NTiNO. Suppor'ng Apparatus and Therapeu'c Applica'ons for the Development of Dynamic Standing Posi'on. A Standing Project by UtilisMotus

Transcription

1 NTiNO Suppor'ng Apparatus and Therapeu'c Applica'ons for the Development of Dynamic Standing Posi'on A Standing Project by UtilisMotus Centre of Functional Physical Therapy, Athens, Hellas Patent Number:

2 U'lisMotus Centre of Func'onal Physical Therapy Ini'ated at 2006 emphasizing in Useful Mo'on (U'lisMotus)

3 Loosing of Standing Ability Basic Issue in neurologic diseases Inability of the lower extremi'es to provide support Ini'ated from minor muscular weakness Launching the vicious cycle of avoidance the upright posi'on Secondary problems: Iner'a of neuromuscular mechanism Muscle atrophy Sensory loss

4 Training in Standing Primary objec've in rehabilita'on Key aspect the weight loading over the lower extremi'es Sensorial s'mula'on (propriocep'on) and destabiliza'on forces introduce muscle ac'va'on Maintenance of Range of Mo'on Normaliza'on of muscle func'on Maintain bone density

5 The opinion of the pa'ents Look, when I am standing everything works beuer. I can feel the connec'on between my feet, my thighs and my trunk (G. P., Cerebral Palsy, Diplegia) You have to find a way that I can train myself in upright posi'on. I need to load weight on my legs (S. V., Spinal Cord Injury, Paraplegia)

6 NTiNO Integrated Therapeu'c Project It consists of Suppor'ng Apparatus and Therapeu'c Applica'ons

7 Training in Standing Posi'on NTiNO a project that evolves Weight loading over the lower extremi'es Unloading of the upper extremi'es Minimum external support and independent ac'vity Safeness Geometry of lower extremi'es promotes muscle ac'vity Therapeu'c Applica'ons

8 Guidance: Physiological Gait (Gait Analysis) Stance: sensorial s'mula'on and suppor'ng muscle ac'va'on Swing: reduced s'mula'on and mo'on The required func'on defines the ac'vity

9 2011: ini'a'ng a project

10 IPNFA Mee'ng, Vallejo, CA, USA

11 NTiNO Standing Project 2016

12 Autonomous Usage and Therapeu'c Applica'ons Spinal Cord Injury

13 Therapeu'c Applica'ons Cervical Vascular Accident and Geriatrics

14 Therapeu'c Applica'ons Amyotrophic lateral Sclerosis

15 Ini'al Diagnosis Cerebral Palsy Trauma'c or Vascular Brain Injuries Mul'ple Sclerosis Spinal Cord Injury Amyotrophic Lateral Sclerosis, Myopathy Trauma or Disease in Peripheral Nervous System Orthopedic surgeries, mul'ple fractures Geriatrics

16 Main Func'onal Limita'ons Limited usage of Lower Extremi2es Deficiencies in Muscular Strength, Endurance, Muscle Tone. Limita'ons of range of mo'on or and joint stability. Reduced Sensa'on. Deficits in coordina'on and muscle coopera'on. Limita'on in Postural Control, in Balance and Stepping ac'vity. Learned Non-Use of Lower Extremi'es Generalized Restric2ons Reduced use of Upper Extremi'es for support Inability to control the posi'on of the trunk Reduced Breathing

17 Tes'monials of Pa'ents Hey! this is the first 'me I stand up without using my hands the exercise is so intense, so much close to my limits... I can prac'ce combined exercises with safeness... I can stand for quite a long 'me. helps to re-imprint" the proper upright posi'on.

18 Expert Opinion You have to move on with this apparatus. You can do so many nice things here That s a brilliant idea all stages of Gait Training can be covered. the exercise program becomes easier to accomplish, with emphasis in safeness and with much greater efficiency of the pa'ent and the results thereof.

19 NTiNO Standing Project Possible Users A. Operators providing therapeu'c services Rehabilita'on Centers Physical therapy Praxis Home Treatment B. Independent usage from the pa'ent

20 Unique Advantages ü It involves a wide range of diseases that present loss of support in the upright posi'on and gait ü Features innova'on in rela'on to the geometry of the limbs during dynamic loading of the lower extremi'es ü can be adjusted at the Op'mal Level of Challenge ü Integrated program: Suppor'ng Apparatus and Therapeu'c Applica'ons

21 Maturity of the Therapeu'c Project ü The Suppor'ng Apparatus has already been completed ü The Therapeu'c Applica'ons have been implemented to a sa'sfactory range of cases ü Progressively, the Project can provide a comprehensive methodology for the development of the upright posi'on and the gait

22 Main Bibliography 1. Motor Control Theory, basics from Motor Control, Anne Shumway-Cook & Marjorie Hines WoollacoU, Greek transla'on from George Paras, Medical Edi'ons Pashalidi Addi'onal informa'on from rela've ar'cles of Janet Carr & Roberta Shepherd. 2. Gait Analysis, Normal and Pathological Func'on, Prof. Jacquelin Perry & Judith M. Burnfield, Second Edi'on, Slack Incorporated, USA The Learned nonuse phenomenon: implica'ons in rehabilita'on, E. Taub, G. UswaUe, V. W. Mark, D. M. Morris, 2006, Pubmed.gov and rela've ar'cles 4. Educa'onal syllabus of the treatment concepts PNF ( and NDT Bobath (

23 Thank you! Athens Chamber of Commerce and Industry Athens Startup Business Incubator We thank those who contributed to the current version of the Project Special thanks are due to the pa'ents that allowed us to use their personal pictures

24 NTiNO Standing Project Concept & Development: Konstan'nos D. Papantonopoulos U'lisMotus, Centre of Func'onal Physical Therapy , all rights reserved Athens, Hellas / Greece, April 2016