“Design and Outcomes of Computer-Based Cognitive Prosthetics for Brain Injury: A Field Study of Three Subjects” A “schedule engine” is used in very different ways for different patients. 3 plateaued outpatients used computers installed in their homes for 2-3 months. All exceeded expectations, and achieved both increases in level of functioning targeted by the study as well as a generalized increase on neurobehavioral and psychological dimensions. Patients were able to make substantial contributions to the design of their prosthetic software.

“The Future is Now” A therapist describes treatment methods and advantages for using cognitive prosthetics and telerehabilitation with brain injury clients. With these techniques, she has been able to have faster and more substantial outcomes than with conventional therapy modalities.

Rapid functional improvement and generalization in a young stroke patient following computer-based cognitive prosthetic intervention.

“Interface Design as a Prosthesis for an Individual with a Brain Injury” 1990 SIG CHI Bulletin. Data is presented from the first 314 days of use of 2 prosthetic software applications by a 3-year post-TBI woman with some profound deficits. Nonetheless, the client was able to make significant contributions to the design of her prosthetic software, and was able to develop unanticipated functionality for the software. Interface design was able to have the patient use both applications independently of caregivers.

“Telerehabilitation – New Tools for Providing In-Home Brain Injury Rehabilitation”
A high functioning brain aneurysm patient is used to illustrate how occupational therapy and speech therapy services are delivered. The benefits are described for 1) cognitive prosthetics, 2) in-home delivery of services, and 3) rehabilitation where neither therapist nor patient needs to travel.

The following papers are listed chronologically; more papers
will be available over the next several months.

“Riding the Brain Waves” A think-piece on how providing tele-rehabilitation services for patients with traumatic brain injury can lead to clinical and financial rewards, especially providers with large-regional or national catchment areas. 1991

Physicians Health Programs - Computers Help Reprogram Injured Brains-1996

Cognitive Prosthetics and Telerehabilitation:
Approaches for the Rehabilitation of Mild Brain Injuries-1999

Tele-rehab 2001

“Use of “Therapist-Friendly” Tools in Cognitive Assistive Technology and Telerehabilitation”. Therapy with a patient 500 miles away, with physical and cognitive involvement, illustrates therapist-friendly tools. Our prosthetic software is client-centered, addressing the client’s priority activities. This requires 1) that the prosthetic software is highly customized to the individual client, and 2) that the software can address a broad array of daily activities. The therapist is in the best position to customize prosthetic software for their client. “Therapist-friendly” tools enable the therapist to learn how to customize software as well as run therapy sessions via telerehabilitation with a minimum of training. 2002

Cognitive Prosthetics and Wearable Computers - MIT 2003