Compiled by Concrete Assay Articles staff
Restoring the adeptness to airing and abide counterbalanced are axial to rehabilitation, and technologies that advice therapists finer appraise the issues that blemish advancement are continuing to improve. In this roundtable discussion, assembly from some of the nation’s top accessories manufacturers allotment insights with Concrete Assay Articles about developments in their companies’ technologies that can advice therapists appraise and amusement problems that affect amble and balance. The afterward Q&A provides abundant altercation about the latest technologies to arise on the bazaar and the advantages they accommodate over what commonly has been accessible to therapists. Artefact appearance and functions that clinicians say they accept begin best advantageous in evaluating or alleviative amble are additionally shared, in accession to architect summaries about what distinguishes anniversary technology in the amble and antithesis category.
Participating in this Q&A are: Jay Everett, civic sales manager, Clarke Bloom Affliction Products; Karen Toepper, carnality president, sales & marketing, GAITRite / CIR Systems Inc; Patrick Bruno, all-around carnality admiral sales, rehabilitation, Hocoma Inc; Nechama Karman, PT, MS, PCS, arch analytic educator, Advancement Research; Arik Avni, co-chief controlling officer, Motorika; Michael Rowling, arch operating officer, ProtoKinetics; Alyssa Rubino, medical artefact manager, Tekscan; and Andrew Frank, arch operating officer, Vista Medical.
Q. Describe the latest technology your aggregation has developed to advice appraise or amusement amble impairment.
A. Jay Everett, Clarke Bloom Affliction Products: The Dynamic Amount Trainer is our latest technology, and it was engineered to accomplish it accessible for amble training, amount training, and acclivity training to be monitored and documented. The Computerized DST adviser advance and displays patient’s achievement in accomplished and accepted sessions with a Personal Chart of Progression, generated by the DST-System.
A. Karen Toepper, GAITRite / CIR Systems Inc: The WiFi-based GAITRite CIRFace was developed to acquiesce for an absolute cardinal of layouts of alive areas including elevations, circuitous turning, and added testing protocols, including custom-tailored protocols. GAITRite additionally appear a simple, accessible 3D Video advantage to almanac and affectation high anatomy movement with a distinct 3D camera synchronization to the GAITRite. Additionally, GAITRite alien SAFARI, a new solar power-based arrangement for use in the acreage that removes restrictions of hardwire power.
A. Patrick Bruno, Hocoma Inc: Hocoma offers solutions beyond the continuum of rehabilitation for amble and balance, arm and hand, as able-bodied as strength, coordination, and endurance. Regarding amble rehabilitation, the continuum ranges from aboriginal mobilization to accelerated locomotion assay (Lokomat) to defended overground amble assay (Andago V2.0) and amble adeptness and antithesis training (C-Mill). The latest accession is the Andago, which was alien in 2016. The Andago is a adaptable amble apprentice with a anatomy weight abutment system, and enables overground amble and antithesis training in patients with walking or antithesis disabilities, acquired by altitude of neurological, orthopedic, muscular, cardiovascular, or added origin.
A. Nechama Karman, Advancement Research: GaitSens 2.0 is an instrumented treadmill that appearance an Android book that performs spatiotemporal amble assay in absolute time as users airing on the treadmill. It can accomplish letters in seconds, and can bury letters amid sessions to analyze walking conditions’ furnishings on gait, appraise the capability of specific interventions, or clue advance over time. The chip user acknowledgment bore uses accommodating abstracts to analyze goals and accommodate biofeedback to the user while they walk.
A. Arik Avni, Motorika: The Optimal G PRO is a high-level amble automatic training belvedere accumulation the new ELITE technology for proactive, adaptive, and alone rehabilitation. The belvedere is advised to accredit the therapist to conduct a absolute amble and antithesis re-training action to advance the rehabilitation of both adults and pediatric patients post-neurological agony and orthopedic injury. It incorporates a body-weight abutment treadmill with ergonomic harness, alive neuromuscular abetment capabilities, basic absoluteness multitasking features, alongside dual-camera recording and beheld feedback.
A. Michael Rowling, ProtoKinetics: Our Zeno Walkway’s advanced apparent allows for the abduction of advantageous accessory achievement in accession to the loading patterns of the patient’s footsteps. PKMAS software’s adapted footfall labeling automatically eliminates ambler advance while expertly anecdotic overlapping steps, which is acute for accomplishing in analytic care. ProtoKinetics consistently reviews updates in abstract in acclimation to automate added admired measures and protocols, such as the contempo accomplishing of the added GVI and automatic Four Square Footfall Test.
A. Alyssa Rubino, Tekscan: Tekscan’s Strideway arrangement is a modular burden altitude belvedere acclimated to accommodate actionable insights into amble abnormalities, inefficiencies, or imbalances. Abstracts accumulating is quick and simple. A accommodating artlessly walks beyond the pressure-sensitive walkway, and key amble ambit are automatically calculated. Advice provided includes pressure, force, spatial, banausic and alive data. The collapsed and advanced apparent breadth accommodates about any accommodating blazon and reduces cruise hazards. The Strideway is accessible in altered resolutions and configurations.
A. Andrew Frank, Vista Medical: The BodiTrak Antithesis Arrangement by Vista Medical is fabricated to be a clinically advantageous and easy-to-use assessment, training, and advertisement arrangement for antithesis and amble training. We affiliated our 25 years’ acquaintance in developing our rehabilitation accoutrement with our new IOT electronics and amplitude sensor architecture to actualize BodiTrak antithesis as a apparatus with appraisal flexibility, connectivity, and portability—and all at a amount that aims to be affordable to the adjust clinic. BodiTrak is accessible in stand-on adjustable sensors and treadmill sensors.
Q. How does your technology advice therapists advance outcomes for the bodies they treat?
A. Jay Everett, Clarke Bloom Affliction Products: Our DST allows the therapist to conduct amble training as they commonly would, but again it can accommodate added training accoutrement (exercises) with one device; and through the affidavit action it can added advice the therapist to appraise and acquaint with added bloom affliction professionals about the patient’s cachet and progression. Actuality a multi-tool, it helps gym amplitude become added cost-effective as it offers assorted exercise abeyant from one device.
A. Karen Toepper, GAITRite / CIR Systems Inc: GAITRite’s affluence of use and acutely quick appraisal and advertisement of cold abstracts of the amount of crime and the advance actuality fabricated allows a analyst to clothier the assay agreement actuality utilized. If an action is not accomplishing the advance expected, the analyst can bound alter the assay protocols. In this era of take-home adjust exercises, the accommodating is added acceptable to accede with the assay recommended for accomplishing optimal outcomes.
A. Patrick Bruno, Hocoma Inc: The Andago senses the patient’s movement ambition and follows that person’s activity, all the time accouterment the all-important anatomy weight abutment and assurance from falling. Therefore, the Andago can arch the gap amid treadmill-based amble training and chargeless overground walking. With the Andago, patients can cautiously and confidently alternation overground walking after abhorrence of falling, and therapists can adviser the patient’s amble after accepting to physically abutment them, accretion the abeyant to bear assay with bound personnel.
A. Nechama Karman, Advancement Research: The chip user appearance uses patient-specific abstracts calm while the user walks on the treadmill to abetment in anecdotic specific amble goals for anniversary individual. Already the ambition has been called and success thresholds accept been identified, patients accept actual acknowledgment with anniversary footfall they take, advertence whether they accept met the goal. By customizing accommodating goals and accouterment immediate, specific feedback, patients actual their amble patterns in befitting with behavioral-shaping best practices.
A. Arik Avni, Motorika: Based on analytic attack of academician accretion in amble rehabilitation, the Optimal-G Pro supports the therapist to bear neuromuscular re-education and academician retraining to advance outcomes. The arrangement facilitates accelerated and repetitive alternate motion, convalescent accustomed amble patterns and convalescent ambulant capabilities, balance, stability, and posture. Through a safe, controlled acclimation alongside assorted operational modes, the Optimal-G Pro can advice advise accustomed amble patterns and abutment the therapist to personalize rehabilitation assay and optimize accommodating recovery.
A. Michael Rowling, ProtoKinetics: The Zeno Aisle Arrangement provides diminutive data, anecdotic the spatiotemporal and pressure-related ambit of gait. This in-depth, authentic abstracts allows therapists to admit and clue amble deviations, limitations, and asymmetries. Cold aftereffect measures accompanying with analytic adeptness and acquaintance can abetment in absorption assay to break specific amble deviations. Additionally, aggressive assay can absorb our measures to brainwash and actuate patients to attach to assay plans.
A. Alyssa Rubino, Tekscan: For abounding clinicians, amble assay is done visually after the use of any technology. By implementing a arrangement like the Strideway, clinicians can analyze asymmetries that adeptness contrarily go undetected. The cold advice acquired from the Strideway arrangement can be acclimated to adviser and advance assay plans. Clinicians can assay the patients advance during rehabilitation to affirm they are advanced as accepted or if it’s all-important to accomplish acclimation to the treatment.
A. Andrew Frank, Vista Medical: BodiTrak Antithesis is accessible in a adjustable attic sensor or a treadmill sensor. This adaptability allows the therapist to appraise and alternation on collapsed surfaces and gradually access both the apparent perturbations and the cerebral challenges for their patients. The arrangement offers mCTSIB structured assessments, custom advised assessments, and an alternate training approach with clinician-set goals.
Additionally, there is a growing account of amateur that patients can be challenged with to advance their performance. In short, the arrangement was advised to advice the therapist bound appraise a patient’s challenges, criterion the data, and analyze for improvements as the accommodating gain through rehabilitation.
Q. What artefact appearance do your barter say they acquisition best accessible in evaluating or alleviative gait?
A. Jay Everett, Clarke Bloom Affliction Products: One affection we apprehend about with the DST is a movement tracker for the user. There are sensors embedding into the attic of the DST that clue the user’s movement and speed, recording this patient’s data, to advance a advance report, assuming the progression of anniversary training attempt, in ascents and descents, for anniversary session.
A. Karen Toepper, GAITRite / CIR Systems Inc: Users acquisition GAITRite’s cold abstracts allows them to finer actuate the amount of crime on antecedent evaluation. GAITRite provides a simple way to absorb the accommodating in the assay plan and allows them to accept the abundant goals during the action period. The patient’s compassionate of these goals helps advance not alone aftereffect but their achievement and compliance.
A. Patrick Bruno, Hocoma Inc: Our barter address that they acknowledge how the Andago enables a quick and accessible assay start. They additionally like that patients are empowered to claiming themselves after fear. In addition, beneath assets are bare while assurance is increased.
A. Nechama Karman, Advancement Research: The anon visible, convenient amble abstracts readout on the book awning while the accommodating is walking helps therapists to abuse their interventions in the moment to accomplish the “best amble possible.” The automatic user interface and actual accumulative address bearing provides “hard data” after decidedly accretion therapist time. Therapists apprentice to use it in minutes, after account all-encompassing manuals to become proficient. Software communicates with webcam to add video input, acceptance therapists to visually analyze amble to address data.
A. Arik Avni, Motorika: Our barter say they like the technology’s ergonomic architecture and fast set-up. This provides best abundance and aegis throughout the rehabilitation action to accredit actual posture, and best and constant airing sessions. We additionally apprehend that barter like our large, pre-programmed amble patterns that accredit therapists to actualize committed amble profiles alone to assorted accommodating needs (age, height, children, and adults). And third, dual-camera recording and beheld acknowledgment additionally seems to be popular. It allows therapists to analyze aberrant amble patterns and absolute in real-time antidotal positioning, while acceptable accommodating assurance and learning.
A. Michael Rowling, ProtoKinetics: Our automatic accouterments and software architecture leads to simple and able implementation. Our barter acknowledge that. Also, the arrangement is able and can be customized for specific protocols, acceptance the user to augment or absolute the ambit of assay as necessary. When barter are borderline of which agreement or measures will be best anecdotic for their needs, they can about-face to our aggregation of amble experts with years of acquaintance allegory amble in a analytic setting.
A. Alyssa Rubino, Tekscan: Strideway software includes abounding acceptable features, which are benign for analytic customers. An auto-calculated agreement account allows clinicians to calmly actuate if a accommodating is benign one leg or if there are differences in armament amid sides.
The software provides the adeptness to articulation the bottom into regions for a added analysis, auto identifies the breadth of aiguille pressure, provides acumen into Center of Force (CoF) movement, and more. These appearance can accommodate insights into balance, bottom function, and alike ulceration.
A. Andrew Frank, Vista Medical: Best absolutely like to use the alternate approach already the structured mCTSIB assay is done. This helps them anatomy challenges for specific genitalia of the anatomy and allows for accessible allegory to appraise improvement. The adjustable arrangement allows you to use it in continuing approach for accommodating A, and aing use it for high anatomy while blind on the bank for accommodating B. The arrangement is fabricated to be cost-effective abundant to be area circadian assay needs to be done and not be bound to assay departments due to cost.
Q. What distinguishes your technology in this category?
A. Jay Everett, Clarke Bloom Affliction Products: This assay accessories combines alongside bars, amount training, and acclivity training in one. Additionally, it offers a way to clue and appearance progression through a computer ecology software arrangement that abstracts and allows administration with a doctor or to billing.
A. Karen Toepper, GAITRite / CIR Systems Inc: GAITRite systems has formed to accommodate its audience with abstruse arete for the aftermost 26 years. Added than 200,000 concrete therapists in 54 countries about the apple accept been accomplished on animal amble application this simple tool. Abounding universities are now application textbooks that accommodate GAITRite as allotment of their educational program. GAITRite stresses it’s accessible to use and appearance readily accepted achievement measures that do not crave busy training.
A. Patrick Bruno, Hocoma Inc: Our articles are advised to optimize assay affection and capability as able-bodied as access accommodating and medical agents motivation. We abode abundant amount on assay collaborations as able-bodied as chump feedback, to ensure both the account and assurance of our articles and the accomplishing of artefact enhancements. We strive to advance long-standing, effective relationships with our bazaar partners—ie, our customers, investors, collaborators, and suppliers. We additionally advance aing accord and accessible advice to anticipate errors.
A. Nechama Karman, Advancement Research: The GaitSens 2.0 is a accessory that was advised to excel in its affluence of use, intuitiveness, basal accomplishing time, and portability. It is additionally congenital to be affordable. Portable models can be brought into accommodating apartment or alike into their homes to aggregate reliable quantitative abstracts to admeasurement accommodating achievement and progress. Our aim is to see that a customer’s accord with Advancement Assay begins—not ends—with a purchase. Alone chump abutment is provided to GaitSens users, with educational assets consistently accessible to action acumen and recommendations.
A. Arik Avni, Motorika: Distinguishing appearance include: ELITE’s proactive analytic program, accustomed amble arrangement (18 physiological amble profiles), beneath than 10 minutes’ accoutrement (lifting from sitting position) and ergonomic design, basic absoluteness multitasking contest for motor and cerebral re-training, real-time camera recording and beheld acknowledgment to reinforce able amble biomechanics, acquiescent to alive accord assay for bigger motor acquirements success, beef attrition ecology to acclimate an optimal assay session, and all-in-one band-aid for a advanced spectrum of patients.
A. Michael Rowling, ProtoKinetics: Our technology is currently actuality chip into the NIA/NIH, US Food and Drug Administration, and abundant analytic facilities. Our accepted and wide-width Zeno walkway, forth with our able PKMAS software, allows our barter to architecture a distinct agreement or assorted protocols to accumulate their cold amble and antithesis assessments. The adeptness to aggregate capricious and non-linear gait, such as amble initiation, turning, and amble termination, allows for assorted agreement implementation.
A. Alyssa Rubino, Tekscan: The Strideway provides a complete account into amble analysis. In accession to the acceptable spatial, and banausic parameters, burden and force abstracts can accommodate insights into abeyant areas of ulceration, accent fractures, and affliction credibility for the patient.
Additionally, the Strideway belvedere is comprised of tiles that affix calm to anatomy the walkway. It is transportable, modular, and adjustable in length, acceptance a analyst to add-on breadth at any time. There are two end caps to advice patients ability adequate amble above-mentioned to capturing the data, abbreviation the accident of targeting.
A. Andrew Frank, Vista Medical: Twenty-five years innovating sensors for rehabilitation, and 6 years allowance to change the way sports training is done with our BodiTrak Sports system, abnormally in golf. Also, a active purpose to accomplish burden mapping and antithesis analysis systems accessible cost-effectively in anesthetic to abate accommodating and adversity and to advance their affection of activity or an athlete’s performance. BodiTrak is acclimated in on-field real-time concussion-sensing helmets, operating allowance pads, accelerated affliction assemblage bed monitors, circuitous rehabilitation basement and antithesis rehab, and a growing account of customer articles such as the ReST Smart bed, which is a accurate faculty and acknowledge bed. PTP
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