Founder Prof Mordechai Shani MD Winner of Israel

Founder: Prof. Mordechai Shani, MD, Winner of Israel Prize 2009 Presented by: Yoram Feldman, B. Eng , MBA & Dr. Racheli Kizony, OT • Prof. Tamar Weiss, OT • Prof. Minka Hildesheimer, ST • Prof. Sarit Kraus, CS • Dr. Alexey Ovochov, MD • Dr. Yael Henkin, ST • Dr. Orly Herzberg, ST • Mrs. Sharon Harel, OT • Dr. Orit Elion, PT • Dikla Tammam, OT • Mrs. Nofia Vered, ST • Mrs. Keren Rosen, ST • Mrs. Irit Feldman, ST

Re. Ability Long Term Home Rehab Model Re. Ability Patient Clinician Internet

Cogni. Motion Rehabilitation

Re. Ability Online was developed according to Neurorehabilitation principles • Encourage goal directed repetitive movements combined with cognitive challenges • Ability to adjust and grade the level of difficulty from motor and cognitive aspects • Providing feedback in terms of knowledge of results and performance to provide long-term, intensive affordable tele-rehabilitation service

Examples of cognitive skills: Grill Activity Memory Working memory Semantic memory Visual perception Visuo-motor organization Inhibition Selective attention Shifting Planning Divided attention & multitasking Comprehension - more than single step instruction Sequencing Processing speed

Re. Ability Online from Research to Clinical Service • Pilot studies have demonstrated the potential of the Re. Ability Online system, to provide tele-rehabilitation within a clinical setting that improves upper extremity function post-stroke.

Service Enrollment Process Phone evaluation call to receive information about clinical & technical status Clinic evaluation Physician (contra-indications, NIHSS) OT/PT (motor and cognitive + interaction with the system). Home intervention Three months of online service (twice a week, online) (in some cases, supplemented by offline usage) Clinic re-evaluation OT/PT (motor and cognitive + interaction with the system + Satisfaction questionnaire)

Clients’ feedback • Clients reported high level of enjoyment from the service (n=40) median=4. 0 (IQR= 3 -5) • They also reported high level of satisfaction from the interaction with the clinician median=5. 0 (IQR= 4 -5)

Clients’ feedback ate in d to particip I was aske tem and nk God that ly tha sing the sys “I tru ch enjoy u , if I m. I very mu g how judgmental I am rogra this p s. Knowin ent. I wait dy see result e really is an improvem alrea n more , then ther d use it eve say this I could, I’ often. ” ry session. If r eve fo "בשב וע שעבר, תשע שנים מאז האיר וע ולאחר שנתיים בשירו ת לשיקום מרחוק, אכלתי פעם ראשונה יוג ". ורט בעזרת היד החלשה שלי המערכת מספקת לי עבודה עם הידיים שבמצב רגיל לא הייתי עושה ונותנת לי אמון ובטחון בתנועות שלי ent. Ask t ask me if I see any improvem You shouldn’ w much family and they will tell you ho my is system. ” ement I have gained using th improv "אם הייתי רוצה לפתוח את הברז, אז היה לי קצת כאבים בזמנו. או לכבות חשמל עם היד הזאת היה לי קשה אבל הייתי מאלץ את עצמי. עכשיו אני עושה ". את זה יותר ברוגע “It has be en severa l ye left hand was no lo ars since my stro ke. Since nger part [now tha th of my bo t I am ge dy. For th en I felt that my regained tting ther e first tim the use o apy with e in years f my left hold light Re. Ability hand Online], I objects, e feel it ag have at with a ain! I can fork and few week now do other s ago, I si daily task use to mply had s. Un to avoid these act til a ivities. ”

Tele-Language System • Intended for people with acquired brain damage • Language deficits include: • Reading • Writing • Auditory comprehension • Syntax • Naming and word retrieval

Smart Resource Library Modes Predefined New Rich Platform Filters Variety of Graphical Templates Speech and Language Treatment Usage and Progress Reports Written Language Oriented Treatment

Recipe reading comprehension News article reading comprehension

Predefined Activities Category name selection Find the odd

Snapshot of Re. Ability Online Service to date (in the last 3 years) • 400 systems have been installed in clients’ homes • 20, 000 online sessions were provided to patients all over the country • The clinic provides 700 online monthly sessions to 100 clients participating in the program • We welcome additional suitable technologies

Our Clients Distribution

Sept. 2014

Summary Our Tele Rehabilitation system • Empowering since the clients train in their own living environments with an online clinician • reliable since real clinicians monitor and support the patients • affordable since the software allows several clients to work in parallel with a single clinician and also to work offline independently

Thank You