Robotic-assisted rehabilitation protocol for upper limb treatment in stroke: New Research Study

In January this year, Neurotherapy Worx in Wigan took delivery of the D-Wall by TecnoBody. Neurotherapy Worx is a specialist team of Adult and Paediatric Therapists based in a fully accessible clinic in Appley Bridge. Neurotherapy Worx offers both clinic and home-based rehabilitation. Over the last two months Neurotherapy Worx have been integrating the D-Wall into their everyday clinic. This short article shares their experiences so far. Has it been easy to integrate D-Wall within your everyday clinic practice? The D-Wall has been easy to integrate into clinic. It has been used during initial assessments, integrated into treatment plans and formal reviews. It enables us to undertake specific assessments and see change over time in patients’ abilities. How easy is the D-Wall to use with regards to patient set up? The D-Wall is very quick to set up once you have created a profile with a client’s date of birth, weight and height recorded. However, it is also possible to try different activities with an adult client without creating a profile. If you spend time in the Monitor facility so that the client understands how their foot position, their upper body and centre of gravity impacts the D-wall, this makes using the other settings, exercises, games more effective during the assessment and treatment process. How are you using D-Wall in clinic? We are using the D-Wall in many different ways! Therapy ·It is really useful for people with one sided weakness. They can visually see their alignment and work actively to try and correct this (previously we would verbally give feedback and facilitate). Good for strengthening and gaming afterwards. D-Wall is good at finding things we would not necessarily pick up on or see. It’s like an extra pair of eyes. We are working with patients and adapting things all the time. Constantly adapting and adjusting the movements. Can be used for a specific part of the session or for the whole treatment session. Trunk control. Balance – within and out of base of support. Look at specific motor control of a specific limb; or address gross motor control. Good to work on balance and trunk control whilst carrying out a more functional / meaningful activity. Engaging children and adults in repetitive movements or using the less dominant limb. Bilateral arm movements. Improve cardiovascular system in a safe supported environment. Muscle strengthening. Use neglected limb. With treadmill. With parallel bars. Using therapy ball for seated activities/games. Assessment and Reporting Standardised, repeatable fitness and health tests The data from D-Wall makes our reports a lot more accurate.