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Omego Plus offers a wide variety of possible applications in all phases of rehabilitation. Omego Plus can be used to train parameters like balance, endurance, and strength of the lower extremities, which are essential for gait therapy. Thanks to the possibility of training cognitive functions, Omego Plus is suitable as a multimodal therapy device. The following study shows that multimodal therapy approaches are valuable for rehabilitation after a stroke and that Omego Plus is therefore suitable for gait therapy after a stroke.
A recent systematic review and meta-analysis by Lando et al. (2024) has highlighted the effectiveness of multimodal intervention for improving lower limb motor function in stroke patients. The study compared the outcomes of combining resistance and endurance training in the same session versus using these treatments separately.
Understanding Lower Extremity Rehabilitation
Rehabilitation is crucial for reducing motor impairments after a stroke. Improvements in strength, balance, endurance, and aerobic capacity are directly linked to better lower limb functioning and thus, greater independence.
While single-targeted interventions like resistance and endurance training have proven effective, multimodal therapy concepts—which combine resistance and endurance training like Omego Plus in one single therapy session—are gaining attention. Such treatments are already recommended for healthy individuals and align with stroke rehabilitation guidelines that emphasize challenging and progressive training.
The review analyzed ten randomized controlled trials (RCTs) involving 480 patients. Outcomes measured included endurance, muscle strength, gait speed, and aerobic capacity. Both technological (e.g., biofeedback systems, leg presses, treadmills, cycle ergometers) and non-technological (e.g., muscle contractions, elastic bands) methods were used.
Multimodal treatments, combining resistance and endurance training, are valuable in post-stroke rehabilitation, particularly for enhancing muscle strength. This improvement can help patients regain upright positions and improve walking abilities, ultimately boosting their independence in daily life activities.
Lando A, Cacciante L, Mantineo A, Baldan F, Pillastrini P, Turolla A, Pregnolato G. Multi-Modal versus Uni-Modal Treatment for the Recovery of Lower Limb Motor Function in Patients after Stroke: A Systematic Review with Meta-Analysis. Healthcare (Basel). 2024 Jan 12;12(2):189.
Stroke patients can experience a reduction in muscle strength and range of motion, a loss of sensory and motor coordination as well as abnormal muscle tone. This may lead to difficulties in postural control and reduced balance function. The results are an increased risk of falling, increased economic costs and hospitalization period as well as loss of participation and quality of life.
Muscle strength is one of the parameters closely related to functional balance and gait performance. In addition to rehabilitation with sensory and robotic devices, strength training plays a crucial role in building and maintaining muscle strength in the rehabilitation process. A study from Son et al. (2014) demonstrates that muscle strength training across multiple joints of the lower limbs enhances dynamic balance function of stroke patients. The researchers conclude that Medical Training Therapy (MTT) offers a viable option for improving patients’ dynamic balance, postural control, independence, and gait after stroke.
Medical Training Therapy (MTT) provides a set of medical training therapy devices for the six major muscle groups of the human body. The lower extremity devices LEG EXTENSION/CURL, ADDUCTION/ABDUCTION, LEG PRESS, and the PULLEY FREE STANDING can be used to build up strength in the lower limb, fostering functional balance.
Son et al. 2014 Influence of Resistance Exercise Training to Strengthen Muscles across Multiple Joints of the Lower Limbs on Dynamic Balance Functions of Stroke Patients. 👉 Read more
Flansbjer et al. 2006 Knee muscle strength, gait performance, and perceived participation after stroke. 👉 Read more
Gehlsen & Whaley 1990 Falls in the elderly: Part II, Balance, strength, and flexibility. Arch Phys Med Rehabil. 👉 Read more
Last week, our Research Coordinator, Iris Jakob, and our Area Sales Manager, Clara Silvestro, traveled to Genova to meet the research team of IRCCS Ospedale Pediatrico Giannina Gaslini. The clinic is conducting a study on robot-assisted gait rehabilitation in children with neurological disabilities – the very first one worldwide with Lexo in children.
Many studies demonstrate the benefits of robot-assisted rehabilitation in children with neurological disabilities in terms of distance traveled, walking speed, endurance, and balance. However, it is necessary to increase the number of trials to achieve greater homogeneity between protocols to define the number of sessions required, their frequency, and repeatability over time (Castelli et al. 2022).
The ongoing Lexo study aims to contribute to a further development of the current state-of-the-art procedure in robot-assisted rehabilitation in children with neurological disabilities. We are always thrilled to support researchers worldwide who are creating new evidence that deepens our understanding and knowledge of how technology can enhance clinical outcomes.
👉 Read more about the current knowledge about robot-assisted rehabilitation in children: Castelli et al. 2022
Marlon Laight – Severe Brain Injury
Last week, Marlon visited us at the Tyromotion headquarters in Graz.
He told us about his life story and his terrible twist of fate.
Due to a serious car accident, Marlon spent several months in hospital and had to relearn all his functions.
Through therapy with our equipment and the competent support of doctors and therapists, Marlon was not only able to learn to walk again, but also to grasp and improve his fine motor skills.
Our employees were very impressed by his story and his fighting spirit and listened to him for an hour.
Marlon also used his visit to see our production facilities and showroom.
On Thursday evening, our Tyromotion summer party took place, which he was very happy to attend.
He was an enthusiastic spectator at our Tyromotion soccer match where he actively cheered on our employees.
To round off the visit, our CEO Verena Schiller and CSO Alexander Kollreider accompanied him to the Arnold Schwarzenegger Museum.
Marlon had a great time there, as he has become a bodybuilder himself since his accident and thus briefly followed in the footsteps of his idol.
We would like to thank Marlon for his visit and for taking the time to share his life and success with us.
We wish him continued success and are already looking forward to his next visit.
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More InformationMarlon’s Journey Back to Independence After Severe Brain Injury
After a severe brain injury, Marlon lost his ability to walk, use his hands, and manage daily life independently.
Through intensive, high-repetition therapy and technology-supported rehabilitation, he regained control of his body step by step.
Today, Marlon lives independently, climbs stairs, cooks for himself, and actively shapes his everyday life again.
His story shows what is possible with the right therapy, the right tools, and a team that believes in recovery.
Despite the well-known benefits of individualized treatments in rehabilitation, no customized robotic-assisted therapy protocol in stroke patients has been established yet. Therefore, researchers from IRCCS Fondazione Don Carlo Gnocchi ONLUS (IT), aimed to evaluate the effectiveness of a customized robotic upper limb rehabilitation protocol for the treatment of stroke patient. This rehabilitation program included Amadeo, Diego, and Pablo. The protocol, based on clinical assessment and guided by a flowchart, should further optimize the therapeutic benefits of robotic devices in stroke rehabilitation.
It is widely recognized that robot-assisted therapy is a beneficial supplement to conventional treatment in stroke rehabilitation. Still, there is a lack of knowledge which patients benefit most from robotic intervention. Currently, therapists often select robot-assisted exercises subjectively and without a structured approach. The present study is a first step to implement systematic reporting of the types of exercises, the selection of robotic parameters, and the rationale behind these choices. Customized protocols should support therapists to choose the most suitable rehabilitation option based on the patients’ clinical characteristics.
The study analyzed clinical data from 81 patients with subacute stroke who underwent 30 sessions of upper limb robotic rehabilitation. Of these, 49 patients received treatment using the customized robotic protocol (experimental group), while 32 patients received standard robotic therapy without customized protocol (control group).
Results from the study revealed significant improvements in both groups in terms of upper limb motor function, strength, and activities of daily living. However, the experimental group, which received treatment with the customized robotic protocol, yielded greater recovery in upper limb motor function and strength compared to the control group.
The findings underscore the importance of customized treatment approaches in stroke rehabilitation. Tailored robotic therapy protocols hold the potential to further improve the effectiveness and consistency of robotic rehabilitation programs in the future.
Pavan et al. Implementation of a robot-mediated upper limb rehabilitation protocol for a customized treatment after stroke: A retrospective analysis. NeuroRehabilitation. 2024; 54(3):411-420.
Clinical gait analysis is an objective tool to precisely measure the parameters required to select the most effective therapeutic interventions for gait improvement. Objective data on a patient’s gait helpstherapist plan, monitor, and evaluate therapy progress.
A new publication from Jocham et al. (2024) delves into the measurement accuracy of Pablo, offering user-friendly foot-mounted inertial measurement units (IMUs) for gait analysis in clinical settings. The first part of the study, published in 2021 by Laidig et al., validated the spatiotemporal gait parameters. The recent publication now validated foot position and angle trajectories
Both publications affirm that IMU-based gait analysis is not just accurate but feasible for clinical practice. It offers a user-friendly alternative to expensive optical motion capture systems, paving the way for a more accessible and convenient future of gait analysis in clinical practice.
Jocham AJ, Laidig D, Guggenberger B, Seel T. Measuring highly accurate foot position and angle trajectories with foot-mounted IMUs in clinical practice. Gait Posture. 2024 Feb; 108:63-69. 👉 Read more
Laidig D, Jocham AJ, Guggenberger B, Adamer K, Fischer M, Seel T. Calibration-Free Gait Assessment by Foot-Worn Inertial Sensors. Front Digit Health. 2021 Nov 4; 3:736418. 👉 Read more
Our 5 experts:
They came together on our stage for a fascinating discussion on “the future of neurorehabilitation”.
These 4 questions were dealt with in detail and discussed intensively:
The panel discussion was accompanied by graphic artist Karin Hoffman, who transformed the spoken words into a great picture.
The outcome of this interesting expert panel talk was that technology-assisted rehabilitation should be integrated even more and made accessible for young and old.
Furthermore, we at Tyromotion will continue to work on new solutions for the future to improve the results of therapies. In this way, we would like to support all therapists to complement this important work in a meaningful way.
We would like to thank everyone who made this discussion so exciting and beneficial.
On April 17-18, 2024, the moment had arrived: our international partners invited some of their customers to our “Customer Days” in Graz.
We provided a beautiful backdrop at St. Veit Castle. Restaurant Aiola treated us to typical Austrian and international cuisine over the two days. This was very well received by the participants, who came from 24 different countries. This extraordinary setting was perfect for discussing new developments, new studies and experiences on the market together.
The program on offer was very diverse. Great keynote speeches, workshops, product presentations and much more were on the agenda
What does Tyromotion’s future path look like? How did Thomas Frühwirt manage to become an Olympic champion despite a tragic stroke of fate? Hubertus van Hedel showed how neurorehabilitation technologies for children can be improved. Barbara Seebacher gave us an insight into the first worldwide Lexo study. These and many more interesting topics were examined during these days. Once again, we would like to thank the top-class speakers for their participation.
Customers were also able to take a closer look at our devices and get to know them during our in-house workshops.
The side program also included an excursion to Riegersburg Castle and a visit to Buschenschank Bernhart. The highlight of this 3-day event was definitely the panel discussion on the last day. How often do you have the opportunity to look at the topic of “the future of rehabilitation” from so many expert perspectives?
More details on the panel discussion will be given in the next news article.
Not only does she impress with her likeable charisma, but also with her 20 years of experience in medical technology in the field of neurosurgery and radiotherapy.
Together with our CTO Alexander Kollreider, she has been part of our management team since April.
We are delighted to welcome Verena to our Tyro team and look forward to shaping the future of neurorehabilitation together.
