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Achieving “A Higher Level of Care”

With Technology.

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true

major difference

Rehabilitation

• Improves functional abilities• Differentiates between motor

improvement and true functionalrecovery

• Requires an ongoing process with reevaluation and long term therapy

• Involves neural plasticity, which is real and makes a major difference

recovery

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Mechanisms of Recovery

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Neural Plasticity

• Improvement requires the performance of functional tasks

• Neural plasticity can take place for years after a brain injury

• Unmasking of other neural pathways and synapses (neural plasticity)

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Technology Toolbox

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Dynamic Orthosis

• Non-electrical/purely mechanical device

• Positions wrist and fingers in extension in preparation of functionalactivities

• Must have some shoulder and elbow movement and be able to flex fingers when wrist placed in extension

• Allows patient to perform “functional” tasks to promote neural plasticity

SaeboFlex®

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• Increase in synaptic efficacy in existing neural circuits or the formation of new synapses, indicating brain plasticity may underlie the improvements seen with FES

• Repeated movements induced by FES might reinforce network patterns

Possible Mechanisms FES

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Hand Rehabilitation

• Uses electrical stimulation to open and close grasp

• Can be used in the hospital or at home

• Electrical stimulation may retrain the brain

Ness H200®

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Lower Extremity Rehab

• Uses electrical stimulation to raise the foot during swing and control the knee

• Can be used in the hospital or at home

• Electrical stimulation may retrain the brain

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Dysphagia Treatment• Aspiration may be due to weak muscles• Electrical current stimulates motor nerves and throat muscles• Muscles are strengthened and re-educated• Improvement in diet and swallow function VitalStim®

Advantages of BWSTT

• Unloading lower extremity

• Fall free environment

• Maintain balance• Proprioceptive

input• Goal oriented and

specific

• Increase bone density

• Increase circulation

• Maintain range of motion

• Increase muscle strength

• Decreased spasticity

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Motion

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Gait Velocity

Average Geriatric Speed

0.8 m/sec

Community Ambulator

0.6 m/sec

Complications/Increased Falls<0.6 m/sec

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greaterRobot-Assisted Interactive Therapy

Robot-assisted technology that is based on the proven understanding that numerous repetitions of functionallyoriented movements can stimulate brain reorganization in stroke patients, and thus trigger greater functional recovery recovery

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Off-the-Shelf Virtual Reality

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What does it all mean?

• Scientific basis for equipment

• Continuing research for validity

• Rapidly advancing

rehabilitation

Technology:

BITS

• BITS-Bioness Integrated Therapy System• Upgraded from Dynavision from Bioness• Clinical pre-driving skills• Visual scanning• Visuospatial deficits• Cognitive/sequencing tasks

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Interactive Metronome

• Initially developed for athletes• Then, used with ADHD adolescents• Later, expanded for application with neuro population• Attention• Concentration• Coordination• Endurance• Dual-tasking• Motor planning17

Now we can provide hands on learning

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Resources

• www.Bioness.com• www.saebo.com• www.interactivemetronome.com• www.motorika.com• www.healthsouth.com• www.playosmo.com

• You can google various I-pad apps depending on what area of focus you are interesting in ie: eye-hand coordination, cognitive therapy/memory, visual attention.

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