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ReJoyce in Singapore

We are happy to announce that the ReJoyce is now available for purchase by clinics in Singapore. It will become available in many more countries throughout 2012 as we expand our distribution network.

For information about how ReJoyce can help you recover arm, hand and shoulder mobility following a neurological injury such as stroke or spinal cord injury, please contact us.

If you are a rehabilitation professional and are interested in offering telerehabilitation services to your patients, see our for therapists page.

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In-Home TeleRehabilitation Improves Hand Function

Hometelemed’s in-home telerehabilitation technology was the subject of a recently published scientific study. The article, published in the March 11, 2011 edition of the Journal of Neurorehabilitation and Neural Repair, showed exercise therapy supervised over the Internet may be effective for patients who have suffered a spinal cord injury.

The study combined Hometelemed’s telerehabilitation platform, the ReJoyce workstation, and an experimental toothclick-activated hand stimulator. A first treatment group received 6 weeks of daily at-home treatment using this apparatus, with a second group receiving conventional exercise therapy, also using the hometelemed telerehabilitation platform.

13 participants took part, 5 completing the study with both hands, such that both groups had a sample size of 9. The outcome measures included the Action Research Arm Test (ARAT), grasp and pinch force measurements, and the ReJoyce automated hand function test (RAHFT).

The results were very promising.

After ReJoyce-based exercise therapy, ARAT scores improved 13.0%, on average, and only 4.0% in the non-ReJoyce based therapy. The RAHFT scores also improved more after ReJoyce therapy, averaging a 16.9% improvement over a 3.3% improvement in the conventional therapy group.

Mary Galea, one of the researchers involved in the study, described the ReJoyce as a means of motivating patients to perform repetitive tasks.

“The ReJoyce … enables a person to do meaningful tasks, and provides the motivation to do them.” – Dr. Mary Galea, Professor of Clinical Physiotherapy and Director, Rehabilitation Sciences Research Centre.

Study participant Gabriel Moraitis was also enthusiastic about the potential of the new therapy.

“I’ve found that, in everyday tasks, I’m using my hand a lot more than before, and that I can pick things up with a firmer grip.” – Gabriel Moraitis, Study Participant

More information can be found here.

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Publication: Spinal Cord Injury Treatment

ReJoyce was featured in the March 10, 2011 edition of the  Brain Research Bulletin.

In the study, participants performed hand exercises supervised over the Internet. They were block-randomized into one of two protocols, each protocol comprising two 6-week treatments in a crossover design.

Treatment 1: conventional hand exercises for 6 weeks, 1 h/day, 5 days/week with off-the-shelf equipment including 20 min of cyclical electrical muscle stimulation.

Treatment 2: hand exercises for thesameperiods, but on a computerized exercise workstation and assisted with FES. Subjects performed FES-ET on “ReJoyce” workstations (Rehabilitation Joystick for Computerized Exercise). According to motor improvements in consecutive sessions, participants were presented with tasks of increasing difficulty. A muscle stimulator garment provided FES for hand opening and grasp, wirelessly triggered by the participant via an earpiece similar to a hearing aid that detected small tooth-clicks.

Results: Both treatments (ReJoyce + FES + teletherapy, and conventional exercise + teletherapy) resulted in functional improvements in hand function. The ReJoyce treatment produced larger gains than the conventional treatment (17.3%, easily exceeding the minimal clinically important difference of 10%).

SCI Hand Movement Improvement with ReJoyce

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Spinal Cord Injury Rehabilitation with ReJoyce

ReJoyce has been the subject of a spinal cord injury rehabilitation research study in Vancouver since late 2009. Here’s a recent video about the study, published by the Rick Hansen Institute.

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Rick Hansen and SCI Research in Vancouver

Below is a link to a recent news story about spinal cord injury research currently underway at ICORD and UBC in Vancouver. In addition to a brief profile of ReJoyce, the story showcases some additional research:

Peter Cripton - Experimental helmet to prevent spinal cord injury
Dr. Brian Kwon – Stem cell therapy

Click on the image below to watch the whole video:

ReJoyce at the Rick Hansen Institute

ReJoyce at the Rick Hansen Institute

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ReJoyce For Stroke and Spinal Cord Rehab: Video

This video was put together by Alberta Innovates and published in mid-March. It features interviews with ReJoyce inventors Dr. Jan Kowalczewski and Dr. Arthur Prochazka, as well as clinical trial investigators Dr. Mary Galea and Su Ling Chong. Ginny Bockman, a study participant, is also featured.

Here’s the transcript:

Dr. Prochazka – “As far as we know, this is the first large-scale study of in-home telerehabilitation in the world. I think this is the first study where we have learned how to interact with people in their homes, take them right through a training program of many weeks, measure the outcome, and then also, of course, develop the technology that allows all of this to happen.”

Dr. Kowalczewski – “I really hope it reaches as many people as it can. The reason why I’m saying this is because we’re seeing such positive results in our studies. I really hope that anyone that’s had a stroke or spinal cord injury can really benefit from this.”

Su-ling Chong – “In conventional therapy, you go to a place and you just do the functional tasks. We sneak the functions into the game, and patients enjoy it. Most of the time I have to tell the person that their hour is up because, usually, they just want to keep going.”

Dr. Galea – “A device like the ReJoyce is useful for people because it can be installed in their own home very simply, and people can use it in the comfort of their own home without needing to travel. The telerehabilitation enables the therapist to keep in touch with them, monitor their progress, and deal with any difficulties they might be having. That is a very important way to of continuing to enable people to continue improving without tying them to the hospital’s apron strings. It allows them to get on with their own lives.”

Mrs. Bockman – “When I woke up in the hospital, I couldn’t move my arms; I couldn’t move my hands and I thought, “how am I going to live my life?” When I started doing this [ReJoyce telerehabilitation], a lot more things started coming back to me. I’m able to hold my brush, with my hand, brush my own hair, brush my own teeth, feed myself. Senses have also gone back to playing with a Sony Playstation. I can kick my husband’s but on a lot of games, and I’m happy with that.”

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Update from Vancouver Trial

ReJoyce telerehabilitation is currently being used in several SCI (Spinal Cord Injury) treatment studies around the world. Here’s a great comment we received today from Vancouver:

I had a particularly exciting training session with my participant yesterday.  For the first time he was able to play Weedo at Level 60 successfully, using the Peg and NO STIMULATION!!  Six weeks ago when we started, he was not able to play Weedo with much success at Level One.  He and I are both thrilled.””

Jennifer Loffree, UBC

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ReJoyce and Functional Electrical Stimulation (FES)

Several studies have investigated the combined effect of various hand FES systems and ReJoyce for stroke and spinal cord injury rehabilitation. Here’s some background:

Functional electrical stimulation (FES) is a technique that uses small electrical pulses to activate nerves affected by paralysis resulting from spinal cord injury (SCI), stroke, head injury or other neurological disorders. FES can restore a certain amount of function in people with these injuries. Electrical stimulation of nerves is also used in many other applications including pain suppression, epilepsy, bladder control and bedsore prevention.

Hand and leg stimulators are the most common applications of FES in cases of stroke and SCI. The Bioness H200 and Bioness L300 are examples of such systems.

ReJoyce (Rehabilitation Joystick for Computer Exercise) is a hand, arm and shoulder rehabilitation workstation for improving function and range of motion. It is an affordable, passive device (no powered joints or actuators), and requires users to perform dexterous movements that are used in many common tasks of daily life. ReJoyce’s software adapts itself to a user’s abilities, adjusting its sensitivity to adapt to a wide range of abilities.

ReJoyce is used in clinics and in homes (in some countries), both under clinician supervision. The following video shows a person with SCI using the ReJoyce in combination with a hand stimulator. She is being supervised by a remote therapist using the ReJoyce Telerehabilitation system:

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ReJoyce Stroke and SCI Clinical Trials

In addition to several completed trials funded by the Canadian Institutes of Health Research and Spinal Research UK, as well as three multi-centre clinical trials underway funded by the SCI-Solutions Network, Canadian Spinal Cord Injury Telerehabilitation and the Victorian Neurotrauma Initiative (Australian ReJoyce SCI Trials), ReJoyce is now part of two more studies coordinated by researchers at the University of Alberta in Edmonton. The first study compares two levels of FES and ReJoyce-based rehabilitation on the recovery of hand function in chronic stroke survivors: FES and ReJoyce. The second study, also based in Edmonton, investigates the effect of a new type of FES implant in combination with ReJoyce-based therapy on people with SCI.

For more information, please contact us.


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ReJoyce Workstation in Australia

The University of Melbourne has released information about a spinal cord injury study in Australia. the study, funded by the Victorian Neurotrauma Initiative and lead by Mary Galea, has placed ReJoyces in the homes of subjects with spinal cord injury. You can read and watch more about the Australian ReJoyce Workstation Study here.

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