Limits...
Recent developments in computer assisted rehabilitation environments.

van der Meer R - Mil Med Res (2014)

Bottom Line: With new systems a quick and extensive analysis is possible and provides useful tools for therapeutic purposes.For that reason several Armed Forces have these systems already in use.The most recent experiences will be discussed; including new developments both in the extension of the range of systems and the improvement and adaptation of the software.

View Article: PubMed Central - PubMed

Affiliation: MeerHealth, Riënzistraat 41, 2555 JT 's-Gravenhage, The Netherlands.

ABSTRACT
Computer Assisted Rehabilitation Environment (CAREN) is a system that integrates a training platform (motion base), a virtual environment, a sensor system (motion capture) and D-flow software. It is useful for both diagnostic and therapeutic use. The human gait pattern can be impaired due to disease, trauma or natural decline. Gait analysis is a useful tool to identify impaired gait patterns. Traditional gait analysis is a very time consuming process and therefore only used in exceptional cases. With new systems a quick and extensive analysis is possible and provides useful tools for therapeutic purposes. The range of systems will be described in this paper, highlighting both their diagnostic use and the therapeutic possibilities. Because wounded warriors often have an impaired gait due to amputations or other extremity trauma, these systems are very useful for military rehabilitative efforts. Additionally, the virtual reality environment creates a very challenging situation for the patient, enhancing their rehabilitation experience. For that reason several Armed Forces have these systems already in use. The most recent experiences will be discussed; including new developments both in the extension of the range of systems and the improvement and adaptation of the software. A new and promising development, the use of CAREN in a special application for patients with post-traumatic stress disorder (PTSD), will also be reviewed.

No MeSH data available.


Related in: MedlinePlus

GRAIL, a treadmill, combined with a screen on which a scenario is projected and performance of the patient is required.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4440556&req=5

Fig6: GRAIL, a treadmill, combined with a screen on which a scenario is projected and performance of the patient is required.

Mentions: The CAREN system is mainly designed for a Research and Development environment. It has certain infrastructural requirements, needs a significant investment and a higher level of technical development. Therefore, MOTEK Medical (Amsterdam, The Netherlands) developed other similar systems for clinical use [18].The GRAIL, Gait Real-Time Analysis Interactive Laboratory (Figures 5 and 6), is a tool for use in regular rehabilitation medicine as a gait lab. Instead of the 6DOF platform, GRAIL uses a dual belt treadmill. GRAIL needs less space and provides quick output of results. It offers a total package solution for clinical gait analysis and gait training using the latest technologies. Besides the functionality of a traditional gait lab, GRAIL provides real-time gait analysis, gait off-line analysis tool (GOAT: a gait report directly after the session that facilitates video analysis and post-processing/filtering options for data analysis). Recording multiple steps makes it possible to calculate averages, standard deviations and variations of gait parameters over time, functional gait analysis for the identification of pathologic responses to perturbations, visual challenges, fast pitch, and sway and belt speed changes, enable identification and quantification of compensatory strategies or dynamic stability and gait training. The design makes the wide spread use in rehabilitation feasible.Figure 5


Recent developments in computer assisted rehabilitation environments.

van der Meer R - Mil Med Res (2014)

GRAIL, a treadmill, combined with a screen on which a scenario is projected and performance of the patient is required.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4440556&req=5

Fig6: GRAIL, a treadmill, combined with a screen on which a scenario is projected and performance of the patient is required.
Mentions: The CAREN system is mainly designed for a Research and Development environment. It has certain infrastructural requirements, needs a significant investment and a higher level of technical development. Therefore, MOTEK Medical (Amsterdam, The Netherlands) developed other similar systems for clinical use [18].The GRAIL, Gait Real-Time Analysis Interactive Laboratory (Figures 5 and 6), is a tool for use in regular rehabilitation medicine as a gait lab. Instead of the 6DOF platform, GRAIL uses a dual belt treadmill. GRAIL needs less space and provides quick output of results. It offers a total package solution for clinical gait analysis and gait training using the latest technologies. Besides the functionality of a traditional gait lab, GRAIL provides real-time gait analysis, gait off-line analysis tool (GOAT: a gait report directly after the session that facilitates video analysis and post-processing/filtering options for data analysis). Recording multiple steps makes it possible to calculate averages, standard deviations and variations of gait parameters over time, functional gait analysis for the identification of pathologic responses to perturbations, visual challenges, fast pitch, and sway and belt speed changes, enable identification and quantification of compensatory strategies or dynamic stability and gait training. The design makes the wide spread use in rehabilitation feasible.Figure 5

Bottom Line: With new systems a quick and extensive analysis is possible and provides useful tools for therapeutic purposes.For that reason several Armed Forces have these systems already in use.The most recent experiences will be discussed; including new developments both in the extension of the range of systems and the improvement and adaptation of the software.

View Article: PubMed Central - PubMed

Affiliation: MeerHealth, Riënzistraat 41, 2555 JT 's-Gravenhage, The Netherlands.

ABSTRACT
Computer Assisted Rehabilitation Environment (CAREN) is a system that integrates a training platform (motion base), a virtual environment, a sensor system (motion capture) and D-flow software. It is useful for both diagnostic and therapeutic use. The human gait pattern can be impaired due to disease, trauma or natural decline. Gait analysis is a useful tool to identify impaired gait patterns. Traditional gait analysis is a very time consuming process and therefore only used in exceptional cases. With new systems a quick and extensive analysis is possible and provides useful tools for therapeutic purposes. The range of systems will be described in this paper, highlighting both their diagnostic use and the therapeutic possibilities. Because wounded warriors often have an impaired gait due to amputations or other extremity trauma, these systems are very useful for military rehabilitative efforts. Additionally, the virtual reality environment creates a very challenging situation for the patient, enhancing their rehabilitation experience. For that reason several Armed Forces have these systems already in use. The most recent experiences will be discussed; including new developments both in the extension of the range of systems and the improvement and adaptation of the software. A new and promising development, the use of CAREN in a special application for patients with post-traumatic stress disorder (PTSD), will also be reviewed.

No MeSH data available.


Related in: MedlinePlus