Hocoma Erigo - Conventional Tilt Table
Prolonged immobilization and reduced mobility have large consequences on the physical health status of the patient and can lead to various musculoskeletal and cardiovascular complications. Research has shown that immobilization in the early phase of acute medical treatment and after has a negative effect on the recovery process as well as long-term mortality rate.
- No leg movement leads to limited musculoskeletal and cardiovascular response which can delay walking abilities in the acute period.
- Pooling of blood in the lower extremities which can lead to a drop of the central blood.
- Disruptions of therapy due to presyncopal symptoms.
- Therapists are exposed to physical strain.
- Standing up and early gait initiation are labor intensive.
- Limited number of repetitions in an upright position
Early and Safe Mobilization Even in Acute Care
Safely verticalize and mobilize patients with very reduced or no ambulation ability and/or reduced transfer and standing abilities in acute care settings.
The Erigo gradually brings the patient into an upright position while moving the legs and applying cyclic leg loading. This enables safe verticalization and early functional mobilization of the lower extremity; optionally supported by functional electrical stimulation. Patients can be trained intensively and safely in a very early stage of rehabilitation.(1)
(1) Hocoma data on file as of Nov. 2022
Less disruptions of therapy
Therapy with the Erigo leads to significantly less disruptions of therapy than verticalization with a classic tilt table.(1)
Verticalization, passive leg movements and functional electrical stimulation may help in cardiovascular stabilization by reducting the risk of syncope.
(1) Hocoma data on file as of Nov. 2022
FES supported muscle activation
Increases muscle activation by additional Functional Electrical Stimulation (FES).
Physiologically, leg muscle contractions (muscle pump) propel blood back to the heart, reducing venous stasis in the legs and stabilizing blood pressure. In patients who are immobile, FES-induced contractions of leg muscles could be used to activate the muscle pump and to improve blood flow and venous return. The Erigo FES is fully synchronized with the robotic leg movements. Up to eight FES channels can be operated easily by the therapist on the touchscreen of the Erigo and adjusted according to the patient’s motor abilities.
Increased Patient Awareness
Verticalization and mobilization with the Erigo leads to a clinically relevant improvement in the state of consciousness in patients with related disorders. (1)
With an increased awareness, patients can actively participate in therapy with the Erigo as well as in those that can be combined with it, such as speech therapy or mobilization of upper extremities. Fast recovery of communication and cooperation skills are a prerequisite to enable and accelerate further rehabilitation.
(1) Hocoma data on file as of Nov. 2022
Increased Muscle-Strength & Improved Functional Independence in Activities of Daily Living
Patients who are immobile in bed or in need of a wheelchair for mobility can increase their lower extremity muscle strength and achieve greater functional independence in activity of daily living with Erigo therapy.
Excellent Clinical Usability
The Erigo can be used stationary or rolled directly into the patient room. It can be adjusted to align with the patient bed for supine transfer or even transfer with a patient lift.
The Erigo offers a safe training with direct patient contact and the possibility of constant interaction with patients. Hospital equipment such as patient monitoring systems can be safely attached to the included standard rails. Further benefits include therapy control via an intuitive user interface on a touchscreen, electronic adjustment of leg length, as well as the flexible onesized patient harness system.
Increased Therapy Efficiency
The Erigo enables a single therapist to provide mobilization, verticalization, and sensorimotor stimulation safely and efficiently at the same time.
In specific cases, e.g., with acute patients, more than one therapist per patient may be necessary. In such settings, the efficiency may be increased further by installing more than one device in the same room.