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Rehabilitation treatment is designed to return functioning to daily life in the surroundings of an individual who has been injured as a result of injury, illness, surgery etc. In the past decade, with the development of technology, new and unique devices have been developed in the field of rehabilitation. A combination of treatment with these technologies alongside a hands-on approach by a therapist in the health professions helps to connect the patient and increase his motivation for treatment. The Reuth Rehabilitation Hospital Tel Aviv makes use of the most advanced technologies as part of the routine treatment
Rehabilitation technologies in the Physiotherapy Service
The anti-gravity treadmill is a walking device which was developed by NASA for the purpose of exercising walking in reduced gravity. The device enables walking or running on a treadmill while reducing weight bearing in a controlled fashion of up to 80% of the body weight while walking and/ or running at a speed of up to 19 km/h. The regulation of weight bearing when walking enables patients in the orthopaedic and neurologic fields to start walking already in the early stages of the rehabilitation process however it is also suitable for rehabilitation at later stages.
Four sensory systems of MediTouch – Hand Tutor, Arm Tutor, Leg Tutor and 3D Tutor enable exercising active movement of all the joints of the body by a range of interactive games while receiving visual feedback as to the execution of the movements.
The L300 and the L300+ Bioness apparatus are designed to improve the quality of walking and stability of individuals rehabilitating from brain damage. The two devices provide an electrical stimulus to the weak and paralyzed muscles in the legs, and thus constitute in practice a local substitute for the brain with damaged function. L300 is attached to the area of the shin, stimulates the muscle that lifts the foot for patients suffering from “drop foot”, which is found in many brain injuries. L300+, which is attached to the thigh, slightly above the knees, enables the patient to control his knee movements, which is essential for stabilization for normal walking.
SmartStep is a biofeedback system for weight bearing while walking. This is a computerized tread based on combined visual and audio feedback enabling the patient to improve his ability to bear weight on his legs when walking, to stand and to rise from a sitting position. The system is designed for treatment of patients rehabilitating from orthopaedic or neurological injury, and for individuals suffering from CRPS – complex regional pain syndrome in the foot.
The Huber 360 system performs tests and treatments in the fields of stability, movement and coordination. The treatment is personally customized for each patient while integrating games.
The technology is suitable for work on balance when standing, for strengthening of muscles in the lower limbs, for strengthening of walking components, for work on control of the center of the body (pelvis and abdominal muscles), for work on hand-leg coordination.
The Huber is a device that both tests (stores data) and treats. It is designed for patients with neurological problems (balance and transfer of weight to the weak side), hand-leg coordination), orthopaedic problems (strengthening of muscles and muscle stretches), pain (work with CRPS patients and muscular-skeletal pain) and is suitable for a very wide range of functions as it is possible to work on it both sitting and standing. The method of work on the device is such that it forces the patient to reach execution of the desired movements and thereby contributes to motor learning.
A robotic device for rehabilitation of the upper body: the device enables measurement of the range of movement and passive, assisted active and fully active exercise pursuant to the patient’s ability. The device has interactive games customized for the patient’s abilities. The treatment is suitable for patients suffering from damage to the functioning of the hand for example as a result of neurological problems (CVA, brain damage and weakness) and for those who find it difficult to function with their hands. Each patient has a file and the data are saved after every test and exercise. The device also serves for occupational therapy.
The Physio guide is a simple and user-friendly EEG device by means of which one can measure the physiological activity of the brain. The uniqueness of the technology is expressed by its ability to process EEG signals and perform good quality and precise analysis of several cerebral measurements during the treatment in real time without the need for long sampling and analysis times as was customary to date. The main measurement that the Physio guide system provides is the BEI (Brain Engagement Index), that is to say how far the patient is engaged during the treatment. Information regarding the BEI has great importance as a patient whose BEI is high shall produce greater benefit from the treatment. Receipt of the information in real time enables the physiotherapist to navigate and streamline the rehabilitation treatment.
Balance tutor is a system that includes a special treadmill which enables challenging the balance responses in walking by means of change in various directions which force the patient to react to them and thereby develop his balance responses and improve his stability while walking. The system gathers data of the balance responses by means of its internal sensors and enables the patient to adjust the intensity of the changes pursuant to his level of ability and the desired level of difficulty. The device is very safe and is designed to treat patients suffering from lack of stability while walking due to various causes including head injuries, CVA, cerebral palsy, sports injuries, repetitive falling, Parkinson’s and more.
Technologies for rehabilitation serving the occupational therapy service
The RehaCom is a cognitive rehabilitation software in all languages that provides assessment and mainly treatment of cognitive disorders of attentiveness, concentration, memory, spatial perception defects, hemi spatial neglect and logical thinking. The software serves patients post CVA, head injuries, head surgery; patients with mild dementia; patients with multiple sclerosis.
The Intendu device is a device that uses virtual reality for rehabilitation of cognitive executive functions. The technology combines movement with cognitive tasks in order to enable exercising cognitive task functions – problem solving, planning, multitasking, selective and initiated attentiveness. The target population for the treatment are patients post CVA, head injury, head surgery; patients with mild dementia; patients with multiple sclerosis.
A device that offers virtual reality of cognitive and motor tasks: via a variety of games the patient exercises different movements of the arms and/or legs in an enjoyable and challenging environment. There is an option to grade the games to include more complex cognitive tasks. The target population for treatment with the device is patients post CVA, the geriatric population after prolonged illness, post surgery of the hip and pelvis; individuals after general deterioration, fractures of the hands.
Mule (upper limb exerciser)
A device with various and special handles which is designed to strengthen the arms and increase the range of movement of the upper limbs. The various handles are customized for various parts of the body from the shoulder to the fingertips. The exercise is carried out by means of a variety of games and it is possible to program levels of strength, range and difficulty. The target population for treatment with this device is: patients post CVA and neurological injuries of the upper limbs, post hand surgery; for the geriatric population with weakness of the arms.
Computer games for exercising hand movements and balance the objective of which is to exercise diverse hand movements and balance when standing. The device is suitable for one hand or two hands and also includes an exercising surface for balance exercises while standing in an enjoyable and challenging environment facing a computer and via games. The exercises include various dances which involve the whole body in movement. The target population for treatment is patients with decrease in endurance; problems with balance while standing, CRPS of the leg.
The simulator is constructed of a 50 inch screen with special software for exercising driving skills. The objective of the simulator is to exercise driving in various situations, from exercising the pedals and the steering wheel and through to driving in the rain. The simulator does not replace driving exercise in a real vehicle however enables the patient and the therapist to experience various components of driving, control of the steering wheel, directing attentiveness to surrounding distractions, keeping distance and permitted speed etc. The target population for the simulator is anyone who has driven in the past and who needs assessment or exercise.
The Pablo system is a computerized system for exercising and strengthening hands and coordination. The Pablo enables measurement of the ranges and strength of the hands during a wide variety of games and enables follow up of progress. The games are suitable for various ages and levels of cognition. The target population: post CVA and neurological injuries of the upper limbs.
Rehabilitation in hospitalization
- General Rehabilitation Division
- The Respiratory Rehabilitation Division
- The Head Injuries Rehabilitation Ward
- Geriatric Rehabilitation Division
- The Paediatric Ward
- The Therapeutic Occupation Unit
- Treatment of Communication Disorders Unit
- The Occupational Therapy Unit
- The Continuum of Care Unit
- The Physiotherapy Unit
- The Nutrition and Dietary Unit
- Social Services
- Educational Framework
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