group and concurrent

Q&A: Group and Concurrent


How can we use RESTORE in the delivery of group and concurrent therapy?


Great question. To start we have to understand the difference between group and concurrent therapy:

  • Group Therapy - One therapist/asst. providing treatment of 2-6 patients performing similar functional skill activities that are part of their plans of care regardless of payor source.
  • Concurrent Therapy - One therapist/assist. providing treatment to 2 patients simultaneously, who are performing different functional skill activities (per payor guidelines).

Next, let’s look at some of the potential benefits of these deliveries of care approaches:

  • Socialization - helps mitigate the risks of isolation/loneliness and promotes social interaction skills.
  • Patterning of Behavior - promotes the ability to learn from others. Players of similar or different functional ability levels can benefit from observing/demonstrating how to perform an activity that helps to improve their own performance outcomes.
  • Cooperation - the ability to work together towards a common goal can be rewarding and motivating. By working together, players can achieve outcomes they may never have realized individually.
  • Competition - many players are motivated by competition. They may in fact participate longer, move more, and engage more when there is an opportunity for a winning outcome.
  • FUN - the most important benefit is that skill-building with others is more enjoyable than skill-building alone. 

concurrent therapy


RESTORE can be used in support of both group and concurrent therapy

Progress can be accelerated by combining socialization, patterning of behavior, and functional skill-building with immersive, interactive content (preferably person-centered based on the expressed interests of each player). Let’s consider the following:

  • 2-6 patients (players) who share a common interest, such as casino gaming, and have therapy plan of care goals to increase activity tolerance (sitting or standing), upper extremity range of motion, coordination, and sustained attention would enjoy participating in a Jackpot, Plinko, or Bingo competition. Players can be in the same room and remain socially distanced while set up with a device with a webcam (laptop, tablet, iPad) and simultaneously address functional skills while performing a friendly competition or just trying to achieve personal bests. Players are able to encourage one another through social interaction, while additionally patterning behavior from other players to help them better achieve their personal desired skill-building outcomes.
  • 2 players who may or may not share a common interest can each be set up with a device and the therapist can facilitate concurrent activities addressing desired functional skill-building with both players. A therapist may also choose to have both players participating on the same screen at the same time while working on different functional skills. For example, one player may be pulling the handle of a slot machine on the right side with his/her upper extremity while sitting and a second player may be pulling the handle on the opposite side of the slot machine with a squat or lower extremity while standing. Although the enjoyment of the same game is appreciated, each player is working on distinctly different functional skills concurrently.

Set up & selection options for the delivery of group and concurrent therapy

  • Group Play
    • Scoring is recorded on a leaderboard. Players can attempt to beat their personal best score and even make their mark on the All-Time Leaderboard
    • 2 Players - Cooperative
      • Best for grouping two players playing at the same time on the same screen requiring similar functional skill-building
      • Concurrent consideration in this mode is to have 2 players on the same screen at the same time requiring different functional skill-building
    • 2 Players - Taking Turns
      • Best for grouping two players, taking turns to encourage each other, pattern behavior, and facilitate competitive motivation
    • More than 2 Players - Taking Turns
      • Best for grouping more than two players, taking turns to encourage each other, pattern behavior, and facilitate competitive motivation 
  • RESTORE Together
    • Players from different devices compete in the same game, same setting competition to see who can achieve the top score.
    • Private Game
      • Best for facilitating a group of 2 or more players in the same location on different devices who desire to experience interactive game play. Players compete with our default settings in a competition where players are able to see their place (who is in first, second, third, etc.) and scoring outcomes in real time
      • A therapist will create a private game on one device and assist players on different devices to access the private game via a unique code that is entered at 
  • Single Game
    • Best for group treatment with the therapist providing each player a device and:
        • Addressing the same functional skill-building with different games or individualized settings for the same games
    • Best for concurrent treatment with the therapist providing each player a device and:
        • Addressing different functional skill-building with different games or the same game but working on a different functional skill
  • Tournament Play
    • This is created by the RESTORE team upon request. Play can be enhanced with the creation of a "same game" tournament or multi-game Olympic event-style competition. Events can occur within one location or across multiple locations simultaneously. An event can be created as a single day or multi-day event.

When players (patients) are having fun and engaged they focus less on targeted skills and more on the game. They have less anxiety or frustration when able to experience success, learn from one another, and feel a sense of accomplishment. Therapists are able to appropriately incorporate functional skill-building groups or concurrent treatment using RESTORE for more effective and efficient outcomes.



Q&A: Get to know RESTORE-Skill’s Chief Technology Officer, Ilya Gotfryd

What do you do at RESTORE-Skills & in what circumstances would I come to you for something?

In my role as Chief Technology Officer, my primary responsibility is to help turn the strategic vision of our digital health platform into reality. I focus on prioritizing areas that will add the greatest value to our end-users in the shortest possible time while providing an optimal user experience. Bringing, seeing, experiencing joy across our customer base is what truly drives me. You would come to me if you are experiencing a technical challenge in engaging with our platform or to make recommendations for ways in which we can enhance your experience through game/feature development, data capture, and outcome reporting needs.

Who has influenced you most when it comes to how you approach your work?

I am honestly touched by recent remarks by Elon Musk, saying “It doesn’t matter what you build, the question is are you building the best product possible?” Attention to detail earns immediate respect even in the parts that others won’t necessarily see.

Are you a dog person or a cat person (or neither)?

Apparently a dog person. While I love our cat Coda, our new puppy Tobi is completely stealing the show.

How do you prefer to start and end your day?

I start each day with a simple plan before me that I believe I can accomplish. If I make a solid dent in it, that day then it has been a success. To end my day, I like to put out my accomplishments for either my team or customers to see. Quick feedback makes the world go round and lets us all build beautiful things together.

What energizes you at work?

Interesting technical challenges that make a visible difference in user experience or the life of my colleagues. Turning interesting ideas into elegant designs and seeing them come to life.

What’s one song/artist you are embarrassed to admit you like?

Rockefeller Street by Nightcore is a song I love jamming out to in the car. In fact, if we take a car for a test drive I want to hear how it is going to sound on that sound system.

What led you to this career path?

As I progressed through my career as a software engineer I understood that underlying technologies and implementation are only a small part of the product. If we were to build something meaningful we need to care about the well-being of those that create and support what we build. We need to make sure that the time our customers spend with our product is meaningful and that we are honest about the role we play in their lives. This product really gives me an opportunity to build something truly impactful and work with a wonderful team to find what it ultimately is.

What do you do to turn things around when you are having a bad day?

Step back from a problem to drop the stress level then step back and ask important questions. Sort out what is the true goal here that will benefit everyone involved.

What’s one hobby you would love to get into?

Kite sailing has captured my imagination at the moment. Being at the edge of two elements is hyper-focused and an exceptionally freeing experience.

What’s changed you about the COVID-19 pandemic, and why?

What we are doing here and now in RESTORE-Skills was made essential and apparent through this pandemic. We can bring joy into the lives of our loved ones and make them stronger and healthier at the same time. What could be better than that?