BENEFITING: LOS AMIGOS RESEARCH AND EDUCATION INSTITUTE INC
EVENT: Mozilla Firefox Challenge
LOS AMIGOS RESEARCH AND EDUCATION INSTITUTE INC wrote -
The goal is to allow children and adults with paralysis (due to CP, Stroke, Brain Injury, and Spinal Cord Injury) the BEST POSSIBLE OPPORTUNITY to have optimal motor, sensory, cognitive developmental opportunities--- opportunities NOT AVAILABLE because of limited knowledge about brain plasticity, the impact of task specific practice, and the lack of sophisticated technology.
Over the following five years we will be able to develop and support the use of robotic therapies for children suffering from Cerebral Palsy leading to a self-sustaining clinical program.
Our long term vision is to provide not only holistic medical and rehabilitation care, but to use technology to allow restoration of function for children and adults alike. We hope to restore function for adults with stroke, or shape “enhanced neurologic development” for children and adults with developmental disorders. There is strong scientific evidence for this approach, but our ability to definitively study and provide state of the art care is limited by funding for equipment, staff and space.
To fully rehabilitate the paralyzed upper extremity, focused hand strength and dexterity training are needed and can be provided by the addition of focused finger robotic therapy to Rancho’s shoulder, elbow and wrist apparatus, which I propose we acquire at Rancho. The cost of the hand/finger robot is $16 thousand.
To improve general health, bone density, lower extremity strength, and walking skills, our target population require progressive weight bearing and walking training. This can best be achieved by focusing on interactive ankle strengthening and motor control as is provided by the ankle-bot robotic system. Ankle control is one of the most important aspects of effective ambulation, and this device was developed by the same team at Massachusetts Institute of Technology who developed the highly effective upper extremity device now in use at Rancho, and was initially tested with a child with CP (early in its evolution). The cost of an Ankle-bot is $100 thousand. The cost of comprehensive warranties on all IMT robots with software upgrades and clinical training is $123.5 thousand.
To achieve ambulatory status, our target population will have interactive robotic body weight supported treadmill training--i.e. progressive weight bearing as legs grow stronger and progressive initiation of movement as motor pathways develop and recover. It is also expected that paraspinal muscles will gradually strengthen that decreasing the risk for complications such as scoliosis and osteoporosis. Hocoma, Inc, based in Switzerland has been the leader in the international field for body weight supported treadmill training devices…as the field advanced it became apparent that patient engagement (participation) was critically important, and the new class of Lokomats now available have pediatric and adult sized exoskeletal components and the design is based on assist as needed, progressively challenging tasks, with virtual reality games and many opportunities for positive feedback---aspects which are critical for neurological restoration and recovery. The cost of the Lokomat with pediatric and adult features (Tyler is currently pediatric size, but he will very soon require adult size as he reaches puberty) was originally quoted at $450 thousand dollars, but as will be explained in description of “external financial and in-kind donated support”, has been decreased to $349 thousand. Pediatric attachments are now available for $91 thousand (decreased from the original quote of $100 thousand. Other Hocoma related costs are shipping $ 7.125 thousand, clinical training $ 4 thousand (annually for 4 years, first year included in purchase price) or $16 thousand, comprehensive warranty and annual software upgrades $ 18.8 thousand (annually for 4 years, first year included in purchase price) or $75.2 thousand.