Billings Hospital Uses Virtual Reality to Aid Rehabilitation

By EMILY SCHABACKER, The Billings Gazette

BILLINGS, Mont. (AP) — Dr. Jose Ortiz counted the minutes he spent behind an ambulance transporting him from Purple Lodge to Billings. Well timed remedy is crucial to saving one’s life or high quality of life throughout a stroke. And Ortiz had at the least a 60 minute drive earlier than he can be admitted to the hospital.

His coaching in medical college and greater than 20 years of practising household drugs might have given him an edge in shortly figuring out the signs of a stroke, however when he arrived at Billings Clinic, his total left aspect was limp. Ortiz ultimately began remedy on the Rehabilitation Hospital of Montana (RHOM) in Billings.

Now, about three months later, the one seen marker of the occasion is a slight droop to his smile on the left aspect.

Each affected person at RHOM is predicted to finish three hours of demanding remedy a day. To boost the grueling repetitions, RHOM partnered with tech firms Penumbra and BIONIK Labs to combine digital actuality (VR) and synthetic intelligence (AI) to affected person care, The Billings Gazette reviews.

RHOM is now the primary and solely facility in Montana to make the most of this expertise.

“(Rehab) might be the final frontier for medical robotics,” mentioned Loren Wass, chief business officer with BIONIK Labs.

BIONIK Labs produces the InMotion ARM which makes use of robotics, AI and machine studying (ML) to assist sufferers work on higher extremity rehabilitation after they have a neurological dysfunction resembling a stroke, Wass mentioned.

The affected person is seated in entrance of a monitor and their forearm is strapped into the gadget. Guided by video games on the display, the affected person grips a deal with and strikes their arm ahead and again, difficult them to get in additional reps.

The AI and ML permits the gadget to gather knowledge and adapt to the affected person’s wants. The machine produces progress reviews, makes remedy suggestions and it could possibly observe protocol pushed remedies.

In a traditional remedy session, the affected person completes about 30 to 60 actions in an hour, whereas BIONIK’s InMotion ARM units obtain 600 to 1,000 actions in the identical period of time.

Whereas the BIONIK Labs gadget isn’t one thing you may see in your front room, the digital actuality instruments are. The REAL y-Sequence is a complete VR rehabilitation device that helps distract the affected person from any discouraging or limiting ideas or emotions, mentioned Jen Graves, RHOM CEO.

Just like an Oculus, the REAL y-Sequence headset matches over the eyes to immerse the person into an entire new setting.

Straps with sensors are then connected to the arms, higher arms and over the shoulders and again to generate a physique within the VR world that’s much like the affected person’s.

Plunged right into a carnival themed pinball sport, sufferers attain to hit the balls coming towards them. The sport assessments shoulder vary of movement together with flexion and extension, reactive motion, core management, motor expertise and assessments their imaginative and prescient whereas participating in a excessive stimulation setting that distracts from bodily ache or fatigue.

In one other setting, the affected person finds themselves behind a deli counter. On one aspect they see a sandwich order and on the opposite are all of the substances to construct the sandwich. The sport focuses on sequencing and reminiscence work, object recognition, shoulder and cervical vary of movement and coordination.

Penumbra occupational therapist Jessica Hauert is educated to pick out actions particular to the affected person’s wants and watches the affected person’s progress from a handheld pill.

Hauert finds that many older sufferers are acquainted with issues like tablets and VR by way of their households, and are wanting to attempt it in remedy.

“Sufferers usually work more durable as a result of after they’re transported to a different world … they neglect that they’re doing actually laborious work. They’re reaching increased and dealing loads more durable as a result of they’re having enjoyable,” mentioned Jennifer Wong, VP of market growth with Immersive Healthcare at Penumbra.

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