Posts Tagged Neurological

[BOOK] The Comorbidities of Epilepsy – Google Books

The Comorbidities of Epilepsy

Front Cover
Marco Mula
Academic PressApr 20, 2019 – Medical – 413 pages

Epilepsy is one of most frequent neurological disorders affecting about 50 million people worldwide and 50% of them have at least another medical problem in comorbidity; sometimes this is a the cause of the epilepsy itself or it is due to shared neurobiological links between epilepsy and other medical conditions; other times it is a long-term consequence of the antiepileptic drug treatment.

The Comorbidities of Epilepsy offers an up-to-date, comprehensive overview of all comorbidities of epilepsy (somatic, neurological and behavioral), by international authorities in the field of clinical epileptology, with an emphasis on epidemiology, pathophysiology, diagnosis and management. This book includes also a critical appraisal of the methodological aspects and limitations of current research on this field. Pharmacological issues in the management of comorbidities are discussed, providing information on drug dosages, side effects and interactions, in order to enable the reader to manage these patients safely.

The Comorbidities of Epilepsy is aimed at all health professionals dealing with people with epilepsy including neurologists, epileptologists, psychiatrists, clinical psychologists, epilepsy specialist nurses and clinical researchers.

  • Provides a comprehensive overview of somatic, neurological and behavioral co-morbidities of epilepsy
  • Discusses up-to-date management of comorbidities of epilepsy
  • Written by a group of international experts in the field

 

via The Comorbidities of Epilepsy – Google Books

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[WEB SITE] tDCS application for motor rehabilitation

Neuer Inhalt

An increasing number of studies highlight the potential application of transcranial direct current stimulation (tDCS) for motor rehabilitation in neurological diseases as well as in healthy aging. tDCS is a technique where a constant weak electric current is passed through scalp electrodes and has been shown to modulate excitability in both cortical and subcortical brain areas. Although the results of tDCS interventions for motor rehabilitation are still preliminary, they encourage further research to better understand its therapeutic potential and to inform optimal clinical use.

This collection of articles aims to present the most recent advances in tDCS for motor rehabilitation, addressing topics such as theoretical, methodological, and practical approaches to be considered when designing tDCS-based rehabilitation. Submissions of both experimental and review studies is encouraged.

This collection of articles has not been sponsored and articles have undergone the journal’s standard peer-review process overseen by the Editor-in-Chief and Associate Editors. The Editor-in-Chief and Associate Editors declare no competing interests.

  1. Content Type:Review

    Transcranial direct current stimulation for the treatment of motor impairment following traumatic brain injury

    After traumatic brain injury (TBI), motor impairment is less common than neurocognitive or behavioral problems. However, about 30% of TBI survivors have reported motor deficits limiting the activities of daily…

    Authors:Won-Seok Kim, Kiwon Lee, Seonghoon Kim, Sungmin Cho and Nam-Jong Paik

    Citation:Journal of NeuroEngineering and Rehabilitation 2019 16:14

    Published on: 25 January 2019

  2. Content Type:Review

    Transcranial direct current stimulation for promoting motor function in cerebral palsy: a review

    Transcranial direct current stimulation (tDCS) has the potential to improve motor function in a range of neurological conditions, including Cerebral Palsy (CP). Although there have been many studies assessing …

    Authors:Melanie K. Fleming, Tim Theologis, Rachel Buckingham and Heidi Johansen-Berg

    Citation:Journal of NeuroEngineering and Rehabilitation 2018 15:121

    Published on: 20 December 2018

  3. Content Type:Commentary

    Transcranial direct current stimulation (tDCS) for upper limb rehabilitation after stroke: future directions.

    Transcranial Direct Current Stimulation (tDCS) is a potentially useful tool to improve upper limb rehabilitation outcomes after stroke, although its effects in this regard have shown to be limited so far. Addi…

    Authors:Bernhard Elsner, Joachim Kugler and Jan Mehrholz

    Citation:Journal of NeuroEngineering and Rehabilitation 2018 15:106

    Published on: 15 November 2018

  4. Content Type:Research

    Home-based transcranial direct current stimulation plus tracking training therapy in people with stroke: an open-label feasibility study

    Transcranial direct current stimulation (tDCS) is an effective neuromodulation adjunct to repetitive motor training in promoting motor recovery post-stroke. Finger tracking training is motor training whereby p…

    Authors:Ann Van de Winckel, James R. Carey, Teresa A. Bisson, Elsa C. Hauschildt, Christopher D. Streib and William K. Durfee

    Citation:Journal of NeuroEngineering and Rehabilitation 2018 15:83

    Published on: 18 September 2018

via tDCS application for motor rehabilitation

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[Abstract] A Preliminary Study: Mobile Device for Hand and Wrist Rehabilitation – IEEE Conference Publication

Abstract:

Task-specific rehabilitation has emerged as an influential approach to address the specific neurological problems. In particular, the recovery of hand and wrist functions of people suffering from hemiparesis and hemiplegia has appeared as a means of voluntary practices. In this study, a passive rehabilitation device has been designed to offer repetitive, low-cost, portable, easy-to-use human-machine interface for people who have limited hand-wrist mobility, also substantially decrease the therapist’s workload, and provide motivation and objective feedback to users. Therapy-based task-oriented virtual reality games are also accompanied with the proposed rehabilitation device to raise patient’s attention and motivation throught the therapy.

via A Preliminary Study: Mobile Device for Hand and Wrist Rehabilitation – IEEE Conference Publication

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[WEB SITE] Virtual reality, Smart car and putting green help patients at new Hoag center recover from traumatic injuries

Hoag Hospital in Newport Beach opened a 21,000-square-foot rehabilitation center on Monday for adults who have suffered orthopedic and neurological crises, including strokes and other traumatic injuries.

The Fudge Family Acute Rehabilitation Center includes 18 rooms, workout equipment, a garden, a putting green and a virtual reality system.

Hoag Dr. Keyvan Esmaeili said the center will serve as a transition area where patients relearn basic tasks lost to injury or illness.

 

The patients are recovering from amputations, brain, spinal cord and orthopedic injuries, strokes and pulmonary disorders, brain tumor surgery and similar challenges.

“The simplest of tasks can be tremendously overwhelming and fatiguing for these patients,” said Mark Glavinic, Hoag’s director of rehabilitation. “This is about bringing function and independence back to them.”

 

The rehab center has a variety of methods to aid patients with regaining motor function, ranging from the traditional — like using overhead harnesses — to the unique.

Mark Glavinic, director of rehabilitation for Hoag Hospital, demonstrates a lift at the Fudge Family Acute Rehabilitation Center for patients who have a hard time supporting themselves.

Mark Glavinic, director of rehabilitation for Hoag Hospital, demonstrates a lift at the Fudge Family Acute Rehabilitation Center for patients who have a hard time supporting themselves. (Scott Smeltzer / Staff Photographer)

Glavinic said the virtual reality system is a novel way for patients to sharpen hand-eye skills; they can, for example, use virtual swords to pop on-screen balloons. The system stores patients’ data so medical personnel can track their progress.

 

With an average stay of 12 to 15 days, each patient gets his or her own bedroom and bathroom.

An electronic lift is available to lead patients to the bathroom from bed if they can’t support themselves. Esmaeili said this prevents injuries that can occur when nurses lift patients.

 

The rehab team is composed of physicians, nurses and therapists from stroke centers, neurological institutes and other specialized areas.

The facility also includes a room built to mirror an apartment. It is meant to be a transition room — with associated “obstacles” to navigate — before a patient is released to go home. Patients can practice washing dishes, using a stove and opening cabinets.

When patients need a break from the indoors, recreational therapists will guide them to the garden and putting green.

 

There’s also an engine-less Smart car so patients can relearn how to get in and out of a vehicle.

Mark Glavinic, Hoag Hospital's director of rehabilitation, shows how a Smart car is used to help patients with their daily routines as part of the new Fudge Family Acute Rehabilitation Center.

Mark Glavinic, Hoag Hospital’s director of rehabilitation, shows how a Smart car is used to help patients with their daily routines as part of the new Fudge Family Acute Rehabilitation Center. (Scott Smeltzer / Staff Photographer)

The facility, in the making for about 10 years, is one of only a few acute rehabilitation centers at Orange County hospitals.

 

Heidi Pallares, Hoag’s director of corporate communications and media relations, said Hoag doesn’t publicize the full cost of its projects, though $4 million was donated for the center by Gary Fudge of Newport Beach.

 

Fudge, 74, who suffered a stroke in 2010 and underwent treatment at Hoag, said he wanted to help others who are going through the same psychologically draining rehabilitation.

 

“I came face to face with my mortality,” Fudge said. “It wasn’t pleasant.”

Fudge had to regain the ability to perform even the most basic tasks, like deleting an email. He said he has virtually no limitations now.

 

Fudge said he would have benefited from the new center had it been around when he had his stroke. In particular, he said, he shouldn’t have been going home after rehab sessions.

 

“I would have preferred staying here,” Fudge said. “This could have helped me … and it will undoubtedly help others.”

 

via Virtual reality, Smart car and putting green help patients at new Hoag center recover from traumatic injuries – Los Angeles Times

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[Abstract] Commercial video games in the rehabilitation of patients with sub-acute stroke: a pilot study

Abstract

INTRODUCTION:

Stroke generates dependence on the patients due to the various impairments associated. The use of low-cost technologies for neurological rehabilitation may be beneficial for the treatment of these patients.

AIM:

To determine whether combined treatment using a semi-immersive virtual reality protocol to an interdisciplinary rehabilitation approach, improve balance and postural control, functional independence, quality of life, motivation, self-esteem and adherence to intervention in stroke patients in subacute stage.

PATIENTS AND METHODS:

A longitudinal prospective study with pre and post-intervention evaluation was carried out. Fourteen were recruited at La Fuenfria Hospital (Spain) and completed the intervention. Experimental intervention was performed during eight weeks in combination with conventional treatment of physiotherapy and occupational therapy. Each session was increased in time and intensity, using commercial video games linked to Xbox 360° videoconsole and Kinect sensor.

RESULTS:

There were statistical significant improvements in modified Rankin scale (p = 0.04), baropodometry (load distribution, p = 0.03; support surface, p = 0.01), Barthel Index (p = 0.01), EQ-5D Questionnaire (p = 0.01), motivation (p = 0.02), self-esteem (p = 0.01) and adherence to the intervention (p = 0.02).

CONCLUSIONS:

An interdisciplinary rehabilitation approach supplemented with semi-immersive virtual reality seems to be useful for improving balance and postural control, functional independence in basic activities of daily living, quality of life, as well as motivation and self-esteem, with excellent adherence. This intervention modality could be adopted as a therapeutic tool in neurological rehabilitation of stroke patients in subacute stage.

 

via [Commercial video games in the rehabilitation of patients with sub-acute stroke: a pilot study]. – PubMed – NCBI

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[Systematic Review] Effectiveness of robotics in improving upper extremity functions among people with neurological dysfunction – Abstract

Publication CoverPurpose: the primary focus of this review was to find out the effectiveness of robotics in improving upper extremity functions among people with neurological problems in the arena of physical rehabilitation.

Material and Methods: Two reviewers independently scrutinized the included studies. The selected studies underwent quality assessment by PEDro scale. Randomized Controlled Trial (RCT) having a score of 4 or more were included in the review. A search was conducted in PUBMED, MEDLINE, CINAHL, EMBASE, PROQUEST, science direct, Cochrane Library, Physiotherapy Evidence Database (PEDro) and Google Scholar.

Results: A total of 202 studies were identified. After removal of duplication, inclusion and exclusion criteria’s n = 23 studies were included in the review process. For analysis, only the primary outcome measures of the studies were taken into account. Studies finally included in analysis were n= 21. The included studies were 19 in stroke, 1 in cerebral palsy (CP), and 1 study in multiple sclerosis (MS). No RCTs were reportedly found in spinal cord injury, Parkinson and motor neuron disease.

Conclusion: Studies related to stroke showed a clear definiteness in the improvement of upper extremity functions. Whereas on the contrary there still remains a need for quality trials in cerebral palsy, multiple sclerosis to establish the efficacy of robotics in upper extremity rehabilitation.

 

via Effectiveness of robotics in improving upper extremity functions among people with neurological dysfunction: A Systematic Review: International Journal of Neuroscience: Vol 0, No ja

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[Abstract] Wearable Movement Sensors for Rehabilitation: A Focused Review of Technological and Clinical Advances – PM&R

Abstract

Recent technologic advancements have enabled the creation of portable, low-cost, and unobtrusive sensors with tremendous potential to alter the clinical practice of rehabilitation. The application of wearable sensors to track movement has emerged as a promising paradigm to enhance the care provided to patients with neurologic or musculoskeletal conditions. These sensors enable quantification of motor behavior across disparate patient populations and emerging research shows their potential for identifying motor biomarkers, differentiating between restitution and compensation motor recovery mechanisms, remote monitoring, telerehabilitation, and robotics. Moreover, the big data recorded across these applications serve as a pathway to personalized and precision medicine. This article presents state-of-the-art and next-generation wearable movement sensors, ranging from inertial measurement units to soft sensors. An overview of clinical applications is presented across a wide spectrum of conditions that have potential to benefit from wearable sensors, including stroke, movement disorders, knee osteoarthritis, and running injuries. Complementary applications enabled by next-generation sensors that will enable point-of-care monitoring of neural activity and muscle dynamics during movement also are discussed.

 

via Wearable Movement Sensors for Rehabilitation: A Focused Review of Technological and Clinical Advances – PM&R

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[WEB SITE] What is clonus? Everything you need to know

Clonus is a neurological condition that occurs when nerve cells that control the muscles are damaged. This damage causes involuntary muscle contractions or spasms.

Clonus spasms often occur in a rhythmic pattern. Symptoms are common in a few different muscles, especially in the extremities. These include the:

  • ankles
  • knees
  • calves
  • wrists
  • jaw
  • biceps

Damaged nerves can cause muscles to misfire, leading to involuntary contractions, muscle tightness, and pain.

Clonus can cause a muscle to pulse for an extended period. This pulsing can lead to muscle fatigue, which may make it difficult for a person to use the muscle later.

Clonus can make everyday activities strenuous and can even be debilitating. In this article, learn more about the causes and treatment.

Causes

Nerve cells in muscles causing clonus

Damaged nerve cells cause clonus.

While researchers do not understand the exact cause of clonus, it appears to be due to damaged nerve passageways in the brain.

A number of chronic conditions are associated with clonus. As these conditions require specialized treatment, the outcome may vary in each case.

Conditions associated with clonus include:

Multiple sclerosis (MS) is an autoimmune disorder that attacks the protective sheath around the nerves. The resulting damage disrupts the nerve signals in the brain.

A stroke starves a part of the brain of oxygen, usually due to a blood clot. A stroke may cause clonus if it damages the area in the brain that controls movement.

Infections, such as meningitis or encephalitis, can damage brain cells or nerves if they become severe.

Major injuries, such as head trauma from a major accident, may also damage the nerves in the brain or spinal cord.

Serotonin syndrome is a potentially dangerous reaction that occurs if too much serotonin builds up in the body. This buildup could be due to drug abuse, but it may also be caused by taking high doses of medications or mixing certain medical drugs.

A brain tumor that pushes against the motor neurons in the brain or causes these areas to swell may lead to clonus.

Other causes of clonus include anything that has the potential to affect the nerves or brain cells, including:

  • cerebral palsy
  • Lou Gehrig’s disease
  • anoxic brain injury
  • hereditary spastic paraparesis
  • kidney or liver failure
  • overdoses of drugs such as Tramadol, which is a strong painkiller

Clonus tests

Clonus may be diagnosed using an MRI scan.

An MRI scan may be used to diagnose clonus.

To diagnose clonus, doctors may first physically examine the area that is most affected. If a muscle contracts while a person is in the doctor’s office, they may monitor the contraction to see how fast the muscle is pulsing and how many times it contracts before stopping.

Doctors will then order a specific series of tests to help them confirm the diagnosis. They may use magnetic resonance imaging (MRI) to check for damage to the cells or nerves.

Blood tests may also help identify markers for various conditions associated with clonus.

A physical test may also help doctors identify clonus. During this test, they will ask the person to quickly flex their foot, so their toes are pointing upward and then hold the muscle there.

This may cause a sustained pulsing in the ankle. A series of these pulses may indicate clonus. Doctors do not rely on this test to diagnose clonus, but it can help point them in the right direction during the diagnostic process.

Treatment

Treatment for clonus varies depending on the underlying cause. Doctors may try many different treatment methods before finding the one that works best for each person.

Medications

Sedative medications and muscle relaxers help reduce clonus symptoms. Doctors often recommend these drugs in the first instance for people experiencing clonus.

Medications that may help with clonus contractions include:

  • baclofen (Lioresal)
  • dantrolene (Dantrium)
  • tizanidine (Zanaflex)
  • gabapentin (Neurotonin)
  • diazepam (Valium)
  • clonazepam (Klonopin)

Sedatives and anti-spasticity medications can cause drowsiness or sleepiness. People taking these medications should not drive a car or operate heavy machinery.

Other side effects may include mental confusion, lightheadedness, or even trouble walking. A person should discuss these side effects with a doctor, especially if they are likely to disrupt a person’s work or everyday activities.

Other treatments

Clonus may be treated with physical therapy.

Physical therapy may help treat clonus.

Other than medication, treatments that may help reduce clonus include:

Physical therapy

Working with a physical therapist to stretch or exercise the muscles may help increase the range of motion in the damaged area. Some therapists may recommend wrist or ankle splints for some people as they can provide structure and improve stability, reducing the risk of accidents.

Botox injections

Some people with clonus respond well to Botox injections. Botox therapy involves injecting specific toxins to paralyze muscles in the area. The effects of Botox injections wear off over time so a person will require repeat injections on a regular basis.

Surgery

Surgery is often the last resort. During a procedure to treat clonus, surgeons will cut away parts of the nerve that are causing abnormal muscle movements, which should relieve symptoms.

Home remedies

While medical treatments for clonus are important, home remedies can be valuable in supporting these efforts.

Using heat packs or taking warm baths may relieve pain, while applying cold packs may help reduce muscle aches. Stretching and yoga may help promote an increased range of motion.

Some people may also find a magnesium supplement or magnesium salt bath helps relax the muscles. People should speak to a doctor before trying magnesium, as it may interact with other medications.

Outlook

The outlook for clonus may vary according to the underlying cause. Where a sudden injury or illness causes clonus and muscle spasms, the symptoms will likely go away over time or respond well to physical therapy.

Chronic conditions such as multiple sclerosis, meningitis, or a stroke may require long-term treatments for symptom management.

Clonus may sometimes get worse if the underlying condition progresses. Many people find they can manage symptoms by working closely with a doctor and physical therapist.

via Clonus: Definition, causes, tests, and treatment

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[Article in Press] Home exercise programs made effortless using the PhysioTherapy eXercises patient app – Full Text

PhysioTherapy eXercises website: www.physiotherapyexercises.com

PhysioTherapy eXercises is a publicly available website, created by Harvey, Messenger, Glinsky, Pattie and a collaboration of physiotherapists. It was designed as a resource for creating and distributing home exercise programs. The website has a database of images, videos and instructions for over 1000 exercises focusing on impairments (strength, balance, range of motion, and cardiovascular fitness), and activities (reaching and manipulation, sit to stand, transfers, and mobility), and is available in 13 different languages. The exercises are evidence-based and include exercises for children through to the elderly, as well as exercises targeting specific populations, such as acute and degenerative neurological conditions, and musculoskeletal conditions, including whiplash and hand injuries. The Physiotherapy Exercises App is one feature of this web-based software and is the focus of this review.

The Physiotherapy Exercises App is free and can be used on both Apple and Android tablets and phones. The app is designed for patients to use, and allows them to access their prescribed home exercise program on their devices, record their progress online, and share this information remotely with their therapist. A recent randomised, controlled trial reported that using the Physiotherapy Exercises App increased adherence to home exercise programs when compared with paper-based methods.1

The therapist designs a home exercise program by selecting relevant exercises from the database and scheduling the frequency and duration of the exercises using the PhysioTherapy eXercises website. The patient then accesses and installs the Physiotherapy Exercises App via a link embedded in an email or smart phone text message that is sent from the website. Once the app is installed, patients have direct access to their home exercise program. The app allows patients to view their program, record completion of each exercise, and provide feedback to the therapist via a ‘notes’ function. The therapist has the ability to remotely monitor the patient’s exercise adherence, review notes recorded by the patient, and adjust the program as required by logging onto the website. Therapists can also receive a notification via an email when a patient’s adherence has decreased below a set threshold, which can be adjusted by the therapist for each patient.

Ease of use

Overall, the design of the Physiotherapy Exercises App is straightforward and the basic features are easy to use. My experience suggests that patients who already use the Internet and/or mobile devices are willing to use the Physiotherapy Exercises App, and use it successfully. Patients with limited technology experience are able to use the app successfully if provided with assistance to download the app and are given a demonstration of how to use it. Once the app has been downloaded, patients have two options: view the exercises that are to be completed on that day via the home screen (Figure 1A); or touch the screen to access the illustration, aims, instructions and dosage for each exercise (Figure 1B). Similarly, recording of the completed exercises can be done by ticking the ‘done all’ box on the home screen or ticking a box on each screen for an individual exercise. Patients can record completing an exercise even if it is not scheduled for a particular day. Notes can be added on each screen that details an individual exercise.

Figure 1

Enter a caption

From the perspective of therapist use, the home exercise program is prescribed and monitored by logging directly onto the website. The website has an extensive help section to assist the therapist if required.

Strengths and limitations

The Physiotherapy Exercises App is very well designed for clinical use. One of the key strengths is that patients can only access their home exercise program once it has been prescribed to them by a therapist, which ensures that patients complete exercises appropriate for their rehabilitation. Another valuable feature is that once the Physiotherapy Exercises App has been downloaded, there is no requirement for the patient to login or remember passwords. Other strengths are that the interface is easy to understand, and patients receive detailed information about each exercise, including the aims of the exercise, illustrations, instructions on how to complete the exercise, dosage, precautions, and progressions. Furthermore, therapists have the ability to select what information the patient views on the app and/or modify the instructions and information if required. When the home exercise program is updated online, all changes occur in real time.

Limitations of the Physiotherapy Exercises App are that few patients use all the features of the app, for example the notes function. My experience using the app with people who have Parkinson’s disease is that most people primarily use the app to view and record completion of their home exercise programs. Further encouragement by the therapist is necessary to ensure regular use of the notes function, if desired. At present, patients do not receive an alert via the Physiotherapy Exercises App that their program has been updated; it simply changes on the home screen. Consequently, if the program is updated independently of a consultation, an additional form of communication may be required to inform the patient of changes made.

Conclusion

Overall, the Physiotherapy Exercises App is an excellent and easy to use clinical resource. Increasing the use of devices to provide home exercise programs directly to patients is highly desirable and resource-efficient. It gives patients access to their home exercise program at all times, facilitates self-management, and, importantly, increases communication between the patient and therapist. The advantages of the Physiotherapy Exercises Appare that it is freely available, has an extensive range of exercises covering both musculoskeletal and neurological conditions, and is easy to use for both therapist and patient. Combined with the ability to remotely monitor patients’ adherence to the home exercise program, the Physiotherapy Exercises App has been a valuable addition to my clinical practice and role as a clinical educator.

Reference

  1. Lambert, T. et al. J Physiother201763161–167

View in Article   Abstract   Full Text   Full Text PDF   PubMed   Scopus (1)  Google Scholar

 

via Home exercise programs made effortless using the PhysioTherapy eXercises patient app – Journal of Physiotherapy

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[BLOG] Complete Solution for Neurological Gait Rehabilitation

medica presents an efficient best-practice model for multi-phase group therapy

With the THERA-Trainer Complete Solution for gait rehabilitation, medica Medizintechnik GmbH brings a complete device-based concept for neurological rehabilitation onto the market. The company is thus addressing the challenge, faced by many hospitals, of offering scientifically established and effective therapies despite the lack of resources, cost pressures and time constraints.

With our Complete Solution, we are successfully implementing an evidence-based, clinically proven treatment concept for the rehabilitation of the lower extremities.

Jacob Tiebel, head of product management at medica

Many hospitals need tailored strategies to work efficiently, and medica Medizintechnik GmbH’s new solution concept meets this requirement. The THERA-Trainer Complete Solution for gait rehabilitation is developed individually with each customer and is tailored to the current operating reality of each hospital. An in-depth analysis of the initial situation and a customised design of the solution ensure that space issues are taken into account and that the training and therapy devices are properly utilised. The Complete Solution is not a substitute for therapists, but instead facilitates and supports their work. In addition, it enables a single therapist to treat several patients at the same time.

A complete solution, not a piecemeal offering

With the Complete Solution concept, THERA-Trainer primarily addresses the organisational and process weaknesses in hospitals. With this approach, medica intends to harness previously untapped economic potential in hospitals, while at the same time working sustainably towards better treatment outcomes. The focus is not on the individual products, but on an optimised therapy process and the full set of devices as a complete solution.
Last year, medica acquired an end-effector gait trainer through its merger with the Swiss company ability.

With the THERA-Trainer lyra, we now offer the full range of products for gait rehabilitation. The real innovation lies in integrating these products intelligently into a high-efficiency setting.

medica owner and managing director Peter Kopf

First pilot projects have been successful

The first pilot project was launched last year in collaboration with one of Germany’s largest hospital operators. The first THERA-Trainer Complete Solution was installed by medica in the neurological centre at the MEDIAN clinic in Madgeburg. This marked the beginning of intensive cooperation between the rehabilitation sector and industry.

Prof. Michael Sailer, medical director of the MEDIAN clinic in Madgeburg, is convinced: “Professional care allows us to develop a differentiated approach with the Complete Solution.” The process of carrying out a preliminary analysis of a hospital’s therapy processes, followed by the creation of new therapeutic pathways, is of vital importance for cost-effective use, Sailer continues.

With the Complete Solution for gait rehabilitation, medica is striving towards long-term cooperation and partnership with hospitals. The concept has already received positive feedback from experts, and official distribution of the THERA-Trainer Complete Solution is now underway.

via Complete Solution for Neurological Gait Rehabilitation | ACNR | Online Neurology Journal

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