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Neurorehabilitation for Stroke & Multiple Sclerosis

recoveriX is a brain-computer interface technology that helps the brain rewire itself to relearn lost motor functions.

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Maximize your independence

Improving functional abilities

If stroke, multiple sclerosis or traumatic brain injury affect the ability to move, it isn’t necessarily lost! For that reason, g.tec medical engineering developed recoveriX Neurotechnology, a unique rehabilita­tive approach based on brain-computer interface technology that helps the brain rewire itself.

While giving the task to imagine a hand or foot movement, recoveriX provides feedback in real-time through muscle sti­mu­lation and visual simulation. This process induces neuro­pla­sti­city within the brain to relearn lost motor functions.

recoveriX for Multiple Sclerosis

Make a new start

It's never too late for rehabilitation!

recoveriX helps stroke or multiple sclerosis patients to decrease pain, spasticity and tremor which leads to further improvements of motor functions, concentration, passive joint movements, sensitivity, bladder control, sexual function, balance, gait and numbness of the face, body or extremities. It’s particularly striking that patients feel less fatigue and experience a decrease of foot freezing or foot drop.

recoveriX supplements physical and occupational therapy with the chance for a quicker and more successful recovery. It can be used in the acute, sub-acute, or chronic states – even 10, 20 or 30 years after the MS diagnosis or the stroke!

recoveriX for Stroke

AN NEUROLOGISTS' OPINION ABOUT RECOVERIX

Interview with Dr. Tim von Oertzen

In a recent interview, Dr. Tim von Oertzen, a renowned neurologist, highlighted the benefits of recoveriX neurorehabilitation for stroke and MS patients. He emphasized recoveriX’s potential to train the upper and lower limbs of those with impairments, noting significant improvements in locomotion, gait, balance, and movement control experienced firsthand.

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before and after results of recoveriX training

Before/After Results of recoveriX Training

In the Timed Up and Go Test of this Multiple Sclerosis patient, the duration decreased from 18 seconds before recoveriX to 14 seconds after 25 recoveriX sessions. Similarly, in the 6 Minute Walk Test, the distance covered increased from 210 meters before recoveriX to 285 meters after 25 recoveriX sessions. Additionally, his hand functionality improved which allows him to create art again.

In the Timed Up and Go Test of this Multiple Sclerosis patient, the duration decreased from 18 seconds before recoveriX to 14 seconds after 25 recoveriX sessions. Similarly, in the 6 Minute Walk Test, the distance covered increased from 210 meters before recoveriX to 285 meters after 25 recoveriX sessions. Additionally, his hand functionality improved which allows him to create art again.

Highlighted improvements of the patient who suffers from incomplete paraplegia include a remarkable decrease in Timed Up and Go (TUG) Test duration, from 42.6 seconds to 26.9 seconds, and enhanced performance in the 10-Meter Walk Test (10MWT), reducing from 18.7 seconds to 12.7 seconds.

Highlighted improvements of the patient who suffers from incomplete paraplegia include a remarkable decrease in Timed Up and Go (TUG) Test duration, from 42.6 seconds to 26.9 seconds, and enhanced performance in the 10-Meter Walk Test (10MWT), reducing from 18.7 seconds to 12.7 seconds.

In the 6-Minutes Walk Test, the Multiple Sclerosis patient’s distance covered surged from 39 meters before recoveriX to an impressive 101 meters after. Similarly, in the 25-Feet Walking Test, completion time decreased substantially from 39 seconds before recoveriX to just 19 seconds after.

In the 6-Minutes Walk Test, the Multiple Sclerosis patient’s distance covered surged from 39 meters before recoveriX to an impressive 101 meters after. Similarly, in the 25-Feet Walking Test, completion time decreased substantially from 39 seconds before recoveriX to just 19 seconds after.

Experience the progress of recoveriX therapy in a patient 10 months post-stroke. In the Box and Blocks Test, manual dexterity saw a significant enhancement, with the patient increasing from 21 blocks before recoveriX therapy to 39 blocks after.

In the Nine-hole Peg Test, finger dexterity displayed major improvements, with completion time decreasing from 2:35 minutes before to just 1:04 minutes after recoveriX stroke training.

Notice the significant reduction in spasticity, granting the stroke patient the ability to move all fingers independently, enabling tasks like putting on a jacket without assistance. Before recoveriX, it took him 1 minute and 59 seconds to complete the 9-Hole Peg Test, whereas after recoveriX training, he finished the test in 1 minute and 17 seconds.

In the Nine-hole Peg Test, the stroke patient’s performance improved, with completion time reducing from 144 seconds before recoveriX therapy to just 75 seconds after 25 sessions and 39 seconds after 50 recoveriX sessions. After the 50th session, his affected hand looks completely healthy.

In the 10 Meter Walk Test, the duration decreased from 30 seconds before recoveriX stroke therapy to 21 seconds after recoveriX therapy. Similarly, in the Timed Up and Go Test, the duration decreased from 50 seconds before recoveriX therapy to 28 seconds after recoveriX therapy.

In the 10 Meter Walk Test, the duration decreased from 30 seconds before recoveriX stroke therapy to 21 seconds after recoveriX therapy. Similarly, in the Timed Up and Go Test, the duration decreased from 50 seconds before recoveriX therapy to 28 seconds after recoveriX therapy.

Before undergoing recoveriX stroke therapy, the patient required 167 seconds to complete tasks. However, post-therapy, this duration dramatically decreased to just 54 seconds. This substantial decrease underscores the effectiveness of recoveriX in mitigating spasticity, allowing the patient to perform tasks with greater ease and efficiency.

Following recoveriX training, despite the patient’s underlying condition of Conus Cauda Syndrome, his Timed Up and Go test results notably improved from 21.3 seconds to 15.6 seconds, indicating a significant enhancement in mobility and functionality. Before recoveriX, he suffered from chronic pain (5/10 points); After recoveriX, he was pain free.

recoveriX helps take rehabilitation to a higher level. This neurotechnology makes it possible to combine different techniques and improve the plasticity of the brain in order to restore motor functionality and increase the quality of life. Studies show that this unique approach produces long-term functional improvements, even in chronic patients.

Marc Sebastián Romagosa, PhD
Physiotherapist at recoveriX Barcelona

A fusion of seven standard therapy approaches

recoveriX is a unique combination of 7 therapies

A neurological disorder might inhibit your ability to move, but maybe not your ability to imagine movement! Imagine a hand or a foot movement – the imagination triggers nearly the same activity in the brain as a real hand or foot movement. This is what exactly recoveriX uses for your therapy! With three different kinds of neurofeedback, recoveriX improves your chances for successful therapy.

Motor Imagery (MI)

Imagine a hand or a foot movement. recoveriX measures and analyses brain waves, which reflects the motor imagery and determines whether the motor imagery was correct.

Once motor imagery has been recognized, virtual reality and functional electrical stimulation will be activated.

The positive impacts

Unlike conventional physiotherapy, the BCI guarantees that actual movements only occur when people imagine the corresponding
movement.

Virtual Reality (VR)

The simulation on the screen makes motor imagery visible. Patients sit in front of a screen, where they see hands and feet of an avatar. This gives patients the feeling of watching their own movements in front of a mirror.

The positive impacts

If recoveriX recognizes motor imagery of the movement (such as a right hand movement), the avatar moves the right hand.

Electrical Stimulation (FES)

For this stimulation, two electrodes are placed (for example) on the dorsiflexors of the wrist or on the leg. If the system recognizes a correct motor imagery, the muscles get electrically stimulated, causing a real movement.

This should help you re-learn how to initiate movement, and thus make movement possible again.

The positive impacts

The patient is motivated because the experience repeatedly reminds the patient of the desired goal: being able to move again.

Increasing the success of the therapy

recoveriX integrates cognitive tasks with movement exercises, which increases the chances of success of the therapy not only for stroke patients, but also for patients with multiple sclerosis.

Mirror Neuron therapy

Mirror neurons are activated when a person observes the same behavior in another person.

The positive impacts

When recoveriX recognizes the mental imagination of movement in the patient’s EEG signals, such as the movement of the right hand, the virtual avatar on the screen simulates the corresponding movement in real time.
This visual feedback is similar to mirror neuron therapy.

Bilateral Training

recoveriX encourages the patient to practice motor imagery of both sides of the body, e.g. the affected right foot or the left hand. This approach is designed to support the activation of both hemispheres of the brain.

The positive impacts

Stimulating both hemispheres of the brain improves the coordination of movements and increases fine and gross motor skills on the impaired side.

Task-Based Training

By imagining the movement, the patient controls the avatar and can trigger actual movement through electrostimulation. If performed correctly, the hand or foot is raised and the patient can touch a small virtual ball.

The positive impacts

The repeated activation of the movement promotes new neuronal connections in healthy areas of the brain, which ultimately control the muscle movements correctly.

Constraint-induced movement therapy

During recoveriX therapy, the healthy limb is constrained to stimulate the impaired limb. Patients must repeatedly imagine the movements of both the healthy and the impaired sides.

The positive impacts

This method promotes coordination between the two hemispheres and can help to reduce spasticity and normalize temperature regulation.

recoverix at home app

ANDROID APP FOR YOUR SMARTPHONE

recoveriX at Home

Regular motor imagery can aid in reactivating neural pathways, promoting neuroplasticity, and aiding in the recovery process after injuries like strokes, multiple sclerosis, or traumatic brain injuries.

Explore recoveriX at Home, a new app by g.tec medical engineering designed to help recoveriX patients to improve their motor function by engaging in motor imagery exercises at home.

Download here