clinical aspect of meditouch products clinical aspects of meditouch products presented by: mr....
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Clinical aspect of MediTouch products
Clinical Aspects of MediTouch ProductsClinical Aspects of MediTouch Products
Presented by: Presented by: Mr. Avraham Cohen, MediTouch CCOMr. Avraham Cohen, MediTouch CCO
Clinical aspect of MediTouch products
Content• Description• Scientific Aspect• Method• Features• Indications
Clinical aspect of MediTouch products
DescriptionDedicated rehabilitation systems for upper and low extremity rehabilitation based on Impairment oriented training with augmented feedback.
Clinical aspect of MediTouch products
Scientific Aspect
WHO, ICIDHWorld Health Organization (WHO)
The International Classification of Impairments, Disabilities, and Handicaps (ICIDH)
Impairment Disability Handicap
Occupational Task
Functional Task
Sensor-motor skill
Clinical aspect of MediTouch products
Scientific Aspect
WHO, ICIDHWorld Health Organization (WHO)
The International Classification of Impairments, Disabilities, and Handicaps (ICIDH)
Impairment
Disability Handicap
Clinical aspect of MediTouch products
Scientific Aspect
WHO, ICIDHWorld Health Organization (WHO)
The International Classification of Impairments, Disabilities, and Handicaps (ICIDH)
Impairment Oriented Training (IOT)
Objective evaluations
Customized practice
Clinical aspect of MediTouch products
Scientific Aspect
Rehabilitation Method
Traditional
Low tech
Traditional + IOT
Low tech + High tech
Clinical aspect of MediTouch products
Traditional Approach
Mild range and low sensitivityof sensory-motor system
Limited sensory-motor ability
Increase compensatory movement
Clinical aspect of MediTouch products
Traditional With IOT Approach
Full range and high sensitivityof sensory-motor system
Decreased longer term problems
Increased potential recovery
Enhanced functional recovery
Clinical aspect of MediTouch products
Feedback
Feedback
Task-intrinsic feedback
Visual
Augmented feedback
ProprioceptiveAuditory Knowledge of Result
Tactile Knowledge of Performance
Magill and Wood (1986)
Clinical aspect of MediTouch products
Augmented Feedback
)Lintern, Roscoe, & Silvier, 1990; Lintern, 1991 ( ;Lee, White & Carnahan 1990; Butler, Reeve, Fischman 1996, (Swinnen et al,. 1990; Swinnen, Walter, Lee & Serrien, 1993)
KR
Timing
Motivation
levels
KP
Motion
Feedback
Clinical aspect of MediTouch products
Types of Augmented Feedback
Augmented Feedback
Quantitative Qualitative
Terminal Terminal ConcurrentConcurrent
Clinical aspect of MediTouch products
Acknowledge• Knowledge of result (KR)• Knowledge of performance (KP)
Clinical aspect of MediTouch products
Acknowledge of Result (KR)• Self assessment• Patient motivation• Low cognitive effort• Short term compensatory performance• Long term pre morbid performance
Kernodle and Carlton 1992, Zubiaur, Ona, and Delgado 1999, Lee T, Swinnen SP, Serrien D. 1994
Clinical aspect of MediTouch products
Acknowledge of Performance (KP)• Patient cooperation• Self active intervention• Cognitive effort• Long term problems prevention
Kernodle and Carlton 1992, Zubiaur, Ona, and Delgado 1999, Lee T, Swinnen SP, Serrien D. 1994
Clinical aspect of MediTouch products
Ideal Augmented FeedbackKP and KR combination
Silverman, woods, and Subramaniam, 1999)
Clinical aspect of MediTouch products
Type of Augmented Feedback Indications
Terminal ConcurrentQualitativeQuantitative
Initial stage Mild Impact Sever Impact
Magill and Wood (1986), Intiso et al, 1994
Advanced stage
Clinical aspect of MediTouch products
Needs for Augmented Feedback • Impact of sensory system • Inefficiently of task-intrinsic feedback.
(Trowbridge & Cason 1932, Bilodeau, & Schumsky, 1959)
Clinical aspect of MediTouch products
Method
IOT and Feedback
Rehabilitation Customization
Rehabilitation Facilitation
Patient Motivation
Rehabilitation Evaluation
Rehabilitation Follow-up
Kwakkel G, Kollen BJ( )Woods, &Subramaniam, 1998, Annesi, 1998(;
Clinical aspect of MediTouch products
The Insight• Use it or lose it• Use it and improve it• Active practice• Repetition• Intensity• Time• Motivation• Challenge• Feedback
Jeffrey A. kleim 2008, Wolf SL, Winstein CJ, 2008,Taub et al., 1993; Wolf et al., 1989
Clinical aspect of MediTouch products
Features• Objective kinematics evaluation• Customized Intensive Training• Objective Follow-up• All types of Augmented Feedback• Research, clinical and home usage
Clinical aspect of MediTouch products
HandTutor Indications• Stroke• Head injuries• Spinal cord injuries• Parkinson• Cerebral palsy• Multiple sclerosis• Radial and ulnar nerve injuries• Brachial plexus injuries• Post hand rehabilitation• Hand and forearm injuries• Burns• CRPS• DCD
Clinical aspect of MediTouch products
ElbowTutor Indications• Stroke• Head injuries• Spinal cord injuries• Parkinson• Cerebral palsy• Multiple sclerosis• Brachial plexus injuries• Radial and Ulnar nerve injuries• Arm surgery rehabilitation• Arm muscle weakness• Burns• CRPS• DCD
Clinical aspect of MediTouch products
LegTutor Indications• Stroke• Head injuries• Spinal cord injuries• Parkinson• Cerebral palsy• Multiple sclerosis• Drop foot• Ankle surgery rehabilitation• Ankle muscle weakness• Femoral or Tibial nerve injuries• Burns• CRPS• DCD
Clinical aspect of MediTouch products
AnkleTutor Indications• Stroke• Head injuries• Spinal cord injuries• Parkinson• Cerebral palsy• Multiple sclerosis• Ankle surgery• Ankle fractures or soft tissue injuries• Ankle muscle weakness• Peroneal, Tibal nerve injuries • Burns• CRPS• DCD
Clinical aspect of MediTouch products