Our Products
- Upper Extremity
  - AMADEO® Finger-Hand-Rehabilitation
    
    With AMADEO® patients who are barely able or unable to grasp can perform hundreds of robot-assisted grasping movements. Active participation of the patient’s affected hand is promoted by biofeedback and assist-as-needed interactions.
  - DIEGO®Shoulder-Arm-Rehabiliation
    
    Whether proximal or distal training, DIEGO® purposefully supports the rehabilitation of natural motion, allows the handling of everyday objects to be relearned, and is usable by adults and children alike.
  - MYRO® Interactive and task-specific therapy
    
    MYRO®´s sensor-based surface enables task-oriented rehabilitation with real objects, trains the patient’s cognitive abilities, and improves motor abilities of the upper extremity.
  - PABLO® Upper Extremity Rehabilitation
    
    As a multifunctional rehabilitation device with comprehensive accessories, PABLO® enhances classical therapy exercises with biofeedback, objective assessments, and gamification.
  - TYROSTATION The perfect therapy setting
    
    The TYROSTATION is home to all components of PABLO® and TYMO® and provides ergonomic adaptability for patients.
- Lower Extremity
  - LEXO®Gait and Locomotion
    
    LEXO® is an end-effector-based gait trainer that revolutionizes gait rehabilitation through fast setup, high patient activity, and trunk support. Gait training with LEXO® means gait rehabilitation combined with scientific evidence.
  - OMEGO® Plus Gait training for the goals across all phases
    
    More than just a therapy bike! OMEGO® Plus combines uni- and bilateral leg training, leg press, stepper, cycling & foot lift training in one device.
  - TYMO® Balance training and postural control
    
    Small but powerful, the TYMO® system is a versatile measurement and therapy system for the whole body. In addition to the standing position, TYMO® offers a wide range of other options for maximum variety during therapy.
  - PABLO® Lower ExtremityPart of PABLO®
    
    PABLO® LOWER EXTREMITY is as an IMU-based gait analysis and training system part of PABLO®. It precisely assesses gait parameters that provide essential information for treatment of walking impairments.
- MTT-Line
  - MTT-LineMedical training therapy
    
    The barrier-free MTT-LINE specifically strengthens the six major muscle groups of the human body.
- Software
  - TyroS The heart of our technology
    
    Our TyroS software – developed by and together with therapists – is the heart of our technology that combines devices, know-how and therapeutic games. It is a sophisticated therapeutic system that helps challenge and encourage patients.

Rehabilitation

Neglect following a stroke – When one side is missing

1. November 2022 ● 3 min. Reading time

Following a stroke, frequent overlooking of items or failure to react when addressed or touched on one side can be early symptoms of neglect. Affected patients no longer perceive one side of their body and environment correctly. More commonly the left side is affected.

Clock assessment showing only one half as a sign of Neglect.

Neglect – Reduced perception following a stroke

Neglect patients do not react to stimuli on one side of their body or their environment. For example, when eating, food on one side of the plate remains untouched. When putting on makeup or shaving, one side is missed, or when spoken to from the affected side, individuals will not react.

Patients suffering from neglect do not realize that their perception is limited. Stimuli from the environment are sent to the brain, but the brain fails to process this information correctly.

The brain controls the body crosswise: The right hemisphere controls the left side of the body, and the left hemisphere coordinates the right side of the body. Typically, neglect occurs following damage to the right half of the brain.

Forms of Neglect following a stroke

With a visual neglect, the patient’s eyes and head move towards the side of the brain that is damaged. Patients can miss objects, obstacles, persons or react too late. They might also have difficulties maintaining eye contact.

When suffering from an auditory or acoustic neglect, the patient no longer registers sounds or noise on the neglected side. The patient does not react when addressed from that side. This does not equal deafness. Hearing is intact, but the information is not processed correctly in the brain.

A motor neglect means that the patient is barely using, or not using at all, their muscles on the neglected side of the body. The vast majority of movements are carried out by the other half.

If a patient does not or only with delay respond to touch or pain on one side of the body, this is classified as a somatosensory neglect. This is particularly problematic if pain is not detected when being injured, e.g. fingers pinched in the spokes of a wheelchair. To some extent, patients perceive pain on the other side of the body.

If smelling is affected, the patient finds it difficult or impossible to perceive smells on the neglected side of the body. This is called an olfactory neglect.

Neglect – What can I do to help?

A stroke is a new, challenging situation – for the entire family. A neglect can worsen the situation by the fact that those affected do not notice that they are missing or neglecting things.

In everyday life, relatives can support the independence and motivate those affected to be active. In the case of a neglect, it can be helpful to stimulate the affected side of the body, for example by handing the person objects, sitting or addressing that person from the neglected side.

A neglect can also make communication and interaction difficult. Affected individuals sometimes react inappropriately to conversations or situations and have difficulty maintaining eye contact. This can affect social life.

In day-to-day life, the family should encourage the patient to complete more and more tasks independently and to exercise. Understanding and interacting with the patient can improve the patient’s condition. Furthermore, family members should support rehabilitation exercises in coordination with the treating therapist. Where appropriate, family and patients can join self-help groups, either together or separately.

Robotic rehabilitation for neglect

A 2021 study showed that robotic hand training can have a positive impact on neglect after a stroke.

The advantage of robotic rehabilitation equipment is that it allows for passive, active or assistive movement of the affected part of the body with a high number of repetitions. Whereas therapists typically had to provide continuous movement of the hand of a stroke patient, this task can now be carried out by technology under supervision of the therapist.

Movement stimulates neuroplasticity. The brain starts to form new connections to compensate for damaged areas. This can help reduce the impact of neglect.

Technology also allows for objective assessments in neglect therapy. The “wiping” exercise using MYRO can quantify the extent of a neglect. Deficits can then be addressed specifically, and progress can be monitored.

Author: Michaela Partel

Sources:

Leitlinien für Diagnostik und Therapie in der Neurologie. Rehabilitation bei Störungen der Raumkognition, 2017

Neglect und assoziierte Störungen, 2018

Passive limb movements improve visual Neglect, 2001

The effects of robot-assisted left-hand training on hemispatial Neglect in older patients with chronic stroke: A pilot and randomized controlled trial, 2021

Effects of contralesional robot-assisted hand training in patients with unilateral spatial Neglect following stroke: a case series study, 2014

Share this post