Evidence-Based Neurorehabilitation Technology

Enhancing Neurorecovery

The clinical version of the pioneering “MIT-Manus,” the InMotion ARM™ interactive robot, is the most thoroughly researched device for upper extremity neurorehabilitation.

The InMotion ARM™ patented design† delivers truly interactive, assist-as-needed™, intensive, task-specific upper extremity therapy to neurologic patients.

This continuously interactive robot-patient interaction allows the robot to adapt to patient feedback in
real-time, constantly engaging and challenging the patient while allowing clinicians to deliver intelligent customized therapy.

• Independent randomized clinical trials, including the large “VA ROBOTICS”
  RCT utilizing InMotion Robots, have shown they are:
• Effective at reducing impairment, improving function and quality of life even in
  severely impaired chronic patients1
• Cost effective2

Overview of a typical InMotion ARM^™ robotic therapy session:

1. Therapist selects appropriate treatment protocol
2. Robot prompts patient to initiate movement
3. Patient initiates or attempts movement
4. Robot senses patient movement and provides continuous adaptive real-time assist-as-needed™ support ensuring movement is completed successfully
5. Robot provides performance feedback to both
   patient and therapist
6. Therapist continues to engage patient and objectively
   plans next steps

SYSTEM COMPONENTS

InMotion ARM^™ hardware

Robotic arm with 3 active degrees-of-freedom

Universal design for fast and easy patient setup

• Adjustable-height robot and workstation
• Adults and small-body people may
  use the same device

InMotion EVAL^™ 

Quantifies upper extremity motor control and movement recovery allowing clinicians to distinguish true recovery from compensation

Establishes a baseline and measures progress to:

• Determine medical necessity
• Justify continuation of treatment based upon measurable gains

Correlated with traditional assessment scales:
Fugl-meyer, Motor-Power and NIH stroke scale performance*

InMotion ARM^™ software

Intensive — 1024 movements per therapy session

Evidence-based treatment protocols.

25 different therapy protocols allowing clinicians to customize treatment for adults and children

Therapeutic exercise games for:

• Motor planning
• Eye-hand coordination
• Attention, visual field deficits/neglect
• Massed practice

Performance feedback metrics

* Bosecker Caittlyn MS, Dipietro Laura, Volpe BT,  Krebs HI “Kinematic Robot-Based Evaluation Scales and Clinical Counterparts to Measure Upper Limb Motor Performance in Patients With Chronic Stroke” Neurorehabilitation and Neural Repair 24(1) 62-69 , 2010.

1 Extensive bibliography, for more information please contact IMT.

2 An Economic Analysis of Robot-Assisted Therapy for Long-Term Upper-Limb Impairment After Stroke. Stroke 2011, 42:2630-2632.

† US PATENT 5466213 “Interactive Robotic Therapist”