GEO

A computerised 8-axis walk robot with passive, semi-active and active mode made by Reha Technology and based on an ‘end-effector’ technology (2 mobile metal plates) to simulate walking and compared to “exoskeletal” technologies, it allows modifying the partial movements of the limb. The patient wears a safety sling to support him or her in the standing position during therapy and has a frontal monitor with the load support indicators on both feet as visual feedback. The rehabilitator is in front of the patient and can intervene freely to support and encourage the patient to work actively. The therapeutic use methods consist of 5 possible variants:

  1. Walking therapy in which the parameters that can be changed regarding the step are speed (or cadence) and the length while the parameters that can be varied for the ankle are both the initial contact of the heel that during the walking phase is placed anteriorly and the detachment of the heel that is instead placed posteriorly. Lastly, thanks to the presence of lateral carabiners to hook onto the sling, it is possible to vary parameters relating to the centre of gravity.

  2. Partial walking movements for which it is possible to set the parameters on the single limb to correct some characteristics of the step while walking. In particular, the three basic movements of the individual limb can be improved: pre-flight, flight and landing.

  3. Visual Scenario consists of the display on the monitor placed frontally to the patient of 5 types of landscape scenarios.

  4. Standard protocols are predefined by the device for patients with Alzheimer’s or Parkinson’s both in the less severe situation and in the more severe one of the pathological manifestations

  5. WizardTherapy is a walk simulation mode that allows the rehabilitator to select and program a customised combination of exercises and treatment protocols based on the patient’s needs that can then be stored and adapted.

 

COPERNICUS

Rehabilitation system for early locomotion in hemiplegic patients. The patient wears a pair of insoles in his or her shoes equipped with piezoresistive sensors that detect the support of the foot and transfer the information via Wi-Fi to a controller with a monitor (tablet) that is a visual feedback for the patient when executing the various rehabilitation exercises. Under the constant assistance of the therapist, the patient is positioned in an upright position laterally to a mechanical support that is adjustable in height to position the arm in 90° abduction with respect to the trunk and that also acts as a lateral support to fix the healthy limb’s hip. This way the patient not only is assisted by the therapist but also feels a solid support for the healthy hemi-side. In a first rehabilitation phase the patient wears a sling that supports him or her from above to relieve the weight and to guarantee the standing position. The use of the sling also avoids the risk of falls and guarantees that the exercises are done in maximum safety for the patient. In a second rehabilitation phase the patient can start locomotion as the arm-hip support of the healthy hemi-side can slide along a mechanical track so the patient can make a circular path and be supported, if needed, by the sling as it is also fixed onto the sliding support. The rehabilitative exercises consist of a first mode in which the activity required to the patient is to distribute the weight by progressively alternating the load from one foot to the other. The sensor insoles measure the support times for each foot and the number of support changes. Besides, for each foot it is possible to extrapolate if the foot support is uniform as each sole has three sensors in three specific positions to support the foot. A sensor is positioned in the foot’s inner plant, one is for the foot’s external plant and one is for the heel. This aspect can also be displayed on the tablet monitor so the patient can instantly correct the support. A second modality of rehabilitative exercises consists in walking and the patient can progressively reach a predetermined number of steps by displaying a virtual landscape path on the tablet monitor.

 

PEGASO

It is a motorised ergometer realised by Biotech that allows the performance of assisted physical activity, with both passive and active training modalities. Pegaso is equipped with an electronic control system capable of recognising the level of muscular effort of the subject to have the most suited level of exercise for the physical state of the patient. In addition to allowing the pedalling movement and to adjust its resistance for the cardio-pulmonary exercise, Pegaso is able to keep under control and accurately measure the kinematic and dynamic parameters of the movement, like the pedalling speed, the power exerted by the muscles, the virtually travelled distance. The system is equipped with an electrostimulator with 6 independent channels, each of which can deliver up to 140 mA. Lastly, the PEGASO controller automatically regulates, at every moment of the therapeutic session, the intensity of electrical stimulation and therefore the work done by the muscles, and the help or resistance opposed by the motor to the pedalling to optimise the exercise in each pathology condition and state of training.

 

BALANCE

A stabilometric platform that is easy to use as it has an intuitive touch-screen display that offers training methods to improve balance, increase agility and develop muscle tone. The methods of use of the device consist of both evaluation and rehabilitation exercises. The evaluation is allowed thanks to 5 methods, that are: the risk of falling, the stability test on a single leg, the limit of static and dynamic stability, postural stability and the Clinical Test of Sensory Integration of Balance that identifies and keeps track of balance disturbances and of the three sensory systems associated with the postural stability for compensation in cases of one or more compromised sensory systems. Rehabilitation exercises consist of 6 modes of use in static and dynamic function: postural stability, stability limits, weight shifting, trunk movement control in a maze, load percentage and with the random movement control of the trunk. Finally, it is possible for the patient to carry out an exercise in interactive mode.