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How it works

How a CogniStride session works, from profile to note

CogniStride runs in the browser. A session is a short loop: open a patient, run an exercise, let it record itself, check effort, and repeat. Here is each step with the real screens.

  1. Step 1: Create an account and choose a plan

    Pick Clinician or Individual, then a plan. Checkout is handled by Stripe and every plan starts with a 14-day free trial.

    • Clinician Basic: up to 15 patients, charts and CSV export.
    • Clinician Pro: unlimited patients, SOAP drafts, goals and backups.
    • Individual: one personal profile and all six modules.
    Compare plans

    Individual

    $9.99/mo

    Personal cognitive training at home

    Clinician Basic

    $29/mo

    For therapists with a small caseload

    Clinician Pro

    $59/mo

    Full clinical documentation suite

    14-day free trial on every plan. Cancel from your account before it ends and you pay nothing.

  2. Step 2: Set up the patient profile

    Enter what you already know: age, diagnosis, onset date and any MoCA, MMSE or NIHSS scores. The dashboard shows them with their usual severity bands, alongside goals and a six-area profile chart.

    • Clinician accounts start with three read-only demo patients to explore first.
    • Profiles are stored in your browser, separately for each account.
    Where data is stored
    A patient dashboard in CogniStride showing baseline screening scores, session totals, the cognitive domain profile and therapy goals.

  3. Step 3: Run an exercise module

    Choose a module from the sidebar and adjust its settings for today: N-back level, share of incongruent trials, cueing level, field size, recipe or target time. The patient responds by mouse, touch, keyboard, voice or switch.

    • Exercises run in the browser; nothing to install.
    • Instructions can be read aloud, and text can be enlarged up to 200%.
    All exercise modules
    A 2-back block in progress in CogniStride with a lit grid square and the spoken letter displayed.

  4. Step 4: Results are logged automatically

    When an exercise ends, its results are saved to the patient’s record: accuracy, reaction time where timing applies, and module-specific measures such as cue levels or the centre of cancellation.

    • Each record has a plain-language summary for notes.
    • Demo patients show results but never save them.
    Star cancellation results with left and right detection rates, centre of cancellation and a heatmap of missed targets.

  5. Step 5: Check effort and take breaks

    After every two exercises (or 15 minutes) the patient rates mental effort from 0 to 10. A rating of 7 or more starts a two-minute guided breathing break, after which the patient re-rates.

    • Intervals and thresholds can be changed in pacing settings.
    • Effort is stored with each result for later review.
    How pacing works
    Guided breathing break with an animated circle, the current phase and a countdown.

  6. Step 6: Review progress and document the session

    The Therapist Command Center charts accuracy, latency and effort across sessions and lists every record. Clinician Pro drafts a SOAP note from the recorded sessions, ready for you to edit and copy into your notes system.

    • CSV export on Basic and Pro.
    • SOAP drafts, SMART goals and backup files on Pro.
    Documentation features
    The Therapist Command Center with a progress chart, session table and SOAP note generator.

What you need

  • A current browser: Chrome, Edge, Firefox or Safari, on a computer, laptop or tablet. A larger screen makes the cancellation and clock tasks easier.
  • An internet connection to sign in and open the studio.
  • Optional: speakers or headphones for spoken stimuli and cues, a microphone for voice answers (Chrome or Edge), and a stylus for clock drawing.

Because patient records are stored in the browser, use the same browser on the same device for a patient’s sessions. Here’s why, and how backups work.

Try CogniStride free for 14 days

Every plan starts with a 14-day free trial. Cancel before it ends and you are not charged.

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