Through many years of research, Istituto S.Anna has developed, with various partners, the devices described below and that are used in our gyms by highly specialised staff every day. The use, combined with the usual rehabilitation techniques, included in personalised rehabilitation programs, allows a rehabilitation offer that is unique in its kind.
For the mere rehabilitative phase, a double exoskeleton system was designed and implemented for the rehabilitation of the upper limb, called Aramis. Aramis is a robo-mechatronic system made up of two exoskeletons, with 5 active degrees of freedom, for the motor rehabilitation and functional recovery of patients with stroke outcomes.
The kinematic chain of the exoskeleton was reproduced starting from the natural movements of the human arm.
The latest version of ARAMIS is the third evolution within an industrial research program launched in 2005.
Over 150 patients have completed part of their rehabilitation with Aramis, the results obtained were significantly higher than those with a therapy using exclusively conventional rehabilitation methods. The system has an international patent.
For the mere rehabilitative phase, Copernicus was created at the Institute’s laboratories, a system for the correct load balancing to obtain an early start of locomotion.
An innovative device, consisting of a mechanical structure and electronic components and software that allows obtaining a precocious and safe locomotion in hemiplegic patients, through exercises for the fast movement of the load on the 2 lower limbs.
The advantages obtained using this system lie in the possibility of treating two or more patients at the same time and in the fact that the patient can implement a self-management of his of her treatment with undeniable advantages, even cognitive ones. The patent and certification process for the system is underway.
For the acute phase, in which the patient spends most of the hospitalisation in bed, testing is underway for a mechatronic hospital bed for static and dynamic positioning and passive mobilisation of all body districts has been realized.
This completely automated device, called “Intellibed” is managed by a centralised control that allows all the functions necessary for an early rehabilitation and available 24/7 without the constant need for intervention by the operator. The therapist must establish, control and modify the daily treatment program according to the patient’s evolution as needed. The patent and certification process for the system is underway.
DLR (Daily Living Related)
A device based on the realisation of different virtual environments in which the subject’s movements are detected by an infrared camera and a processing software converts the patient’s gestural recognition into the activities necessary to carry out the exercises in the different virtual environments that are displayed on a monitor placed in front of the patient. Three virtual environments have been designed for the recovery of personal, home and out of home autonomies in the rehabilitation treatments of the upper limb. In particular, the environment that was created to recover personal autonomy consists of a virtual bathroom in which the patient is guided while brushing his or her teeth. The environment that was created to recover autonomy at home consists of a virtual kitchen in which the patient is guided while cooking various food. The environment that was created to recover autonomy out of home consists of a virtual supermarket where the patient is guided while buying products, starting from consulting a flyer to choose the products to buy, thus creating a shopping list, going to the supermarket with a sufficient amount of money, selecting the products from the various supermarket shelves until paying at the cash desk after selecting the money needed for the payment and then checking that the change is right. At each stage of the rehabilitation exercise, a point is assigned so the final score corresponds to the sum of the phases completed correctly. Furthermore, the patient, in each phase of these exercises, can take advantage of visual aids (for example the virtual lighting of the door that should be opened to take the ingredient that is necessary for the recipe), voice aids (for which the subsequent action to be performed is indicated by an entry) or intervention aid to move onto the next action if it is not possible to carry out. In all these cases of a request for assistance, the setting can be changed by the therapist in real time. Lastly, any assistance requested is stored in the final progress report of the individual rehabilitation exercise, thus it can also be compared to assess the progress in the recovery of autonomy
It is a virtual reality device for the upper limb rehabilitation. In detail, it consists of a movement detection system (recordable by an infrared camera) that interacts with a software system that converts the movement of the upper limb into executive activities to perform the various rehabilitation exercises that are displayed on a monitor placed in front of the patient. Two types of scenarios have been implemented with the possibility of carrying out the exercises without any distinction between the right or left upper limb.