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THE ARMEO® THERAPY CONCEPT

This is a sustainable and powerful therapy concept for individuals who have suffered strokes, traumatic brain injury or neurological disorders resulting in hand and arm impairment.

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Despite the patient’s disorder, research suggests that the neural plasticity of the brain is retained and new connections can be made through intensive, repetitive, task-oriented movements. These exercises assist the gradual reorganization of the brain, which subsequently allows the restoration of movement and functionality to the affected parts.

Clinical trials also indicate that therapies are more effective if the patient initiates the exercise and remains motivated through the often lengthy rehabilitation process, a recovery period in which one-to-one therapist attention may not be economically viable.

Using this clinical evidence as a basis, the Armeo Therapy Concept has been developed. It comprises three features and a modular line of three Armeo products, all driven from a single software platform. The result is a comprehensive therapy concept which addresses different patient and therapeutic needs across the whole “Continuum of Rehabilitation”, from the beginning of the rehabilitation process through to home therapy.
The Armeo Therapy Concept improves the efficiency of therapy treatments because the exercises are self-initiated, self-directed, functional and intense. Even severely impaired patients can practice independently, without the constant presence of a therapist, allowing patients to exploit their full potential for recovery.

The Augmented Performance Feedback provided by the shared software platform, encourages and motivates patients to achieve a higher number of repetitions, and this leads to better, faster results and improved long-term outcomes.

The software also provides automatic, ongoing assessment of motor functions and patients can readily track their progress, helping them to grasp the initiative and reach towards recovery.


KEY FEATURES
The rehabilitation, from immediate post-injury to long-term recovery, referred to here as the “Continuum of Rehabilitation”, requires a range of therapies to address the changing needs of the recovering patient. The Armeo Therapy Concept includes three distinct products, ArmeoPower, ArmeoSpring and ArmeoBoom, each designed for a particular stage in the recovery process.
The whole Armeo Therapy Concept is governed by the Armeo software which is the basis of a shared user management system and database, providing therapy plans, assessment modalities, exercises and games across all three Armeo products.

1. Arm Weight Support


By providing support for the affected arm and hand, the Armeo Therapy Concept allows patients to reacquire and improve motor control. The support counteracts the effects of gravity and helps to:
- reveal any remaining motor functions
- facilitate self-initiated and intensive repetitive movements 
- increase movements within a 3D workspace

2. Augmented Performance Feedback


Utilizing a wide range of self-initiated, functional and motivational exercises and games, which simulate regular activities of daily living, the shared software gives the patient Augmented Performance Feedback through:
- repeated tasks which are motivating and rewarding
- functional exercises with immediate performance feedback
- adjustable difficulty levels according to the patients’ needs and progress
- adjustable workspace according to the patients’ changing abilities

3. Assessment Tools


Included in the Armeo software, these tools allow accurate monitoring of the patient’s recovery progress through:
- an integrated database for the management of individual therapy plans
- documentation of progress as a basis for clinical decisions
- precise assessments of the individual patient’s ability to move. 


ARMEO® SOFTWARE


The Armeo software is the core of all Armeo devices. It helps to motivate the patients and increases efficiency of the therapist’s work. It consists of:


Augmented Performance Feedback


The Augmented Performance Feedback increases the patient’s active effort with motivating game-like exercises. The large library of exercises has been developed together with leading hospitals and clinics specifically for neurological patients.
Goal-oriented movements in motivating game-like environments:

  • Immediate motivation and performance reward.
  • Long term motivation due to increasingly challenging and diverse game levels.

Covers therapeutic goals for all patients from severe to moderately affected:

  • Train range of motion, movement coordination, grasping function as well as strength, endurance and cognitive functions.
  • 1D exercises with single-joint movements for severely affected patients.
  • 2D and 3D exercises with complex movements for moderately affected patients.

Exercises can be easily adapted to each patient’s needs:

  • Difficulty (motor abilities)
  • Visual details (cognitive abilities)

Fast and user-friendly workflows

  • The same user interface and workflows are used in all Armeo devices to save time on staff and patient training.
  • Intuitive and easy to use workflows maximize the effective therapy time.

Assessment and Reporting Tools
The Armeo software enables easy progress tracking with integrated assessments:

  • A-MOVE: Measures patient’s active range of motion in a 3D workspace.
  • A-ROM: Measures active and passive range of motion in all degrees of freedom.
  • A-GOAL: Measures precision of movements.
  • A-FORCE: Measures the isometric force generated in a static position.

The Reporting Tools allow accurate monitoring of the patient’s recovery progress through:

  • Integrated database for the management of individual therapy plans.
  • Documentation of progress as a basis for clinical decisions.

 

FEATURES & FUNCTIONS


Early Rehabilitation Therapy
Improved Therapy Efficiency
Extensive 3D Workspace
Augmented Performance Feedback
Assist-as-Needed Support

ARMEO®POWER


The Armeo Power is the world's first commercially available rehabilitation exoskeleton that allows early rehabilitation of motor abilities and provides intelligent arm support in a large 3D workspace. As part of the sustainable Armeo Therapy Concept, the ArmeoPower is designed for individuals who have suffered strokes, traumatic brain injuries or other neurological disorders resulting in hand and arm impairment. 


CLINICAL BENEFITS


•  Early rehabilitation with highly repetitive training for severely affected patients.
•  Improved therapy efficiency and patient care.
•  An extensive 3D workspace.
•  Augmented Performance Feedback with motivating exercises to train activities of daily living.
•  Assist-as-needed support provided by the robotic arm exoskeleton that automatically adapts to the patients’ capabilities.
•  Objective analysis and documentation of the patient’s progress.

ARMEO®SPRING


The ArmeoSpring is specifically suited for patients who are beginning to regain active movement of the arm and hand, and has already proved to be successful in many clinics worldwide.  Mounted on a trolley for quick and easy positioning, the ArmeoSpring offers various self-initiated repetitive therapies to increase the patient’s range of motion and selective control. The self-directed exercises motivate the patient to exert intense levels of both concentration and coordination.


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FEATURES & FUNCTIONS


Arm Weight Support


The ergonomic and adjustable arm support is an exoskeleton with integrated springs. It embraces the whole arm, from shoulder to hand, and counterbalances the weight of the patient’s arm, enhancing any residual function and neuromuscular control, and assisting active movement across a large 3D workspace.

Augmented Performance Feedback


The Armeo software contains an extensive library of game-like movement exercises supported by a virtual-reality training environment that is both motivating and informative, clearly displaying the functional task along with immediate performance feedback. The motivating and self-initiated exercises include proximal and distal components, specifically related to:
grasp and release
pro- / supination
wrist flexion / extension
reach and retrieval function
The equipment detects even trace amounts of movement and function and facilitates intensive reach and grasp exercises at an early stage of therapy.

Assessment Tools


Besides functional exercises, the system contains exercises specifically designed to assess the motor ability and coordination of patients. Built-in sensors record the active arm movement at each joint during all therapy sessions and the performance data is stored in the computer, where it can be used to assess and document the patient’s progress, to determine the next appropriate challenge and to promote the optimum therapy and best possible outcomes. The Armeo software supplies accurate assessments through the options A-MOVE, A-GOAL and A-ROM.

Even moderately to severely impaired patients can practice independently and benefit from highly intensive, repetitive, self-initiated movement therapy
The workspace is adjustable to the patients’ capabilities
Patients with only trace motor function can integrate their remaining function into the intensive, engaging, functional exercises
Optimum integration of arm, hand and wrist brings the whole movement chain into the therapy


As a universal platform, the ArmeoSpring provides an interface to hand modules for patients with lower or higher functionality