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Neuro rehab technology

Summit Spotlight Series: The Hocoma ErigoPro

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Summit Medical and Scientific would like to introduce you to their range of innovative rehabilitation technology in this short product series.

For our first spotlight session, we’ll be highlighting the Hocoma ErigoPro.

What is the Hocoma ErigoPro?

The Hocoma ErigoPro is a unique computer-controlled robotic device, consisting of a verticalisation table with integrated leg movement mechanics and Functional Electrical Stimulation (FES). The ErigoPro gradually brings the patient into an upright position up to 90 degrees while moving the legs, and applying cyclic leg loading.

This enables safe verticalisation and early functional mobilisation of the lower limbs for patients with very reduced abilities or who are immobile.

Patients are moved from their bed to the ErigoPro, strapped into the device, and then gradually verticalised. Cyclic leg loading activates the central nervous system, gets the legs moving and the blood pumping.

FES is a safe and small electrical pulse which is fully synchronised with the leg movements. This increases muscle activation and helps with cardiovascular stabilisation by improving blood flow back to the heart (Ref. Yoshida et al 2013, Faghri et al 2001).

The ErigoPro is suitable for patients who are very weak and unwell or who have had prolonged periods of immobilisation such as ICU patients and Covid patients who require intensive rehabilitation after being removed from a ventilator, or patients who require early mobilisation such as stroke and other neurological conditions, as well as spinal cord injury patients.

How does the Erigo help patients?

Being bedridden without the opportunity for intensive rehabilitation can lead to muscle weakness, cardiovascular instability, and loss of limb function.

The Erigo mobilises patients who are in the ICU or acute stroke unit, allowing them to access rehabilitation as early and as safely as possible – even those who are comatose or severely unwell with complex injuries. This gives them the greatest chance of recovery and enhances their quality of life.  

Verticalisation and mobilisation with the Erigo increases lower limb muscle strength, state of consciousness, and functional independence. There is a clinically relevant improvement in the state of consciousness in patients with related disorders compared to conventional in bed mobilisation. (Rieberholt et al 2021, Frazzita et al 2016, Hocoma data on file as of November 2022) and a clinically relevant improvement in functional independence in activities of daily living and increased muscle strength (Kuznetsov et all 2013)

Verticalisation also helps stabilise patients for progressing to the next device along the Hocoma Total Solution rehabilitation continuum such as the Lokomat. Immobile patients can’t progress to gait training if they are at risk of complications such as unstable blood pressure, fainting, or increased heart rates. The Erigo allows patients to tolerate being upright and is the vital link between patients who are unable to move and patients who are ready to learn how to walk. 

Studies also show that there are less disruptions of therapy compared to conventional tilt-tables (Krewer et al 2015, Luther et al 2008, Yoshida et al 2013, Faghri et al 2001, Kusnetsov et al 2013).  

How does the Erigo help therapists?

The Erigo allows a single therapist to adapt therapy parameters on a user interface to individualise therapy and address specific patient needs. All training parameters, such as inclination angle, stepping frequency, robotic guidance and leg loading, are registered and reported.

Safely moving immobile patients is physically demanding, challenging, and time-consuming. The Erigo gets patients gradually accustomed to being upright and moving again in a safe and controlled environment, reducing the strain on the therapist and providing more effective and efficient therapy for patients.

Patients spend more time in therapy and much earlier in their rehabilitation journey while using the Erigo compared to conventional therapy, which reduces the amount of time patients need to spend in hospital. This can save money and resources.

The Erigo has been designed to move between patient rooms to deliver robotic therapy directly at the bedside for patients who are immobile or have reduced transfer or standing abilities. The Erigo has height adjustment for easier patient transfer from the bed or wheelchair, and a flexible patient harness for a safe, secure and comfortable fit.

How can I find out more?

You can contact us about our entire range of rehabilitation equipment on our website: www.summitmedsci.co.uk

You can also get in touch with us by telephone: 01372 459863 or by email: info@summitmedsci.co.uk

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