clinical aspects of meditouch products - presentation

8/9/2019 Clinical Aspects of MediTouch Products - Presentation

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Clinical aspect of MediTouchproducts

Clinical Aspects of MediTouch ProductsClinical Aspects of MediTouch Products

Presented by:Presented by:

Mr. Avraham Cohen, MediTouch CCOMr. Avraham Cohen, MediTouch CCO


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Content

Description

Scientific Aspect

Method

Features

Indications


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Description

Dedicated rehabilitation systems for upper and low

extremity rehabilitation based on Impairment oriented

training with augmented feedback.


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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


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Scientific Aspect



Impairment

Disability Handicap


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Scientific Aspect



Impairment Oriented Training (IOT)

Objective

evaluationsCustomized

practice


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Scientific Aspect

Rehabilitation

Method

Traditional

Low tech

Traditional + IOT

Low tech + High tech


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Traditional Approach

Mild range and low sensitivity

of sensory-motor system

Limited sensory-motor ability

Increase compensatory movement


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Traditional With IOT Approach

Full range and high sensitivity

of sensory-motor system

Decreased longer term problems

Increased potential recovery

Enhanced functional recovery


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Feedback

Feedback

Task-intrinsic

feedback

Visual

Augmented

feedback

ProprioceptiveAuditory Knowledge

of Result

Tactile Knowledge of

Performance

Magill and Wood (1986)


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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


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Types of Augmented Feedback

Augmented Feedback

Quantitative Qualitative

Terminal Terminal ConcurrentConcurrent


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Acknowledge

Knowledge of result (KR)

Knowledge of performance (KP)


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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


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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


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Ideal Augmented Feedback

KP and KR combination

Silverman, woods, and Subramaniam, 1999)


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Type of Augmented Feedback Indications

Terminal ConcurrentQualitativeQuantitative

Initial stage Mild Impact Sever Impact

Magill and Wood (1986), Intiso et al, 1994

Advanced stage


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Needs for Augmented Feedback

Impact of sensory system

Inefficiently of task-intrinsic feedback.

(Trowbridge & Cason 1932, Bilodeau, & Schumsky, 1959)


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Method

IOT and Feedback

Rehabilitation Customization

Rehabilitation Facilitation

Patient Motivation

Rehabilitation Evaluation

Rehabilitation Follow-up

Kwakkel G, Kollen BJ) (Woods, &Subramaniam, 1998, Annesi, 1998;)


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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


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Features

Objective kinematics evaluation

Customized Intensive Training

Objective Follow-up

All types of Augmented Feedback

Research, clinical and home usage


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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


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ElbowTutor Indications

Stroke

Head injuries


Parkinson


Brachial plexus injuries

Radial and Ulnar nerve injuries

Arm surgery rehabilitation

Arm muscle weakness

Burns

CRPS

DCD


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LegTutor Indications

Stroke

Head injuries


Parkinson


Drop foot

Ankle surgery rehabilitation

Ankle muscle weakness

Femoral or Tibial nerve injuries

Burns

CRPS

DCD


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Clinical aspect of MediTouch

products

AnkleTutor Indications

Stroke

Head injuries


Parkinson


Ankle surgery

Ankle fractures or soft tissue injuries

Ankle muscle weakness

Peroneal, Tibal nerve injuries

Burns

CRPS

DCD


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Clinical aspect of MediTouch

products

clinical aspects of meditouch products - presentation

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