Robotics-assisted therapy for paraplegia: a patient example from the perspective of a physiotherapist at GLG Fachklinik Wolletzsee
We asked Andrea B., physiotherapist at the GLG Fachklinik Wolletzsee, about a specific patient case to gain a deeper insight into the rehabilitation routines of the clinic.
Tyromotion: Nina K. came to you for therapy with incomplete paraplegia. She had limited walking abilities and suffered from severe pain. What was your therapy approach?
Andrea B.: In Nina’s rehabilitation, the clear focus was on restoring her mobility. She was already able to walk at the beginning, but only a few steps. Since she is still very young, improving her walking ability was paramount. We wanted her to live independently again.
Tyromotion: Which measures did her therapy include?
Andrea B.: Nina’s therapy plan was based on three main pillars: 1) Sensitivity training to improve the perception of the feet and legs; 2) build-up of strength to allow her longer walking distances, mobilization, and torso stability; 3) to reduce pain, tenseness, and joint problems.
Tyromotion: How were the robotic devices integrated into the therapy?
Andrea B.: For Nina, robotic therapy devices were primarily used to build her strength. We used OMEGO® with the stepper, bicycle, and foot-lift function. The aim was to strengthen Nina’s cardiovascular system and her gluteal, leg, and foot muscles. In doing so, she set the basis for further training on her endurance and walking speed on the LEXO®.
Tyromotion: What benefits do you see in the use of robotics?
Andrea B.: Especially with LEXO®, I see significant advantages for the patients and the therapists. The gait trainer allows us to achieve uniformity in the gait, the step length, and the speed. Without this technology, we wouldn’t be able to achieve those things. As the patient does not concentrate so much on the actual movement sequence, an upright posture is much easier to maintain. We like to use a mirror so that patients can see themselves. For me, as a therapist, communication with the patients has changed. I can clearly show them how their abilities are evolving with the protocols of the devices; even small development steps become visible. The positive feedback encourages patients to continue with therapy during a difficult time.