HandTutor LegTutor and ArmTutor Quality of Life and SCI Rehabilitation

On  Nov 1,2011, CM van Leeuwen , S Kraaijeveld , E Lindeman and MW Post  of the Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and Rehabilitiation Center De Hoogstraat, Utrecht, The Netherlands and the Swiss Paraplegic Research, Nottwil, Switzerland reviewed the literature on relationships between psychological factors and quality of life (QOL) of persons with spinal cord injury (SCI). Their methods included a systematic literature search  in several online databases (PubMed, Embase and PsychInfo).
 Articles were included if they provided quantitative information on associations between QOL-related dependent variables and psychological factors as independent variables in an SCI population.
The group found that outcome measures associated with improved QOL were locus of control – movement control, sense of coherence, self-worth, hope, purpose in life
Negative factors on QOL were posttraumatic cognitions.
The conclusion drawn was that there were many psychological factors that were strongly and consistently related to QOL
The newly developed Tutor system uses dedicated software which includes a series of games to apply an impairment based program through intensive active exercises. By applying these games to the rehabilitation process for SCI patients there is an incentive to succeed and therein lies the psychological aspect of  improvement to their mobility and QOL.
The Tutors and its component devices (HandTutor, ArmTutor, LegTutor, 3DTutor) have become a key system in neuromuscular rehabilitation and physical therapy.  The exercises are challenging and motivating and allow for repetitive training tailored to the patient’s performance. This allows the patient to improve him movement ability and see this improvement. This will lead to the patient being better able to do functional tasks which will improve directly the quality of life. The system also includes objective quantitative evaluations that provide the therapist and the patient information to customize the most suitable rehabilitation program to the patient’s ability and also to show the patient how his movement is improving. The Tutor system is being used to rehabilitate those suffering from Brain injury, upper and lower limb surgeries, Parkinson’s disease (PD) , CP, MS as well as other debilitating issues. Currently part of the rehabilitation program of leading U.S. and foreign hospitals the Tutors are also used in clinics and at home through the use of telerehabilitation. The Tutors are fully certified by the FDA and CE. See http://www.Handtutor.com
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