Rewellio is growing. In addition to our original mode in VR, two new therapy modes are released within the next update.
Well known evidenced-based concepts are tools for therapists. We focused on the theory behind motor function concepts and looked for a way to include them in rewellio VR.
Two therapy concepts, that are often successfully used are Mirror therapy and CIMT. In addition to the original rewellio VR mode, the observation mode and the CIMT mode broadens the use for many patients.
Observation Mode for FMS <14 Original Mode for FMS <34 CIMT Mode for Learned-non-use
In the Original mode both upper extremities are activated and integrated according to the measured range of motion. In a playful way motor function, as well as concentration and visual functions, are trained. Rewellio VR offers an opportunity to train in virtual reality, stay focused and reach new therapy goals.
Especially for patients with no or minimal arm movement, this mode simulates the movement of the paretic arm. The simulation is only active when the patient turns toward the simulated arm. Through action observation and the simulated reaction after a cue, the brain should relearn movement. Gaze attention and endurance towards the hemiparetic side are also a focus of this mode.
The CIMT mode was designed for patients with movement in the shoulder and hand but only limited use in daily life. After a time without using one hand, a phenomenon called “Learned-non-use” can occur. For learning movements and the use of the paretic arm, repetitions are necessary. The CIMT mode displays both hands in VR but only the paretic one can be used or has a tool to interact with. Actions are only possible with the paretic arm. Through active training with only one arm, the attention is focused on one side. Within VR, the non-paretic arm is deactivated. Acting as a virtual constraint, it is set up to enable hand use. Another bonus point – within the VR CIMT mode cheating is very hard.