The project plans to carry out four pilot tests in four Member States (IT, ES, NL, PL) on home protocols and therapies developed on four types of pathologies usually affecting the elderly: neurological, orthopaedic, pneumonic disorders and chronic pain.
The evaluation will be focused on technical, organizational and legal feasibility of the service. The Habilis Europe platform will be highly customized by the health care professionals, who will be continuously involved in the design and testing of the whole system. Particular attention will be paid on an efficient upgrade of the system based on the feedback of the users (patients/clinicians). In its pilot phase, the project envisages to treat at least 800-1000 patients.
If you want to read more about the four pilot studies carried out in Italy, Spain, Poland and The Netherlands, click on the following titles:
Stroke survivors with impaired arm residual function, Azienda Unità Sanitaria Locale 11, Rehabilitation Department , IT
According to the “task-oriented approach” model, a task once learned during the rehabilitation period needs to be repeated a lot of time before showing stable and successful characteristics. As time passes by, and the motor task is consistently learned, the role of physiotherapist is reduced passing from that of a trainer to that of a supervisor and the patient is encouraged to work more and more autonomously. It is proposed an integrated approach of treatment as much as possible outside the boundaries of the Health System and well beyond the time limits of conventional rehabilitation typical of the acute and sub-acute phases of the disease. The core idea of the present study is that to integrate hospital rehabilitation, with home practice with an intermediate moment called “kiosk”. The “kiosk” is intended to provide these patients a common environment where they can socialize, perform continued and intensive practice and receive the necessary supervision and assessment by health professionals by the use of the Habilis platform.
Neuropsychological impairments, Fundació Privada Institut de Neur. Guttmann, ES
Mild cognitive impairment is an additional common process linked to aging that make seniors unable to take care of their daily living activities and put them through potential harmful situations (domestic accidents, disorientation or getting lost). Concomitant processes such as stroke, acquired brain injury and traumatic brain injury (TBI), are primary causes for disability in modern societies in this target group. Brain injury will make the aging process even harder, increasing behavioral impairment of cognitive deficit and enhanced risk of developing Alzheimer's disease and others degenerative CNS diseases.
OA of he hip or knee joint, The Medical University of Warsaw, PL
Osteoarthritis (OA) is among the five most disabling diseases, having a remarkable public health impact due to pain and disability. The prevalence of OA touches more the 10% of population in the industrialized countries. Mostly largest joints of the lower extremity are affected (i.e. symptomatic hip osteoarthritis (OA) occurs in 3% of the elderly). The prognosis of aging society all over the world makes higher the risk of a chronic disease occurrence. OA is one of the most common forms of arthritis and affects men and women equally. OA is one of the main causes of disability as people grow older. Exercise can be any activity that enhances or maintains muscle strength, physical fitness and overall health. People exercise for many different reasons including weight loss, strengthening muscles and to relieve the symptoms of OA. However, attention to daily exercising offered by professionals can be somehow restricted in practice. Currently, advances in technological devices for daily use give the opportunity to comply with the growing demands of care including rehabilitation. Dedicated home-based service will be implemented in the Chair and Department of Orthopaedics and Traumatology of Locomotor System, Center of Excellence “TeleOrto” in Warsaw, Poland for OA patients.
COPD (Chronic Obstructive Pulmonary Disease)/Astma or chronic pain; chronic low back pain (CLBP) or Whiplash Associated Disease (WAD), Rehabilitation Centre Het Roessingh , NL
In 2025, 35% of the Dutch population is above 55 years. Because the risk of a chronic disease increases with age, an increase in the number of patients with chronic disorders is expected. Another negative side effect of aging is a decrease of the work population and the decreasing population of healthcare professionals: resulting in an imbalance of the care demand and care supply. Technological developments and ICT give the opportunity to comply with the growing demands of care. Telemedicine interventions can shorten the stay at a hospital or rehabilitation centre and can extend the care at home by remote monitoring and remotely supervised treatment under the continuous supervision of a health care professional. In the treatment of chronic diseases, for example COPD/ASTMA and chronic pain, an increase of the physical condition of patients is important. Patients participate in an exercise program at a clinic supervised by a therapist. To increase the intensity of the treatment the therapist can assign home exercises. These by paper supported exercise programs are effective, but low adherence to these programs is problematic. The adherence of a home-based exercise program can be increased by a more detailed description of the exercises or to support the exercises with images or video and supervision of the therapist during training at home. This can be achieved by a new telemedicine application; a videobased teletreatment service with a database of exercises and different modalities to contact patient and professional. This computer supported exercise program will be implemented in rehabilitation centre ‘het Roessingh’ and will be combined with existing programs of COPD and chronic pain patients.