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Clinical Aspects of MediTouch Products

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

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Clinical Aspects of MediTouch Products

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

  2. Content • Description • Scientific Aspect • Method • Features • Indications Clinical aspect of MediTouch products

  3. Description Dedicated rehabilitation systems for upper and low extremity rehabilitation based on Impairment oriented training with augmented feedback. Clinical aspect of MediTouch products

  4. Scientific Aspect Disability Handicap Impairment Sensor-motor skill Functional Task Occupational Task WHO, ICIDH World Health Organization (WHO) The International Classification of Impairments, Disabilities, and Handicaps (ICIDH) Clinical aspect of MediTouch products

  5. Scientific Aspect Impairment Disability Handicap WHO, ICIDH World Health Organization (WHO) The International Classification of Impairments, Disabilities, and Handicaps (ICIDH) Clinical aspect of MediTouch products

  6. Scientific Aspect Impairment Oriented Training (IOT) Objective evaluations Customized practice WHO, ICIDH World Health Organization (WHO) The International Classification of Impairments, Disabilities, and Handicaps (ICIDH) Clinical aspect of MediTouch products

  7. Scientific Aspect Rehabilitation Method Traditional Low tech Traditional + IOT Low tech + High tech Clinical aspect of MediTouch products

  8. Traditional Approach Mild range and low sensitivity of sensory-motor system Limited sensory-motor ability Increase compensatory movement Clinical aspect of MediTouch products

  9. Traditional WithIOT Approach Full range and high sensitivity of sensory-motor system Decreased longer term problems Increased potential recovery Enhanced functional recovery Clinical aspect of MediTouch products

  10. Feedback Feedback Task-intrinsic feedback Augmented feedback Visual Proprioceptive Auditory Knowledge of Result Knowledge of Performance Tactile Magill and Wood (1986) Clinical aspect of MediTouch products

  11. 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) Clinical aspect of MediTouch products

  12. Types of Augmented Feedback Augmented Feedback Quantitative Qualitative Terminal Concurrent Concurrent Terminal Clinical aspect of MediTouch products

  13. Acknowledge • Knowledge of result (KR) • Knowledge of performance (KP) Clinical aspect of MediTouch products

  14. 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

  15. 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

  16. Ideal Augmented Feedback KP and KR combination Silverman, woods, and Subramaniam, 1999) Clinical aspect of MediTouch products

  17. Type of Augmented Feedback Indications Quantitative Concurrent Qualitative Terminal Initial stage Advanced stage Mild Impact Sever Impact Magill and Wood (1986), Intiso et al, 1994 Clinical aspect of MediTouch products

  18. Needs for Augmented Feedback • Impact of sensory system • Inefficiently of task-intrinsic feedback. (Trowbridge & Cason 1932, Bilodeau, & Schumsky, 1959) Clinical aspect of MediTouch products

  19. Method IOT and Feedback Rehabilitation Facilitation Rehabilitation Evaluation Rehabilitation Customization Patient Motivation Rehabilitation Follow-up (Woods, &Subramaniam, 1998, Annesi, 1998;) Kwakkel G, Kollen BJ) Clinical aspect of MediTouch products

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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

  25. 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

  26. Clinical aspect of MediTouch products

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