Bringing Technology to Life

We "Bring Technology to Life" to restore quality of life or to enhance human performance

We deal with some great products and we Bring Technology to Life by being 'solution focused' not just technology focused. This means bringing technology together with expert know-how, training and application services to provide a great result for clients whether we are dealing with a therapy or assistive product situation - or a physiological measurement and human sport performance issue. 

Therapeutic and Assistive Technology - we provide solutions that impact on quality of life following a catastrophic injury or illness.

With RehaCom software for cognitive rehabilitation, the SEM Glove for persons with a weak grip, RehaDigit for hand rehabilitation and RehaIngest to measure swallowing disorders.

Human Performance Enhancement - Biofeedback, Neurofeedback, qEEG and physiological monitoring systems.  With the NeXus range of biofeedback systems from MindMedia BV. These class-leading systems are certified as Medical Devices and provide extremely flexible and powerful approaches for the psychophysiological arena. Favoured by Universities and clinics around the world.

We are featuring

NeXus Biofeedback Technology, RehaCom Software for Cognitive Rehabilitation, Chin & Head Rest, RehaIngest for assessment of Dysphagia, RehaDigit for hand therapy

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NeXus Biofeedback Technology

We are pleased to be working with Mind Media BV in the UK and Ireland - A world leader in the field of physiological monitoring,  biofeedback and neurofeedback technology featuring the NeXus 4, Nexus 10 and NeXus 32

We serve a wide range of research, health care, sport and human performance applications. We provide sales and support for the NeXus range of biofeedback systems as well as their range of precision sensors and consumables.  In addition, we aim to provide both introductory and advanced training courses and training facilities.

Our website to support these products is

at www.biofeedback-tech.com

The NeXus systems are an advanced and wireless series of multi-modal devices optimised for biofeedback, neurofeedback and physiological data acquisition. The NeXus systems can measure a wide range of different parameters simultaneously, like brainwaves (EEG), muscle tension, heart rate, eye movement, skin conductance, temperature and respiration. Currently, there are three different NeXus systems available: NeXus 4, NeXus 10 MKII and NeXus 32 (named after the number of channels supported). All devices are certified Medical Devices and are high performance designs for professional use.

The three different NeXus systems have different specifications. Depending on your needs, whether you are a clinician or a scientific researcher, there is always a suitable NeXus solution.

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Introduction to RehaCom

RehaCom software enables the therapist to utilise evidence-based cognitive rehabilitation by making efficient and effective use of software technology. It is designed as a powerful tool to help therapists restore a patient's ability to pay attention or concentrate, perform various memory and planning tasks, help with visual field issues and much more. Developed in Germany by Hasomed GmbH where it is used by 95% of clinics involved in brain injury - it's now available around the world.  RehaCom has the breadth, depth and pedigree to be the most widely used system of it's kind around the world.  A Microsoft Windows application.

Our specialist website for this product is at www.rehacom.co.uk

Features & Benefits

  • Covers all stages of rehabilitation - Can be used from the acute stage or injury, right through to higher executive function.
  • Scope of application - RehaCom provides highly effective therapy for patients with cognitive deficits resulting from stroke, TBI or degenerative diseases such as Multiple Sclerosis and more
  • Over 25 deficit specific modules - modules cover attention, reaction, memory, executive function and more
  • More than 21 languages available - the client can work in their native language
  • Auto-adaptive - The software automatically adapts the difficulty of the tasks based on client performance. The system is designed to provide tasks which are interesting and challenging without causing overwhelm or frustration.
  • Depth of content - The software's depth of content is unmatched. Whether cognitive deficits are mild or severe RehaCom can be used with confidence.
  • Clinically Proven - over 25 years of research by neuropsychologists have gone into RehaCom's making
  • Teletherapy - Clients can work remotely from their own home by downloading their prescription from the server
  • Licensing - flexible and cost-effective licensing for large and small organisations
  • Client Specific Data - Some modules can be updated to include the clients own imagery eg family pictures
  • Assessment Modules - Nine optional screening modules can guide you to deliver the most effective training
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Chin & Head Rest

This is a companion product to RehaCom and recommended for training Visual Field issues especially hemianopia and many other applications which require the head to be stable.   This high quality, height adjustable, chin rest allows the client to stay in a comfortable and reproducible position in front of the monitor, therefore maintaining the same viewpoint throughout the training session.

The chin rest is easily and securely adjustable in height and can be adapted individually.  It is made of a white, enamel alloy construction and can be fixed to a table with a screw clamp. The design makes it very easy to clean. The weight is 1.25 Kg. Minimum height of chin from desk is 280mm and maximum is 410mm. Maximum table thickness to accept the clamp is 45mm. The head band can be detached if necessary

Interested in Ordering the Chin rest? 

See our Store on https://www.rehacom.co.uk or fill in the contact form and we will be in touch.

 
 RehaIngest measurements for Dysphagia

RehaIngest measurements for Dysphagia

RehaIngest  for Measurement and Visualisation of Swallowing

RehaIngest is a new portable system manufactured in Germany by Hasomed GmbH for the measurement and visualisation of laryngeal activity during swallowing. It supports diagnostics and treatment in patients with dysphagia, particularly but not exclusively after stroke, traumatic brain injury, cervical spinal cord injury and tumor diseases.

Why this Matters

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Swallowing is one of the body’s most complex actions, which means plenty can go wrong. It’s so complicated, in fact, that experts don’t yet agree on all of the essential components, though some estimate that 22 muscle pairs and 7 of the 12 cranial nerves take part.  Dysphagia cuts across so many diseases and age groups, its true prevalence in adult populations is not fully known and is often underestimated.

Up to 50% of all neurological patients and nearly all patients with larynx cancer suffer from swallowing disorders (dysphagia). RehaIngest is designed to support therapists or examiners in dysphagia therapy and diagnostics, e.g. in clinics, rehabilitation centers or outpatient clinics.

The exact epidemiological numbers by condition or disease also remain poorly defined. This, in part, is due to the concomitant medical conditions being reported and the timing and type of diagnostic procedures being used to identify swallowing disorders across neurological populations.  For example, a systematic review by Martino and colleagues (2005) found that the incidence of dysphagia in stroke populations was as low as 37% when identified using cursory screening procedures and as high as 78% when identified using instrumental assessments.  Simple, reliable measurements are an important part in getting to grips with the true picture.

See - Martino, R., Foley, N., Bhogal, S., Diamant, N., Speechley, M., & Teasell, R. (2005). Dysphagia after stroke: Incidence, diagnosis, and pulmonary complications. Stroke, 36, 2756–2763.

What makes RehaIngest so exciting is that it offers a non-invasive and repeatable method of quantifying and visualising the act of swallowing

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Some Key Aspects of RehaIngest for the Clinician

The electrode placements with RehaIngest

It's one of a kind
The world‘s first system with simultaneous EMG and bioimpedance measurement.  Unlike previous technologies, head and tongue movements, cough or speech DO NOT influence the results.

Reliability
The automatic swallowing detection system was developed with numerous standard data from healthy volunteers and has an accuracy of over 90%.

Clinically relevant
The measured data and the real-time swallowing detection provided by RehaIngest objectively supports or confirms the clinicians first impression of the patient. The pre-post comparison helps to evaluate the therapy effectiveness.

User friendly
Valuable information for examiners without palpation or interference to the patient. You get feedback on the swallowing speed, the duration and extent of the larynx elevation related with reference data

Portable
Easy to transport and quick to install

How RehaIngest Works

RehaIngest measures BOTH bioimpedance (BI) and electromyography (EMG) at the throat for swallowing detection. The results can be used to support diagnostics, therapy and monitoring patients with swallowing disorders.

RehaIngest measures both the activity of the submental muscles (EMG) which help to elevate the larynx and the change in the resistance (bioimpedance) in the pharynx via surface electrodes.

EMG measurement used by itself often results in incorrect results due to  head movements, coughing or throat clearing during the measurement.  A prerequisite for measuring bioimpedance is the input of current into the body.

Electrode Placement

A template guides electrode placement

During a swallow, the biosignals show a typical pattern. The change in bioimpedance correlates with the movement of the hyoid and larynx during the swallowing. 

At the lateral end of the hyoid a measuring electrode is attached between the hyoid and thyroid cartilage on both sides.

The two current electrodes are placed on both sides of the neck of the sternocleidomastoid muscle.

There is an additional reference electrode at the level of the right or left cheekbones. A template was developed to ensure accurate placement of the electrodes.

How are the Swallow-Specific Parameters Measured?

During an examination, the measurement curves are displayed in the RehaIngest software.  An algorithm running in the background performs a pattern detection in real-time. Detected swallows are marked directly on the measurement curves. 

A graphical feedback on the swallowing speed as well as the duration and extent of the larynx elevation is displayed in parallel. The color marks on the feedback provide information about the ratio of the swallowing compared to healthy reference swallows.

Benefits

The RehaIngest Process

Realtime swallowing detection provides direct performance feedback.  During the therapy even the smallest therapeutic progress becomes visible to patients and therapists without using costly or invasive equipment.

RehaIngest can support therapists or examiners in dysphagia therapy and diagnostics. It allows easy measurement of the larynx elevation of patients, without palpation and without having to observe the patient too much.

Measurement Playback Screen

Direct feedback can improve the first clinical examination (screening). Objectively measured data and the real-time swallowing detection carried out with rehaIngest supports or confirms the first impression of the patient.

Detailed Measurement Results are available

A 3D animation of swallowing can assist with an explanation of the anatomy

The pre-post comparison helps to evaluate the effectiveness of therapy. A report shows the measurement results as tables and graphs, supplemented by notes of the therapist. All reports can be exported as pdf-documents.

A 3D-animation of the pharyngeal swallowing phase helps to explain the function of the involved anatomical segments.

The interplay of the tongue, larynx, hyoid and epiglottis correlate to the displayed data

RehaIngest Research Background

Multisensor Classification System for Triggering FES in Order to Support Voluntary Swallowing.
Riebold, B., Nahrstaedt, H., Schultheiss, C., Seidl, R. O., & Schauer, T. (2016).
European Journal of Translational Myology, 26(4).
Go to Study »
Automated Detection and Evaluation of Swallowing Using a Combined EMG/Bioimpedance Measurement System. Schultheiss, C., Schauer, T., Nahrstaedt, H., & Seidl, R. O. (2014).  The Scientific World Journal, 2014, e405471.
Go to Study »
Bioimpedance- and EMG-Triggered FES for Improved Protection of the Airway During Swallowing.
Nahrstaedt, H., Schultheiss, C., Schauer, T., & Seidl, R. O. (2013). Biomedical Engineering / Biomedizinische Technik.
Go to Study »
Evaluation of an EMG bioimpedance measurement system for recording and analysing the pharyngeal phase of swallowing. Schultheiss, C., Schauer, T., Nahrstaedt, H., & Seidl, R. O. (2013).  European Archives of Oto-Rhino-Laryngology, 270(1), 2149–2156.  
Go to Study »
Swallow Detection Algorithm Based on Bioimpedance and EMG Measurements.
Nahrstaedt, H., Schultheiss, C., Seidl, R. O., & Schauer, T. (2012).  In B. Balazs (Ed.), Biological and Medical Systems (Vol. 8, pp. 91–96). Budapest: Elsevier.
Go to Study »
Bioimpedance based measurement system for a controlled swallowing neuro-prosthesis.
Nahrstaedt, H., Schauer, T., & Seidl, R. O. (2010). In Proc. of 15th Annual International FES Society Conference and 10th Vienna Int. Workshop on FES (pp. 49–51).
Go to Study »

Request Further information and Pricing via our webform here

 
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Simply Effective Hand Therapy with RehaDigit

 The NEW RehaDigit hand therapy product

The NEW RehaDigit hand therapy product

RehaDigit can reduce the muscle tone and increase mobility in the fingers of the hand. 

Following a stroke, brain injury or spinal cord injury, for example, the muscles and soft-tissues of the hand can become tight and the sensory pathways disrupted.

In order to recover lost tactile sense and to trigger new movement capabilities, intensive rehabilitation is needed. 

RehaDigit provides both motor and sensory rehabilitation in a simple and effective manner.  Through a series of finger-rolls the patient's fingers are alternately bent and stretched (flexion/extension of the finger joints). The specially designed motor induces a slight vibration into the hand and this supports the relaxation of the finger muscles.

Hand Therapy with RehaDigit

Fingers massaged by vibrating rollers

RehaDigit mobilises hands that have limited finger movements and prevents muscle and tendon shortening.  The objective of treatment is the improvement of your patients‘ motor and sensory functions.

Various hand rests, types of vibration and rotation speeds allow RehaDigit to be adjusted according to the needs of each particular patient. The vibration improves the sensory and circulation aspect of the hand and reduces spasticity. The motorised movement moves and stretches every digit whilst ensuring the correct position of the fingers.

What it does

Check out the video below to see RehaDigit in action. The unit accomodates left or right hands of various sizes and allows easy programming via a touch screen interface.  The therapist can control the specific nature and speed of the movement as the RehaDigit stretches and massages the fingers. Integrated vibration relaxes tight fingers in a safe and effective way. RehaDigit has a unique operating principle - most devices focus on movement whereas RehaDigit also targets the sensorimotor system. Studies have confirmed the effectiveness of the device.

Overview of the main functions:

  • works for the left and the right hand
  • adjustable rotation velocity
  • adjustable vibration frequency
  • continues or periodic crescendo and decrescendo vibrations
  • ergonomic hand rest (height adjustable)
  • usage via touch screen
  • therapy time: 5-30 min

Indications for Use

RehaDigit can be used for the following indications:

  • passive bend and stretch movement of the II-V fingers in the rehabilitation of patients with hemi- and tetraparesis from moderate to strong paresis of the upper extremity
  • for example, after stroke, paraplegia, traumatic brain injury, M. Parkinson or joint injuries
  • for patients without distal activity of the wrist and finger flexors
  • incomplete and complete motoric paraplegia after spinal cord injury
  • for patients with spasticity in arms, low blood circulation and impaired hand mobility
  • for patients with functional loss after injury or surgery

Contraindications

Contraindications for RehaDigit include patients with:

  • fully developed shoulder-arm syndrome
  • acute arthritis in finger joints, thumb joints and/or wrist
  • severe contractures of the finger joints, thumb joints and/or wrist
  • acute disorders requiring special treatment of fingers or hand (e.g. tendinitis)
  • massively swollen hand
  • allergic exanthema of hand
  • fixed fingers

Features

RehaDigit is a CE marked Class II medical device. The items included are 1 RehaDigit,  2 adapter plates for hand rest (25mm and 20°), 1 power supply and appropriate cable and 1 user manual

Expected Life 3722 therapy hours

Related Research Article

Stefan Hesse, H Kuhlmann, J Wilk, C Tomelleri and Stephen GB Kirker (2008) "A new electromechanical trainer for sensorimotor rehabilitation of paralysed fingers: A case series in chronic and acute stroke patients"
Journal of NeuroEngineering and Rehabilitation20085:21
DOI: 10.1186/1743-0003-5-21
https://jneuroengrehab.biomedcentral.com/articles/10.1186/1743-0003-5-21

Request a Quote or Further Information

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Events - Speaking

We have decades of experience speaking at universities, educational seminars, professional events and more.

We are delighted to be regularly invited to speak at events throughout the year on a variety of topics including:

  • technology and rehabilitation
  • innovations in hand therapy
  • enhancing therapy with online supervision
  • software for cognitive rehabilitation

Recent Speaking Invitations

  • What's the use of biofeedback? European Neuroconvention, London, June 2018

  • Biofeedback for Stress Management - Apps and Devices, European Neuroconvention, London, June 2018

  • Heart Rate Variability - Assessment and Practical Applications, European Neuroconvention, London, June 2018

  • "QEEG and Neurofeedback in Mild Traumatic Brain Injury" Presented at the European Neuro Convention, London, MAY 2017

  • "Embodied Cognition" – A Role In Rehabilitation : Presented at the European Neuro Convention, London MAY 2017

  • "Clinical Applications of Biofeedback" at NeuroRehab Expo, London 2016

  • "Technology for Cognitive Rehabilitation" in partnership with CFG Law, Cheadle, January 21st, 2016.
  • Together Conference, BABICM, CMSUK & VRA, November 2015
  • NeuroRehab Expo, London, June 2015
  • Innovations in Neurorehabilitation - Royal College of Physicians, 29th April 2015
  • NeuroRehab Expo, London, June 2014

We would be delighted to present a talk or host a discussion on a wide range of topics at your next event or training seminar.