Functional Movement Training with the HandTutor

Patients who have suffered brain injury e.g. stroke, traumatic and spinal cord injury, as well as other neurological or orthopedic injury, often have severe upper or lower extremity movement impairments. In short they have difficulty in doing the everyday living tasks that others take for granted.
It is well documented in the literature that an important component in achieving optimal rehabilitation outcome is intensive active movement practice. Traditional Occupational and Physical therapy mainly provide the patient with task orientated training (TOT) also known as Task Specific Practice (TSP) or functional movement training. TSP is intensive repetition of everyday functional tasks or Active daily living tasks.
On a practical treatment aspect, many brain and spinal cord injury patients do not have sufficient movement ability to enable them to do repetitive active tasks or the active tasks can not be customized to work on their specific motor, sensory or cognitive impairment.
It is therefore an ongoing challenge for physical therapists and other health care professionals to find effective interventions that improve arm and hand function for patients with more severe paresis.  Recently, additional rehabilitation tools such as the HandTutor have been developed that focus on evaluating and training isolated and co-ordinated movement parameters. Correct functional movement is dependent on normal kinematic movement parameters such as range, speed, and accuracy of movement. On a practical treatment level the HandTutor allows many patients that do not have sufficient movement ability to enable them to do repetitive active tasks, or the active tasks can not be customized to work on their specific motor, sensory or cognitive impairment.
The HandTutor system offers impairment oriented training and augmented feedback. The HandTutor encourages active repetitive customized isolated or inter joint coordinated finger and wrist hand exercises and rehabilitates fine movements of the hand and wrist and can be used by paitnets who have very limited finger movement ability.
The software is dedicated to rehabilitation and is easy to understand by both the patient and the therapist. This enables the exercises to be customized to the patients movement impairment so that they remain encouraged and motivated to continue intensive exercise practice. The HandTutor is used in hospitals and community hand therapy clinics as well as through tele rehabilitation. Examples of patients that are treated include Stroke, TBI, spinal cord injury CP, Orthopedic hand and arm surgery.
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