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Neurorehabilitation for Stroke, Multiple Sclerosis and Neurological Conditions

recoveriX is an advanced Brain-Computer Interface technology that supports the brain’s natural ability to reorganize and relearn lost motor functions after neurological injury.

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Improve Motor Function and Movement

Neurological conditions such as stroke, multiple sclerosis, traumatic brain injury, or other neurological disorders can affect the ability to move – but lost function is not always permanent. recoveriX, developed by g.tec medical engineering, is an innovative neurorehabilitation technology based on Brain-Computer Interface (BCI) that supports the brain’s ability to reorganize itself through neuroplasticity.

During therapy, patients imagine specific movements of the hand or foot while recoveriX measures brain activity and provides real-time feedback through functional electrical stimulation and visual feedback. This targeted stimulation helps strengthen neural pathways involved in movement of the hand, arm, and foot, supporting improvements in mobility, coordination, and independence in daily life.

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New Opportunities for Functional Improvement

Supporting Recovery Through Neuroplasticity

recoveriX supports rehabilitation across a wide range of neurological conditions and can be beneficial even years after diagnosis or injury. The therapy may help reduce symptoms such as spasticity, tremor, pain, and movement limitations, contributing to improved motor control and functional independence. Potential improvements include:

  • hand and arm function
  • walking ability and gait
  • balance and coordination
  • fine and gross motor skills
  • concentration and body awareness
  • sensitivity and sensory perception
  • fatigue reduction
  • bladder function
  • foot drop or freezing episodes

recoveriX complements physiotherapy and occupational therapy and can be used in acute, subacute, or chronic stages – even many years after stroke or diagnosis.

Interview with Dr. Tim von Oertzen

A Neurologist’s Perspective

In this interview, neurologist Dr. Tim von Oertzen highlighted the clinical potential of recoveriX Brain-Computer Interface neurorehabilitation for stroke, multiple sclerosis, and other neurological conditions. He emphasized its ability to support training of both upper and lower limbs, even in patients with significant impairments.

Clinical observations indicate improvements in gait, balance, coordination, and overall movement control, supporting functional recovery and greater independence in daily life.

Multimodal Neurorehabilitation

A Unique Combination of 7 Training Approaches

recoveriX combines multiple established rehabilitation methods into one integrated therapy approach. Motor imagery activates brain regions responsible for movement, even when physical movement is limited. Through visual feedback, electrical stimulation, and brain-computer interface interaction, recoveriX enhances engagement of motor networks and supports effective rehabilitation.

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. Clients sit in front of a screen, where they see hands and feet of an avatar. This gives clients 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 client is motivated because the experience repeatedly reminds the client of the desired goal: being able to move again.

Mirror Neuron training

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 clients 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 training.

Bilateral Training

recoveriX encourages the client 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 client controls the avatar and can trigger actual movement through electrostimulation. If performed correctly, the hand or foot is raised and the client 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 training

During recoveriX training, the healthy limb is constrained to stimulate the impaired limb. Clients 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.

In our recoveriX study, we proved that recoveriX training is very effective even 10, 20 or 30 years after a stroke.

Dr. Christoph Guger
CEO and founder of g.tec medical engineering GmbH

Proven Results Even Years After Diagnosis

Before and After recoveriX Training

This client performed the 9-hole peg test here. This test is a standardized assessment used to measure manual dexterity by timing how quickly an individual can manipulate and place nine pegs into a pegboard and then remove them one by one.

Here this client performed the Box and Block Test which evaluates manual dexterity and gross motor skills by assessing how many wooden blocks a participant can transfer from one compartment to another within a set time frame. It’s commonly used in rehabilitation to track progress and tailor treatment plans for individuals with upper extremity impairments.

This client performed the 9-hole peg test here. This test is a standardized assessment used to measure manual dexterity by timing how quickly an individual can manipulate and place nine pegs into a pegboard and then remove them one by one.

This client performed the 9-hole peg test here. This test is a standardized assessment used to measure manual dexterity by timing how quickly an individual can manipulate and place nine pegs into a pegboard and then remove them one by one.

Here this client performed the Box and Block Test which evaluates manual dexterity and gross motor skills by assessing how many wooden blocks a participant can transfer from one compartment to another within a set time frame. It’s commonly used in rehabilitation to track progress and tailor treatment plans for individuals with upper extremity impairments.

This client performed the 9-hole peg test here. This test is a standardized assessment used to measure manual dexterity by timing how quickly an individual can manipulate and place nine pegs into a pegboard and then remove them one by one.

The client performed the timed up and go test here. This test assesses mobility and requires balance and coordination. The test measures the time, in seconds, it takes a client to get up from a chair, walk 3 meters, turn around and sit down again.

The client performed the timed up and go test here. This test assesses mobility and requires balance and coordination. The test measures the time, in seconds, it takes a client to get up from a chair, walk 3 meters, turn around and sit down again.

recoveriX is measuring EEG activity while a client imagines a hand or foot movements. Once recoveriX detects a motor imagination, it triggers a functional electrical stimulation of the limb so that the limb performs a real movement. Here you can see the improvement in the hand movement of the stroke-affected hand.

This client performed the 10 meter walk test is a clinical assessment used to measure an individual’s walking speed over a short distance, employed to evaluate mobility and functional capacity.

The MS client performed the timed up and go test here. This test assesses mobility and requires balance and coordination. The test measures the time, in seconds, it takes a client to get up from a chair, walk 3 meters, turn around and sit down again.

This MS client performed the Timed 25-Foot Walk test (T25FW). This test assesses walking speed by measuring the time, in seconds, it takes a client to walk 25 feet (i.e., 7.62 m). It is a reliable and recommended scale for assessing people with MS.

This MS client performed the Timed 25-Foot Walk test (T25FW). This test assesses walking speed by measuring the time, in seconds, it takes a client to walk 25 feet (i.e., 7.62 m). It is a reliable and recommended scale for assessing people with MS.

recoverix at home app

Continue Training Between Therapy Sessions

recoveriX at Home

Regular motor imagery training can support activation of neural pathways and contribute to neuroplastic changes. The recoveriX at Home app allows patients to continue guided mental training exercises between therapy sessions.

The app is available for Android and Apple devices and helps maintain therapy continuity and long-term progress.