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TEDx Talks
Published: 2014-03-03
Source: https://www.youtube.com/watch?v=NdCBruclT-w
four Mostafa's finding our seed after the break has been a relatively simple process some of us take a little longer but all of us know where you are seated you know your position in the space you know where your friends are and your brain does this feel does this for you on a daily basis it computes complex information on a millisecond basis decodes the world feels
it makes your experience of the world now just like you train your body you go to the gym you do a sport what if you had access tools accelerate the ability of the brain to learn and adapt this could be a hefty brain like you and me you wanna learn the Gulf Spock you wanna learn tennis you wanna learn to play the piano and you want
to do this quick art been injured trained there you basically have to relearn skills that you've known for awhile and this is a reality for millions of stroke patients brain injury patients who suffered severe movement and cognitive deficits so these are people who go from one day to the next and not being able to pick up a glass of water right he's a task that we
take for granted like finding our seat so it is a serious problem over the last few years a we worked on a platform a multi modal platform it combines a lot of virtual reality neuroscience brain imaging some game fixation into one mixing pot to build an interface that can alleviate this pain that can really accelerate recovery let's talk about stroke for a bit stroke is a
serious threat it has a huge socioeconomic Biden associated with it imagine each year is around fifteen million patients have a stroke it translates into stroke every forty five seconds a stroke every forty five seconds every three minutes there's a stroke related fatality so it's a serious problem and another friend that's threatening is that this is going there's almost a one eighty percent jump in the populations
that are susceptible to shrug and you have people having strokes in the thirties these are guys going from day one being extremely healthy good life styles and the next day the pre much dependent for everything even about in addition right it's it's a serious problem and last thing we need to consider is the economic side of it this is a huge financial burden especially the current
economic climate in the United States and western Europe alone we spending more than a hundred billion dollars each it's lost control care something's gotta change nothing's evolved in the last fifty years in the last six years we still doing the same thing we've been doing the last six years match in twenty fourteen so there's a need there's a need for a change now let's talk about
the route the patient himself right let's take John or Jane Michael forty fifty year old individual right has a stroke what happens what is the axis one of the pain points what they have right now is axis right what typically happens as the next day you get into an acute rehabilitation face an intensive care unit and all John does is wait he has an injury and
he waits he's waiting he is waiting he's waiting is waiting for help needs a therapist a comment he needs a caregiver he needs a family member to come by and but nothing's happening Ollie's doing is sitting and waiting and the real problem behind this is the dependence because you only have so many qualified therapist right the number of patients far outnumbered number therapist can help them
so in phase one the cornerstone now in twenty fourteen list of physical therapy manual therapy and all this wide John is losing the ability of the brain to recover the white window with the idea you get in the better your chances are is just waiting this has just wasting this waiting as time moves on for weeks have gone by he's been shipped to different units in
the clinic he does not see any recovery he has a few other out options right now right this robotic exoskeleton is this big devices these are complex to isis expensive but all they're doing is moving his arm the paddlers on let's say fifteen minutes he still needs therapists to come in and move into the facility at the end of the day it's twenty minutes is back
in the seat he's waiting so the motivations gone does not see any results start getting expensive the family for him for the hospitals shipped home he finds the closest clinic it's to his own and once in awhile he goes plays a game they're not therapeutically effective they don't have diagnostics at the end he gives up that is really the case for eighty percent the population to
give up they learn to live with the handicapped and that I think is not acceptable so what can we do about this we we've learnt the spectrum and then we were looking at this we said hang on something's not right none of these guys actually looking at the brain the root cause like all of them believe solutions but no one's looking at how can you act
with the brain how do you bring the brain and to do on a daily basis so you can tailor a solution for John to get better so we look there is that okay this could be a game changer and let's see how now why do you wanna bring to bring in the game all the flaws of some a bit differently we have different personalities different tastes
irv react differently to the same stimuli AVI like different things and that's because this guy up dead because the world for you for your experience right but despite all that sophistication the brain is organizing a beautiful way you listen to me speak you listen to music listen to sounds in your daily life doesn't it in the brain that lights up a pretty much lights of the
stimuli so this could be everyday right everyday life as we move one let's move on division a more complex process you see objects you see shapes %HESITATION you see faces people your car is it in the bin that lights up for this and the same thing translates into movement when you move and I move my left hand on my right hand as you see on that
with our behind me but I move my left the bottom the right side controls this movement but this is interesting because science has shown that if I could observe the movement I would recruit similar neural pathways so what this would mean as if you saw me picking up a glass of water ten times and you were observing this we will be sharing and activating the same
green areas and that's interesting for stroke patients because imagine a stroke patient a John who has a right brain injury right he cannot move his left but what you can do is move is right and what we doing not with the which reality technology is capturing the motion and mapping it onto another star on the battle eyesight so John sitting in his bed and he's moving
so that what you're seeing is the right stroke left handers move but John can move is right and numb though activate the brain areas that are responsible for the battle lies limp sitting in his bed he doesn't need anyone else so that's the premise of indie realizes he said okay we know the spectrum vino the pain points we know we need to bring the brain in
the game and now we're gonna go about building a solution for John so what does Johnny John needs to start early because he's had an extremely active lifestyle he doesn't like being dependent right he needs something that's by his bedside and you can start practicing and that's something we need to provide John meets maximize practice add this part it's not just about John it's about the
family to but the Pteropus they need him to move on they need him to practice what the therapist need is diagnostics it cannot be guesswork anymore it cannot be a one size fits all approach you cannot just go in and say okay I think a little better than yesterday no if you went event until John that John yesterday you were ten centimeters and today I see
a twenty five that's why you he realizes that and that's what the mission motivation is key so they need objective markers the last thing that's important is it's all fun and nice if you can get John to practice right everyone's happy but he's got to learn the skill he's got a retainer and transferred to his daily life because he's going to go home one day and
is going to open the door he's gonna pick up a glass of water got a button up shirt so learning a skill retaining it and transferring it is important so we went about putting all of this into one pot and said let's see what we can make one of the platforms we can make so what you're seeing behind these two platform they both one that can
actually be real beside the bed side and one that he can take home you'll see a few readers next Bamba talked about how the technology itself works but you get the idea you need the continuity something goes right from day number one and goes all the way home and is always connected John could be in Tokyo you know his position could be in Switzerland and that's
the idea it's the first of we had to take Irvine you went about building this is prototyping testing phase building a medical technology has a lot of steps and you will see it and here we had to say okay we validate the technology validate safety we validate the clinical efficacy and we see how John can actually use this so what you see behind me is now
by validating the science itself send a cute face this is then he can move his right hand let's he's moving his left ceases right his independent he has a feedback it's this simplification of it he's motivated fees died he stops when Israeli place again sub acute phase slowly moves his politics I start getting better it's different schools so this is not just a game right this
is a game based on a cognitive paradigm so we trying to elicit a certain movements go a sudden brain area may goes home different other skills and this can keep going on please connected in his connected all the time he feels and public that site is once we go through this face and say Algren done technology works works in the hospital scenario what next to take
this product John this a hundred of the steps you need to go through and it was a shocker for us %HESITATION but when you make it it's fun so what we've now been able to do after all the steps is bring this into hospitals the patients can use this on a daily basis it is scary because it's no more in your control that's all that's going
to work every single time but it's great once the patients do this the use this they get better fantastic the whole journeys with it when I started a few years ago when I was a let's and you're a scientist and engineer I'm going to the clinic for the first time I was shocked I was shocked the way that the depictions that they still had tools from
literally sixties was amazing and as innocent this cannot be right this is twenty ten twenty thirteen we cannot be doing this if I wasn't a situation of one one this I said okay I'm gonna go home so putting things together weekly that they would have you know will have the patience the case takes years it takes a long time to go from the prototype testing faced
actually get this to John because that's then going right so my point is on this journey a this if there's a few hugs biting the end goal that a lot of us need to take into I conduct taking their minds is how can we help change lives even smaller steps but think about the big picture and what it takes to actually get the whole spectrum non
I've been lucky to have a few people a a lot of people around me have been motivated to see the same because you see then vision who understand the can change lives because you go through a lot of tough times right when you stick through this and you actually build something fun something that really changes life for John and for millions of other patients I think
a lot of us are all of us need to be aware of the evolving landscape technology evolves rapidly and technologies were traditionally not a fit together could probably not work together very well and we could probably build incredible applications so I think it is I think I really I believe I strongly believe that is truly the time to literally bring collectively Allah brings in the game
