All over the world, medical robotics is actively developing in three areas: rehabilitation, service and clinical. Rehabilitation robots are designed to solve the problems of restoring the functions of lost limbs and life support for disabled people who are bedridden (with visual impairment, musculoskeletal system and other serious diseases). Medical robots for service purposes are designed to solve transport problems for moving patients, various loads, as well as caring for bedridden patients. Clinical robotics provides full or partial automation of diagnostic processes, therapeutic and surgical treatment of various diseases.
Surgical robots used to perform robotic-assisted operations in various fields of medicine have found the greatest practical application. The use of robotics when performing operations reduces the dependence of the result of surgery on the human factor and helps to expand technical capabilities when performing complex operations. With the use of robots, the ergonomic parameters in the work of the surgeon are noticeably improved, the accuracy and controllability of the impact increases. In the case of minimally invasive surgery, robots increase the manipulability of the surgical instrument, allowing the surgeon to increase the amount of space available to the surgeon inside the patient's body. An important advantage of robotic surgery is the possibility of converting traditional operations into minimally invasive interventions.
The modern stage in the development of minimally invasive surgery was the introduction of specialized robots into clinical practice, the most famous of which is the Da Vinci robot. In many countries, work is underway to create specialized surgical robotics (USA, Germany, Japan, South Korea, France, etc.).
In Russia, for the first time, the idea of \u200b\u200bthe possibility of robotic surgery in relation to blood vessels by prof. G.V. Savrasov and academician A.V. Pokrovsky began to be discussed in the 80s of the last century. This was the period of development and active introduction into clinical practice of ultrasound angiosurgery technologies intended for intravascular effects.
The advantage of intravascular reconstruction lies, on the one hand, in its physiology, since the natural bed of the circulatory system is restored, and on the other hand, in the possibility of minimal trauma due to the fact that the restoration of the vessel's patency is carried out at a considerable distance from the site of the surgical access. However, the removal of the affected area from the place of input of the technical means, as well as the absence, as a rule, of direct visual information from the affected area complicate the work of the surgeon, making the results of surgery directly dependent on the individual qualities of the surgeon himself. But the influence of the human factor is especially strong when it is not the muscular effort of the surgeon that is used as the main physical agent for influencing the blood vessel, but a high-energy and fast-acting source, for example, ultrasound. In order to significantly improve the working conditions of the surgeon and at the same time increase the efficiency and quality of the operations performed by him, it is necessary to fundamentally change the technique of surgical operations using mechatronic and robotics means.
- mobile micro-robotic systemscapable of moving through the tubular organs in automatic and semi-automatic modes, carrying out diagnostics and impact on pathological ones;
- robotic manipulators to perform a wide range of surgical interventions in various fields of medicine.
For more information on the status of the problem, see the video:
Rehabilitation of patients after injuries and strokes is a multi-stage process that takes place over a long time and includes many components (ergotherapy, kinesiotherapy, massage courses, exercise therapy, classes with a psychologist, speech therapist, treatment by a neuropathologist).
In modern medicine, new methods are emerging that serve to restore the functioning of the brain and the speedy return of the patient to normal life.
Robotic mechanotherapy - a new method of rehabilitation
One of the newest areas of restoration of the patient's motor functions is robotic mechanotherapy. Its essence lies in the use of special robotic structures for training the functions of the upper and lower extremities with the presence of feedback.
The advantage of robotic therapy is the achievement of the best training quality compared to traditional physiotherapy exercises due to the following factors:
- increasing the duration of classes;
- high accuracy of cyclical repetitive movements;
- unchanged uniform training program;
- the presence of mechanisms for assessing the effectiveness of the exercises performed and the ability to show it to the patient.
1. System for the rehabilitation of the upper limbs.
This type of device is designed to restore the function of the hands and fingers, mainly in stroke and craniocerebral trauma, and it is also possible to carry out rehabilitation programs for post-traumatic and postoperative pathologies of the joints of the hands, chronic degenerative and inflammatory diseases of the joints of the hands. The essence of the system is the technique of reverse teaching of upper limb movements.
In case of injury or in the area of \u200b\u200bdamage to the brain tissue, cells die, and the transmission of impulses stops in this part of the brain. However, thanks to the mechanism of neuroplasticity, the brain can adapt to many pathological situations.
Neuroplasticity is the ability of healthy neurons that are located near the focus of brain tissue damage to connect with surrounding nerve cells and take on certain functions, that is, under certain conditions (for example, receiving stimuli from the periphery), to restore information transmission between the central and peripheral nervous systems.
Therefore, a very important factor is the program of action of certain stimuli on the affected area of \u200b\u200bthe brain. Such stimuli are repetitive functional movements that must be performed very precisely in a specific order.
Training on robotic rehabilitation simulators can provide a similar stimulus program. The device can perform from three hundred to five hundred high-precision repetitive movements per hour (compared to thirty to forty movements in conventional workouts), which creates optimal conditions for restoring hand functions in a shorter time.
The course of therapy can be taken in a hospital every day, or it can be done on an outpatient basis - then the course is carried out hourly two to three times a week.
2. Robotic complexes for teaching walking skills.
These structures are a breakthrough in robotics and are designed to treat pathological conditions with impaired walking, coordination and balance functions.
Indications for use are movement disorders of the lower extremities associated with the presence of craniocerebral or spinal trauma, the consequences of stroke, parkinsonism, multiple sclerosis and demyelinating diseases.
The entire apparatus can include an automatic gait synchronization platform, a patient's body suspension system, an automatic leg movement system, and a computer program. By monitoring and regulating the patient's movements using sensors, stimulation of the affected areas of the brain is achieved in the same way as during natural walking. ...
The use of such recovery systems allows:
- help the patient to stand up and restore walking function as soon as possible;
- prevent complications associated with immobility of patients for a long time (bedsores, muscle atrophy, congestion in the lungs);
- adapt the patient's heart and blood vessels to return to physical activity and an upright position of the body.
The course of therapy can last from fifteen to forty-five workouts. Their number is determined individually for each patient by the attending physician after a clinical examination.
Types of robotic complexes
As evidenced by clinical practice, the restoration of the motor activity of patients with the help of robotic mechanotherapy helps in most cases to avoid disability and return patients to normal life.
You can take a course of robotic mechanotherapy using the latest rehabilitation systems at the Evexia Medical Clinic. These revolutionary methods of recovery allow you to program a personalized program for each patient, depending on the needs and capabilities of the patient.
". Russian translation of the website
2.3 Medicine and robotics
2.3.1 Area overview
Healthcare and robots
As a result of demographic changes, health systems in many countries are facing increasing pressures as they serve an aging population. Against the backdrop of growing demand for services, procedures are being improved, which leads to better results. At the same time, the costs of providing medical services are growing, despite the decrease in the number of people employed in the field of medical care.
The use of technology, including robotics, appears to be part of a possible solution. In this document, the medical field is divided into three sub-areas:
- Hospital robots (Clinical Robotics): Appropriate robotic systems can be defined as those that provide "caring" and "healing" processes. First of all, these are robots for diagnostics, treatment, surgery and medication delivery, as well as in emergency systems. These robots are operated by hospital staff or trained patient care professionals.
- Rehabilitation robots: Such robots provide post-operative or post-traumatic care, where direct physical interaction with the robotic system will either accelerate the recovery (recovery) process or provide replacement for lost functionality (for example, when it comes to a leg or arm prosthesis).
- Assistive robotics: This segment includes other aspects of robotics used in medical practice, where the primary purpose of robotic systems is to provide support either to the caregiver or directly to the patient, regardless of whether it is a hospital or other medical institution.
All of these subdomains are characterized by the need to provide security systems that take into account the clinical needs of patients. Typically, trained hospital staff are in charge of operating or adjusting such systems.
Medical robotics is more than just technology
In addition to the development of robotic technology directly, it is important that appropriate robots are implemented as part of hospital treatment or other medical procedures. System requirements should be based on clearly identified needs of the user and the recipient of the service. When developing such systems, it is of fundamental importance to demonstrate the added value that they can provide in their implementation, this is critical for continued success in the market. Obtaining added value requires the direct involvement of medical professionals and patients in the development of this technique, both at the design stage and at the implementation stage in the development of robots. Designing systems in the context of their future application environment ensures stakeholder involvement. A clear understanding of existing medical practice, the obvious need to train medical personnel in the use of the system, and the knowledge of various information that may be required for development are critical factors in creating a system suitable for further implementation. The introduction of robots into medical practice will require the adaptation of the entire system of medical services delivery. It is a delicate process in which technology and health care delivery practices interact and must adapt to each other. From the start of development, it is important to take this aspect of "interdependency" into account.
The development of robots for medical needs includes a very wide range of different potential applications. Let's consider them below, in the context of the three main market segments identified earlier.
Hospital robots
This segment is represented by a variety of applications. For example, the following categories can be distinguished:
Systems that directly enhance the surgeon's capabilities in terms of agility (flexibility and precision) and strength;
Systems that allow remote diagnostics and interventions. This category can include both telecontrolled systems, when the doctor can be at a greater or lesser distance from the patient, and systems for use inside the patient's body;
Systems that provide support during diagnostic procedures;
Systems that provide support during surgical procedures.
In addition to these hospital applications, there are a number of ancillary applications for hospitals, including robots for sampling, laboratory tissue sampling, and other services required in hospital practice.
Rehabilitation robots
Rehabilitation robotics includes devices such as prostheses or, for example, robotic exoskeletons or orthoses, which provide training, support or replacement for lost activities or impaired functionalities of the human body and its structure. Such devices can be used both in hospitals and in the daily life of patients, but as a rule, they require initial adjustment by medical specialists and subsequent monitoring of their correct operation and interaction with the patient. Postoperative recovery, especially in orthopedics, is projected to be the main application for such robots.
Professional support and assistive robotics
This segment includes assistive robots for use in hospitals or in the home environment, which are designed to assist hospital staff or caregivers with routine operations. A significant difference can be noted in the design and implementation of robotic systems related to the place and conditions of their use. In the context of use by skilled personnel, whether it is a hospital environment or a home environment when using a robot to care for an elderly person, developers can rely on a skilled person to operate the robot. Such a robot must meet the requirements and standards of the hospital and health care system and have the appropriate certificates. These robots will assist the staff of the respective healthcare facilities in their daily work, especially nurses and nurses. Such robotic systems should allow the nurse to spend more time with patients, reducing physical activity, for example, the robot will be able to lift the patient in order to carry out the necessary routine operations with him.
2.3.2 Opportunities now and in the future
Robotics for medicine is an extremely difficult area for development due to its multidisciplinary nature and the need to comply with various stringent requirements, as well as due to the fact that in many cases medical robotic systems physically interact with people, who, moreover, can be in a very vulnerable state ... Here are the main opportunities that exist in the segments of medicine we have identified.
2.3.2.1 Hospital robots
These are robots for surgery, diagnostics and therapy. The market for surgical robots is large. Robot-assistive capabilities can be used in almost all areas - cardiology, vasology, orthopedics, oncology and neurology.
On the other hand, there are many technical challenges associated with size, capacity, environmental constraints and the small number of technologies available for immediate use in a hospital setting.
In addition to technological problems, there are also commercial ones. For example, related to the fact that the United States is trying to maintain a monopoly position in this market at the expense of voluminous intellectual property. This situation can be circumvented only through the development of a fundamentally new hardware, software and management concepts. Also, such developments require solid financial support for high-cost but necessary research and related clinical trials. Typical areas where opportunities currently exist:
Minimally invasive surgery (MIS)
Here, success can be achieved by developing systems that can expand the flexibility of instrument movement beyond the anatomy of the surgeon's hand, improve efficiency, or supplement systems with feedback (for example, to judge pressure) or additional data to aid in the procedure. Success in market adoption may depend on the cost-effectiveness of the product, the shortened deployment time (set-up), and the reduced level of additional training required to learn how to use a robotic system. Any system that is developed must demonstrate "added value" in the context of surgery. Clinical trial implementations and evaluations during such clinical testing are imperative for the system to be accepted by the surgical community.
Compared to other areas of minimally invasive surgery, robotic assistive systems potentially provide the surgeon with better control of surgical instruments, as well as a better view during surgery. The surgeon is no longer required to stand all the time during the operation, so he does not fatigue as quickly as with the traditional approach. Hand tremors can be almost completely filtered out by the robot's software, which is especially important for microscopic surgery applications such as eye surgery. In theory, a surgical robot can be used almost 24 hours a day, replacing the surgeon teams that work with it.
Robotics can provide a quick recovery, a reduction in injuries and a decrease in the negative effect on the patient's tissues, as well as a decrease in the required radiation dose. Robotic surgical instruments can relieve the doctor's brain, shorten the learning curve, and improve the ergonomic workflow for the surgeon. Therapies that constrain the limits of the human body are also becoming possible with the transition to robotic technology. For example, a new generation of flexible robots and instruments that allow access to organs deeply buried in the human body make it possible to reduce the size of the entrance incision in the human body or to dispense with natural openings in the human body for surgical operations.
In the long term, the use of learning systems in surgery can reduce the complexity of the operation by increasing the flow of useful information that the surgeon will receive during the operation. Other potential benefits include the ability to enhance the ability of paramedic (ambulance) teams to perform routine clinical emergency procedures with robots in the field, and tele-surgery in remote locations where there is only an appropriate robot and no trained surgeon.
The following possibilities can be distinguished:
New compatible tools that provide increased security while maintaining full manipulation capabilities, including rigid tools. Through the use of new control methods or special solutions (which, for example, may be built into the instrument or be external to it), the functioning of the instruments can be adjusted in real time to ensure compatibility or stability, when what matters;
The introduction of improved assistive technologies that guide and warn the surgeon during the operation, which makes it possible to speak of simplifying the solution of surgical problems and reducing the number of medical errors. This "training support" should increase the "compatibility" of the equipment and the surgeon, thus ensuring intuitiveness and confidence in the use of the system.
Application of appropriate levels of autonomy of robots in surgical practice, up to the complete autonomy of specific well-defined procedures, for example: autonomous autopsy; taking blood samples (Veebot); biopsy; automation of some of the surgical actions (tightening knots, supporting the camera ...). Increasing autonomy has the potential to improve efficiency.
- "Smart" surgical instruments are in essence conditionally controlled by surgeons. These instruments are in direct contact with the tissue and enhance the skill of the surgeon. The miniaturization and simplification of surgical instruments in the future, as well as the availability of surgical procedures inside and outside the "operating theater", is the main path for the development of such technologies.
Training: Providing physically accurate models that are achieved through the use of tactile feedback tools provide the potential to improve learning, both in the early stages of learning and in the attainment of confident work skills. The ability to simulate a wide variety of conditions and complexities can also enhance the effectiveness of this type of training. Now the quality of tactile feedback still contains a number of limitations, which makes it difficult to demonstrate the superiority of this type of learning.
Clinical samples: There are many areas of application for autonomous sampling systems, from blood and tissue sampling systems for biopsy to less invasive autopsy techniques.
2.3.2.2 Robotics for rehabilitation and prosthetics
Robotics for rehabilitation covers a wide range of different forms of rehabilitation and can be subdivided into sub-segments. In Europe, there is a fairly strong industry in this sector and active interaction with it will accelerate technological development.
Rehabilitation means
These are remedies that can be used after injury or after surgery to exercise and support recovery. The role of these tools is to support recovery and accelerate recovery while protecting and supporting the user. These systems can be used in a hospital setting under the supervision of a medical staff, or as a stand-alone exercise where the device controls movement or restricts movement, depending on what is required in this particular case. Such systems can also provide valuable data on the recovery process and monitor the condition more directly than even observing a patient in a hospital setting.
Functional replacement tools
The purpose of such a robotic system is to replace lost functionality. This can be the result of aging or traumatic injury. Such devices are being developed to enhance patient mobility and motor skills. They can be performed like prostheses, exoskeletons or orthopedic devices.
In advanced rehabilitation systems, it is critical that existing European manufacturers are involved as well-known market players and relevant clinics and clinic partners are involved in the development process. Europe is currently leading the world in this area.
Neuro-rehabilitation
(COST Network TD1006, the European Robotics Network for Neuro-Rehabilitation, provides a platform for the exchange of standardization of definitions and development examples across Europe).
Few robotic neuro-rehabilitation devices are currently in use because they have not yet been widely adopted. Robotics is used for post-stroke rehabilitation in the post-acute phase and other neuro-motor pathologies such as Parkinson's disease, multiple sclerosis and ataxia. Positive results using robots (no worse or better than using traditional therapy) for rehabilitation purposes are beginning to be confirmed by research results. Recently, positive results have also been confirmed by research in the field of neuroimaging. It was proven that the integration with FES showed an increase in the positive result (both for the muscular system, and for the peripheral and for the central motor). Biofeedback exercises and game interfaces are beginning to be seen as solutions that can be implemented, but such systems are still in the early stages of development.
In order to develop workable systems, several problems must be solved. It is low cost devices, proven clinical trial results, well defined patient assessment process. The ability of systems to correctly identify user intent and thereby prevent injury currently limits the effectiveness of such systems. Control and mechatronics, integrated to meet the capabilities of the human body, including cognitive load, are in the early stages of development. Improvements in reliability and uptime must be achieved before commercial systems can be developed. Also, development goals should be fast deployment times and demand by therapists.
Prosthetics
Substantial progress can be made in the production of smart prostheses that are able to adapt to the user's movements and environmental conditions. Robotics has the potential to combine improved self-learning abilities with increased flexibility and control, especially in the area of \u200b\u200bupper limb and hand prostheses. Specific areas of research include adaptability to personal, semi-autonomous control, artificial sensitivity through feedback, improved validation, improved energy efficiency, self power recovery, and improved myoelectric signal processing. Smart prostheses and orthoses, controlled by the patient's muscle activity, will allow large user groups to benefit from such systems.
Mobility support systems
Patients with disabilities, temporary or permanent, can benefit from increased mobility. Robotic systems can provide the support and exercise needed to increase mobility. There are already examples of such systems being developed, but they are at an early stage of development.
In the future, it is possible that such systems can even compensate for cognitive impairments, preventing falls and accidents. The limitations of such systems are related to their cost, as well as the ability to carry such systems for a long time.
In a number of rehabilitation applications, it is possible to use natural interfaces such as myoelectricity, brain sensing, as well as speech and gesture-based interfaces.
2.3.2.3 Specialist support and assistive robots.
Professional support and assistive robotics can be divided into a number of application areas.
Caregiver support systems: Support systems used by caregivers who interact with patients or systems used by patients. These can include robotic systems that enable drug use, take samples, improve hygiene or recovery processes.
Lifting and moving the patient : Patient lift and positioning systems can range from precise positioning during surgery or radiation therapy sessions to assisting nurses or caregivers in getting a person out of bed or getting onto it, and transporting patients around the hospital ... Such systems can be designed so that they can be configured according to the patient's condition and used so that the patient has some degree of control over their position. Limitations here may be related to the need to obtain safety certifications and to safely manage forces sufficient to move patients in such a way as to exclude possible injury to patients. Energy efficient structures and space-saving designs will be critical for effective deployments.
When developing assistive robotic solutions, it is important to adhere to a set of core principles. Development should focus on supporting functionality deficiencies rather than creating specific environments. Solutions must be practical in terms of their use and provide measurable benefits to the user. This could include using technology to motivate patients to do as much for themselves as possible, while maintaining safety. The implementation of such systems will not be viable and in demand if they do not provide the opportunity to reduce the workload on staff, creating an economic case for implementation, while ensuring reliability and safety of use.
Biomedical laboratory robots for medical research
Robots are already finding their way into biomedical laboratories, where they sort and manipulate samples during research. Applications for the creation of complex robotic systems expand the possibilities even further, for example, in the field of advanced cell screening and manipulations related to cell therapy and selective cell sorting.
2.3.2.4 Requirements in the medium term
The following list represents "growth points" in the field of medical robotics
Exoskeletons for the lower torso that adapt their function to individual patient behavior and / or anatomy, optimizing support depending on the user or the environment. The systems can be adapted by the user to different conditions and different tasks. Applications: neuro-rehabilitation and worker support.
Robots designed for autonomous rehabilitation (for example, rehabilitation in a "play" mode, rehabilitation of the upper limbs after a stroke) must perceive the needs of the patient and his reactions, and also adjust the therapeutic effect to them.
Robots designed to support patient mobility and manipulation capabilities must support natural interfaces to ensure safety and performance in near-natural environments.
Rehabilitation robots designed to integrate sensors and motors by providing bi-directional communication, including multi-mode command input (myoelectric + inertial sensing) and multi-mode feedback (electro-tactile, vibro-tactile and / or visual).
Hand prostheses, hinges, hands that automatically adapt to the patient, allowing him to control any finger individually, thumb rotation, wrist DOFs. This must be accompanied by the use of multiple sensors and pattern recognition algorithms to ensure natural control (constant force control) at the expense of possible DOFs. Applications: Restoration of the functionality of the amputee arm.
Prostheses and rehabilitation robots equipped with semi-automatic control systems to improve the quality of functioning and / or reduce the cognitive load on the user. Systems must allow the perception and interpretation of the environment up to a certain level to enable autonomous decision making.
Prostheses and rehabilitation robots are capable of using a variety of online resources (information storage, processing) through the use of cloud computing in order to implement advanced functionality that is significantly beyond the capabilities of "onboard" electronics and / or direct control from the user.
Inexpensive prostheses and robotic solutions created using additive technologies or mass production (3D printing, etc.)
Home-based therapy that reduces the intensity of neuropathic pain or phantom pain in the upper limbs through improved interpretation of muscle signals through the use of robotic limbs (with less flexibility than in previous examples) and / or "virtual reality".
Biomimetric control of interaction with a robotic surgeon.
Adequate mechanical actuation and sensing technologies for the development of flexible miniature force feedback robots and instruments for advanced and advanced surgery with minimal invasiveness.
Environmental charging systems for implantable micro-robots.
To obtain biomimetric control of rehabilitation processes: the integration of volitional "impulses" during the movement of the subject, with the support of FES for improved re-learning of motor skills, when controlling the robot.
Developing hospital-based methods for restoring movement that goes beyond the paradigm of commonly used manual static mechanisms.
Low TRL
Automated cognitive understanding of the required tasks in the operating environment. Seamless physical integration of a human-robot for a "normal" environment based on an additional control interface. Full-fledged adaptability to the patient that does not require settings. Reliability in identifying intentions.
Equipment such as simulators for rehabilitation and physiotherapy is used for therapeutic purposes to recover patients from operations and injuries, as well as to prevent functional disorders of the body.
LLC "M.P.A. medical partners ”offers high-tech rehabilitation and physiotherapy equipment of world famous brands. We also design specialized offices in hospitals, clinics, sanatoriums, sports centers, fitness clubs and after-sales service for exercise equipment.
Equipment for rehabilitation in our company
- Apparatus for rehabilitation and physiotherapy, sports and aesthetic medicine. Multifunctional simulators based on electrical, ultrasonic, laser, magnetic, micro- and short-wave effects are used to improve microcirculation, regeneration and trophism of tissues. Robotic verticalization beds, sensory treadmills, strength and cardiovascular equipment have many settings and can be easily adjusted to the physiological characteristics of each patient.
- Hydrotherapy and balneological equipment. Showers and baths with the option of hydromassage, baths based on mud, mineral and thermal waters provide effective therapeutic and spa treatments.
- Stabilometric systems. Simulators with biofeedback on the support reaction help to restore the motor activity of recumbent, partially immobilized and outpatient patients.
- Equipment for shock wave therapy. Devices for generating acoustic waves are equipped with a wide range of applicators and attachments that target problem areas of patients with urological, neurological, orthopedic and other diseases.
- Urodynamic systems. Fully computerized equipment provides effective pelvic floor muscle training. Session data storage helps to track the dynamics of rehabilitation of each patient.
Department of Robotic Methods of Medical Rehabilitation is a division of the Center for Medical Rehabilitation and Rehabilitation Medicine.
Domestic and foreign technologies of restorative treatment and rehabilitation have been introduced into the work of the department, harmoniously combining classic proven methods and modern scientific achievements.
The main direction of the department's work is rehabilitation treatment and rehabilitation after cerebrovascular accident, traumatic brain injury, lesions of the musculoskeletal system.
The presence of high-tech rehabilitation equipment with biofeedback makes it possible to assess the functional reserves of the body and draw up an individual treatment program for each patient.
Complex Biodex Systems 4 PRO is a leader in neuromuscular testing and rehabilitation exercises. The combination of dynamic and static muscular loads, the ability to mobilize joints in different directions, allows for a complete restoration of lost motor functions.
Applications: orthopedics, neurology, traumatology, sports medicine, industrial rehabilitation, gerontology.
The complex provides fast and accurate diagnosis, treatment and documentation of disorders that cause functional disorders of joints and muscles. The package includes a set of devices for working with the hip, knee, shoulder, elbow, ankle and wrist joints.
Biodex Systems 4 gives you complete freedom in the choice of treatment modes at different clinical stages, which allows you to individually approach the problems of each patient.
Robotic rehabilitation complex Lokomat It is used to restore walking skills in patients with severe motor deficits due to craniocerebral and spinal injuries, the consequences of cerebrovascular accident.
Robotic orthoses are precisely synchronized with the speed of the treadmill and give the patient's legs a trajectory of movement that forms a walk close to physiological. User-friendly computer interface allows the doctor to control the device and adjust training parameters according to the capabilities and needs of each patient. Integrated feedback system visually illustrates gait parameters in real time.
Robotic orthosis Armeo allows to increase the efficiency of restoration of the function of the upper limbs, impaired due to craniocerebral and spinal injuries, multiple sclerosis, cerebrovascular accident; after surgical removal of tumors of the brain and spinal cord; with post-traumatic neuropathies.
Classes on Armeo provide an opportunity to prevent the threatening loss of muscle strength and the development of joint contractures, help to reduce spasticity, improve coordination, and teach new movements. Armeo allows hemiparesis patients to develop and enhance locomotor and grasping functions using the residual functionality of the injured limb. The computer program contains a wide range of effective and fun video games with varying difficulty levels. The device is equipped with a biofeedback function.
THERA-VITAL - simulator for the rehabilitation of the upper and lower extremities in active-passive mode. Applicable:
- in neurology (stroke, TBI, spinal trauma, Parkinson's disease, cerebral palsy);
- traumatology and orthopedics (condition after prolonged immobilization, after endoprosthetics);
- in cardiac rehabilitation;
- gerontology (reduction of movement deficit in elderly and senile people);
- to reduce the consequences of a deficiency in motor activity (edema, joint contractures);
- in order to prevent complications in patients of different ages with reduced motor activity.
Rehabilitation simulator Kinetec centurais used for permanent passive development of the shoulder joint in order to prevent joint stiffness, soft tissue contracture and muscle atrophy.
With the use of the simulator, stiffness of the shoulder joint is prevented, the process of postoperative restoration of the range of motion is accelerated, the quality of the articular surface is improved, pain and swelling are reduced.
Indications for use: operation on the rotator cuff, complete replacement of the shoulder joint, "frozen shoulder", fractures and dislocations requiring reconstructive surgery on the clavicle, scapula, arthrotomy, acromyoplasty, burns, rehabilitation after mastectomy.
BTE TECHNOLOGIES (TECH TRAINER, PRIMUS RS) - universal complexes for functional assessment, diagnostics and rehabilitation of the musculoskeletal system. Includes a large number of adapters and attachments for simulating various professional and everyday activities (both isolated and complex movements). Allows training in all motor planes. The touchscreen monitor and the user-friendly software interface make testing and training much easier. Test and training data are saved and documented.
Applications: industrial and sports rehabilitation, orthopedics, neurorehabilitation, strength testing.
Contactless hydromassage on devices "Medistream», « Medy Jet»
Hydromassage has been recommended by doctors and professional athletes for over 20 years for relief and pain relief. Powerful waves of warm water envelop the entire body for a deeply relaxing and revitalizing massage. The non-contact hydromassage procedure relieves pain, relieves muscle tension, improves blood circulation in the massaged area, relieves stress and anxiety.
Alpha capsule- this is the effect of mechanotherapy, thermo-therapeutic and phototherapy factors: general vibrotherapy, systemic and local thermotherapy, pulsed photostimulation and selective chromotherapy, audio relaxation, aromatherapy, aeroinotherapy. Alpha massage performed in the capsule improves the mood of patients, reduces internal tension, significantly increases the increase in exercise tolerance and stabilizes the vegetative status.
Indications for procedures in the Alpha capsule: overweight; localized fat deposits; cellulite; decreased skin turgor and tone; cleansing and detoxifying the body, emotional stress, sleep disorders; neuroses; chronic fatigue; hypertonic disease; headaches; decreased immunity; rehabilitation after sports injuries; the consequences of long-term illnesses.
Lower limb pneumocompression apparatusPULSTAR s2
Currently, pneumocompression is the main method used to prevent and treat various chronic vascular diseases of the extremities.
Pneumatic compression is a method of active functional therapy, where dosed physical activity is used as a therapeutic factor - compression of the limbs. Pneumomassage procedures improve peripheral blood circulation, accelerate blood flow, develop a collateral bed, reduce vascular spasm, and improve tissue trophism.
Indications for use: local edematous syndromes with venous insufficiency and lymphostasis; obliterating diseases of the lower extremities; removal of fatigue and restoration of working capacity after prolonged physical exertion, forced hypodynamia; in order to prevent vascular diseases of the extremities in persons who are on their feet for a long time due to their activities; with postmastectomy edema of the upper extremities.
Multifunctional Massager Bed NugaBest combines various methods of recovery: reflexotherapy, manual therapy, physiotherapy, low-frequency myostimulation.
The combination of various methods of impact on the body in one product allows for effective prevention and recovery measures for a wide range of diseases:
- musculoskeletal system (diseases of the spine);
- trophic disorders of neurogenic and vascular origin;
- peripheral nervous system (radiculitis);
- situational stressful situations (nervous exhaustion);
- syndrome of chronic fatigue and physical fatigue;
- posture correction in adolescence and adolescence;
- in gynecology and urology.
