Posts Tagged ‘legtutor’

OT and PT therapeutic goals

The MediTouch system is a state of the art targeted rehabilitation system that hones in on specific therapeutic goals. Through the enjoyment and motivation of video game based rehabilitation which gives immediate feedback to the patient, the HandTutor, ArmTutor, LegTutor and 3DTutor address the challenge of impaired movement ability. The system is used in the clinic and at home and offers motivating customized exercise practice with OT and PT support.

The system benefits patients with movement dysfunction or impaired functional activity caused by neurological disorders, including traumatic brain injury (tbi), stroke, cerebral palsy, spinal cord injury, and multiple sclerosis. In addition the system is used for physical therapy after shoulder, elbow, hip and knee surgery.

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Motivation and participation in exercise practice improves rehabilitation outcome

Writing in Archives of Physical Medicine and Rehabilitation, 03/19/2013 Dr. Bolliger from Balgrist University Hospital Forchstrasse 340, 8008 Zurich discusses the importance of active participation of patients during robotic-assisted rehabilitation. The group looked at spinal cord injury patients (SCI).

The HandTutor, ArmTutor and LegTutor use augmented motion feedback so that the patients are encouraged to do repetitive customized active and assisted active exercises with instant feedback on their performance.

Web-based telemedicine provides specialty care at home for Parkinson Disease (PD)

Published in JAMA Neurol. 2013 Mar Dr. Ray Dorsey, Associate Professor of Neurology, Director of the Movement Disorders Center, Johns Hopkins University concludes that web-based videoconferencing and telemedicine for the provision of specialty care at home is feasible, effective and provides value to patients, and may offer similar clinical benefit to that of in-person care in  Parkinson Disease (PD). This indicates that telemedicine is feasible for other movement Disorders and neurodegenerative Diseases.

The HandTutor, ArmTutor and LegTutor is used at home by Parkinsons disease patients and is supported by telerehabilitation.

LegTutor meets goals of in-patient and out-patient rehabilitation following a Total Knee Replacement

A physical therapy programme following Total Knee Replacement will typically last 3 months and is the key compliment to ensure a successful outcome to allow the patient to regain mobility and return to a full and active lifestyle.
Compliance with the exercise programme designed to increase ROM, especially in extension and improve strength and control of the knee will therefore  improve surgery outcome.
Using the LegTutor as part of the Physical therapy – PT program will facilitate the following critical components of  pre and post sugery rehab following TKR:
■ Allows patients to better understand how to do the exercises after surgery rehab/ therapy sessions.
■ Facilitates communication with physical therapist to patient and carers by quantifying exercise performance
■ Facilitates home exercises to help gain motion and keep gains achieved in therapy by encouraging and motivating exercise practice between outpatient therapy sessions. Remember you will only meet with your therapist a few times a week after discharge
■ Encourages and motivates the patient to do customized and controlled home exercises which are important to help gain motion and keep the gains in therapy from one session to the next.
■ Allows you to better involve a friend or family member in your rehab. This is because good support system is essential for motivation and assistance throughout the recovery process.
■ Objective and quantifiable recording of exercise practice results and compliance wil allow the patient and therapist to better set goals and track progress.
Physical Rehab is the key compliment to a successful outcome post TKR and knee surgery so facilitate the exercise practice with the LegTutor.

More women than men undergo knee replacement surgery

Dr. Howard Ware, director of the Wellington Knee Surgery Unit, London is scheduled to speak at the 2nd International Congress for Joint Reconstruction – Middle East (ICJR Middle East) on the reasons behind the increase in TKR world wide.

The number of TKR iis expected to increase by 200% (USA) in the next 10 years. The reasons behind this is that are living longer and more active lives. However over all age groups, women undergoing total knee replacement is greater than men. Dr Ware is likely to reiterate that obesity is a significant factor and that more women are obese than men. In addition diet and exercise also play a significant factor in reducing this risk.

The indirect costs of Pediatric stroke

Research by Dr.Plumb from Children’s Medical Center in Dallas looks at the median out-of-pocket cost for the families in the first year following a pediatric stroke. These costs not covered by health insurance include lost wages, home care, transportation costs, and hotel rooms. Lost wages was seen to account for the largest percentage of the out-of-pocket costs.

From a clinical standpoint clinicians including physical and occupational therapists need to discuss with the patients family the impact of these indirect costs.

The research was supported by National Institute of Neurological Disorders and Stroke the Perot Center for Brain and Nerve Injury at Children’s Medical Center.
Telerehabilitation provided by the HandTutor, ArmTutor and LegTutor may help top limit the indirect costs of physical rehabilitation.

Physical neurological rehabilitation and observation or imagery of a motor action

Published in J Neuroeng Rehabilitation Dr. Holper and colleagues from the  University Hospital Zurich Switzerland shed insight into how neural networks located in the primary and secondary motor areas are activated during observation or imagery of a motor action investigated during neurorehabilitative training by physical and occupational therapists. The physical rehabilitation techniques of observation, imagery and imitation is also know as the simulation hypothesis  The research was funded by the Swiss Society for Neuroscience (SSN), the International Brain Research Organization (IBRO).

Augmented motion feedback training with the HandTutor, ArmTutor and LegTutor is thought to utilize the action-observation system as described by the simulation hypothesis and motivates the patient to perform repetitive and controlled intensive exercise practice in order to improve functional rehabilitation outcomes.