Limitations of Conventional Gait Therapy
Balance & Gait Training
- Lack of task specificity for everyday life
- Lack of objective and sensitive gait assessments
- Limited feedback for the patient
- Limited training duration and intensity
- Monotonous, boring exercises
Advantages of C-Mill Therapy
Effective Functional Gait Therapy
The C-Mill helps patients train for everyday life’s environments and changing circumstances, like walking in a crowded area or avoiding obstacles.
By utilizing virtual reality applications, projections, and force plates, the usual limitations of conventional therapy setups can be overcome, enabling the therapist to simulate a broad variety of realistic situations.
Simulation variables can be changed easily.
Therefore, balance, steady gait, dual tasking, and gait adaptability can be improved fast and effectively.
Time ratio spent on actual training is greatly increased on the C-Mill for both the patient and the therapist.
Overground walking tracks with obstacles, turns, and stepping targets no longer have to be set up, leaving more time for actual exercises.
Patients can take more than twice as many steps during a C-Mill training compared to a conventional physiotherapy session of the same duration.
Backed by Science
Therapy on the C-Mill is based on the proven principles of motor learning: external focus of attention, variable practice, implicit learning, high training intensity, task specificity, and performance feedback.
To simulate everyday challenges, these principles have been incorporated into C-Mill training in several ways, such as external visual and acoustic cues, variation in exercises, easily adjustable parameters, motivating virtual and augmented reality experience, real-time and after-session reports, and more.
Objective In-Depth Assessment
Extensive data collection allows valid, objective, and highly reliable assessment of balance, gait, and gait adaptability.
During each stage of the rehabilitation process, C-Mill assessments can be used:
- For balance: static postural control and dynamic weight shifting in four directions.
- For gait: spatio-temporal parameters (step length, step width, etc.), gaitograms, video recordings, and center of pressure pattern.
- For gait adaptability: treadmill projection and virtual reality application tasks to facilitate comparison to walking in daily life presented in a spider diagram.
All assessment data is clearly visualized and issued as dependable reports.
Monitor Performance Over Time
A patient’s performance is measured and saved to provide both short- and long-term results and insights.
This lets the therapist determine a patient’s status as well as efficiently adapt the content for the next training.
Extended Treadmill Training
The C-Mill offers extended training possibilities through its optional Body Weight Support (BWS) System and additional versatile balance exercise applications.
Due to the optional BWS system, patients’ body weight can be significantly reduced during gait training, enabling them to start therapy much earlier in the rehabilitation process.
What started as a treadmill for functional gait training only now offers a variety of optional balance suite, allowing not only for different stages and intensities but also for different types of training.
Both options enhance early rehabilitation, with the BWS system additionally reducing the therapist’s effort to assist patient ambulation.
Fun, Motivational, and Enjoyable
Thanks to its functional, safe, and challenging yet fun applications, the C-Mill offers an enjoyable and engaging therapy.
Various exercise games featuring visual and audio stimuli provide patients with an interactive, varied, and fun therapy full of enjoyable and rewarding moments to keep them immersed and motivated.
The Motek’s C-Mill is a complete, advanced evaluation and training treadmill, simulating everyday life challenges through augmented and virtual reality in a safe and comfortable environment.
More than 20 studies have been conducted on the C-Mill and its different versions:
- Effective Functional Gait Therapy
“Improved obstacle avoidance success rates and reduced associated attentional demands after C-Mill training in chronic stroke patients. ”
(van Ooijen et al. 2014a)
- Incorporates Motor Learning Principles
“VR- and AR-based therapy with the C-Mill could help to incorporate motor learning principles like external focus of attention, implicit learning, variable practice, training intensity, task specificity, and feedback on performance into clinical practice.”
(Papegaaij et al. 2017)
- Objective In-Depth Assessment
“Gait adaptability can be validly assessed by use of the C-Mill with obstacle avoidance and step target tasks.”
(Houdijk et al. 2012)
- Fun and Motivating
“Patients perceived C-Mill training as useful, motivating, fun, challenging, and enjoyable.”
(Van Ooijen et al. 2014b)
Further Clinical Evidence and Reports
The C-Mill has been thoroughly tested and researched. Numerous studies have proven it to be effective. Motek provides an overview of publications in the literature section of its website.
To find out more, visit www.motekmedical.com/literature.
What Experts Say
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