Archive for December, 2014
The rationale for Gloreha starts with the thought
HOW SHOULD WE TREAT HANDS?
Treatment of hands should be intensive, repetitive, functional, task oriented and customised to the individual.
Any healthcare system finds it difficult to deliver effective upper-limb rehabilitation – too many people and not enough resource!
Gloreha is an advanced tool to make hand therapy practically effective – whether in the clinic or at home
Eating well after stroke is key to your recovery. Choosing healthy foods can help you keep up your energy level for therapy, exercise and favorite activities. And, healthy eating will be easier once you learn to deal with new eating challenges brought on by your stroke…
Gloreha® is an innovative device for the rehabilitation of patients with any hand deficiency. It allows an effective, intensive, early, stimulant and flexible neuromotor treatment. While the patient can follow the exercise through 3D animation on the screen, a comfortable and light glove mobilizes the fingers’ joints. Hand movements are connected with video and audio effects that stimulate the neurocognitive recovery. Gloreha allows varied and longer therapies with a minimal overview by the therapists.
Get the Broshure –> GLOREHA Hand Rehabilitation Glove
GLOREHA supports upper limb rehabilitation:
- MOBILIZES finger joints: A comfortable and lightweight glove performs all the combinations of joint flexion-extension. If the patient has partial capabilities, he can actively complete his movements.
- STIMULATES neural plasticity: A multi-sensorial stimulation is linked to motor exercises. The therapy includes on screen 3D animation which motivates and involves the patient.
- HELPS THE PATIENT to perform functional exercises: The device leaves the patient’s arm and palm totally free. He can interact with real objects and perform reaching and grasping exercises.
more –> Home.
[WEB SITE] MyoPro – customized lightweight and fully functional arm brace for patients with neuromuscular damage.
The MyoPro® myoelectric limb orthosis is a powered brace that supports a weakened and deformed arm for functional use. In addition, the MyoPro can reinitiate movement of a partially paralyzed arm to enhance function and quality of life. It is designed for individuals with stroke, MS, ALS, brain & spinal cord injury and other neuromuscular disorders.
Tyrostation is a rehabilitation system that combines two advanced therapy tools developed by the Austrian company Tyromotion: the Pablo System and the Tymo Therapy Plate.
Tyrostation is an advanced, adjustable rehabilitation solution that combines the Pablo System and the Tymo Therapy Plate, two sophisticated therapy tools developed by Tyromotion. The Pablo System helps treat neurological and orthopedic motor deficits and can be used both at hospitals and clinics and at home. The system offers motivating therapy modules for hand and arm rehabilitation. It is suitable both for children and adults.
Pablo uses a sensor handle that can measure range of movement and forces for different kinds of grips. The Pablo Multiball helps improve motion of the forearm and wrist, while the Multiboard trains the joints of the affected limbs. The software available with the Pablo System offers both a range of interactive therapy games for patients and reporting features for therapists.
The Tymo Therapy Plate is a versatile solution that offers rehabilitation for the whole body. It can help patients improve postural control and balance, as well as employment of force of the upper limbs. The system has a wide range of applications and provides therapists with an endless range of options. Like Pablo, Tymo can be used both in clinical settings and at home and is suitable for all age groups.
The Tyrostation stationary unit is a practical solution for therapy as it creates space in the room and places all the units – Pablo pads and belts and the lateral trays for the Tymo 2D and 3D rolling elements – within the patient’s reach. The unit’s height can be adjusted to individual patients and is suitable for patients in wheelchairs.
The Tyrostation was developed by Tyromotion, an Austrian company that specialises in manufacturing and distributing robot and computer-assisted units for the rehabilitation sector. Based in Graz, the company uses powerful mechatronic systems for rehabilitation to develop innovative solutions and technologies that help physical therapists and other healthcare providers successfully guide patients through various rehabilitation programs. In addition to speeding up recovery, Tyromotion’s solutions deliver exercises in a more motivating way than traditional therapy. The company’s therapy units are used in clinics and rehabilitation centres around the world.
[ARTICLE] A Novel Study on Natural Robotic Rehabilitation Exergames using the unaffected Arm of Stroke Patients – Full Text PDF
It is well known that home exercise is as good as rehab center. However, people with severe stroke typically lack the ability to move their affected arm, and hence they need a very special rehabilitation program that usually available in hospitals or professional centers. Therapists train the affected hand of those patients by using robotic-assisted therapy devices, or sometimes by holding the affected arms of the patients and stretching it for them.
However, such robotic devices and professional therapists are not available at home. In this study, we design and implement a low-cost rehabilitation glove to meet the needs of those patients who have paralysis in their affect hand. The novelty of this glove is that it is to be worn on the unaffected hand which acts as a natural robotic arm during the rehabilitation session. The glove is equipped with FSR sensors that measure the forces exerted by the affected hand on the unaffected hand.
A virtual reality rehabilitation game is developed using Microsoft Kinect to facilitate the exercises and motivate the patients. The system is tested on three patients for six weeks. Objective measurements showed that patients have significantly improved over the study period. Moreover, the patients themselves gave a positive feedback about the whole system; wearing the glove on the unaffected hand made their life easier and let them enjoyed the rehabilitation sessions.
[ARTICLE] Effects of Robot-assisted Gait Training Combined with Functional Electrical Stimulation on Recovery of Locomotor Mobility in Chronic Stroke Patients: A Randomized Controlled Trial – Full Text HTML
[Purpose] The purpose of the present study was to investigate the effects of robot-assisted gait training combined with functional electrical stimulation on locomotor recovery in patients with chronic stroke.
[Subjects] The 20 subjects were randomly assigned into either an experimental group (n = 10) that received a combination of robot-assisted gait training and functional electrical stimulation on the ankle dorsiflexor of the affected side or a control group (n = 10) that received robot-assisted gait training only.
[Methods] Both groups received the respective therapies for 30 min/day, 3 days/week for 5 weeks. The outcome was measured using the Modified Motor Assessment Scale (MMAS), Timed Up-and-Go Test (TUG), Berg Balance Scale (BBS), and gait parameters through gait analysis (Vicon 370 motion analysis system, Oxford Metrics Ltd., Oxford, UK). All the variables were measured before and after training.
[Results] Step length and maximal knee extension were significantly greater than those before training in the experimental group only. Maximal Knee flexion showed a significant difference between the experimental and control groups. The MMAS, BBS, and TUG scores improved significantly after training compared with before training in both groups.
[Conclusion] We suggest that the combination of robot-assisted gait training and functional electrical stimulation encourages patients to actively participate in training because it facilitates locomotor recovery without the risk of adverse effects.
[ARTICLE] Game Analysis, Validation, and Potential Application of EyeToy Play and Play 2 to Upper-Extremity Rehabilitation – Full Text PDF
To describe and analyze the potential use of games in the commercially available EyeToy Play and EyeToy Play 2 on required/targeted training skills and feedback provided for clinical application.
Methods. A summary table including all games was created. Two movement experts na¨ıve to the software validated required/targeted training skills and feedback for 10 randomly selected games. Ten healthy school-aged children played to further validate the required/targeted training skills.
Results. All but two (muscular and cardiovascular endurance) had excellent agreement in required/targeted training skills, and there was 100% agreement on feedback. Children’s performance in required/targeted training skills (number of unilateral reaches and bilateral reaches, speed, muscular endurance, and cardiovascular endurance) significantly differed between games (𝑃 < .05). Conclusion. EyeToy Play games could be used to train children’s arm function.
However, a careful evaluation of the games is needed since performance might not be consistent between players and therapists’ interpretation.
[ARTICLE] A Combined Therapeutic Approach in Stroke Rehabilitation: A Review on Non-Invasive Brain Stimulation plus Pharmacotherapy -Full Text PDF
Stroke is a leading cause of disability in the United States. Available treatments for stroke have only a modest effect on motor rehabilitation and about 50-60% of stroke patients remain with some degree of motor impairment after standard treatment.
Non-invasive brain stimulation (NIBS) techniques have been proposed as adjuvant treatments to physical therapy for motor recovery after stroke. High frequency rTMS and anodal tDCS can be delivered over the affected motor cortex in order to increase cortical excitability and induce brain plasticity with the intention to enhance motor learning and achieve functional goals in stroke patients. Similarly, low frequency rTMS and cathodal tDCS can be delivered to the unaffected motor cortex to reduce interhemispheric inhibition and hinder maladaptive plasticity.
The use of several drugs such as amphetamines, selective serotonin reuptake inhibitors (SSRIs), levodopa and cholinergic agents have been also proposed to enhance the motor function. Given that both NIBS and pharmacotherapy might provide some treatment effect independently for motor rehabilitation in stroke and with the rationale that they could work in a synergistic fashion, we believe that a combined therapy- NIBS plus pharmacotherapy- can lead to better outcomes than one or the other alone. In this paper we review the literature that support the potential use of a combined approach in stroke recovery and present the studies that have already investigated this idea