Indra incorporates collaboration tools into 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 communication channel 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 motor rehabilitation of upper limbs.

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 carrying out clinical and scientific studies. It also provides real-time feedback to the patient and clinician..

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

These initiatives represent an evolution of Toyra, that expands your reach in the treatment of injuries, and incorporates integration with one's 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, contemplates the integration of the system into its own social network to enhance collaborative work and provide a communication channel between the different actors involved in the rehabilitation process (patients, family members, doctors, therapists or technicians) through diverse communities in which each one enrolls.

The objective is to boost the patient's motivation and integration through affective feedback. Includes group management tools, users and content, messaging, event and forum management, and comments.

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

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

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

With this data, evolutionary studies can be proposed that allow comparing the results of several therapy sessions over time and knowing 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 Divisa IT, responsible for the configuration work 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 and biosignal systems, y 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.

Capture system connects to interactive therapy station, that sends the system its location and position to recreate on the screen through an avatar the exercises that the patient performs.

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 mirror vision (mirror image), recreation of movements in the virtual world and a playful dynamic of exercises.

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

Indra has led this project that has received funding from the Ministry of Industry, Energy and Tourism, and is part of the aid developed at the European level, in line with the European Digital Agenda, approved by the European Commission on 19 May 2010.

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