Mobilization and verticalization of immobile patients with little or no capacity for interaction can be very demanding and challenging—especially in acute care—and can compromise the well-being of patients and therapists.
The Erigo combines gradual verticalization with robotic movement therapy to ensure the necessary safety for the stabilization of patients in an upright position. Due to the unique afferent stimulation provided by the Erigo and the flexible harness, patients can be trained intensively and safely already in a very early stage of rehabilitation.
The robotic leg movement and the cyclic leg loading offered by the Erigo are critical afferent stimuli for the central nervous system.
This leads to muscle activation, improved muscle pump function and venous return ultimately resulting in improved cardiovascular stability. Therefore, patients verticalized with the Erigo generally do not suffer a drop in blood pressure and thus have a reduced tendency to collapse. They tolerate the upright position better than patients treated on conventional tilt tables without a stepping function and cyclic leg loading.
Improved Orthostatic Tolerance Using the Erigo FES (Functional Electrical Stimulation)
The Erigo FES further increases the afferent stimulation of patients and thereby their cardiovascular stability during early verticalization.
The electrical activation of key leg muscles efficiently supports the increase of blood flow in the patients lower extremities. This leads to improved venous return which helps to maintain stroke volume and blood pressure, therefore improving orthostatic tolerance. Furthermore, therapy with the Erigo FES improves cerebral blood flow and muscle strength in lower extremities leading to recovery of motor function. The Erigo FES is fully synchronized with the robotic leg movements. Up to eight FES channels can be operated easily by the therapist on the touchscreen of the Erigo and adjusted according to the patients motor abilities.
Robot-assisted therapy enables effective and intensive training and ensures the optimal exploitation of neuroplasticity and recovery potential.
According to Mehrholz et al. 2017*, every seventh dependency in walking could be avoidable if robot-assisted devices were used. With the Lokomat you can also train patients with severe disabilities, who have been shown to benefit the most from Lokomat training.
* These conclusions and recommendations in Mehrholz et al.(2017) do not constitute an endorsement of this or any healthcare product or intervention.
Most Physiological Gait
The physiological gait pattern is ensured by the individually adjustable exoskeleton combined with the patented dynamic body weight support system.
The Lokomat provides a natural plantar pressure distribution, sensory feedback and physiological vertical displacement during the complete gait cycle.
The hip and knee joint angles can also be individually adjusted during training to tailor to specific needs of patients.
Optimal Patient Challenge
During rehabilitation, patients need to be challenged at and beyond their individual capabilities. Speed, loading and robotic support can be adjusted to optimally shape the intensity of the therapy.
Patients are motivated to reach their goals with various game-like exercises. Their level of activity influences the performance of the task, the gait pattern and the speed.
This Augmented Performance Feedback (APF) maximizes the effect of Lokomat gait training. Studies have shown when using APF, muscle activation and cardiovascular exertion can be considerably increased.
The ArmeoPower has been specifically designed for arm and hand therapy in an early stage of rehabilitation.
The device enables even patients with severe movement impairments to perform exercises with a high number of repetitions (high intensity), which is paramount for relearning motor function.
Assist-As-Needed Movement Guidance
The ArmeoPower uses sensors and intelligent algorithms to recognize when the patient is not able to carry out a movement and assists the patients arm as much as needed to successfully reach the goal of the exercise.
It automatically adapts the arm movement guidance to the individual needs and changing abilities of each patient–from full movement guidance for patients with very little activity to no support at all for more advanced patients. This assist-as-needed movement guidance enables and motivates patients to participate actively in their training, which effectively supports motor relearning.
Arm Weight Support in an Extensive 3D Workspace
The ArmeoPower is the worlds first commercially available robotic exoskeleton for upper extremity rehabilitation. The six actuated degrees of freedom allow training in an extensive 3D workspace.
This enables patients to practice the movements important for their therapy progress and daily life. The ArmeoPower supports 1D (joint-specific), 2D and 3D movements.