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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

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slide1

Clinical Aspects of MediTouch Products

Presented by:

Mr. Avraham Cohen, MediTouch CCO

Clinical aspect of MediTouch products

slide2

Content

  • Description
  • Scientific Aspect
  • Method
  • Features
  • Indications

Clinical aspect of MediTouch products

slide3

Description

Dedicated rehabilitation systems for upper and low

extremity rehabilitation based on Impairment oriented

training with augmented feedback.

Clinical aspect of MediTouch products

slide4

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

slide5

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

slide6

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

slide7

Scientific Aspect

Rehabilitation Method

Traditional

Low tech

Traditional + IOT

Low tech + High tech

Clinical aspect of MediTouch products

slide8

Traditional Approach

Mild range and low sensitivity

of sensory-motor system

Limited sensory-motor ability

Increase compensatory movement

Clinical aspect of MediTouch products

slide9

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

slide10

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

slide11

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

slide12

Types of Augmented Feedback

Augmented Feedback

Quantitative

Qualitative

Terminal

Concurrent

Concurrent

Terminal

Clinical aspect of MediTouch products

slide13

Acknowledge

  • Knowledge of result (KR)
  • Knowledge of performance (KP)

Clinical aspect of MediTouch products

slide14

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

slide15

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

slide16

Ideal Augmented Feedback

KP and KR combination

Silverman, woods, and Subramaniam, 1999)

Clinical aspect of MediTouch products

slide17

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

slide18

Needs for Augmented Feedback

  • Impact of sensory system
  • Inefficiently of task-intrinsic feedback.

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

Clinical aspect of MediTouch products

slide19

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

slide20

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

slide21

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

slide22

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

slide23

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

slide24

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

slide25

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