Di Matteo(MD), F. Bonazzi (PT), E. Maschi(PT), P. Perazzini(MD)
Clinica SanFrancesco, Verona, Italy
We would like to share our clinical experience using the robotic device hunova as an assessment and training tool in rehabilitation after knee arthroplasty performed with an innovative robotic approach. The improvements we observed over treatment progression encouraged us to share this experience to support clinicians who are dealing with post knee arthroplasty rehabilitation like us. In response to the experimental therapy program, balance, reactivity and postural transitions improved in a significant way. Therefore, we would like to present in this case report how we have introduced the robotic device hunova in the rehabilitative pathway and share our assessment and training protocol that we are continuously using every day in clinical practice.
Interactive interface (HD touch screen) providing visual and acoustic biofeedback by displaying information on trunk swing, weight-bearing distribution and seat and platform inclination.
hunova, huno and huno S, devices use gaming exercises to stimulate the patient to exceed previously achieved goals and scores, thus accelerating recovery and transforming therapeutic exercises into enjoyable activities.
The interface is mobile, allowing it to be used in both standing and sitting positions.
The interface on the tablet computer allows clinicians to plan the session best suited to the patient, consult individual patient reports and produce diversified pathways from the comfort of their office. The tablet also allows the user to set up the patient’s planned rehabilitation session remotely.
When placed on the subject’s trunk (or other area of the body, depending on the exercise), it monitors the movement of the subject, providing real-time acceleration and rotation measurements.
The standard ramp is one of the extra optionals available for hunova, huno and huno S devices and is useful when the robotic system is used to transport non-self-sufficient and wheelchair-bound patients. The ramp can be removed and stowed away when not in use. Total length of ramp + hunova: 266 cm (104.7 inches).
The fixed ramp is one of the extra optionals available for hunova, huno and huno S devices and is useful when the robotic system is used to transport non-self-sufficient and wheelchair-bound patients. The ramp can be positioned either in line with hunova/huno/huno S (180°) or perpendicular to the device (90°), depending on the space available. Length of the ramp: 163.5 cm (64.3 inches).
The robotic platform allows exercises to be performed in both bipodalic and monopodalic modality. Partial weight-bearing exercises can be carried out using the monopodalic mode. It can be used for passive therapy (mobilization), active therapy (with elastic or fluid resistance), proprioceptive therapy and assistive therapy (intervening to complete the exercise when the patient requires assistance). hunva and huno S seats are equipped with a force and torque sensor and an offset sensor.
Fits on the one-foot platform for ankle mobilization.
When used in combination with the sandal, it prevents knee instability during ankle rehabilitation exercises.
Induces both unidirectional and multidirectional movement with trajectories, speeds and ranges that can be set by the clinician. It can be used for passive therapy (mobilization), active therapy (with elastic or fluid resistance), proprioceptive therapy and assistive therapy (intervening to complete the exercise when the patient requires assistance). hunova and huno S seats are equipped with a force and torque sensor and an offset sensor.
The seat adjusts to each patient’s position to ensure maximum comfort and correct performance of the exercises. hunova, huno and huno S all allow the user to memorize the seat position for each patient, so that the same optimal configuration is always available.
Can be selected to suit the exercise (in sitting or standing positions) to ensure safe support for the patient.