Rehawalk

Rehawalk® – learning to walk again!

 

After an operation, a stroke, when suffering from the Parkinson’s disease or with other neurological or orthopedic disorders, every step becomes a challenge – for both the patient and the therapist. This can severely impact both quality of life and mobility. Finding the way back to a normal state is possible through rehabilitation therapy with Rehawalk®.

 

The technological possibilities of Rehawalk® offer a complete adaptation to the patient’s needs: from patients in wheelchairs to those with reduced or impaired mobility. The system can be constructed in a modular fashion to accommodate any application or situation. Rehawalk® is the only solution that fills the gap between the robot-assisted locomotion therapy tools and manual gait therapy.

LEARNING TO WALK AGAIN THROUGH DYNAMIC VISUAL STIMULATION

The core element of Rehawalk® is the innovative gait training through dynamic visual stimulation, that is unique in its execution among therapy concepts. Through dynamic visual stimulation and the therapist’s instructions, the patient learns to walk on their own again. During the therapy the ideal gait pattern is projected onto the treadmill which motivates patients in overcoming the limitations of their situation.

FUN & MOTIVATION IN GAIT TRAINING

Rehawalk® opens the door to a new kind of therapy, where fun and motivation are paramount. Therapist also profit from this freedom, as it brings relief from manual, repetitive work activities allowing for a total devotion of time and attention to the patient. Therapists and patients can finally meet at eye level, ultimately strengthening the relationship of trust between both partners.

Gait training isn’t all serious business.  We have built in a motivational and fun virtual training module called “Forestwalk”. Training in the virtual world aims at motivating the patient through their own successes and supporting them to be prepared for future challenges in everyday life.

TARGETED CONTROL & MONITORING

After each training cycle, the therapist has the opportunity to analyze the training success and adapt the new training measures accordingly with their patient. Further documentation of the therapy’s results that may be needed for reimbursement or referring partners can easily be carried out by the report function. All of this is part of the intuitively operable and user-friendly Zebris FDM software.

OPTIMIZED INTEGRATION

Clinics, medical practices, hospitals and institutions profit from the modular structure of the Rehawalk® concept. Depending on the individual requirements and needs, different technologies can be configured optimally to fit the most diverse applications. .

Visual Stimulation Demo Video

Forestwalk Demo Video

4 Phase Concept

 

The process of regaining mobility is based on four phases which allow the therapist to customize the treatment to each patient’s individual requirements. The continuous assistance provided by the Rehawalk® technology during the training affords the therapist and patient more freedom to focus on the recovery.

PHASE 1: Initial Gait Analysis and Baseline Measurements

When carrying out the initial gait analysis, the patient’s baseline is captured. Different gait parameters are recorded that support the objective analysis of the dysfunctional movement pattern.  A report is automatically generated allowing for an individual therapy plan to be crafted for the next phase.

PHASE 2: Defining Parameters and Setting Goals

The therapist defines the target goals and the structure of the therapy directly in the software and also selects the modules that best fit the patient. For the dynamic visual stimulation four relevant parameters can easily and quickly be varied:

– Step length

– Step width

– Foot rotation

– Projection size of the foot prints

 

By using slide controls, the therapist determines the duration of the training and the period in which the initial gait pattern shall approach the target gait pattern.

PHASE 3: Gait Training - Reaching Your Targets, Step-By-Step

The gait training phase consists of two training modules that build upon each other – dynamic visual stimulation and virtual gait training. Depending on the success report of phase 4, the gait training can be actively varied by the therapist and thus be adapted to the individual needs of the patient during the course of the training, ultimately resulting in more fun and motivation when training!

Dynamic visual stimulation

 

When carrying out the dynamic visual stimulation* the gait patterns recorded in Phase 1 are projected onto the treadmill and the patient is encouraged to mimick the projected foot steps. “Learning to walk ” is the focus. Disordered movement patterns are actively broken and reprogrammed. The therapy’s goal is the continuous permanent adoption of a new gait pattern. This kind of therapy is particularly suitable for the early phase of rehabilitation or when a change in functional gait technique is required.

 

*Developed in cooperation with the Klinikum Großhadern of the University of Munich, work group neuropsychology, Head of Research Dr. Josef Ilmberger.

Virtual gait training – fun with Forestwalk

 

When walking or running through the virtual forest landscape a potential everyday life situation is simulated. Variable exercises having a playful character enable optimization of the patient’s gait. The virtual environment is completely customizable and the patient’s attention can further be diverted by adding some of the cognitive modules to the training. The end goal is to provide a safe environment for the patient to practice walking in a real-world setting without the fear of falling or making mistakes.

PHASE 4: Review, Refinement and Documentation

Once the training has ended a success report is automatically generated.  With easy to read graphics and charts, the report supports the therapist’s desired level of communication by giving the patient insight into their progress.

 

The therapist can actively control the training and adapt the setting of new targets to the patient’s changing needs. Alternatively, a new gait analysis can be carried out. The therapist can compare further parameters such as, foot pressure and force distribution or cadence, in a detailed before & after report and also save it for documentation purposes.

Quadrapalegic Case Study Video

Parkinson’s Case Study Video

Rehawalk® – Defining Your Benefits

⇒ Increased patient compliance

 

⇒ Patented innovative gait training modules

 

⇒ Perfectly complements other training concepts

 

⇒ Intuitive software with detailed report functions

 

⇒ Extensively documented in scientific studies