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Cardullo, Stefano (2017) New frontiers in neuropsychology. The Padua Rehabilitation Tool: a new software for rehabilitation using touch-screen technology. [Ph.D. thesis]

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Abstract (english)

Recently, the advancement and the development of new technologies is shaping and establishing new frontiers in neuropsychological rehabilitation. In particular, the use of touchscreen technology, together with the use of mobile devices, is giving new opportunities for the development of innovative programs of rehabilitation tailored to the specific needs of patients
The overview of software for rehabilitation today is wide, but the poor availability of such software for Italian population and specifically designed for people with cognitive impairments, some years ago, led me to the development of the first mobile devices’ software for cognitive rehabilitation. The aim of this dissertation is to describe the development process and the efficacy evaluation of this software, the Padua Rehabilitation Tool (PRT).
Initially will be described and analyzed the base for every cognitive intervention: the plasticity of brain.
In Section1 I will report a study for understanding the relationship between performance in computerized exercises and the performance in standardized tests. None before investigated the relationship between this two different measures of outcome. The perceived relationship is not necessarily automatically provided, thus, it is important to examine how exercises and standardized tests are related: if improvement in therapy exercises mirrors improvement in standardized test.
In Section 2, I will describe the development of the PRT and the use of this software in population with different etiologies. Originally, the PRT was designed for people with dementia and thus the most important study of efficacy was conducted on this population. Lastly, given the flexibility and the variety of exercises and cognitive domains engaged by the PRT it was possible to deliver a cognitive rehabilitation to people with acquired brain injury. I will describe the effects of a cognitive rehabilitation with PRT in several single cases including patients after stroke, with a history of traumatic brain injury and an early post-coma rehabilitation.

Abstract (italian)

Negli ultimi anni lo sviluppo di nuove tecnologie sta aprendo nuove frontiere nella riabilitazione neuropsicologica. In particolare, l’uso della tecnologia touchscreen, congiunto all’uso di dispositivi mobili, fornisce nuove interessanti opportunità per lo sviluppo di programmi innovativi di riabilitazione.
Ad oggi, il panorama di software per la riabilitazione neuropsicologica è ampio, ma di questi strumenti pochi o nessuno sono disponibili in italiano o sono specificatamente pensati per pazienti con deficit cognitivi. Per questo motivo, qualche anno fa ho personalmente sviluppato il primo software per la riabilitazione cognitiva su dispositivo mobile in italiano. Lo scopo di questa tesi è quello di descrivere lo sviluppo e il processo di valutazione d’efficacia di questo software, il “Padua Rehabilitation Tool” (PRT).
Inizialmente sarà descritta e analizzata la base concettuale di ogni intervento cognitivo: la plasticità cerebrale.
Nella Sezione 1 descriverò uno studio per comprendere la relazione tra la performance in esercizi computerizzati per la riabilitazione e la performance in test standardizzati. Nessuno prima ha indagato il tipo di relazione tra queste due dimensioni di esito di un trattamento che, invece, sono sempre state analizzate separatamente. Risulta fondamentale comprendere se il miglioramento negli esercizi computerizzati usati durante la terapia sia (e in che misura) un predittore del miglioramento nei test standardizzati.
Nella Sezione 2 descriverò lo sviluppo del PRT e l’uso di questo software in pazienti con diverse eziologie. Originariamente il software è stato sviluppato per pazienti con demenza e così il principale studio d’efficacia è stato condotto su questa popolazione. Infine, considerando la flessibilità dello strumento e la varietà di esercizi che lo compongono, descriverò l’uso del PRT in diversi casi singoli di pazienti con una storia di trauma cranico, infarto, e in un caso di riabilitazione post-coma.

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EPrint type:Ph.D. thesis
Tutor:Mapelli, Daniela
Ph.D. course:Ciclo 29 > Corsi 29 > SCIENZE PSICOLOGICHE
Data di deposito della tesi:31 January 2017
Anno di Pubblicazione:31 January 2017
Key Words:neuropsychological rehabilitation; cognitive rehabilitation; technologies; dementia; stroke; traumatic brain injury; plasticity; iPad rehabilitation; touchscreen; Padua Rehabilitation Tool
Settori scientifico-disciplinari MIUR:Area 11 - Scienze storiche, filosofiche, pedagogiche e psicologiche > M-PSI/01 Psicologia generale
Struttura di riferimento:Dipartimenti > Dipartimento di Psicologia Generale
Codice ID:10213
Depositato il:09 Nov 2017 17:13
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