Making Strides in Robotic Gait Therapy   Optimal-G™

The Optimal-G™ is Motorika’ s new advanced robotic gait therapy system designed to improve a patient’s gait, balance, coordination and posture through intensive, repetitive re-training of normal movement of the entire lower extremity. The Optimal-G™ was recently introduced to  the United States for the first time at NHC HealthCare and The Miami Project, an extension of the University of Miami Miller School of Medicine.

The Miami Project is currently running a clinical study with the Optimal-G™ investigating the effects of combined robotic assisted gait therapy interventions on functional gains post Schwann cell grafts.

Optimal-G™ advance gait robotic system combine the following features:

  • A new ergonomic design which fits the therapist and patient’s needs,
  • A variety of adaptive gait patterns for natural and optimal gait training,
  • The ability to objectively measure the muscle resistance level in each phase of the gait cycle,
  • A “live” Visual display of gait pattern (Lateral and Anterior view) through Video recording,
  • Advanced Virtual Reality platform for an engaging gait session,
  • Electronic Reports for objective outcomes and progress from session to session.

Who can use the Optimal-G™?

The Optimal-G™ is suitable for patients suffering from a broad spectrum of neurological or orthopedic disorders. These include:

  • Cerebral vascular accident
  • Spinal cord injury-complete and incomplete
  • Traumatic brain injury
  • Multiple sclerosis
  • Parkinson’s Disease
  • Cerebral palsy
  • Other neurological conditions that result in gait abnormality
  • Orthopedic conditions that result in gait abnormality
  • Post-surgery rehab
  • Sports injuries

Optimal-G™ Therapist Benefits

The Optimal-Gincorporates advanced management software that provides the therapist with comprehensive data, allowing for real-time adjustments and modifications to therapy, as well as recording and reporting functions. The ergonomic design of the Optimal-G™ allows the system to be set up quickly, in less than ten minutes, and readily adapted to each individual patient.

  • Highly intuitive user interface with multi-language support
  • Versatile, user-friendly therapy management software gives therapists full control of the session and the ability to determine the training module (Multitasking or Gait Analysis), the mode of operation (passive to various adaptive active modes), and to customize exercises tailored to each patient’s specific abilities, which leads to improved ambulatory outcomes
  • Data collection and reports:
    • Detailed gait analysis and feedback on patient progress
    • Monitoring and tracking of ambulatory status
  • Advanced ergonomic design, which includes quick harnessing of the patient and computerized control of robotic leg height and lifting hoist for patient’s body weight support, leads to a short set up time
  • Integrated wheels for easy transport
  • Dedicated 22” therapist monitor
  • Touch screen operator’s console

Optimal-G™ Patient Benefits

The Optimal-G™ system offers each patient greater engagement in their own therapy through a Virtual Reality environment geared towards optimizing therapy sessions and improving outcomes.

  • 40” screen and camera for rehabilitative games and exercises
  • Stimulating virtual reality exercise environment designed to increase engagement and motivation
  • Images coordinated with treadmill speed
  • Real-time audio and visual feedback
  • Built in gait profiles that mimic natural walking patterns
  • Therapy has proven to improve balance, ambulation, coordination, stamina and posture, as well as confidence and endurance, while decreasing compensatory strategies and muscle spasticity
  • Closed loop control that will automatically stop the machine for patient safety
  • Wheelchair access ramp

 

Technical Specifications

  • Length: 313 cm (2 in); length with ramp: 405 cm (159.4 in)
  • Width: 131 cm (51.6 in)
  • Height: 275 cm (108.7 in)
  • Weight: 960 Kg (2116.8 lb)
  • Treadmill width: 70 cm (27.5 in)
  • Treadmill length: 130 cm (51.2 in)
  • Adjustable hip width: 24-61 cm (9.4-24 in)
  • Patient weight: max 150 kg (330 lb)
  • Patient height: up to 200 cm (78.7 in)
  • Treadmill speed: Max 10 km/hr (6.21 mph) without robotic legs; max 3.5 km/hr  (2.17 mph) with robotic legs
  • Main screen size: 40 in. HD TV; therapist touch screen size: 22 in.
  • System Rating: 115/230 VAC, 50/60 Hz MAX 2,500 VA
  • Frequency: 50-60 Hz
  • Adjustable handrail
  • Integrated wheels for easy transport
  • Pediatric module (optional). Minimal height – 115 cm (45.3 in)

Optimal-G™ offers various physiological gait patterns

Optimal-G™ – New Ergonomic Design


Optimal-G™ visual display of gait pattern through video cameras


Optimal-G™ display of muscle resistance level across the gait cycle

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Testimonials

Read what patients and therapists say about Motorika
  • After years of research, we now know that the central nervous system is constantly able to remodel itself throughout a person’s lifetime. This neuroplasticity, as it’s called, is a normal function of learning, and also a normal function of brain recovery after damage, and is dependent on the practice of the right kind of activities. The ReoAmbulator is a way to introduce as normal a movement as we can, to a damaged nervous system or body, so the patient can practice walking as normally as possible. These repetitive events can cause the nervous system to adapt, effectively, re-learning a motor skill. We’ve seen people get to walking earlier than they may have if they had followed the traditional therapy route. In addition, many others are noticing improvement in their walking abilities after adding ReoAmbulator training to their outpatient rehabilitation therapy. Adding this training to a therapy program, even at a later stage of recovery, may help all sorts of patients with central nervous system disorders, such as stroke, traumatic brain injury, multiple sclerosis, spinal cord injury, and perhaps even developmental disorders, such as cerebral palsy.

    Douglas Katz, Neurologist at Brain Injury Program Medical Director for Health-South Braintree Rehabilitation Hospital and an Associate Professor of Neurology at Boston University School of Medicine
  • For the first time in 14 years, Lewis Compton, an assistant principal at Laurens High School, was able to stand and simulate walking since a deer hunting accident that injured his spine and left him paralyzed. “It was a really good feeling to be able to see your legs actually working and moving again,” Compton said.  Compton has devices at home that help stimulate his leg muscles, but nothing that feels as close to walking as the ReoAmbulatorTM. “It’s a real good feeling psychologically, and to be upright — that’s a good feeling. Seeing your legs walking and moving is just a good feeling. This is the movement part of it that’s so incredibly, I guess, therapeutic. It might not be so much rehabilitative to me, but therapeutic. It just makes you feel good, to be honest with you.” Compton said if he had access to the machine 14 years ago, while he might not have regained the ability to walk, it certainly would have improved his morale and physical fitness. “Just being upright and having weight on your legs, it helps not only with the therapeutic, but also with your bones, because you lose bone density by not putting any weight (down), so any weight bearing on your bones – it’s good for my legs to keep the bone density from going away.” ( NHC HealthCare – Clinton, SC USA)

    Lewis Compton at Clinton NHC HealthCare – USA