG. 2, the portable device or processor 13 has a visual text (LED or LCD) display 16 and a bri~htne~ control 17, provided in the upper half 18 of the closeable hinged case 19.
The lower portion 20 of case 19 is provided with a speaker 21 with volume control 22 and a microphone 23 for recording personal notes.
_ ~ CA 022300~6 1998-02-20 r ~ Q
, 3 1 JU~ 1997 Keys 24 are provided for the patient to respond to the continuously activatable and unsolicited vibratory, audio and visual prompts. Scroll up and scroll down keys 25 and 26 are provided so that the patient can scroll up and scroll down through the prescribed patient activities programmed into the device 13 so that he or she can preview the prescribed day or week activities on display 16. The patient can also use the same scroll keys 25 and 26 to sequence through instruction steps.
As opposed to prior art devices previously mentioned, the number of keys are limited so that cognitively challenged persons can cope with the frustration and stress experienced in working with the portable device 13. Also shape and color of the keys may be specified by the therapist.
The portable processor or unit 13 is also provided with alarms (tactile, visual and audio) and a co~ tion port (not shown in FIG. 2). These devices and the basic hardware components of the portable processor unit 13 are illustrated in block diagram form in FIG. 3.
The portable processor 13 includes an operative interconnected combination of a microcontroller 30, which includes data storage memory, signal alarms (tactile, visual and audio) 31, and interface 15 in the form of a serial interface for comml-nication connection to the base processor 11, when the portable unit is docked.
The portable unit 13 further includes a digital speech processor 32, a serial flash eeprom 33, a CODEC 34, amplifiers 35 and 36 for respectively driving speaker 21 and amplifying signals input through microphone 23.
W O 97/0860~ PCTrUS96/13508 Microcontroller 30 co.~ tes to the base unit 11 through the serial interface 15 when doc~ll The microcontroller will download inro.l~laLion from base unit 11 through the digital speech processor 32 and into serial flash eeprom 33. Microcontroller 30 is capable of uploading inro....àlion from the serial flash eeprom 33 through the digital 5 speech processor 32 and into the base unit 11 through serial i.~l r~e 15.
Microcontroller 30 is programmed to monitl-r the time and alert the user through the alarms 31 (either as a tactile, visual or audio alann as selecte~ by the therapist) when a message is to be displayed on display 16. Microcontroller 30 will display the message visually on the display 16 and also audibly through the speaker 21. Microcontroller 10 30 is also progralll"led to manage the rtcordillg of personal notes via speech through microphone 23 input by the patient or caregiver.
The alarms consist of an audio signal which is co~ ir~t~l through speaker 21, a visual signal through a fl~hing LED (not shown), and a tactile signal through a vibl~llor (not shown). These alarms are all diagl~ ir~1ly displayed as ~lemtont 31 in the 15 block diagram of FIG. 3.
Digital speech processor 32, under control of the micloconLIoller 30, will process i~ulll'a~ion from the microcontroller or the microphone for storage in the serial flash eeprom 33. The digital speech processor 32, under control of l,.icloplocessor 30, processes i~orlllàlion from serial flash eeprom 33 to either the microcontroller 30 or the speaker 21.
20 Serial flash eeprom 33 fimrtion~ as a storage device for both audio and text i.lr(Jll''a~ion.
Serial flash eeprom 33 accor~hlgly functions as additional data storage memory for portable processor 13.
WO 97/08605 PCTAUS96/13508CODEC 34 fun~tions as an interface providing analog to digital and digital to analog conversions for the digital speech processor 32 and for amplifiers 35 and 36 connP,ct~d res~e-;Li~ely to speaker 21 and microphone 23. Amplifiers 35 and 36 for the speaker and microphone provide proper signal levels and volume control.
Speaker 21, alarms 31 and display 16 function as message L~ lt;.s. User keys 24 function as a patient response input. Microphone 23 may also function as a patient response input.
The rechalgeable battery unit which powers portable processor or unit 13 is not illustrated in FIG. 3.
Portable processor 13 is programmed for Iccordillg and storing patient rc~ollse i.lro~ aLion entered through the patient response input, such as input keys 24. The base unit 11~ LhCIapi~L PC 12 and portable processor 13 are programmed for upload pro~,..-.--i-~g of the portable ploces~or 13 with ,uresc~ ed patient activity i~lru~ alion through base processor 11 and the hllt;lr~ce 15 from the remotely located Lhe,a~ L PC or processor 12 for controlling 15 the operation of the portable processor 13 to co----~ nic~te the l~res-,libcd il~îo~ alion to the patient on a s- hedl-led basis. All of these processors are also programmed for downloar1ing patient activity response ih.rol,lld ion from the portable processor 13 through interface 15 and base processor or unit 11 to remote IhC~à~)isl processor or PC 12 for analysis. An overview of the system sorl~al~ is provided in the sorl~dfe flow chart of FIG. 4.
Software options and screens are described as numbered in FIG. 4.
W O 97/08605 PCT~US96/13508 Messages menu option screen 1 brin~s up the Message Type List screen la which brings up current messages by their categories, e.g., Medical, Personal, Work. Social, Domestic, and All.
.
Message Input and Review screen lb reviews, edits messages and sets signal S variations. Set Degree of Difficulty screen lc, enables the the.~i~L to analyze patient responses based on task difficulty levels preset by the therapist.
Patient Files menu option 2, brings up Patient File List screen 2a and lists patients to be selected by name. Patients Message List screen 2b, lists sçlect~d patients current messages. Add New Message screen 2c, permits addition of new messages as well 10 as signal time, day or date.
Priority level menu option 3 brings up the Set Priority Level screen 3a, which enables the therapist to assign a priority level to plesclil,ed activity messages based on inli)o,~nce. Priority levels assign the number of signals and intervals of signals co.~ tÇ~3 to or subjected to the patient.
Re~onse Analysis menu option 4, brings up the Re~nse Analysis screen 4a and pelll-i~ an analysis of the patient or patients based upon the following screens and their options.
View and Print Report By Message screen 4b permits patient analysis based upon sel~c~d messages for success rate or progress to be viewed or printed on a report.
W O 97/08605 PCT~US96/13508 View and Print Report by Dates screen 4c permits patient analysis based upon selected date for success rate or progress to be viewed or printed on a report. View and Print Report by ; . Degree of Difficulty screen 4d permits patient analysis based upon degrees of difficulty for success rate or progress to be viewed or printed on a report.
S PMA is an int~n-1~od trademark of the inventor's for the portable processor unit 13 and PMA ~Sim~ tor menu option 5 brings up the Patient List for Siml-l~tion screen 5a and permits selection of patient by name for PMA or portable unit ~ tion~ PMA Simulation screen 5b displays an actual ~imlll~tion of the portable unit device itself and the messages as they would be displayed.
FIG. 5 is a detailed software flow chart illustrating the required progr~mmin~
- for the alarm signal portion of the patient portable processor unit 13. In other words, this flow chart shows one of two modes for the portable unit operation. This is the first mode of operation when the microcontroller 30 in the portable unit 13 alerts the user or patient that it is time to respond to a messa~e. The second mode of operation is when the user desires 15 to review/preview messages or record a l)el~onal note. This second modle is illustrated for prog~ g in the ~let~iled software flow chart of FIGS 6a, 6b and 6c.
The software flow charts of FIGS. 5 and 6 are selfexplanatory to those of Oldi~ skill in the art of computer prog~ g. It will be readily understood that acomputer programmer of ordinary skill, upon viewing the software flow charts of FIG. 4, 5 and 6 will be readily capable of writing the n~Cçcszlly program to carry out the functions SUBSTITUT~ SHEET ~1 ILE 26) W O 97/08605 PCT~US96/13S08 displayed and required in order to operate the coll~ul~l system of the present invention as described and cl~ime~
The co-lllJulel system 10 of the present invention is thus programmed so that the portable colllllul~r data processor 13 can be progld~ ed remotely from the therapist S colllyuler data processor 12 for storing l)resclibed patient activity illro~ alion for â patient.
Portable processor 13 is further programmed to co..~ icate the stored activity hlrollllaL on on a srh~hlled basis to the patient for solicit~ patient res~ollse and further programmed to record and store patient response hlrollnaLion input by a patient on the keys 24 in resl,ollse to the eo.. ,.i-ir~ted activity inrollllaLion.
The system is also programmed for pellllilLing the portable processor to be downl~aded to the remote lllel~i~l colll~utel data processor 12 for retrieving the stored patient response hlrolllldlion for analysis.
The thelal)isL PC or processor 12 is programrned to analyze the patient re~onse in~rlllaLion and to provide analysis reports. The therapist's PC 12 is further 15 pr~l~l-llned to assign priority and t1iffi~ ty levels to ,or~s-;lil,ed tasks of the patient activity hlrolllld ion as input by the Lhel~i~l to assist the analysis process.
-
l~ETA~T.F.l~ DESCRIPTION OF A pREFEBI2F~n EMBODIMF.~T
Referring to FIG. 1, a diagl,.. ~ic overview of the cornputer system 10 of the present invention for tht;lal)euLically a~ ting in rehabilitation of a patient having 10 cognitive deficits is illustrated. The system l0 con~i~t~ of three basic components; namely, the base unit or computer data processor 11, the therapist col,lpuler data processor 12 and the portable pro~ ,lllable data processor or device 13.
The base unit 11 and the therapist processor 12 are general purpose processors, such as commercial PC computers with FAX modems. The therapist's processor 12 is 1~ remotely located for convenient access by the therapist and the base unit or processor 11 is usually located at the home or of fice of the patient to be treated and is operated by the patient or a caregiver.
SUBSTITUTE SHEET (RULE 26) , -W O 97/08605 PCT~US96/13508 The portable progl~.lllllable data processor 13 is custom m~m~factllred and adapted for mobil use by the patient. Detail of the portable pro~ .able data processor 13 is illustrated in FIG. 2.
The ~clapi~l co~ cates with the patient devices (base unit PC 11 and S portable processor or device 13) through the FAX modem connection 14.
The function of the base unit or processor 11 is to provide a co.. -.. ;r~tion link between the therapist and the portable device 13, and to program the portable device 13.
The base unit 11 further inrlud~s a co.~,....-i~ir~ti~n/battery charger link to the portable device 13.
The portable device or processor 13 is a hand held device (could be as small as a cellular telephf-n~) that the patient can readily carry. The device is puweled by internal lechalgeable batteries and the portable device 13 is connected to the base unit (hel~inartc~
referred to as docking) through a serial upload or interface 15 at the patient's or caregivers cwlvenience for the e~rh~n~e of ir,rollllaLion and battery charging.
With particular r~elence to FIG. 2, the portable device or processor 13 has a visual text (LED or LCD) display 16 and a bri~htne~ control 17, provided in the upper half 18 of the closeable hinged case 19.
The lower portion 20 of case 19 is provided with a speaker 21 with volume control 22 and a microphone 23 for recording personal notes.
_ ~ CA 022300~6 1998-02-20 r ~ Q
, 3 1 JU~ 1997 Keys 24 are provided for the patient to respond to the continuously activatable and unsolicited vibratory, audio and visual prompts. Scroll up and scroll down keys 25 and 26 are provided so that the patient can scroll up and scroll down through the prescribed patient activities programmed into the device 13 so that he or she can preview the prescribed day or week activities on display 16. The patient can also use the same scroll keys 25 and 26 to sequence through instruction steps.
As opposed to prior art devices previously mentioned, the number of keys are limited so that cognitively challenged persons can cope with the frustration and stress experienced in working with the portable device 13. Also shape and color of the keys may be specified by the therapist.
The portable processor or unit 13 is also provided with alarms (tactile, visual and audio) and a co~ tion port (not shown in FIG. 2). These devices and the basic hardware components of the portable processor unit 13 are illustrated in block diagram form in FIG. 3.
The portable processor 13 includes an operative interconnected combination of a microcontroller 30, which includes data storage memory, signal alarms (tactile, visual and audio) 31, and interface 15 in the form of a serial interface for comml-nication connection to the base processor 11, when the portable unit is docked.
The portable unit 13 further includes a digital speech processor 32, a serial flash eeprom 33, a CODEC 34, amplifiers 35 and 36 for respectively driving speaker 21 and amplifying signals input through microphone 23.
W O 97/0860~ PCTrUS96/13508 Microcontroller 30 co.~ tes to the base unit 11 through the serial interface 15 when doc~ll The microcontroller will download inro.l~laLion from base unit 11 through the digital speech processor 32 and into serial flash eeprom 33. Microcontroller 30 is capable of uploading inro....àlion from the serial flash eeprom 33 through the digital 5 speech processor 32 and into the base unit 11 through serial i.~l r~e 15.
Microcontroller 30 is programmed to monitl-r the time and alert the user through the alarms 31 (either as a tactile, visual or audio alann as selecte~ by the therapist) when a message is to be displayed on display 16. Microcontroller 30 will display the message visually on the display 16 and also audibly through the speaker 21. Microcontroller 10 30 is also progralll"led to manage the rtcordillg of personal notes via speech through microphone 23 input by the patient or caregiver.
The alarms consist of an audio signal which is co~ ir~t~l through speaker 21, a visual signal through a fl~hing LED (not shown), and a tactile signal through a vibl~llor (not shown). These alarms are all diagl~ ir~1ly displayed as ~lemtont 31 in the 15 block diagram of FIG. 3.
Digital speech processor 32, under control of the micloconLIoller 30, will process i~ulll'a~ion from the microcontroller or the microphone for storage in the serial flash eeprom 33. The digital speech processor 32, under control of l,.icloplocessor 30, processes i~orlllàlion from serial flash eeprom 33 to either the microcontroller 30 or the speaker 21.
20 Serial flash eeprom 33 fimrtion~ as a storage device for both audio and text i.lr(Jll''a~ion.
Serial flash eeprom 33 accor~hlgly functions as additional data storage memory for portable processor 13.
WO 97/08605 PCTAUS96/13508CODEC 34 fun~tions as an interface providing analog to digital and digital to analog conversions for the digital speech processor 32 and for amplifiers 35 and 36 connP,ct~d res~e-;Li~ely to speaker 21 and microphone 23. Amplifiers 35 and 36 for the speaker and microphone provide proper signal levels and volume control.
Speaker 21, alarms 31 and display 16 function as message L~ lt;.s. User keys 24 function as a patient response input. Microphone 23 may also function as a patient response input.
The rechalgeable battery unit which powers portable processor or unit 13 is not illustrated in FIG. 3.
Portable processor 13 is programmed for Iccordillg and storing patient rc~ollse i.lro~ aLion entered through the patient response input, such as input keys 24. The base unit 11~ LhCIapi~L PC 12 and portable processor 13 are programmed for upload pro~,..-.--i-~g of the portable ploces~or 13 with ,uresc~ ed patient activity i~lru~ alion through base processor 11 and the hllt;lr~ce 15 from the remotely located Lhe,a~ L PC or processor 12 for controlling 15 the operation of the portable processor 13 to co----~ nic~te the l~res-,libcd il~îo~ alion to the patient on a s- hedl-led basis. All of these processors are also programmed for downloar1ing patient activity response ih.rol,lld ion from the portable processor 13 through interface 15 and base processor or unit 11 to remote IhC~à~)isl processor or PC 12 for analysis. An overview of the system sorl~al~ is provided in the sorl~dfe flow chart of FIG. 4.
Software options and screens are described as numbered in FIG. 4.
W O 97/08605 PCT~US96/13508 Messages menu option screen 1 brin~s up the Message Type List screen la which brings up current messages by their categories, e.g., Medical, Personal, Work. Social, Domestic, and All.
.
Message Input and Review screen lb reviews, edits messages and sets signal S variations. Set Degree of Difficulty screen lc, enables the the.~i~L to analyze patient responses based on task difficulty levels preset by the therapist.
Patient Files menu option 2, brings up Patient File List screen 2a and lists patients to be selected by name. Patients Message List screen 2b, lists sçlect~d patients current messages. Add New Message screen 2c, permits addition of new messages as well 10 as signal time, day or date.
Priority level menu option 3 brings up the Set Priority Level screen 3a, which enables the therapist to assign a priority level to plesclil,ed activity messages based on inli)o,~nce. Priority levels assign the number of signals and intervals of signals co.~ tÇ~3 to or subjected to the patient.
Re~onse Analysis menu option 4, brings up the Re~nse Analysis screen 4a and pelll-i~ an analysis of the patient or patients based upon the following screens and their options.
View and Print Report By Message screen 4b permits patient analysis based upon sel~c~d messages for success rate or progress to be viewed or printed on a report.
W O 97/08605 PCT~US96/13508 View and Print Report by Dates screen 4c permits patient analysis based upon selected date for success rate or progress to be viewed or printed on a report. View and Print Report by ; . Degree of Difficulty screen 4d permits patient analysis based upon degrees of difficulty for success rate or progress to be viewed or printed on a report.
S PMA is an int~n-1~od trademark of the inventor's for the portable processor unit 13 and PMA ~Sim~ tor menu option 5 brings up the Patient List for Siml-l~tion screen 5a and permits selection of patient by name for PMA or portable unit ~ tion~ PMA Simulation screen 5b displays an actual ~imlll~tion of the portable unit device itself and the messages as they would be displayed.
FIG. 5 is a detailed software flow chart illustrating the required progr~mmin~
- for the alarm signal portion of the patient portable processor unit 13. In other words, this flow chart shows one of two modes for the portable unit operation. This is the first mode of operation when the microcontroller 30 in the portable unit 13 alerts the user or patient that it is time to respond to a messa~e. The second mode of operation is when the user desires 15 to review/preview messages or record a l)el~onal note. This second modle is illustrated for prog~ g in the ~let~iled software flow chart of FIGS 6a, 6b and 6c.
The software flow charts of FIGS. 5 and 6 are selfexplanatory to those of Oldi~ skill in the art of computer prog~ g. It will be readily understood that acomputer programmer of ordinary skill, upon viewing the software flow charts of FIG. 4, 5 and 6 will be readily capable of writing the n~Cçcszlly program to carry out the functions SUBSTITUT~ SHEET ~1 ILE 26) W O 97/08605 PCT~US96/13S08 displayed and required in order to operate the coll~ul~l system of the present invention as described and cl~ime~
The co-lllJulel system 10 of the present invention is thus programmed so that the portable colllllul~r data processor 13 can be progld~ ed remotely from the therapist S colllyuler data processor 12 for storing l)resclibed patient activity illro~ alion for â patient.
Portable processor 13 is further programmed to co..~ icate the stored activity hlrollllaL on on a srh~hlled basis to the patient for solicit~ patient res~ollse and further programmed to record and store patient response hlrollnaLion input by a patient on the keys 24 in resl,ollse to the eo.. ,.i-ir~ted activity inrollllaLion.
The system is also programmed for pellllilLing the portable processor to be downl~aded to the remote lllel~i~l colll~utel data processor 12 for retrieving the stored patient response hlrolllldlion for analysis.
The thelal)isL PC or processor 12 is programrned to analyze the patient re~onse in~rlllaLion and to provide analysis reports. The therapist's PC 12 is further 15 pr~l~l-llned to assign priority and t1iffi~ ty levels to ,or~s-;lil,ed tasks of the patient activity hlrolllld ion as input by the Lhel~i~l to assist the analysis process.
-
Claims (26)
1. A portable programmable data processor for mobile use by a cognitive deficient patent for administering rehabilitation therapy, said portable processor comprising:
means for programming said portable processor from a therapist computer data processor for storing prescribed patient activity information for a patient;
means for communicating the stored activity information on a scheduled basis to a patient for patent response;
means for recording and storing patient response information input by a patient in response to the communicated activity information;
means for downloading said stored response information from said portable processor to a therapist computer data processor for analysis; and said means for communicating including a continuously activatable signal alarm capable of provide at least one patient alarm selected from the group consisting of tactile, visual and audio alarms.
means for programming said portable processor from a therapist computer data processor for storing prescribed patient activity information for a patient;
means for communicating the stored activity information on a scheduled basis to a patient for patent response;
means for recording and storing patient response information input by a patient in response to the communicated activity information;
means for downloading said stored response information from said portable processor to a therapist computer data processor for analysis; and said means for communicating including a continuously activatable signal alarm capable of provide at least one patient alarm selected from the group consisting of tactile, visual and audio alarms.
2. The portable programmable data processor of claim 1, wherein said means for programming includes a base computer data processor and a therapist computer data processor adapted for remote modem communication with said base processor, and an interface adapted for communication connection between said portable processor and said base processor.
3. The portable programmable data processor of claim 2, wherein said means for communicating further includes at least one message transmitter selected from the group consisting of tactile, visual and audio transmitters.
4. The portable programmable data processor of claim 3, wherein said means for recording and storing includes a microcontroller, data storage memory and a patient response input.
5. The portable programmable data processor of claim 4, wherein said patient response input includes at least one input device selected from the group consisting of tactile, visual and audio input devices.
6. The portable programmable data processor of claim 5, wherein said means for downloading includes said microcontroller, data storage memory, interface, base processor and therapist processor.
7. The portable programmable data processor of claim 6, including a rechargeable battery power source and a battery recharger connectable to said battery for recharging through said interface.
8. The portable programmable data processor of claim 1, wherein said therapist processor is programmed for analyzing said patient response information.
9. The portable programmable data processor of claim 8, wherein said therapist processor is programmed for permitting assignment of priority levels and difficulty levels to prescribed tasks of said patient activity information as prescribed and input by a therapist.
10. The portable programmable data processor of claim 1, wherein said prescribed patient activity information includes instructions for performing prescribed tasks.
11. A computer system for therapeutically assisting in rehabilitation of patients having cognitive deficits, the system comprising:
a base computer data processor;
a therapist computer data processor for remote modem communication with said base processor; and a portable programmable data processor for mobile use by a cognitive deficient patient;
said portable processor including an operative interconnected combination of a microcontroller, data storage memory, a signal alarm, a message transmitter, a patient response input, a power source, and an interface adapted for communication connection to said base processor;
said portable processor programmed for recording and storing patient response information entered through said patient response input;
said base, therapist and portable processors programmed for upload programming of said portable processor with prescribed patient activity information through said base processor and said interface from said remote therapist processor for controlling the operation of said portable processor to communicate the prescribed information to the patient on a scheduled basis, and programmed for downloading patient activity response information from said portable processor through said interface and said base processor to said remote therapist processor for analysis;
said signal alarm including at least one continuously activatable alarm selected from the group consisting of tactile, visual and audio alarms.
a base computer data processor;
a therapist computer data processor for remote modem communication with said base processor; and a portable programmable data processor for mobile use by a cognitive deficient patient;
said portable processor including an operative interconnected combination of a microcontroller, data storage memory, a signal alarm, a message transmitter, a patient response input, a power source, and an interface adapted for communication connection to said base processor;
said portable processor programmed for recording and storing patient response information entered through said patient response input;
said base, therapist and portable processors programmed for upload programming of said portable processor with prescribed patient activity information through said base processor and said interface from said remote therapist processor for controlling the operation of said portable processor to communicate the prescribed information to the patient on a scheduled basis, and programmed for downloading patient activity response information from said portable processor through said interface and said base processor to said remote therapist processor for analysis;
said signal alarm including at least one continuously activatable alarm selected from the group consisting of tactile, visual and audio alarms.
12. The computer system of claim 11, wherein said power source includes a rechargeable battery which is adapted for recharging through said interface.
13. The computer system of claim 11, wherein said therapist processor is programmed for analyzing said patient response information.
14. The computer system of claim 13, wherein said message transmitter is at least one transmitter selected from the group consisting of tactile, visual and audio transmitters.
15. The computer system of claim 11, wherein said prescribed patient activity information includes instructions for performing prescribed tasks.
16. A method of therapeutically assisting the rehabilitation of a patient having cognitive deficits with a computer system, the method comprising the steps of:
providing a portable programmable data processor for mobile use by a cognitive deficient patient;
programming said portable processor from a therapist computer data processor for storing prescribed patient activity information for the patient;
communicating the stored activity information on a scheduled basis to the patient with said portable processor for patient response;
recording and storing patient response information in said portable processor which is input by the patient in response to the communicated activity information;
downloading said stored response information from said portable processor to a therapist processor for analysis; and the step of communicating including the step of transmitting a continuously activatable alarm with at least one transmitter selected from the group consisting of tactile, visual and audio transmitters.
providing a portable programmable data processor for mobile use by a cognitive deficient patient;
programming said portable processor from a therapist computer data processor for storing prescribed patient activity information for the patient;
communicating the stored activity information on a scheduled basis to the patient with said portable processor for patient response;
recording and storing patient response information in said portable processor which is input by the patient in response to the communicated activity information;
downloading said stored response information from said portable processor to a therapist processor for analysis; and the step of communicating including the step of transmitting a continuously activatable alarm with at least one transmitter selected from the group consisting of tactile, visual and audio transmitters.
17. The method of claim 16, wherein the step of programming is carried out through a modem, a base computer data processor and a docking interface for communication between said portable processor and said base processor.
18. The method of claim 16, including the step of analyzing said patient response information with said therapist processor.
19. The method of claim 16, including the step of assigning priority levels and difficulty levels to prescribed tasks of said patient activity information.
20. The method of claim 16, wherein the step of programming said portable processor includes the step of storing instructions for performing prescribed tasks.
21. The method of claim 16, wherein the step of recording and storing includes the step of imputing patient response information with at least one input device selected from the group consisting of tactile, visual and audio input devices.
22. A storage medium encoded with machine-readable computer program code used in a computer system for administering rehabilitation therapy to a cognitive deficient patient, comprising:
means for causing a portable computer data processor to be programmed from a therapist computer data processor for storing prescribed patient activity information for a patient;
means for causing said portable processor to communicate the stored activity information on a scheduled basis to a patient for solicited patient response;
means for causing said portable processor to record and store patient response information input by a patient in response to communicated activity information; and means for permitting said portable processor to be downloaded to a therapist computer data processor for retrieving said stored patient response information for analysis;
said means for causing said portable processor to communicate including means for causing a continuously activatable unsolicited alarm signal to be communicated to a patient.
means for causing a portable computer data processor to be programmed from a therapist computer data processor for storing prescribed patient activity information for a patient;
means for causing said portable processor to communicate the stored activity information on a scheduled basis to a patient for solicited patient response;
means for causing said portable processor to record and store patient response information input by a patient in response to communicated activity information; and means for permitting said portable processor to be downloaded to a therapist computer data processor for retrieving said stored patient response information for analysis;
said means for causing said portable processor to communicate including means for causing a continuously activatable unsolicited alarm signal to be communicated to a patient.
23. The storage medium of claim 22, including means for causing said therapist processor to analyze said stored patient response information for a therapist.
24. The storage medium of claim 22, wherein said means for permitting said portable processor to be downloaded includes means for causing a modem to transmit said stored patient response information to said therapist processor at a remote location.
25. The storage medium of claim 22, including means for causing said therapist processor to assign priority and difficulty levels to prescribed tasks of said patient activity information as input by a therapist.
26. The storage medium of claim 22, wherein said means for causing a portable computer data processor to be programmed includes means for causing said portable data processor to be programmed with instructions for performing prescribed tasks.
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| US259295P | 1995-08-21 | 1995-08-21 | |
| US60/002,592 | 1995-08-21 |
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-
1996
- 1996-08-20 CA CA002230056A patent/CA2230056A1/en not_active Abandoned
- 1996-08-20 WO PCT/US1996/013508 patent/WO1997008605A2/en not_active Application Discontinuation
- 1996-08-20 EP EP96932931A patent/EP0861552A4/en not_active Withdrawn
- 1996-08-20 AU AU71524/96A patent/AU7152496A/en not_active Abandoned
- 1996-08-20 US US08/700,312 patent/US5836304A/en not_active Expired - Fee Related
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|---|---|
| WO1997008605A2 (en) | 1997-03-06 |
| EP0861552A2 (en) | 1998-09-02 |
| AU7152496A (en) | 1997-03-19 |
| WO1997008605A3 (en) | 1997-03-27 |
| EP0861552A4 (en) | 1999-03-31 |
| US5836304A (en) | 1998-11-17 |
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| EEER | Examination request | ||
| FZDE | Discontinued | ||
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Effective date: 20071011 |