Robotics Therapies

Movendo

hunova is a robotic device for rehabilitation and the sensorimotor assessment of the lower limbs and trunk, developed to meet the clinical need for an objective assessment and treatment tool to support doctors, physiotherapists and patients throughout the rehabilitation process.

APPLICATIONS:

In the orthopedic sector:

hunova is used for the rehabilitation of ankle, knee, hip and lumbar region of the spine, making the patient carry out passive mobilization exercises, muscle strengthening, proprioceptive exercises and postural and balance control. The device is also used for sports rehabilitation

In the geriatric field:

hunova enables the physiotherapist to work on postural control, proprioception and balance, and it is used to prevent and evaluate the risk of falls in the elderly and the recovery of cognitive aspects.

Neurological applications:

In the neurological area, hunova is used for post-stroke functional re-education, for the treatment of degenerative diseases of the central nervous system and lesions of the peripheral nervous system, providing exercises of postural control, balance, core stability and proprioception.

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REHABILITATION PATH

Protocols:

  • The use of standardized protocols developed from international guidelines, combining more than 200 exercises from various applications (orthopedics, geriatrics, neurology).

  • The modification of standard protocols to be adapted to specific applications

  • The creation of personalized protocols for the needs of each facility

Personalized rehabilitation

hunova enables the operator to select the difficulty level of the protocol in an accurate and simple way, in order to adapt the therapy to each patient’s abilities.

Report

The rehabilitation process is integrated with an evaluation path to record and monitor the clinical situation of the patient, thus supplying objective reports throughout the therapy.

NUSTEP

NUSTEP – active training, even for patients with severe movement restrictions.

NUSTEP is a full body trainer that offers safe, effective and adapted training for patients. It is a combination of recumbent bike, cross trainer and stepper.

Functionally disturbed body regions and areas can be supported by healthy ones and integrated into the movement process.

In this way, NUSTEP can contribute to reintegrating “active movement patterns” into movement processes, training coordination and improving muscle strength.

The linear movement of the foot pedals guides the legs in a similar way to a movement rail or functional press.

NUSTEP ® is available in various configurations and used in the following areas, among others.

NUSTEP NUSTEP: NUSTEP – active training, even for patients with severe movement restrictions.
Application example Hocoma C-Mill: Realistic gait rehabilitation

Neurology:

  • stroke
  • multiple sclerosis
  • Parkinson's
  • cerebral palsy

Orthopedics:

  • hip and knee problems
  • TEP patients
  • Shoulder/Arm Discomfort
  • trunk complaints

EKSONR

EKSONR EKSONR: NEUROROBOTIK has the latest Ekso generation, of which is equipped with powerful new software,  real-time feedback and with the eksoView touchscreen controller. Compared to other devices in the industry, the eksoNR achieves the most  natural gait pattern in the industry.

NEUROROBOTIK has the latest Ekso generation, of which is equipped with powerful new software, real-time feedback and with the eksoView touchscreen controller. Compared to other devices in the industry, the eksoNR achieves the most natural gait pattern in the industry.

Developed for our patients

Based on years of research, successful implementation in more than 400 rehabilitation centers worldwide and more than 180 million documented training steps, the eksoNR has been developed to help us achieve a significantly better rehabilitation outcome.

The next step in Neuro-Rehabilitation

The eksoNR is designed for a wide range of patients. It is designed for patients with stroke, paraplegia, acquired brain injury, traumatic brain injury or other neurological diseases.

The most adaptive and well-researched exoskeleton on the market, offering our patients the highest level of Neuro-Rehabilitation.

eksoView
Real-time feedback

The eksoView touchscreen controller makes it easy to navigate the device. Thanks to the display, performance statistics and haptic/acoustic signals for gait correction, the operation is intuitive, clear and provides real-time feedback to help our patients to optimally benefit from the treatments.

SmartAssist

Is a software that adapts to our patient's healthcare needs. SmartAssist enables more effective use of the eksoNR throughout rehabilitation. With a greater number of steps, a more natural gait pattern and active patient engagement, SmartAssist provides us with the ability to specifically treat gait deficits.

SmartAssist is easy to customize for different patients and provides feedback on gait symmetry and alignment. It also provides individualized motor support according to the patient's performance, from 0-100% per side of the body.

With SmartAssist, we can better train the patient's balance and support them from sitting to standing. Mobile gait training in limited space is also possible.

EksoPulse

Patient progress at a glance
With eksoPulse, the entire course of treatment can be documented and monitored.
The entire treatment data is stored centrally with automatic tracking. Treatments can be evaluated efficiently, future treatments can be optimally planned in a patient-centered manner.*

* In order to preserve privacy, the patient's therapy data is encrypted in the cloud and can only be accessed by physicians and therapists with valid access via a patient ID.

Patient during gait training with the Lokomat: Efficient and highly repetitive
Patient during gait training with the Lokomat: Efficient and highly repetitive
  1. MEASURABLE EFFECTIVE

    With the eksoNR, patients can achieve greater progress in the early stages of the rehabilitation phase, thus improve their treatment outcomes. The eksoNR increases independent mobility, gait speed, walking distance and balance outside the device. With better outcomes, fewer patients need to prolong therapy.

  2. NATURALLY INTUITIVE

    With the user-friendly eksoView touchscreen controller, we have more control over treatments and can provide better insights to patients.
    Through SmartAssist software, the eksoNR automatically adjusts to challenge and motivate patients to achieve greater treatment success. and motivate our patients to achieve greater treatment success.

C-Mill

Augmented & Virtual Reality

The C-Mill is an instrumented treadmill for evaluating gait patterns and balance, as well as for therapy of gait and balance impairments. Augmented and Virtual Reality complement the treadmill motion in training.

Advantages

  • Effective functional gait therapy
  • Efficiency
  • Scientifically based
  • Objective and detailed assessment
  • Long term performance tracking
  • Advanced treadmill training
  • Fun and Motivation
Hocoma C-Mill: Treadmill for gait therapy with augmented and virtual reality simulations
Application example Hocoma C-Mill: Realistic gait rehabilitation

Effective functional gait therapy

With the C-Mill, patients train realistically for everyday environments and changing situations, such as walking in crowds or avoiding obstacles.

Virtual reality, projections and force plates overcome the limitations of conventional therapy equipment. Therapists can simulate a wide range of realistic situations.

Objective and detailed assessment

Comprehensive data collection allows for a sound, objective and highly reliable evaluation of balance, gait and gait adaptation.

The C-Mill assessments are helpful in all phases of the rehabilitation process:

  • Balance: static postural control and dynamic weight transfer in four directions.
  • Gait: Spatio-temporal parameters (stride length, stride width, etc.), gait imaging, video recording, and center of pressure measurement.
  • Gait matching: treadmill projection and virtual reality tasks allow comparison to walking in everyday life, displayed as a spider diagram.

All assessment data is clearly illustrated and output as substantiated reports.

Lokomat - Robotic gait therapy

Learn to walk again

High-intensity physiological gait training for patients with neurological impairments.

The Lokomat enables efficient and highly repetitive gait training with a physiological gait pattern. It supports the gait behavior of patients with walking difficulties and improves therapy success.

Indications

  • Stroke
  • Spinal Cord Injury
  • Cerebral palsy, traumatic brain injury
  • Multiple Scleroses, Morbus Parkinson etc.
  • or other neurological causes
Hocoma Lokomat: Physiological gait training for neurological impairments.
Patient during gait training with the Lokomat: Efficient and highly repetitive

Advantages

  • Effective gait training
  • physiological gait pattern
  • optimal challenge of the patient
  • Higher Efficiency
  • Ultra modern gait rehabilitation
  • Support of specific therapy goals
  • Longer and more intense workouts compared to manual treadmill training
  • Increased motivation through immediate performance feedback
  • Physiological gait pattern through individually adjustable ortheses, guiding force and weight relief
  • Biofeedback provides patient and therapist with accurate feedback of gait activity
  • Optimal utilization of neuroplasticity and recovery potential

ArmeoSpring

Arm and hand therapy system

Since January 1, 2020, we have been using the ArmeoSpring arm and hand therapy system in our house. The system is already used in many clinics around the world. In the outpatient sector, we are among the first facilities to work with it. The ArmeoSpring is particularly suitable for the therapy of patients with neurological diseases, such as:

  • Stroke
  • Traumatic brain injury
  • Multiple Scleroses, Morbus Parkinson etc.
  • Paraplegia

The ArmeoSpring is also used in the orthopedic field, such as:

  • Z.n. operations
  • Z.n. injuries in the shoulder and arm area
Patient exercising with the Armeo Spring arm and hand therapy system.
Training with the ArmeoSpring for upper extremity impairmentn

Features of the ArmeoSpring

The ArmeoSpring is suitable for patients with impaired upper extremity functions. The core of the system is the combination of the following 3 functions:

  • Weight relief of the arm
  • Computerized feedback
  • Assessment tools / measurements

Together, these three features provide the patient and therapist with the ability to increase therapy intensity, stay motivated while monitoring and reviewing their own progress.

Because the device recognizes even the smallest movement onsets and functions, it allows for intensive movement and grasping exercises with minimal residual muscle activity and allows for a high number of repetitive movements.
Thus, even patients in a chronic condition benefit from Armeo Therapy and improvements both on the device and in activities of daily living are noticeable.

THERA Trainer

Achieve personal goals

THERA gait rehabilitation trainers use ultra modern robotic and computer technology to provide task-based training for strength, endurance and flexibility, balance, standing and walking.

With regular THERA-Training, affected persons can counteract negative effects of lack of movement, such as stiffening or muscle atrophy, in good time and thus positively influence activities of daily living, i.e. everyday life.

In the case of paralysis in the upper body, it serves to loosen muscles and reduce spasms. For active wheelchair users without paralysis in the upper body, the training serves to strengthen strength and endurance, as well as to increase breathing volume and general fitness.

Patients in wheelchairs train strength and endurance with the THERA-Trainer Tigo
People during exercise training with a THERA-Trainer

How THERA-Training helps

Satisfaction and physical well-being are closely linked and depend on many factors. Both can be positively influenced by regular exercise training. The daily training promotes strength, endurance and mobility, stabilizes circulation & metabolism and can incidentally improve the psychological well-being.

With regular THERA-Training, affected persons can counteract negative effects of lack of movement such as stiffening or muscle atrophy in time and thus positively influence activities of daily living, i.e. everyday life.

Luna-EMG-Robotics

Multifunctional for upper and lower extremities

Patients whose active participation in rehabilitation training is impossible due to lack of or insufficient function can use Luna-EMG robotics to start their own rehabilitation training in the early stages of rehabilitation. Luna-EMG uses reactive electromyography (EMG) to train the sensorimotor cortex.

Patient movement is active - based on bioelectric signals (EMG) detected from the patient's muscles. This is especially effective in neurologically severely affected patients which allow for greater recruitment of motor units during muscle activation.

Strengthening the leg muscles with Luna-EMG robotics at the Neuro-Robotics Center Munich
Luna-EMG therapy system on shoulder and arm. Neurological muscle activation

Features

As of today, robotic therapy systems can be used for either hand, shoulder-arm or gait training. The Luna-EMG is the first and only EMG-based, multi-joint robotic therapy system that can be used for both lower and upper extremity use.

Diagnostic and evaluation tools enable "on the top" objectively valuable reporting of findings and progress. The Luna-EMG can be used from single-channel to six-channel operation.

  • Increase muscle strength, range of motion and coordination
  • Motivation and Repetition
  • Upper and lower extremities

MediTutor

Kinematic biofeedback

The Meditouch Biofeedback Therapy System is based on kinematic biofeedback consisting of software and one or more measuring device(s).

Kinematic biofeedback is the measurement of movements or resting states and their visual representation.

The application of the system targets all limitations of the musculoskeletal system and is currently the only relevant whole-body biofeedback system for neurological and orthopedic rehabilitation. The application is intended for inpatient rehabilitation clinics as well as for treatments within the scope of the prescription of remedies.

The improvement of motor and sensory abilities are actively and repetitively relearned or trained by the patient. This is made possible by visualizing the movements performed by the patient in real time on the screen.

Neurological and orthopedic rehab with the MediTutor
MediTutor application on the knee joint of a patient

Features

Depending on the measuring device, the lower and upper extremities, trunk and cervical spine can be treated. The application of the measuring device on the patient takes less than 1 minute.

Due to the extremely high measuring accuracy and measuring sensitivity of the Meditouch measuring devices, even minimal movements of the patient are visually and acoustically reported back. This enables the patient to effectively enter into movement therapy at a very early stage, when manual forms of therapy are only possible to a limited extent.

The system can also be used effectively in pediatrics from the age of about 7 years.

In combination with the classic therapies of occupational therapy and physiotherapy, the treatment successes are significantly greater than with non-combined therapies, especially in neurological diseases, as shown, for example, in a study at the Tel Aviv Faculty with the HandTutor™.

Innowalk Pro

Functional movement training for rehabilitation and therapy

The Innowalk Pro is a robotic training device for rehabilitation that allows people with significant limitations in their ability to walk or stand to perform an intensive and functional full-body workout with a high number of repetitions.

In an upright position, secured by a belt system, legs and arms are in motion. The motion sequence is similar to training on a cross trainer.

No standing is required for this workout.

Innowalk Pro: Functional whole-body training for patients not willing to stand up
Patients during gait training with the Innowalk Pro

Features

  • passively initiated movement cycles provoke an active balancing movement of the whole body
  • the Innowalk is individually adapted to the size, abilities and needs of its user
  • active moving possible
  • Disability compensation through standing function
  • Enables high-frequency training at home or in the facility
  • enables many corrected movement cycles, which make movement patterns in the central nervous system independent
  • No willingness to stand required
  • corrected movement from a sitting to a standing position possible
  • Computer-controlled motor system initiates and supports movements
  • adjustable spasm control
  • easy handling, requires little help from accompanying persons