Robotic Rehabilitation Therapy

World-Class Robotic Rehabilitation in Acıbadem

Muscular, skeletal and nervous system diseases caused by birth or trauma can cause pain and dysfunctions that limit people’s movements. Although most of them are tried to be treated with drugs and exercise, technology has come into play as a hope for patients who have become unable to do their daily activities. In addition to classical physical therapy and rehabilitation applications, robotic rehabilitation systems offered by developing technology are now conducive to people clinging to life.

Classical physical therapy and rehabilitation procedures apply a set of exercise programs that will strengthen muscle strength and bone structure. While trying to restore the old strength to the muscles, it is actually tried to prevent the regression of the existing nerve stimulation. However, some patients cannot move their muscles due to trauma or illness, or even if they do, they cannot use their organs as they should. In order for the patients to regain their old functions, it is necessary to activate the silent nerve cells that have not lost their function yet. An opportunity offered by today’s technology for patients who cannot move is Robotic Rehabilitation systems.

Robotic Rehabilitation Systems

Robotic Rehabilitation Systems are devices that help individuals diagnose and treat health conditions in the musculoskeletal and nervous system. They realize the reduction of the disorders that occur and the improvement of functions through the prevention or treatment of complications.

Robotic rehabilitation provides intensive and comprehensive neurorehabilitation of patients in the physical therapy process. It positively affects the reorganization of the nervous system, helping the patient regain functionality at the highest possible level.

Robotic rehabilitation covers the rehabilitation and treatment of many different neurological and orthopedic diseases. Some of the diseases that we encounter most frequently and that we provide services in the field of rehabilitation are as follows:

• Stroke (paralysis)
• Traumatic brain injury
• Paralysis due to brain tumor
• Spinal cord injury
• Parkinson’s disease
• Multiple Sclerosis (MS)
• Cerebral palsy
• Gait and balance disorders in geriatric patients
• Nerve Injuries
• After orthopedic surgery operations

Recent scientific studies suggest that there are reserve cells in the brain and that new tasks can be learned by reshaping them with a good rehabilitation program. It is necessary to start a comprehensive physical therapy and rehabilitation program immediately after the disease/trauma in order for the patients to return to a normal healthy life style and the damaged organ to function as closely as possible. Including robotic rehabilitation in this physical therapy process is an important approach that will increase the effectiveness of treatment. Because in the robotic rehabilitation process, a treatment program that includes the latest treatment methods and current technology is applied to the patients. Thanks to the adjustable and programmable rehabilitation robots, a patient-specific treatment is designed. For example, reinforced orthoses with computer-controlled motors to support joint movement in the robotic rehabilitation system improve joint range of motion by reducing joint resistance. The fact that the patient’s body movements towards the visual target created in the virtual environment are seen by the patient provides more sensitive feedback to the patient, thus accelerating the brain’s learning of movement. The implementation of new graphical interfaces and more ecological scenarios, as well as more cognitively demanding tasks, allow active physical and cognitive involvement of patients during robotic therapy, keeping their motivation and desire high to participate in the treatment.

Robotic Rehabilitation in ACIBADEM

Our applications within the scope of Robotic Rehabilitation

• Robotic walking training
• Robotic hand-arm training
• Robotic balance-coordination training
• Occupational therapy
• Speech – language and swallowing therapy
• Gait analysis
• Spasticity assessment and treatment
• Injections that prevent excessive contraction

In our robotic rehabilitation center, there is Lokomat Pro with Pediatric Orthoses as Walking Robot, Armeo Spring as Hand-Arm Robot, C-Mill VR+ with body weight support and balance suit.

Robot Assisted Walking Training

In pediatric and adult patients whose legs are completely paralyzed or severely affected, physiological (normal) gait training can be given by the body weight support system and the wearable orthoses that can be adjusted specifically for the patient.

The walking robot combines technology and virtual reality to enable them to walk again and regain leg function much faster and more accurately than conventional types of physical therapy.

The robotic system lifts the patient up and then the robotic feet drive the patient with motor power. In walking, the patient does as much as she/he can, and the robot completes what she/he cannot do. Precise measurements with sensors on the knees and hip orthoses evaluate the patient’s effort and present each individual body’s response to a particular movement on the monitor.

Accordingly, by changing the settings, the part that the patient cannot do is developed with a very intensive and repetitive treatment thanks to the robot. In addition, gamification is used for the active participation and motivation of the patient in the treatment. Computer games in which certain movements are made help to focus better by providing attention or ın other words we have stımulated the brain. By activating the brain again, it creates a basis for the recovery of brain cells.

Arm Robot

It helps to restore functions in the affected arm, forearm and wrist in patients who have had a stroke or have impaired arm functions. It is an exoskeleton (wearable external skeleton) that supports the patient’s arm, reducing its weight and magnifying the active movement of the arm in 3D space. With an adjustable suspension system for the upper extremity, it enables the patient to activate the existing strength, range of motion and coordination functions in order to relax the patient’s arm and complete the exercises in a fun way with virtual reality applications.

Advanced Gait and Balance Training

It is a training for gait and balance rehabilitation using a treadmill with a body weight support system and audio-visual feedback mechanisms, simulating daily life challenges through virtual reality. It helps neurological and orthopedic patients to regain mobility faster with repeated intensive treatment. It is used for the evaluation and treatment of balance and gait compliance. The formation of a symmetrical walking pattern is supported by visual feedback mechanisms such as protrusions on the treadmill surface.

The Best Time for Robotic Rehabilitation

Robotic rehabilitation can be started at any stage of the disease. However, it was determined that the rate of recovery increased in patients who started treatment in the early period, the patient was more independent in daily life activities, and the post-disease dysfunction remained less. It is recommended to start robotic rehabilitation within 2-3 weeks, especially after a brain hemorrhage. In spinal cord injuries, treatment can be started after the operation area becomes stable. In MS, Parkinson’s and muscle diseases, treatment should be started as soon as the daily functions of the patient begin to deteriorate.

The main aim of the treatment is to regain walking ability in patients who cannot walk or to improve walking ability in patients who can walk. In order for the treatment to be applied, at least one major muscle group in the patient’s legs should have some sensory or motor movement, albeit a small one.

Thanks to the Robot-assisted walking system device with pediatric orthotics, pediatric patients with impaired walking function due to cerebral palsy, traumatic brain injury or other neurological disorders can be trained in robotic walking. Special devices developed for children ensure comfort and optimal compatibility for these patients, making it possible to achieve the same functional benefits as the version for adults.

The Robotic Rehabilitation Center at Acıbadem Taksim Hospital includes specially designed body weight support systems, robotic devices and devices that allow virtual reality to help develop different functions of the body. The devices in the center, which was created with the latest technological infrastructure and experienced physician staff of Acıbadem Health Group, try to restore the lost functions by using up-to-date technologies by ensuring that certain movements and/or functional tasks are repeated again and again. Acıbadem Taksim Hospital Physical Therapy and Rehabilitation Center continues to provide world-renowned A-standard healthcare services to its patients not only from Turkey but from all over the world.