INMOTION ARM™ - Interactive Motion Technologies
Contents
1. 34 View Results on SCleelbi eor trier eee rera a Fee e rese ie eee oes EU dores ORE e Dead oque 34 View Point to Point Tracings View Circle Tracings View Round Dynamic Itacilgs arre uh cn m ROW HRG A C Gp RUE 38 Mew Shoulder Mangs sso nent eia ui slim e da dan dr M CUM IR av e e Reds 39 SECTION V INMOTION ARM EVALUATION MEASURES e eeeeee eene 41 InMotion Evaluation Measures from the Point to elu cie 41 InMotion Smoothness MEASULE csccssccsssecsseccsssccssscesseccssseessccessccessecessecessecsssecessecsssecessecessecssseessseesaseessscesaecssseceaceesssessases 41 Moti n Reach Error MeasUfG tessaa iaaiiai aiiai 41 InMotion Mean Velocity Measure sessssssssssssssscsssesscssseccsssesesssesssssecesnseesssssecesnsecessusesssssecesnsecessuceessusecssnseesssnesesneesesssess 41 InMotion Max Velocity Measure ssssscsssesesssassssssaeassassesinieessseveessaveestnavesrbatsssbessearsevessoasdessansenrsanessbaseeatsusecraisecersvesrsidersbisee 42 InMotioriPathiError Measure etie i On ab e e e tient A A imer e d toes E 42 InMotion Evaluation Measures from the Circle Test InMotion Circle Size Measure InMotion Joint Independence Measure ssscssssssesssesssessuesssesssesssesssessuesssesssesssessuesssessscsssesssessscsssesssecssesesecesesssessneseseeess 43 InMotion Evaluation Measure from the Playback Static Tes2. Y 76 One Way Record PICK zac neret ATE E EAO EA 77 PUCK AdaptlVe ien AE E EAEN ANRE 77 SECTION XIV INMOTION HAND PERFORMANCE FEEDBACK 24511 ELLE o NEXKERRER ERRARE EE E EEMME EUR EER E MEG RE RREREHA PER SE ERRRAEENEAK RE ER MEM Ve 78 SECTION XV OPERATING THE ROBOT sscssssissssssscsvsssevacsssissasssscncnsivsovessssissesssscdcnsasacve 79 Before mfeliselipe T M 79 SHOPPING the RODO tseno n a a AE AT A E R RAER s 79 LEID M 79 Turm the System OD suco neret e REDE IE QU UII EE ase ari aara cu DOE e ee UE BRUN 80 MUTI TES ROBOT ON p E 81 Calibrating Zero the RODOE Paure AAEE OTA AA E R 82 Parse the ROOT spa ior iorsin Gom Dao a R Dd fon Rad MON AoE a Usa S EaR OT EEA E 84 Enable or re start the Robot power is On cssessesssssssssseessecssecsscssessscssecssssscssessusssessscsassescesccsscssecsucesccssceseesseeses 84 Turning th Robot Off siano mti a ie DUHERUR EREXIT BOUT EQUES ERRARE VOR AREE RYE 85 hCIUDEi EM 85 SECTION XVI BASIC TROUBLESHOOTING sissccsssissssacsscssessacsncassssansaccscccessscsnsasssonncnceses 85 System NOPWOFKIDIO iiec iecore cineri triti ertet vitii neis E el Dueh prse etre A UNO AEE TUR KEEN RUE 85 Bad CalibEatlOT ocior retentis s niece E t eibi Peer A tease e retener eres ied sede ee edere ad 86 TheRobotArm DOSSh tMOWNQL eerte rentrer terrace ee tees este Updenstcesssnducty es lnavtseseuentosssevente
3. 16 Matiage the Patient RECOM E 17 New Patient RECON Merc S XSX Select an Existing Patient Record AAG EG aie onn T Raa P tient RobotInteoductlOlis usce da HERES d DRE HERBA AAA UV ERRARE 19 Emergency Stop IMSEUCE o DERE RU 19 VEFODUCS THE ROD Ot cR 19 Patient zelo NEKTERE 20 SECTION Ill INMOTION ROBOT ARM EVALUATIONN ee eee ee ee eene eee eene ees o reor eooo 23 InMotion ARM Evaluations TeStSs scccsscssesscsissehicsssneaceasesastcnsssassoscuscenestasssnesiossneadlasebab ediensusesdiscauestanstnessossbessesiens 23 InMotion Kinematic Tests cer cioe epi rmt e ENSURE SEN E EENXEXREEHEXE QUU SEEOEREU AXE CHEER E RUE FCO SEE Se 23 IHMO TOM Kinetic FOrce diem TU 24 Conducting the Evaluati Oi rccte testet tice teret coperta eere teo bd De een cete deseen 24 InMotion ARM Clinician s Guide September 2012 INMOTION RM INTERACTIVE THERAPY SYSTEM SECTION IV INMOTION EVALUATION REPORTS AND VIEW PLOQOTIS eee eee nee ona eee e separa p ee Par he sean a Eee sah ns eos s ona sone ean a Caesa sa Res 31 lInMotior Evaluation Reports rrt titt petrae eei Funde Uva RR e ERE Ro EU n ee as 31 Arm Evaluation RepOFL eicere tere ters H SERERE ERVDV UIN ERTERLWAE REN YREEHN ERRANT CRI es evt cve 31 Arm Progress Report Arm Log Data Report m
4. INMOTIONA RM INTERACTIVE THERAPY SYSTEM CLINICIAN S GUIDE RELEASE 1 0 SEPTEMBER 2012 INTERACTIVE MOTION TECHNOLOGIES 80 Coolidge Hill RoadWatertown MA 02472 USA Phone 1 617 926 4800 Fax 1 617 926 4808 Sales sales interactive motion com Customer Support support interactive motion com TECHNOLOGIES Redefining Recovery iw INTERACTIVE MOTION iL INMOTION RM INTERACTIVE THERAPY SYSTEM Copyright O 2012 Interactive Motion Technologies No part of this book may be reproduced stored in a retrieval system or transmitted in any form or by any means electronic mechanical photocopying recording or otherwise except as may be expressly permitted by the applicable copyright statutes or in writing by the Publisher No license express or implied to any intellectual property is granted by this document Publishing Information Document number 2012 1 Release 1 0 Date September 2012 This Clinical Guide is the result of clinicians and patients generous feedback and invaluable contributions from the Interactive Motion Technologies team Ed Anderson Carey Sue Barney Susan Glasser Rachel Grayson Sharon Krebs Hermano Igo Krebs Rodolfo Rohr Stan Sassower and Andrew Tannenbaum Thank you all Brenda Hyland Miller M B A Director of Clinical Services InMotion ARM Clinician s Guide September 2012 INTERACTIVE MOTION wt TECHNOLOGIES Redefining Recovery CONTENTS Purpose of th
5. Rehabilitation clinicians worldwide are integrating robot evaluations and robotic therapy to improve outcomes in patients with severe to moderate upper movement impairments For a Bibliography of Research using the InMotion Robots contact IMT customer service Adaptive interactive robotic therapy employs the principles of motor learning and scientific evidence to gain movement recovery Patients are actively engaged express movement perform high intensity repetition 1 000s of repetitions per session receive assistance as needed good sensory motor feedback and objective performance feedback with the InMotion ARM robot According to a study published by the New England Journal of Medicine in April 2010 InMotion robots are safe and cost effective based upon findings from a large multi site study conducted by the Veterans Administration Robot Assisted Therapy for Long Term Upper Limb Impairment after Stroke TRAIN THE BRAIN TREATMENT APPROACH Train the Brain is the new focus for rehabilitation professionals working with patients with neuro logical conditions Whereas musculoskeletal therapists treatments and interventions are focused on muscles bones joints tendons and other peripheral anatomical structures neuro therapists focus on training the brain InMotion robots are the most effective and evidence based treatment tools available for clinicians to provide intensive interactive upper extremity m
6. Transference Travels Exercise creates a good buzz of activity in the brain Interference Impedes Distractions too many instructions and interruptions can inter fere with the motor learning process Create a situation that helps the patient focus INMOTION ROBOTIC THERAPY InMotion robots are designed to meet the following conditions for motor learning 1 Active effort A patient must actively send a message to move the arm InMotion robots allow patients to express movement passive movement does not stimulate motor recovery Sensory Motor Message The brain must receive a good quality sensory motor message that communicates that the arm knows how to move In a way the robot s assist as needed tricks the brain into thinking the arm knows how to move Intensive Practice High intensive repetitions are required to stimulate motor learning A treatment session must be based on a patient performing about 1 000 repetitions Less than 400 repetitions do not demonstrate changes in the brain InMotion ARM Clinician s Guide September 2012 AS INTERACTIVE MOTION Bye TECHNOLOGIES Redefining Recovery Frequency and Duration of Treatment A typical course of interactive robotic therapy is 18 to 36 sessions consisting of a 1 hour treatment session 2 or 3 times per week for a period of six to 18 weeks A patient performs 1024 movements per session Many patients continue to make gains beyond the six to eighteen weeks per
7. 69 Copy Reports to Removable Media 5 rettet tto te denaro te traen recae etd 69 Remove the Flash Drive from the Robot Printing Reports from the Flash Drive 70 Removing Files from the Flash DEVG iecore iterari ere kia rete orones oepbessoavasersdesseaudevenvees 70 REHM acces c 70 dilecte 70 SECTION XII INMOTION HAND ROBOT ccce eee ee ee eee eee ees en eene sse tesa sette ss nouo 71 Attach the Hamd ROD esos ind pr dirlo Dui Rudi nde RU tab Da p RaE iSS 71 REMOVING a Hand ROBOT erosen iie KE aE EE ERNER AEE AEE EE cerae buses iced 73 Configure and Calibrate the Hand Robot ccssssssssssssecsecssecsneecssesssccssssssssessecsucesscesnecsucesseceasecsessacesseeesseeses 74 Positioning the ANG tr 75 SECTION XIII INMOTION HAND TREATMENT PROTOCOLS ecce 76 Ipe 76 EVA dro P 76 PIANC SUTGTOE o sedo a Ae Pap cc a p Bond UM A Pet pu AUR AFER M V 76 ena EV asooic rtiot 76 Grasp Adaptive iiare e treten terri perite ed pev et e Hee Cori ETE GrP co vL ove DER OPER 76 InMotion ARM Clinician s Guide September 2012 INMOTION RM INTERACTIVE THERAPY SYSTEM One Way Record Be3ebiu us AR RUE RURSUS UN IH RH LH AR UON CARO AREE GLABRA UR 76 Reach Adaptive m
8. September 2012 INTERACTIVE MOTION ww TECHNOLOGIES Redefining Recovery SECTION VI INMOTION ROBOTIC THERAPY The InMotion robots have the unique ability to adapt to a patient s arm movements During robotic therapy the robot provides the patient with assistance as needed and automatically adjusts the level of challenge the patient experiences InMotion robots feel gentle because of the patented interactive low impedance technology engineered into each InMotion robot Both the American Heart Association and the VA DoD have endorsed upper extremity robot mediated rehabilitation therapy for stroke care Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient A Scientific Statement from the American Heart Association which assigned InMotion upper extremity robotics the highest Classification of Recommendation and Level of Evidence for stroke patients in outpatient and chronic care settings The publication stated that for stroke patients in acute inpatient settings upper extremity robotic is a recommended treatment although there is some conflicting evidence Published in 2010 The Department of Veterans Affairs Department of Defense and American Heart Association American Stroke Association recommends that clinicians provide upper extremity robotic therapy to eligible patients in their 2010 publication VA DoD Clinical Practice Guidelines for Management of Stroke Rehabilitation
9. ce benefits and risks when developing an individualized treatment plan Clinicians are ultimately responsible for clinical decision making patient safety and appropriately using the InMotion ARM Robot in accordance with the InMotion User Manual and Clinical Guide Failure to do so may compromise patient safety diminish outcomes and damage the equipment The InMotion Robots have been approved for clinical use in a number of countries While we will continue to apply and seek a global coverage you should consult with IMT to confirm InMotion robots have received approval for use in your country Nothing in this Clinical Guide should be considered a solicitation or promotion or a recommendation for use which is not authorized by the local laws and regulations For more information about the system and its operation refer to the InMotiontm Arm Robot User Manual GENERAL INFORMATION InMotion robots are evidence based technology used by clinicians invested in adopting proven best practice Clinicians use the InMotion ARM Robot for evaluation and treatment of patients with upper extremity movement deficits resulting from a neurological or musculoskeletal condition The InMotion ARM Robot is a sensitive measurement tool ideally suited to evaluate motor control and movement recovery It is also a smart treatment tool that adapts to the patient s movement by adapting and providing assist as needed exercise guidance Researchers at Massachus
10. e Clinical Guide Safe and Responsible Use General Information ROO E EV all UT MG To n sis E TE TIT 8 Robotic Therapy ienasi AAAA netten dan eara dreht bond 8 Key Features of the InMotion ARM Robot sssssssssssscsssssscssssescssseesssseseessseessnsesesssseessusesssssesesssseessnsessessseessneeseenseeeeneseess 9 SECTION I CLINICAL APPLICATION sic 35255555255 eee e eere aee SI ao aea ae ero Sepe a 10 Benefits of Robotic Rehabilitatiob usuesnenisec rimi ntn rapto devis perii ue ote ndersdp erre E Reti rU 10 Benefits of Robotic Evalation soror trc B RHENUS GERNE T WA ERE TA 10 Benefrtsiof Robotic Therapy ernst teretes ai theres E ES 10 Candidates tor Robotic Rehabilitation oserrciitirtiniireh oer EPA ERU UE AERA REE ERRARE HERE 11 Indications for Robotic Therapy sssscssccsssuvsonsacccosssvesacaveessonceonstscensniceostvececsavdeosbivecsstvestbuucoshvseestaivessoveesteesraiecest eee RE Contraindications and Precautions SECTION II ROBOT AND PATIENT PREPARATION eee e ee eee ee eee ener enne sans nnne 13 Prepare the Robot Robot Config ration and Calibtation ueoe ttt ertt ete eii etabliert EE ree np esp eoi 13 Disinfect SUrfaCeS ETE 14 Is ecii adt aude ice 14 Position the PIE aussen iati iptapip tu icing p n vsu pne EA ae n RR RAE 14 Sitting POSIEION te M 14 Standing POSIRI OM E
11. e upper extremity impairments motor and sensory resulting from neurological conditions may make significant improvements in movement and function Veteran Affairs Randomized Controlled Clinical Trial Utilizing InMotion Robots Robot assisted therapy for long term upper limb impairments after stroke NEJM April 18 2010 Secondary outcomes patients receiving robot assisted therapy as compared with those receiving usual care had significant improvement in motor function and social participation at 12 weeks as measured on the Stroke Impact Scale We have shown that with the right therapy patients can see improvement in movement everyday function and quality of life this is giving stroke survivors new hope Albert Lo lead investigator for Robot Assisted Therapy for Long Term Upper Limb Impairments after Stroke NEJM April 18 2010 InMotion ARM Clinician s Guide September 2012 INTERACTIVE MOTION ww TECHNOLOGIES Redefining Recovery Key Features of the InMotion ARM Robot Universal Design amp Ease of Use Accommodates small and large body types Adjustable height for training in sitting and standing Software activities customized for pediatric and adult populations m Grab and Go minimal adjustments needed to fit the patient The InMotion Evaluation measure shoulder elbow kinematic control kinetic force and movement recovery 5 InMotion Evaluation Tests 13 InMotion Evaluation Measur
12. es Evaluation Reports that display results in graphic and numeric formats Progress Reports compare InMotion evaluation measures for a series of evaluations Treatment Protocols allow clinicians to customize individual treatment plans Evidence based protocols Performance feedback metrics More than 25 protocols Adaptive Static Resistive Orthogonal Gain Perturbation Interchangeable progressive customize treatment planning Pediatric and adult protocols Treatment Reports Therapeutic Exercise Games for Motor planning and eye hand coordination Attention Visual field deficits neglect Massed practice Hand Robot Gross grasp and release training Integrated reach shoulder arm with grasp and release hand movements Removable InMotion ARM Clinician s Guide September 2012 INMOTION RM INTERACTIVE THERAPY SYSTEM SECTION I CLINICAL APPLICATION BENEFITS OF ROBOTIC REHABILITATION Benefits of Robotic Evaluation The InMotion ARM Robot is ideal for evaluating patients with upper extremity movement impair ments resulting from a neurological condition InMotion Robot Evaluations help clinicians quantify motor control and document movement recovery The robot can accurately and reliably be used to 1 establish baseline measurements before initiating treatments 2 measure progress at periodic intervals and 3 measure outcomes at the end of a series of treatments Clinicians
13. etts Institute of Technology MIT developed the InMotion ARM Robot s unique adaptive interactive robotic technology Researchers around the world use the InMotion Robots aka MIT Manus to gain insight into motor control and movement recovery There is more than 20 years of research in more than 80 peer review publications and over 1000 stroke patients that have participated in clinical trials that shows the real results InMotion Robots can bring to the patient InMotion ARM Clinician s Guide September 2012 INMOTION RM INTERACTIVE THERAPY SYSTEM Robot Evaluation The InMotion Evaluation is a powerful and efficient assessment tool The robot is a sensitive precise measurement instrument that calculates a new set of motor control measures InMotion Evaluation Measures Clinicians for the first time can efficiently in about 20 minutes and reliably quantify motor control and measure movement recovery in patients with severe to moderate upper extremity movement impairments The InMotion Evaluation measures are highly correlated with performance on the Fugl Meyer NIH Stroke Scale and Motor Power tests In other words InMotion evaluation measures are highly correlated with real upper extremity function Robotic Therapy Intensive interactive robotic therapy is an effective evidence based treatment approach adopted by rehabilitation clinicians worldwide Published research demonstrates that patients with severe to moderat
14. iod tested during clinical trials thus continuation of therapy may be as indicated by the patient s progress Research does not tell us when a patient s recovery will plateau or end Clinicians must assess each patient s progress and advocate for continuation of treatment when progress is being made Treatment Considerations Inpatient or Outpatient Patients in an acute setting will benefit from intensive robotic therapy even if they cannot tolerate a full hour of robotic therapy everyday or the schedule limits their time on the robot Introducing patients to robotic therapy in the acute phase and arranging for outpatient fol low up is a realistic and effective treatment plan Distal to Proximal Patients develop and recovery upper extremity motor control from proximal shoulder to distal hand Research with the InMotion robots supports a distal to proximal training approach Intensity If 1 hour of intensive robotic therapy stimulates recovery will 2 hours per day increase recovery results One hour is enough the brain needs time to process the information a sleep cycle is desired before the next session Alternate Robots Is it better to split the time on the same day between the arm and the hand robot or is it better to alternate robot Better results occur when only a single robot per day is used Stay the Course It is better to do fewer activities and more repetitions It is better to utilize the same protocol for each therapy se
15. isi ax UE RUN Eu I RUD HE UE Op FER e 52 Before Starting Treatment ette oerte eS eee tea iere pere ote dive tete bM c ea Eee ETE 53 InMotion Therapy Protocols iati e rites aerie qeepedurtee tete ces eee oer toe eatin depu easet deed 54 Planar Adaptive Protocol P RE 54 Planar Composite PIOLOCOIS e herpes eer on P ctis te ede scnueccosayessanstacnsbachooaseoanvstesanoeaanaveacatvetanttaats 57 Pediattic Protocols aseo ot iot Sore enden neveu eee Oeo ete AE 60 SECTION Vill EXERCISE GAMES ioci cksvkvueYkSVA IN uU FN EN MR oandie FEM EP NN VETERE CER II V SER NE aS 60 SECTION IX IMPROVING PATIENT PERFORMANCE eee ee esee ee eee nn etes ense eonun 65 Patient Performance Feedback ias umi SERT URL PRUEBA DREAM URINE ndo 65 Performance Metric Sutmialy u nicis teet reser E GAE netos AEO E opa Tess eed Ded 67 SECTION X INMOTION THERAPY REPORTS c ce eee ee eee ee eene eene ness ntes seno teneo 68 Therapy Notes isole t 68 Utilization RE POM ssscincentessasesrsctvnsceassectccentcesntentuxtncestecsndeonscssSectasacesveentcaedicouscaxtestcaladest eer i rT HEU e depo 68 SECTION XI PRODUCING INMOTION ARM REPORTS eee ee eere eene 69 Calculate RE GIOI CHIOT TR 69 Show REPOMts sassscssessessssccssscessascessnehccasstessssiedsodesdensssesussceusstassehestassinesscbeetduveneendssesustensestuasehdavesietussonsatsaubientesesvansuscencsiess
16. ovement training for patients with severe to moderate impairments InMotion ARM Clinician s Guide September 2012 49 50 INMOTION RM INTERACTIVE THERAPY SYSTEM Motor Learning Principles InMotion robotic therapy is based upon motor learning principles Clinicians using robotic therapy should be familiar the principles of motor learning 1 9 10 Use it or Lose It Lack of use can degrade bran function and may lead to further loss of function Use it and Improve It Motor skill training and practice can increase plasticity within the cerebral cortex Specificity The type of activity is essential Movement training must be task specific meaningful adaptive and challenging Example learning to play a guitar Repetition is Crucial Practice Practice Practice Increased stimulation increases recovery Talent is over rated Intensity is Key High intensity drives motor recovery but start slow during the first few weeks after injury and progress based on a patient s tolerance Timing Matters Earlier is better but it is never too late to learn to move Don t wait for self taught compensatory behaviors to become established Specific Goal oriented Targets Self selected well defined goals plus performance feedback leads to movement self regulation Age and Experience Counteract Greater physician and mental activity can counter cognitive decline associated with age Enriched environments enhance recovery
17. ssion and throughout the course of treatment than to switch between activities and spend less time on each on The Therapy protocol using the adaptive Clock game is the best choice other protocols or games may be substituted but completing 1024 repetitions of the same activity must be preserved to ensure gains in motor recovery Progression There is strong evidence that progression to a Hand or Wrist robot after completing an arm robot therapy course can result in continued gains in upper extremity function and then progress ing a second or third robot has been demonstrated to improve movement recovery and function Improvements During research studies subjects usually gained more than 3 point on the Fugl Myer an upper extremity function test and a six point gain was not unusual Gains of 3 or more points on the Fugl Meyer test are considered functionally significant and can impact a person s ADL indepen dence Patient may gain 3 points with each additional robot used Improvements in the InMotion motor control metrics are highly correlated with improvements on the Fugl Meyer test In other words training on the InMotion robot translates into gains in function InMotion ARM Clinician s Guide September 2012 51
18. t reete ptis eben Peso NAAT 45 InMotion Hold Deviation Stabilization Measure esessesssssssssecsseccsecssseccssecssecesscesssecssecsuseessseesnsccssscesssessneesseesases 45 InMotion Evaluation Measure from the Round Dynamic Test ISAS sssrinin iiaiai eid iasa 46 InMotion Displacement Measure assistons a aaa nido brave ca iaaa 46 InMotion Evaluation Measures from the Shoulder TES m iiaia ia Ea TR aa EE TEKA EAEE 47 InMotion Maximum Force Measures sisscssciccessicsasssassossiscissicaseseienssssecoossiccsosicesontsseasessueaysuscabeaisvasisscesioisesbiasessaieseasisausancess 47 SECTION VI INMOTION ROBOTIC THERAPY eseosesssesessecscosecscsscoseoessscoseoesssosssossse 49 Train the Brain Treatment Approach ccsessssssssssesssessesssssssessucsssssscssscsnsssssesecsscsasssscesuccsscssessssenessscsasesseessseseesses 49 Motor Learning Principles siessen eiaa ERU EIER ERU UN I DOR ER NER EE reed 50 Moton Robotic Therapy ote tpe aethere eon etna utpote enger AEAEE EEE 50 Frequency and Duration of Treattmenpt cene me aui ei napa inne iia Fb e ns 51 Treatment Considerations teorie e HR aen rule e e rr I eee Seite uc ee due 51 InMotion ARM Clinician s Guide September 2012 AS INTERACTIVE MOTION Bye TECHNOLOGIES Redefining Recovery SECTION VII THERAPY PROTOCOLS AND TREATMENT TOOLS 445 ixickkcl YA REPE ER EY REEA Pa SERIE EXER APO ERR aM ebd E aM Eid RR MEER SER MR E RV 52 Locating Treatment PIOtOCOls ines en i
19. teesbsssesssouienstenndts 86 The Monit r Resolutions WRONG inrsin PURA rtr HUE HERAUS RE ER REOR ARA 86 SECTION AVI CUSTOMER SERVICE i eitin cistpusVkko u uueys tiU S eR SME PE REPRE PS KINEN TE SEE s VR RO ES RR evit 86 APPENDIX A QUICK USER GUIDE ARM eee e eee ee eene nn eee nnn ente senses essa soe e ess nous 87 InMotion ARM Clinician s Guide September 2012 INTERACTIVE MOTION wt TECHNOLOGIES Redefining Recovery CLINICAL GUIDE PURPOSE OF THE CLINICAL GUIDE The Clinical Guide is intended to serve as a reference and resource guide for clinicians using the InMotion ARM and Hand Robot to evaluate and treat patients with neurological conditions Clinicians have the skills knowledge and judgment necessary to customize the assessment and treatment to meet the individual needs of each patient This manual is a resource for clinicians trained to use the InMotion ARM and Hand Robot SAFE AND RESPONSIBLE USE InMotion Robots are tools intended to promote recovery following a neurological or musculoskel etal injury The physician and therapist can best evaluate how to integrate these medical devices into the process of rehabilitation The attending physician and therapist must consider the poten tial benefits and risks before employing InMotion Robots Rehabilitation is an evolving field and the physician and therapist must keep current with the state of the art and advances in rehabilita tion to best balan
20. use the InMotion ARM Robot to evaluate the effects of robotic therapy as well as other treatment approaches or therapeutic interventions Clinicians are incorporating the InMotion Robot Evaluation as part of their comprehensive neurological evaluation even for patients receiving other types of interventions Benefits of Robotic Therapy With more than 20 years of research 80 peer review publications and 1000 patients in clinical trials robotic therapy using the InMotion Robot is a proven evidence based therapy and technology Researchers cite as possible explanations Repetitive exercise may evoke and enhance a neuro plastic recovery process whereby new neural pathways replace some of the neural pathways lost due to brain injury 2 The continuously interactive nature of robotic therapy ensures patient participation by assisting only as needed 2 The adaptive capabilities of robotic therapy adjust the degree of challenge and robotic assistance to accommodate each patient s individual needs and present abilities Number of movements provided by the robot far exceeds any dosage that might be administered by a human therapist Beneficial coupling of movements with sensory information from both the visual display and the robot arm itself ensures all movements are successful due to the robot assistance and prevents the brain from experiencing grossly inappropriate responses to its motor commands 10 InMotion ARM Clinician s Guide
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