Indra incorporates collaboration tools to the Toyra virtual rehabilitation system

Toyra is a therapeutic management platform that combines virtual reality and real-time motion capture. Indra has expanded its capabilities by incorporating tools that enhance collaborative work and provide a channel of communication between the actors involved in the rehabilitation process.

Indra has expanded Toyra's capabilities, system developed in collaboration with the National Hospital for Paraplegics of Toledo and the support of the Rafael del Pino Foundation that combines virtual reality and real-time motion capture for upper limb motor rehabilitation.

It is a solution that provides a therapeutic management platform, that allows the analysis of the patient's evolution individually and adapted to each case, and conducting clinical and scientific studies. It also gives real-time feedback to the patient and clinician.

The TRAM project (Audiovisual Motor Telerehabilitation) has allowed to extend the scope to the treatment of lower extremities and improve the service in the cloud thanks to the piloting carried out in four reference centers located in Madrid (Brain Injury Unit at Beata Maria Hospital and Sisters Hospitallers), lion (Social Services and Equality in San Andrés del Rabanedo), Toledo (Hospital Virgen de la Salud) and Valladolid (Physical Disability Research Center of Aspaym Castilla y León).

These initiatives represent an evolution of Toyra, that expands its scope in the treatment of injuries, and incorporates integration with its own social network and psychological aspects in the configuration of therapies.

The initiative has had the participation of more than 60 patients, some 18 Healthcare professionals and others 30 Technology Experts.

Collaborative work

One of the most important improvements, from the technological point of view, It contemplates the integration of the system in its own social network to enhance collaborative work and provide a channel of communication between the different actors involved in the rehabilitation process (patients, Family, Medical, therapists or technicians) through diverse communities in which each one enrolls.

The objective is to boost patient motivation and integration through affective feedback. Includes group management tools, Users and content, Messaging, Event and forum management, and comments.

On the other hand, It incorporates data presentation and information exploitation tools that make it easier for doctors or physiotherapists to personalize treatments based on the patient's assessment., covering both the psychological and physical aspects.

The system combines the results obtained in the suggestion tests, that provide the therapist with the guidelines for action with the patient, and reports and studies that allow the clinician to identify if the patient has experienced progress in adapting treatment.

All the information is collected in the system's database and processed through the application of statistical tools to have a representation more in line with what the clinician wants to see.

With these data, evolutionary studies can be proposed that allow us to contrast the results of several therapy sessions over time and know the progress that the patient has had during that period..

Associated technologies

For the development of TRAM, Indra has had the collaboration of the Valladolid company IT Currency, Responsible for the configuration of the social network and adaptation to the platform.

They have also participated Technaid, spin-off of the Bioengineering Group of the Higher Center for Scientific Research (CSIC) and responsible for the design and incorporation of inertial motion capture systems and biosignals, and VipScan Predicting Behaviour, Company specialized in services related to behavioral sciences.

TRAM relies on motion capture, either through Technaid's Tech-MCS system, or by using the Kinect device Microsoft.

The capture system connects to the interactive therapy station, that sends to the system its location and position to recreate on the screen through an avatar the exercises performed by the patient.

With the information received and stored on a central server, TRAM evaluates, Records and analyzes the results obtained by a patient during the therapy session. The system also manages to increase motivation thanks to the use of specular vision (mirror image), Recreation of movements in the virtual world and a playful dynamic of exercises.

TRAM provides an electronic platform for the management of therapeutic and rehabilitation history that allows the analysis of therapy results individually.. This information helps to carry out studies and clinical protocols and could even be integrated into the patient's electronic medical record..

Indra has led this project that has been funded by the Ministry of Industry, Energy and Tourism, and is part of the aid prepared at European level, in line with the European Digital Agenda, adopted by the European Commission on 19 May 2010.

The initiative is part of the Health and Social Welfare Area, within the line of Assistance and emergency solutions related to telecare, remote control and telemonitoring as services for the Smart City.

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