Upper Limb And Hand


robo-mechatronic device designed for the motor rehabilitation and functional recovery of the upper limbs of patients with severe brain injuries.

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Aramis consists of two symmetrical exoskeletons each having 5 active and 2 passive degrees of freedom to allow precise adjustment to different patients.

The patient sits on an adjustable chair that is placed centrally between the two exoskeletons he wears. The kinematic chain of each exoskeleton has been reproduced from the natural movements of the human arm.

Each exoskeleton is master and slave of the other and can record the movement of the healthy limb and replicate it on the plegic limb. The rehabilitation programme is established by the rehabilitator. The system allows sessions to be customised or preloaded rehabilitation programmes and sessions to be used.

The patient, having donned the exoskeletons within a maximum of 5 minutes, begins the session in total safety with minimal supervision by the therapist. The operating modes of Aramis include:

  • the possibility of recording three-dimensional movement in space with the healthy limb and replicating it asynchronously on the plegic limb;
  • the possibility of recording the three-dimensional movement in space with the healthy limb and replicating it in synchrony on both exoskeletons;
  • the possibility of the robot’s intervention in active-assisted mode should the patient fail to complete the movement of its previous recording.

In the latter mode, an index can be extrapolated concerning the activity performed by the patient and the activity performed by the robot. Finally, in the active-assisted mode, it is possible to select a percentage of completion of the movement recorded by the patient so as to increase it gradually in order to encourage the patient in the success of the exercise.

The study protocol was approved in September 2009 by the Ministry of Health and Social Affairs Department of Innovation Directorate-General Medical Devices and Pharmaceuticals and the Local Ethics Committee and in accordance with the Declaration of Helsinki.


Sensorised device made by Tyromotion for the rehabilitation of fine hand motility and with special interest in finger movement.

In fact, the device simulates natural finger movement in three possible modes: passive, assisted and active.

In addition to being a valid rehabilitation tool, it also has the functionality of being an assessment tool for muscle tone and spasticity measurements.

Dedicated training exercises aimed at spasticity and sensitivity recovery can be performed specifically for these pathological conditions.


Sensorised device made by Tyromotion for rehabilitation of the upper limb with special interest in the movement of the shoulder, elbow and wrist joints.

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The device has a handy sensor grip connected to the PC and can be integrated into additional platforms for monitoring vertical and horizontal movements of the shoulders (accommodation platform for the forearm) and hand rotation (spherical platform for the hand).

Pablo consists of four sensors, three that detect accelerations in the three spatial dimensions and one that detects force.

Data are recorded as quantitative measurements of isometric hand force and angles of isotonic rotations of the hand allowing pronation and supination movements of the wrist. The use of the device consists of both evaluation and rehabilitation exercises.

The evaluation covers: hand grip and strength (grip/extension strength, precision grip, lateral grip, interdigital grip, tridigital grip), shoulder movements (abduction, adduction, flexion and extension of the shoulder), elbow movements (elbow flexion and extension), wrist movements (supination, pronation, flexion, extension, ulnar/radial abduction) and finally the strength control index.

Rehabilitation is enabled by performing one-dimensional precision and reaction exercises, two-dimensional motor and cognitive exercises and virtual reality exercises.

VRRS (Virtual Reality Rehabilitation System)

Internationally patented Class I certified medical device made by Khymeia based on a virtual reality system for rehabilitation and telerehabilitation.

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Extreme user-friendliness, high customisation capacity, complete automatic reporting, and a telerialisation function are some of the guiding principles of the system’s continuous development.

VRRS, in fact, is conceived as a “central HUB” to which a series of specialised peripheral devices can be connected via USB, fully synchronised and integrated with the system.

VRRS, with its exclusive magnetic kinematic acquisition system, is used as a clinical routine for the rehabilitation of a broad spectrum of pathologies through its numerous rehabilitation modules containing a vast library of clinically validated exercises for neurological (motor, cognitive, speech, posturographic, hand, finger and wrist, cervical head, immersive virtual reality, occupational therapy, muscle synergies) and orthopaedic (ankle, knee, pelvis, hip, hand, finger, wrist, elbow, shoulder, back, cervical head) recovery.


Interactive surface produced by Tyromotion, used in neurological rehabilitation of the upper limb in people with cognitive and motor impairments

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The sensory surface is the basis for creative therapy that brings meaning and self-determination into everyday life.

Real objects, power control, touch applications and lots of fun: this is what constitutes intuitive, goal-oriented therapy with MYRO.

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