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Renovation Barrow Opens Functional Strength and Robotics Gym Barrow Neuro-Rehabilitation Center is happy to announce that it recently opened the doors to the new Functional Strength and Robotics Gym. The Neuro- Rehabilitation Center provides specialized therapy to patients who have sustained an injury or diagnosis resulting in neurological impairment. The new gym space offers the necessary equipment, enhanced by the new technology and robotics for patients to gain strength and coordination. The robotics include the EKSO GT for ambulation; In-Motion and Myomo for upper extremity function; Tyro-motion Diego for assisted arm rehabilitation and the Rapael Smart Glove, for hand function. The new space is the beginning of a much larger renovation the Barrow Neuro-Rehabilitation Center is planning over the next several months. Watch future newsletters as this complete renovation unfolds. n Leading the Way in Rehabilitation Summer 2018 Volume 5, Issue 1 Inside this issue: Renovation Barrow Opens Functional Strength and Robotics Gym Research Barrow Rehab part of National Research Program Professional Education Barrow Physicians Discuss Opportunities for Artificial Intelligence with Keynote Therapy Enhancement Integrating Yoga through the Continuum: An Approach to Patient Empowerment Robotics Rehab Expands Early Mobility in ICU with Robotics Barrow Neuro-Rehabilitation Introduces the Use of the Smart Glove Robotics in Hand Therapy Barrow Neuro-Rehabilitation/ASU Innovation Barrow Neuro-Rehabilitation Collaborates with ASU in Development of Soft Robotic for Stroke Patients International Influence International Exchange Program Rehabilitation Services Programs Overview and Outcomes Human Interest Jovanna Calzadillas National Conference and Professional Continuing Education Calendar 2018-2019 (Click or tap below to view) BarrowNeuro.org/rehab

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Page 1: Leading the Way in Rehabilitation · assisted arm rehabilitation and the Rapael Smart Glove, for hand function. The new space is the beginning of a much larger renovation the Barrow

Renovation Barrow Opens Functional Strength and Robotics Gym Barrow Neuro-Rehabilitation Center is happy to announce that it recently opened the doors to the new Functional Strength and Robotics Gym. The Neuro-Rehabilitation Center provides specialized therapy to patients who have sustained an injury or diagnosis resulting in neurological impairment. The new gym space offers the necessary equipment, enhanced by the new technology and robotics for patients to gain strength and coordination. The robotics include the EKSO GT for ambulation; In-Motion and Myomo for upper extremity function; Tyro-motion Diego for assisted arm rehabilitation and the Rapael Smart Glove, for hand function.

The new space is the beginning of a much larger renovation the Barrow Neuro-Rehabilitation Center is planning over the next several months. Watch future newsletters as this complete renovation unfolds. n

Leading the Way in Rehabilitation

Summer 2018Volume 5, Issue 1

Inside this issue:Renovation Barrow Opens Functional Strength and Robotics Gym

ResearchBarrow Rehab part of National Research Program

Professional EducationBarrow Physicians Discuss Opportunities for Artificial Intelligence with Keynote

Therapy EnhancementIntegrating Yoga through the Continuum: An Approach to Patient Empowerment

RoboticsRehab Expands Early Mobility in ICU with Robotics

Barrow Neuro-Rehabilitation Introduces the Use of the Smart Glove Robotics in Hand Therapy

Barrow Neuro-Rehabilitation/ASU InnovationBarrow Neuro-Rehabilitation Collaborates with ASU in Development of Soft Robotic for Stroke Patients

International InfluenceInternational Exchange Program

Rehabilitation Services Programs Overview and Outcomes

Human InterestJovanna Calzadillas

National Conference and Professional Continuing Education Calendar2018-2019

(Click or tap below to view)

BarrowNeuro.org/rehab

Page 2: Leading the Way in Rehabilitation · assisted arm rehabilitation and the Rapael Smart Glove, for hand function. The new space is the beginning of a much larger renovation the Barrow

Research

Barrow Rehab Part of National Research ProgramBarrow Neuro-Rehabilitation has joined The WISE Study (Walking Improvement for SCI with Exoskeleton) which is a multi-center clinical trial involving 10 major rehabilitation centers across the nation. The study will evaluate improvement in independent gait speeds of participants with incomplete spinal cord injuries randomly placed into one of three groups. Group 1 will receive the EKSO GT in their rehabilitation program three times a week for 12 weeks. Group 2 will receive standard gait training in their rehabilitation program three times a week for the 12 weeks and Group 3 will be a passive control group continuing with daily activities with no therapy.

The programs participating include:

Barrow Neuro-Rehabilitation | Phoenix, AZTIRR Memorial Herman | Houston, TX Burke Medical Research Institute | White Plains, NY Courage Kenny Rehabilitation Institute | Minneapolis, MNDMC Rehabilitation Institute of Michigan | Detroit, MIGaylord Hospital | Wallingford, CTKennedy Krieger Institute | Baltimore, MDKessler Foundation | East Hanover, NJMarianjoy Rehabilitation Hospital | Wheaton, ILShirley Ryan AbilityLab | Chicago, IL

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Page 3: Leading the Way in Rehabilitation · assisted arm rehabilitation and the Rapael Smart Glove, for hand function. The new space is the beginning of a much larger renovation the Barrow

The Keynote Speaker for Barrow Neuro-Rehabilitation 2018 Spinal Cord Injury Symposium was Professor Chad Bouton. Dr. Bouton is the VP of Advanced Engineering and the Director of the Center for Bioelectronic Medicine at The Feinstein Institute for Medical Research, the research arm of the Northwell Health System in New York. Barrow’s neurologists, and neurosurgeons had discussions with him on his cutting edge research being done in the field of brain-machine interface. Professor Bouton shared research milestones that included an individual living with quadriplegia picking up a cup for the first time and playing Guitar Hero game. He also spoke about the future potentials of this research for individuals living with many different health issues. Professor Bouton’s presentation was in

line with Barrow Neurological Institute’s value of providing cutting edge care, as they move forward with internal research projects exploring the opportunities of machines interfacing with the human neurological system to improve health and change lives. Dr. Igor Barani, Director of Barrow Artificial Intelligence Center (BAIC), states that “We’re at the cusp of making these exciting technologies practical with potential to drastically improve lives of patients who previously had limited options at functional recovery or improvement. Many of these technologies can be powered by artificial intelligence that mimics behaviors and actions of healthy people and gives those with disabilities an opportunity to resume more normal lives.” n

Professional Education

We’re at the cusp of making these exciting

technologies practical with potential to drastically

improve lives of patients...

Barrow Physicians Discuss Opportunities for Artificial Intelligence with Keynote

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Page 4: Leading the Way in Rehabilitation · assisted arm rehabilitation and the Rapael Smart Glove, for hand function. The new space is the beginning of a much larger renovation the Barrow

Integrating Yoga through the Continuum: An Approach to Patient Empowerment Yoga is a booming industry in the United States. Barrow Neurological Institute Neuro-Rehabilitation Center continuum of care has been using yoga for several years to enhance patient care and the patient experience. The integration of yoga techniques into individual therapy and group sessions improves personal independence, overall control of their physical response and an improved patient experience. With yoga practice integrated into the rehabilitation process, patients have noted improvement in pain management, sleeping disorders, anxiety and depression. Barrow Neuro-Rehabilitation values treating the whole person, and this application is another tool that contributes to the patient’s recovery.

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“It gave me a sense of control back and a peace

that I didn’t have before.”

– Cynthia, Chronic pain

“This to me now is like a vacation, like an all-

inclusive little vacation. Because it takes care of

me mentally, emotionally, and physically.”

– Michelle, Breast cancer survivor

“The best part was, when you said ‘give yourself

permission to do absolutely nothing’. We forget

to do that for ourselves. Especially here!”

– sister of a former patient with a brain tumor

“I can feel myself healing”

– Kelly H., Lung Transplant patient

yogaTherapy Enhancement

Page 5: Leading the Way in Rehabilitation · assisted arm rehabilitation and the Rapael Smart Glove, for hand function. The new space is the beginning of a much larger renovation the Barrow

robotics

Rehab Expands Early Mobility in ICU with Robotics Barrow Neuro-Rehabilitation has expanded the use of the EKSO Robotic in the Neuro ICU setting. Beginning early this year, the physical therapists integrated the EKSO into therapy sessions with 25 patients, both on the ICU unit and in the acute care therapy gym. Some of the patients who have benefitted from this program which involves early gait and step repetitions had the diagnosis of stroke, SCI, transverse myelitis and MS.

Barrow Neuro-Rehabilitation continues to broaden the scope of the use of the robotics throughout the continuum of services to capture as many patients who could benefit, in all rehabilitation settings.

Barrow Neuro-Rehab is committed to the right clinician, the right technology at the right time of recovery for all patients. n

Barrow Neuro-Rehabilitation Introduces the Use of the Smart Glove Robotics in Hand Therapy The Rapael Smart Glove has recently been added to the repertoire of new technology and robotics in Barrow Neuro-Rehabilitation.The Smart Glove is a wireless device that uses bending sensors to accurately compute the amount of individualized finger movements and integrate those into a virtual reality task which enhances hand rehabilitation caused by a neurological insult. It promotes neuroplasticity through exercises and gamification elements to assess hand performance and progress. n

This patient is utilizing the Rapael in her hand therapy session.

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Page 6: Leading the Way in Rehabilitation · assisted arm rehabilitation and the Rapael Smart Glove, for hand function. The new space is the beginning of a much larger renovation the Barrow

robotics

Therapists from Barrow Neuro-Rehabilitation, in collaboration with bio-engineering students from Arizona State University are developing a walking aid that can assist stroke patients in their recovery. The product could be life changing.

The robotic consists of an inflatable bladder that attaches behind a patient’s knee and starts off soft and malleable. Then, when pressurized with air, the bladders – also called actuators – become stiff and can provide support for the knee as stroke patients relearn how to walk. Using sensors developed in ASU’s lab, the device is able to track a range of information, including where a patient is at in their step. Dr. Panos Polygerinos, ASU Mechatronics Lab Director reported, “These users could potentially regain function and perform in society again.”

To see more on this soft robotic, please go to:

Barrow Neuro-Rehabilitation/ASU InnovationBarrow Neuro-Rehabilitation Collaborates with ASU in Development of Soft Robotic for Stroke Patients

https://www.youtube.com/watch?v=qhEQuGrZlaM

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Page 7: Leading the Way in Rehabilitation · assisted arm rehabilitation and the Rapael Smart Glove, for hand function. The new space is the beginning of a much larger renovation the Barrow

International Exchange ProgramRecently, the Barrow Neuro-Rehabilitation Center had the pleasure of hosting two nursing students who are in their master’s program from Japan as a part of the Barrow Neurological Institutes International Exchange Program under the direction of Virginia Prendergast.

Both students attend St. Luke’s college in Tokyo, which is the only college in Japan that has a program that designates Neuroscience Nursing courses. Barrow has hosted students for the last three years and looks forward to future guests as we share our knowledge and expertise in the care of neurological patients.

International Influence

St. Luke’s college in Tokyo is

the only college in Japan that

has a program that designates

Neuroscience Nursing courses.

Rehabilitation Services ProgramsOverview and Outcomes - Recent Quarterly Report

n Barrow Neuro-Rehabilitation Center Inpatient Rehabilitation Facility

221 Admits – 92.4% neuro mix (stroke, brain, spine, and neurologic) as compared to the Nation at 54.5%

81.0% - D/C to the community, as compared to nation at 78.3%

92.7% - Satisfied with the program 95.6% - Prepared me for going home 97% - Likely to recommend

n Outpatient Neuro-Rehabilitation Services 5,763 - Total visits - 56% acquired brain injuries, 13%

concussion/mild TBI, 7% SCI 96.4% - Overall satisfaction with care 98.2% - Likely to Recommend n Center for Transitional Neuro-Rehabilitation

(CTN) 12 Admits/10 discharges 90% - Return to work or school – full or part time 100% - Able to meet goals they set 100% - Felt CTN positively impacted their recovery

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Page 8: Leading the Way in Rehabilitation · assisted arm rehabilitation and the Rapael Smart Glove, for hand function. The new space is the beginning of a much larger renovation the Barrow

Human “And I want people to know that miracles do happen.”

Jovanna Calzadillas

In January, a story about the remarkable recovery of Barrow patient Jovanna Calzadillas received worldwide news coverage. She received life threatening injuries after being shot in the head at the Route 91 Music Festival in Las Vegas last October. A victim of the nation’s deadliest mass shooting, Jovanna was not expected to survive. Once at Barrow Neuro-Rehabilitation, Jovanna started to make a tremendous recovery. A large press conference was held at Barrow Neurological Institute the day before she was discharged to share her amazing story. The amount of attention her story received was overwhelming, however, Jovanna maintained her composure and continued to focus on her recovery and her family. “I love the people at Barrow. They have been so good to me, but I can’t wait to go home and return to a normal life with my kids and family.”

Since her discharge, Jovanna has returned home and continues to progress in her rehabilitation at the Center for Transitional Neuro-Rehabilitation as an outpatient.

• Total News Stories: 1,782• The story reached all 50 U.S. States, the District

of Columbia and an estimated 19 additional countries

Photo: Jovanna and her husband Frank at the Press Conference the day before going home.

“I love the people at Barrow. They

have been so good to me, but I can’t

wait to go home and return to a

normal life with my kids and family.”

Interest

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Page 9: Leading the Way in Rehabilitation · assisted arm rehabilitation and the Rapael Smart Glove, for hand function. The new space is the beginning of a much larger renovation the Barrow

2018 FEES SymposiumSeptember 15-16, 2018Sonntag Pavilion | 2910 N. 3rd Avenue, Phoenix, ArizonaRegister Early! Registration is limited to 30 participants.This course provides an understanding of swallowing as viewed endoscopically, how to perform FEES protocol, and how to interpret the results of the examination. It also includes use of endoscopy to provide biofeedback, to guide treatment, and to manage patients with oropharyngeal dysphagia.

2018 Barrow Stroke Rehab SymposiumOctober 13, 20182910 N. 3rd Avenue, Phoenix, Arizona Registration will open soon!

2018 37th Annual Barrow Neuroscience Nursing SymposiumNeuroscience Nursing from Discovery to DiagnosisNovember 7-8, 2018Leonard Goldman Auditorium | 2910 N. 3rd Avenue, Phoenix, Arizona

2019 Spinal Cord Injury SymposiumFebruary 8, 2019Leonard Goldman Auditorium | 2910 N. 3rd Avenue, Phoenix, Arizona Registration will open soon!

2019 Speech SymposiumMarch 16, 2019Leonard Goldman Auditorium | 2910 N. 3rd Avenue, Phoenix, Arizona Registration will open soon!

2019 Traumatic Brain Injury SymposiumMarch 23, 2019Leonard Goldman Auditorium | 2910 N. 3rd Avenue, Phoenix, Arizona

For information or registration regarding any conference, please contact:Continuing Medical Education OfficeBarrow Neurological Institute350 W. Thomas Road, Phoenix, Arizona 85013602-406-3067 | [email protected]

National Conference and Professional Continuing Education Calendar

2018-2019

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