Intended Use
Conventional tilt table training is a standard treatment in intensive care and is integrated as part of the early mobilization program of neurologically impaired patients with sensorimotor impairments. The aim of this treatment is to stabilize the cardiovascular system and gradually improve the patient’s ability to remain in a vertical position, also to slowly accustom the legs to tolerate the patient’s body weight. Another treatment goal after injury is to induce a physiological stepping pattern early post incident in order to positively influence neuroplasticity and functional recovery and prevent secondary damage such as contractures and muscular atrophy.
Erigo training combines both treatments by gradual verticalization (0 – 90°) while applying continuous step-like movements subjecting patients’ lower limbs to a wide range of movement patterns and loads.
As the mobilization of severely affected patients is very labor intensive, the Erigo supports clinicians during early mobilization. It can facilitate verticalization and mobilization of bedbound patients while applying load to their lower limbs.
The ErigoBasic is intended for the early functional mobilization of neurological and bedridden patients even in acute care.
Primary Aims
- Increasing cardiovascular stability, especially during verticalization
Secondary Aims
- Accelerating locomotor recovery through intensive sensorimotor stimulation
- Passive: Triggering of afferent stream
- Active-assistive: Movement relearning, preparation for walking training
- Preventing complications due to immobilization and loss of mobility (e.g. thrombosis, muscle atrophy, contractures, decubitus)
- Maintaining or increasing range of motion
- Improving patient alertness
Indications
Training with the Erigo is indicated in neurological, trauma, cardiovascular, and post-surgery patients.
Neurological disorders include
(but are not limited to):
- Stroke
- Spinal cord injury (SCI)
- Traumatic brain injury (TBI)
The Erigo can be used even in the following clinical situations that usually lead to reduced therapy options:
- Permanent bladder catheters
- Strong spasticity (Modified Ashworth Scale 3, considerable increase in tone – passive movement difficult)
- Restricted lung function (e.g. artificial ventilation)
- Patients with reduced state of consciousness (e.g. no head/trunk control)
- Pediatric patients
For contraindications and risk factors, please see legal notes.