clinical aspects of meditouch products

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Clinical aspect of MediTo uch products Clinical Aspects of MediTouch Products Clinical Aspects of MediTouch Products Presented by: Presented by: Mr. Avraham Cohen, MediTouch CCO Mr. Avraham Cohen, MediTouch CCO

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Clinical Aspects of MediTouch Products. Presented by: Mr. Avraham Cohen, MediTouch CCO. Content. Description Scientific Aspect Method Features Indications. Description. Dedicated rehabilitation systems for upper and low extremity rehabilitation based on Impairment oriented - PowerPoint PPT Presentation

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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 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 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

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