Tutor System Knows No Discrimination

A study by Susan D. Horn, PhD etal written for the ”Archives of Physical Medicine and Rehabilitation” in November 2010 about black-white differences in patient characteristics, treatments and outcomes for inpatient stroke rehabilitation describes racial differences in patient characteristics, physical therapy (PT), nontherapy ancillaries, occupational therapy (OT), as well as  functional outcomes at discharge in rehabilitation after stroke.
Dr. Horn used six  inpatient rehabilitation facilities.There were black and white patients  subdivided in case-mix subgroups  for moderate strokes and severe strokes
The results identified significant black-white differences in multiple patient characteristics and intensity of rehabilitation care.  White subjects took longer from the stroke itself until rehabilitation admission and were more ambulatory before the stroke. Black subjects usually had more diabetes. In patients who had a moderate stroke, black subjects were younger, were more likely female, and had more hypertension and obesity with body mass index.   For patients that had severe stroke, black subjects were less sick and had higher admission FIM scores. White subjects received more time per day of OT, although black subjects had  longer median PT and OT  time in a session.
Dr. Horn’s conclusions were that reasons for differences in rehabilitation  for black and white subjects should be investigated further to understand clinicians’ choice of treatments by race.
In a world of vast differences in population categories it is refreshing to know that even in physical rehabilitation everyone is entitled to the best of care. The TUTOR system (HANDTUTOR, ARMTUTOR, LEGTUTOR, 3DTUTOR) is one such set of medical devices that knows no bounds in achieving excellent results. Created for children as well as adults and for women and men and of all races the TUTOR system is one of the most affordable and successful devices to be used in physiotherapy and rehabilitation clinics.
The newly developed HANDTUTOR and its sister devices (ARMTUTOR, LEGTUTOR, 3DTUTOR) have become a key system in neuromuscular rehabilitation for stroke victims and those recovering from brain and spinal injuries, Parkinson’s, MS, CP and other limb movement limitations. These innovative devices implement an impairment based program with augmented motion feedback that encourages motor learning through intensive active exercises and movement practice. The HANDTUTOR, ARMTUTOR, LEGTUTOR, 3DTUTOR consist of wearable glove and braces that detect limb movement showing the patient how much active or assisted active movement they are actually doing. The rehabilitation software uses special rehabilitation games to set a new target for this movement in terms of the patients ability to move their limbs. The devices then measure the limb movement and give feedback on the success of the patient in trying to gain this new movement objective. In this  way the patient is given movement feedback that allows him to understand which effort is more successful in allowing them to move their affected limb again. The Tutor system provides exercises that are challenging and motivating and allows for repetitive and intensive exercise practice.
The HANDTUTOR, ARMTUTOR, LEGTUTOR and 3DTUTOR are now part of the rehabilitation program of leading U.S. German, Italian, French, UK and other foreign hospitals. See WWW.HANDTUTOR.COM for more information.

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