The Effect of Computer Assisted Rehabilitation Environment (C.A.R.E.N)

Computer Assisted Rehabilitation Environment (C.A.R.E.N) is used to treat patients with a variety of neurological and orthopedic problems, such as back pain, poor balance and posture, gait (walking) disorders, etc.

C.A.R.E.N is also highly effective for sports trauma and pediatric rehabilitation.

C.A.R.E.N’s unique treatment is based on the following extraordinary features:

Virtual Environment

Virtual Environment techniques are used to manipulate environment interaction conditions therefore facilitating the learning process in both virtual and real environments.

Immersive Environment

Immersive environment enables the development of new movement strategies and unlearning the poor movement habits that arise due to pathology or compensatory processes.

Movement Effect

Directing the patient’s attention to the effects of the movement (external focus), in contrast to the attention to the movement itself (internal focus), contributes to rapid recovery.

Motor imagery

Motor imagery provides access to cortical pathways responsible for stored memory of movement patterns in place prior to the injury. Motor imagery also presents a very effective way to engage deep spinal musculature that is responsible for fine control of the dynamic posture and general stability of the spinal column.

Walking and Movement Parameters

All gait and other movement parameters are on display in real time for monitoring and intervention. This feature that has been available only in research labs is now offered in C.A.R.E.N.

    1. Dynamic maintenance and control of Center of Mass (COM). For example steering external objects using COM – while inside the Immersive Environment;
    2. Dynamic balance training;
    3. Kinesthetic awareness training;
    4. Dynamic training of specific muscle groups coordination based on the patient’s responses to constantly changing movement by the motion platform and movement in the virtual reality environment;

For example, waves’ direction, amplitude, frequency and gain can be operator-controlled enabling targeted response by the specific muscle groups.

  1. Evaluation and training of gait and dual tasking in the virtual environment.
    For example, when running the Road application every bump and slope, simulated by the Motion Platform, is physically felt by the patient.

Dual tasking involves ‘hitting’ simulated flying objects that appear in the scenery

Below are 2 videos that demonstrate how C.A.R.E.N can be used to treat various orthopedic conditions, e.g. amputation, arthritis, whiplash, osteoporosis, joint replacement, diabetic foot conditions, lumbar and cervical disc disease, foot/ankle/knee injuries.

The Effect of Computer Assisted Rehabilitation Environment (C.A.R.E.N) Computer Assisted Rehabilitation Environment (C.A.R.E.N)    The Effect of Computer Assisted Rehabilitation Environment (C.A.R.E.N) Computer Assisted Rehabilitation Environment (C.A.R.E.N)    The Effect of Computer Assisted Rehabilitation Environment (C.A.R.E.N) Computer Assisted Rehabilitation Environment (C.A.R.E.N)
Other Popular C.A.R.E.N Topics:
C.A.R.E.N treatment for inner ear/ vestibular disorders Post Cancer, Post Chemo, Post Radiation Rehabilitation
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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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