Interactive training sessions for stroke rehabilitation: a unique simulator is being tested in the capital

April 12

In Moscow, they began testing a unique simulator for rehabilitation of people who suffered a stroke. This medical simulator has no analogues in the world. It is being tested at the Scientific and Practical Center for Medical and Social Rehabilitation of Disabled People named after L.I. Shvetsova. The pilot tests are being conducted with the support of the innovation laboratory of MoscowInformation Technologies Department .

Stroke can be followed by complete or partial loss of arms and legs movement, muscle weakness, speech defects and other consequences. Their severity depends on how long the blood circulation was disrupted and which areas of the brain were affected. Since it is impossible to restore the dead brain cells to life the patient's rehabilitation is aimed at restoring the lost skills. In this case, the neighboring parts of the brain assume functions of the dead ones.

The capital's medical institutions help patients recover from a stroke, and specialists in physical therapy, speech therapist or neurologist are engaged in the job. Patients are treated individually. Each of them is assigned an individual rehabilitation course. The new simulator’s interactive training helps restore the coordination of movements.

"We support innovative projects that can contribute to the development of education, transport, medicine and other spheres. Therefore, we provide high-tech companies with the opportunity to test their developments in real conditions. Using the simulator that is currently under testing at the L. I. Shvetsova Rehabilitation Center patients can restore coordination and balance. The study involved 30 people aged 30 to 64, they have different functional abnormality of movement. We will conduct pilot tests until July", said Dmitry Derelyak, Deputy Head of Moscow Department of Information Technologies.

The new simulator represents a large high-resolution screen mounted on a rack. The device is equipped with a 3D infrared sensor for scanning the body. The patient only needs to stand in front of the screen and perform simple exercises that the simulator offers. You do not need to attach special sensors. A high-precision sensor will create a 3D model of the body in just a few minutes, examine the speed and flexibility of movements and determine the center of gravity. At the same time, the data received by the simulator will be sent to the supervising specialist. He will assess the patient's ability to maintain balance and control the body, as well as the degree of joints weight bearing.

According to results of the diagnosis, the doctor will make an individual course of rehabilitation to restore motor functions, stabilize the trunk, improve performance of individual muscle groups etc. All exercises can be performed on the training simulator. For example, patients will have to raise their hands and bend down, walk around the room, stand in one position and do not move. There is a whole database of exercises in the device's memory, so the specialist can only choose the necessary ones. Then the patient can train independently.

Rehabilitation takes place in a playful way. To start training, you need to stand in front of the screen. It will display a 3D model of the body, then the person must follow the instructions and prompts. Thanks to augmented reality technology, the user will track exactly which points on the body are involved at a given second: they will be clearly highlighted on the 3D model. In addition, AR-technologies were used in the development of some exercises on the simulator: for example, patients are offered to play ping-pong with a virtual racket or collect virtual apples in a basket.

One session on the simulator takes an average of 30-40 minutes every day, the training course lasts 10 days. The device is not limited to a certain number of users. The simulator allows you to monitor the effectiveness of the exercises performed by the patient in real time. If necessary, the doctor will adjust the rehabilitation course. The system saves the training history for specialists convenience.

The unique medical complex will help recover not only those who suffered a stroke, but also people with traumatic brain injuries, injuries to the limbs, spine, patients with disorders of the musculoskeletal system and diseases of the nervous system. It can be used by patients of any height, weight and body build.

"We try to use advanced technologies and innovations in the field of comprehensive rehabilitation of people with disabilities. Pilot tests of the new simulator allows you to check whether people who suffered a stroke will recover faster and more effectively. If the development is successful, the device can be used in other rehabilitation centers of the city, " said Alexey Volodin, Deputy Head of Moscow Department of Labor and Social Protection of Population.

Moscow is constantly introducing innovative medical technologies. For example, they help doctors detect severe cancer at early stages. As part of the clinical guidelines, the list of medical indications for positron emission tomography (PET) and computed tomography were expanded recently. The number of high-tech studies that detect malignant neoplasms has increased almost 13 times.

In addition, new techniques are used in surgery. The Morozov Children's Hospital started using 3D equipment. It allows you to perform minimally invasive operations on the organs of the abdominal cavity, small pelvis, urinary system and chest. The new equipment reduces the amount of patients blood loss, as well as increases the speed and accuracy of surgeons’ actions. And they began to treat joints with the help of cellular technologies in the city clinical hospital No. 13. Unique techniques became an effective alternative to surgical intervention.

Read more about how Moscow uses innovations in medicine, reconstructs polyclinics, introduces electronic services and uses artificial intelligence in the material.


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