Clinical Aspects of MediTouch Products
Presented by:
Mr. Avraham Cohen, MediTouch CCO
Clinical aspect of MediTouch
products
Content
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Description
Scientific Aspect
Method
Features
Indications
Clinical aspect of MediTouch
products
Description
Dedicated rehabilitation systems for upper and low
extremity rehabilitation based on Impairment oriented
training with augmented feedback.
Clinical aspect of MediTouch
products
Scientific Aspect
Impairment
Disability
Handicap
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
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
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
Scientific Aspect
Rehabilitation
Method
Traditional
Traditional + IOT
Low tech
Low tech + High tech
Clinical aspect of MediTouch
products
Traditional Approach
Mild range and low sensitivity
of sensory-motor system
Limited sensory-motor ability
Increase compensatory movement
Clinical aspect of MediTouch
products
Traditional With IOT 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
Feedback
Feedback
Task-intrinsic
feedback
Visual
Augmented
feedback
Auditory Proprioceptive Tactile
Knowledge
of Result
Magill and Wood (1986)
Clinical aspect of MediTouch
products
Knowledge of
Performance
Augmented Feedback
Motion
KR
KP
Feedback
Timing
levels
Motivation
(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
Types of Augmented Feedback
Augmented Feedback
Quantitative
Terminal
Qualitative
Concurrent
Terminal
Clinical aspect of MediTouch
products
Concurrent
Acknowledge
• Knowledge of result (KR)
• Knowledge of performance (KP)
Clinical aspect of MediTouch
products
Acknowledge of Result (KR)
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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
Acknowledge of Performance (KP)
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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
Ideal Augmented Feedback
KP and KR combination
Silverman, woods, and Subramaniam, 1999)
Clinical aspect of MediTouch
products
Type of Augmented Feedback Indications
Quantitative
Qualitative
Initial stage
Advanced stage
Terminal
Mild Impact
Magill and Wood (1986), Intiso et al, 1994
Clinical aspect of MediTouch
products
Concurrent
Sever Impact
Needs for Augmented Feedback
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Impact of sensory system
Inefficiently of task-intrinsic feedback.
(Trowbridge & Cason 1932, Bilodeau, & Schumsky, 1959)
Clinical aspect of MediTouch
products
Method
IOT and Feedback
Rehabilitation Evaluation
Rehabilitation Facilitation
Rehabilitation Customization
Patient Motivation
Rehabilitation Follow-up
Kwakkel G, Kollen BJ)
(Woods, &Subramaniam, 1998, Annesi, 1998;)
Clinical aspect of MediTouch
products
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
Features
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Objective kinematics evaluation
Customized Intensive Training
Objective Follow-up
All types of Augmented Feedback
Research, clinical and home usage
Clinical aspect of MediTouch
products
HandTutor Indications
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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
ElbowTutor Indications
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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
LegTutor Indications
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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
AnkleTutor Indications
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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
Clinical aspect of MediTouch
products