Real Results for Patients with Neurological Conditions

Rethinking Recovery

“We’ve shown that with the right therapy [patients] can

see improvements in movement,

everyday function and

quality of life – this is giving stroke

survivors new hope.” Dr Albert Lo

Driving Neuroplastic Change

Retraining the Brain……

◦ “Engage the Brain” to “Train the Brain”

◦ Active participation Brain sends an active

messages to “move” Brain needs a coordinated

movement message back “I am moving”

◦ Repetition is crucial

3

Who Benefits?

Stroke

6.5 M Stroke Survivors

Cerebral Palsy

.8 M Persons Nationally

Multiple Sclerosis

.3 to .5 M Persons

Spinal Cord Injury

> 250,000 Persons

Acquired Brain Injury 5.3 M Persons

Parkinson’s Disease

.5 to 1.5 M Persons

Whether recent or years ago

The Opportunity to Improve Upper Extremity Recovery

Important To Patients

◦ 65% of highly independent stroke victims (434 patients) could not incorporate the paretic arm into life activities*

Important to Clinicians

◦ Typical therapy session** +/- 40 upper extremity

repetitions 357 lower extremity

repetitions

◦ Robotic Therapy session 400-1000 repetitions* Chen and Weinstein “A Systematic Review of Voluntary Arm Recovery in Hemiparetic

Stroke, JNPR March 2009**Lang, et.al Arch Phys Med Rehab Vol. 90, Oct 2009

Benefits to PatientsStroke Research Findings

Improvement inEveryday FunctionQuality of LifeMovement

Cost effective

Intensive therapy makes a difference

“Robot-Assisted Therapy for Long-Term Upper-Limb Impairment after Stroke” NEJM, April 16, 2010

At least twice the motor recovery

◦ compared to traditional therapy alone

Long lasting improvement

Effective even years post injury

Benefits to PatientsCerebral Palsy Research Findings

Significant Upper Extremity Gains

◦Movement

◦Skill

◦Function◦“How much” and “how well”

arm used in functional tasks at home

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Benefits to Providers

Reputation ◦ Best outcomes◦ Best care◦ Best technology

Growth◦ Patient Satisfaction and Loyalty

“Care for Life” Continuum of care

◦ Specialty Programs Multiple Sclerosis Spinal Cord Injury Acquired Brain Injury Movement Disorders Pediatric Center

◦ New Centers Rehabilitation Technology Neurorecovery

Therapist Recruitment & Retention

Clinical Research Opportunities

About InMotion Robots

Evidence-Based rehabilitation tools◦ > 600 stroke patients◦ > 40+ peer review

publications

Designed specifically for rehabilitation◦ Interact with humans

gently and safely

Invented and patented at MIT◦ Newman Laboratory for

Biomechanics and Human Rehabilitation

Made in the USA

Unique Technology“Assist-As-Needed”- Interactive Robotics

Adapts in real-time to the patient’s movement

Assists, guides or steps out of the way based on patient ability◦ Continuously challenges

the patient

Achieves neuroplastic change

How InMotion Robots Drive Neuroplastic Change

◦ High Intensity Repetition

◦ Quality Movement Experience Robot-assisted guidance

◦ Active effort - motivation Progressive, challenging,

adaptive, interactive

◦ Coupling of movement with sensory information

◦ Performance feedback

The InMotion Progression of Robots”

InMotion Arm

InMotion Wrist

InMotion Arm InMotion Wrist

Therapy Tools

Engaging, Interactive Computer Guided Exercise

Motivating Performance Feedback

Advanced Evaluation Tools

Significant Media Coverage and Public Awareness Featured News NEJM, VA study results Robotics help Tappan girl move again Stroke Rehabilitation and Robotics Research

- Podcast Veterans Affairs Researchers Study Benefits

of Robot for Ankle Rehabilitation

Robotic therapy holds promise for cerebral palsy

Therapy To 'Recharge' Stroke Victim's Arms CNN: Robot workout for stroke sufferers MIT develops [IMT-Manufactured] Anklebot

for stroke patients ABC World News Tonight with Peter

Jennings BBC News: Positive Results for Robot

Therapy Robot-Aided Neuro-rehabilitation: A Novel

Robot for Ankle Rehabilitation

Stroke RECOVERY:

Patient: Gene

Diagnosis ◦ 4 years post stroke

Treatment: ◦ wrist robot

Results:

◦ “I can put a leash on my dog and hold it when I take him for a walk;

◦ I can even pick up a cup of coffee.

◦ It’s made a big difference”

Cerebral Palsy RECOVERY:

Patient: Heather

Diagnosis ◦ Cerebral Palsy

Treatment: ◦ Shoulder-elbow robot◦ Wrist robot

Results: ◦ Able to raise her arm to 90

degrees

◦ Using both arms to cut out and glue magazine pictures

Spinal Cord Injury RECOVERY Patient: John

Diagnosis ◦ Incomplete Spinal Cord Injury

Treatment: ◦ Shoulder-elbow robot◦ Wrist robot

Results: ◦ Progressed from electric

wheelchair to standard chair

◦ Able to work and travel internationally

◦ Can use a Blackberry

◦ “It’s made a huge difference in my life.”

IMT’s Commitment

Operational training

Onsite clinical training

Clinical support

Technical support – warranty

Support for◦ marketing◦ business planning◦ program development