Products & Supports
REAplan® is an innovative robotic medical device for the rehabilitation of the upper limbs of children and adults suffering from motor impairments, firstly dedicated to brain-injured patients. It allows an interactive mobilization in the horizontal plane of the arm of patients, such as the victims of stroke, the hemi-negligent patients, spinal cord injured patients, but also children with cerebral palsy.
A stroke is a disease that occurs as a result of a problem in the arteries of the brain. Two types of stroke differentiate from each other: for the ischemic stroke, a cerebral artery is obstructed because of the presence of a blood clot, whereas in the hemorrhagic stroke, a rupture of the artery is usually caused by an arterial hypertension. 15 million people are exposed to stroke every year in the world. More than 50% of survivors will have a long-term disability.
A stroke can cause the loss of upper limbs motricity. REAplan® provides an early support during the patient care, and thus promotes a phenomenon of cortical reorganization, called cerebral plasticity, which will occur around the lesion, allowing a motor re-learning for the patient.
Cerebral palsy is a non-progressive motor disorder associated with a brain injury occurring in the antenatal, perinatal or in the months following the birth.
It is a non-hereditary and non-progressive pathological condition with various neurological impairments. An exact cause is not always found, but it is related to prematurity, perinatal hypoxia, brain trauma and neonatal jaundice. The degree of neurological injury is severe in one third of cases and moderate in one-sixth of the cases.
The sequellar motor handicap consists of various degrees of movement and posture disorders. It may be associated with specific difficulties of higher functions, with disturbances of the attention, of the language, and with perceptual difficulties (hearing, vision) hampering school learning.
REAplan® promotes the mobilization of the upper limbs of these children through a playful and immersive work in an amplitude adapted to the morphology of this population.
Spinal cord injuries
Spinal cord injuries mean injury to this organ resulting from a trauma (such as a car accident) or a disease or a degeneration. Symptoms depend on the severity of the lesion and its location on the spinal cord. There may be a partial or complete loss of the sensory or motor function of the arms, of the legs or of the whole body.
Dyspraxia is an impairment of the ability to automatically perform determined movements in the absence of any paralysis or paresis of the muscles involved in the movement. The subject must voluntarily control each of his gestures, which is very costly in attention, and makes the coordination of the complex movements of everyday life extremely difficult, hence rarely obtained. It is an apraxia (inability to perform a movement or a series of movements) of developmental origin.
Unilateral spatial negligence
Unilateral spatial negligence (formerly heminegligence) is defined as the inability to “detect, orientate toward, or respond to meaningful stimuli when presented in the contralesional hemispace” (opposite to the lesion).
With the REAlab software, the REAplan® system allows nursing staff to program and manage a session of exercises adapted to each patient, using an intuitive interface, or to follow the evolution of the latter during successive exercises.
This software also includes algorithms that define and control the interaction between the device and the patient. These algorithms allow to assist the patient according to his own deficiencies and motor performances.
Indeed, this assistance adapts according to the kinematic performances specifically measured during the completion of the exercises. Ultimately, the purpose of this interaction is to allow the patient to perform movements repeatedly.
These movements are oriented towards a goal which has a meaning for the patient, and this, according to different modes of operation adapted to the different stages of the motor recovery of the latter.
Indeed, the patient can be assisted by the device according to the following 3 modes:
- Active, corresponding to assistance that helps him to stay on a trajectory. In this mode, the patient does not receive any assistance to progress along it,
- Activo-passive, corresponding to an assistance which helps him to stay on a trajectory and to progress along the latter,
- Passive, corresponding to total assistance. In this mode, the device performs all of the movements, completely driving the patient member with it.
- To enhance motor recovery, the REAplan® technology also provides the patient with an audiovisual feedback on a large screen. This allows an equivalence of scale between the movement made by the patient and the visual feedback.
Product features and accessories
The REAplan® device consists of a distal effector allowing to work in real amplitude.
The system is also equipped with a large flat screen, allowing an audiovisual feedback to the patient, and with a computer for the nursing staff, in order to configure and supervise the operation of the device. Finally, the whole device can be easily lifted or lowered so as to be adapted to the morphology of the patients or to adapt it to be used by very young patients.
Various accessories, associated with the device, allow the latter to be accessible to all patients, according to the condition of each of them.
In order to ensure a rehabilitation session in full comfort, handpieces exist in different shapes and especially allow to keep the forearm in neutral positions.
The spherical shape is recommended for patients with spasticity in the pronator muscles of the forearm.
The cylindrical handpiece is used by patients who have no spasticity in the pronator muscles of the forearm.
Connected to the distal effector, it allows to support the arm of the patient during the execution of the exercises.
In order to maintain balance and stability of the arm during the session, this dissociable part of the forearm support may be used depending on the condition of the patient.
The glove can be used to support the patient’s hand on the handpiece when performing the exercises. It should be used for patients with weakness in the flexion of the fingers preventing them from actively holding the handpiece.
The restraining belt is strongly recommended to immobilize the trunk in order to limit the compensations at this level. It can be used with a wheelchair or a standard chair.
* Different sizes are available as an option for the shell and the glove in order to adapt them to the morphology of each patient.
Axinesis ensures a quality service, with proximity, to healthcare professionals, to bring the most adapted rehabilitation solutions to patients.
Our team of engineers and computer experts will answer all your technical questions concerning the REAplan® in order to ensure an optimal use of the device.
Axinesis is also committed to training all users, guiding them in their first use with patients and providing them with technical assistance as soon as necessary.
Our R & D team encourages you to send us your suggestions and comments about the REAplan®. This approach will allow us to have a continuous improvement of our device, to adapt it as well as possible to the disability of each patient and to offer you the most suitable solutions. If you wish to have more information: