HandTutor and ArmTutor Speeds Recovery for Brachial Plexus Injuries

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The physiotherapist of  physical therapist make an assessment of both the patients functional ability and isolated movement parameters including, active and passive range of motion, speed and accuracy of movement.
One motor grading system that is used following Brachial plexus injury is the British Medical Research Council Muscle Grading system used in the  perinatal period. The Mallet Classification is used in older children >2 years old.
An assessment of muscle tone is also done and the physical therapist will observe whether there is muscle atrophy.  Sensations to sharp and dull pain, deep pressure, light touch, vibratory and proprioception are also taken in order to evaluate the level of injury. In children it is also improtant to check that the child is meeting developmental milestones for their age.  This includes assessment on gross motor and fine motor coordination.
The HandTutor and ArmTutor have been designed to allow the patient to work on intensive exercise practice of the shoulder, elbow, wrist and fingers. This allows for an improvement in motor and sensory movement ability including range and speed of movement of arm and hand.  The Tutor system is effective in improving gross and fine motor coordination of the affected arm of patients recovering from a Brachial Plexus injury.
The devices which include the LegTutor and 3DTutor have become a key system in neuromuscular rehabilitation by physical therapists for both peripheral and central nerve injury These innovative devices implement an impairment based program with augmented feedback and encourage intensive and repetitive exercise practice. The dedicated rehabiliaiton software allows the physical and occupational therapist to make detailed motion analysis of the patients movement ability and then tailor the exercises to the patietns movement ability. This cusomization and tailoring ensures that the patients remains motivated to continue practice and improve movement ability. The HandTutor and ArmTutor is part of the rehabilitation program of leading U.S. and foreign hospitals. It is used in clinics and at home through the use of telerehabilitation.

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