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The Post-covid-19 Condition protocol

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The Post-covid-19 Condition protocol

The Post-covid-19 Condition protocol

In concert with its network of national and international clinical partners, Movendo Technology has developed a post-COVID-19 protocol, which has been used since December 2020, consisting of an assessment tool and a specific treatment for neuromotor conditions associated with Post-COVID-19 Condition.

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Recorded cases of SARS-CoV-2 infection worldwide as of December 2021.1
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of patients with a confirmed diagnosis of COVID-19 report still having at least one symptom two weeks after the acute phase.2
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Patients who tested positive for COVID-19 stated that the symptoms of Post-COVID-19 Condition persisted for more than 5 weeks.
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Patients who tested positive for COVID-19 stated that the symptoms persisted for more than 12 weeks.3
  1. https://covid19.who.int/
  2. Lopez-Leon S, Wegman-Ostrosky T, Perelman C, et al. More than 50 Long-term effects of COVID-19: a systematic review and meta-analysis. medRxiv [Preprint]. 2021. doi:10.1101/2021.01. 27.21250617
  3. Office for National Statistics. The prevalence of long COVID symptoms and COVID-19 complications. [updated December 16, 2020]. Available from: https://www.ons.gov.uk/. Accessed February 2, 2021

What is the Movendo Post-covid-19 Condition protocol?

The application of the dedicated protocol aims to achieve the following objectives:

  1. Focus on the assessment and evolution of the Post-COVID-19 Condition
  2. Early intervention to reduce the persistence of the condition
  3. Acquisition of objective data on the evolution of patients with Post-COVID-19 Condition and subsequent treatment
  4. Integration and efficiency in a single technological assessment and treatment solution

Clinical and robotic assessments
combined in a single analysis

Clinical and robotic assessment parameters are combined to obtain an accurate description of the patient’s condition. The clinical tests available to treating physicians are combined with objective robotic data to form a starting point for the robotic treatment.

CLINICAL ASSESSMENT

ROBOTIC ASSESSMENT

The Post-covid-19 Condition treatment protocol

After the assessment, patients receive personalized robotic treatment using hunova, with exercises tailored to suit their neuromotor deficits. A paper was recently published on the Springer journal “Neurological Science” focusing on the application of hunova for the treatment of post-COVID-19 condition symptoms:

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Benefits

  • Sophisticated movement and strength profiles, developed on the basis of the principles of motor learning and brain plasticity during hunova assessment phase, can be applied precisely and repetitively to the customized treatment exercises during the second rehabilitation phase.
  • High-intensity, task-oriented functional training, which is essential for effective, affordable and lasting recovery, to assist therapists in the treatment of patients.
  • Rehabilitation exercises delivered in gaming mode, to provide motivation and support to the patient during the exercises.
  • Treatment tailored to suit the deficits identified.
  • Fully-customizable difficulty levels.
  • Treatment in sitting and standing positions.

Movendo Technology S.r.l. a socio unico

Via Bombrini 13/10
16149 Genova, ITALIA
tel: +39 010 0995700
mail: info@movendo.technology

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The contents on the following page contain information addressed exclusively to HEALTH CARE PROVIDER, as they relate to products falling within the category of medical devices requiring the use or intervention by healthcare professionals.

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Product technical data

  • Dimensions: 59 x 62 x 80 inches (150 x 160 x 205 cm)
  • Net weight: 639 lbs (290 Kg)
  • Maximum patient weight : 331 lbs (150 Kg)
  • Maximum input power:
    • 1400 VA (for SN>=190)
  • Power supply voltage: 115/230 Vac.
  • Nominal frequency: 50/60 Hz.
  • Maximum angular speed: 180 °/s.
  • Maximum inclination of bipodalic platform in all directions: ±18°
  • Maximum inclination of monopodalic platform in ankle configuration (sitting):
    • Plantar flexion/extension: ±30°;
    • External flexion/extension: ±18°;
  • Maximum inclination of monopodalic platform in standing position:
    • Plantar flexion/extension: ±18°;
    • External flexion/extension: ±18°;
  • Maximum robotic seat inclination:
    • Sagittal plane: ±13°;
    • Frontal plane: ±13°
  • Maximum transmissible torque, seat and platform: 200 Nm.
  • Inertial sensor battery APC0000001 
    • Power supply voltage and capacity: 3,7 Vdc 500mAh
  • Operating temperature: 50° F (10° C) to 86° F (30° C)
  • Storage temperature: 50° F (-20° C) to 86° F (70° C)
  • Ambient relative humidity: 30 to 75% non-condensing
  • Atmospheric pressure: No effect
  • Altitude: Maximum 6561 ft (2000 m)
 

Touch screen and acoustic feedback

Interactive interface (HD touch screen) providing visual and acoustic biofeedback by displaying information on trunk swing, weight-bearing distribution and seat and platform inclination. 

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hunova, huno and huno S, devices use gaming exercises to stimulate the patient to exceed previously achieved goals and scores, thus accelerating recovery and transforming therapeutic exercises into enjoyable activities.

The interface is mobile, allowing it to be used in both standing and sitting positions.

Tablet

The interface on the tablet computer allows clinicians to plan the session best suited to the patient, consult individual patient reports and produce diversified pathways from the comfort of their office. The tablet also allows the user to set up the patient’s planned rehabilitation session remotely.

Wireless position sensor

When placed on the subject’s trunk (or other area of the body, depending on the exercise), it monitors the movement of the subject, providing real-time acceleration and rotation measurements.

Standard ramp

The standard ramp is one of the extra optionals available for hunova, huno and huno S devices and is useful when the robotic system is used to transport non-self-sufficient and wheelchair-bound patients. The ramp can be removed and stowed away when not in use. Total length of ramp + hunova: 266 cm (104.7 inches).

Fixed ramp

The fixed ramp is one of the extra optionals available for hunova, huno and huno S devices and is useful when the robotic system is used to transport non-self-sufficient and wheelchair-bound patients. The ramp can be positioned either in line with hunova/huno/huno S (180°) or perpendicular to the device (90°), depending on the space available. Length of the ramp: 163.5 cm (64.3 inches).

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Sensorized robotic platform

The robotic platform allows exercises to be performed in both bipodalic and monopodalic modality. Partial weight-bearing exercises can be carried out using the monopodalic mode. It can be used for passive therapy (mobilization), active therapy (with elastic or fluid resistance), proprioceptive therapy and assistive therapy (intervening to complete the exercise when the patient requires assistance). hunva and huno S seats are equipped with a force and torque sensor and an offset sensor.

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Monopodalic configuration

Bipodalic configuration

Ankle sandal

Fits on the one-foot platform for ankle mobilization.

Knee and ankle stabilizer

When used in combination with the sandal, it prevents knee instability during ankle rehabilitation exercises.

Sensorized robotic seat

Induces both unidirectional and multidirectional movement with trajectories, speeds and ranges that can be set by the clinician. It can be used for passive therapy (mobilization), active therapy (with elastic or fluid resistance), proprioceptive therapy and assistive therapy (intervening to complete the exercise when the patient requires assistance). hunova and huno S seats are equipped with a force and torque sensor and an offset sensor.

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Adjustable seat

The seat adjusts to each patient’s position to ensure maximum comfort and correct performance of the exercises. hunova, huno and huno S all allow the user to memorize the seat position for each patient, so that the same optimal configuration is always available.

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Two removable handrails

Can be selected to suit the exercise (in sitting or standing positions) to ensure safe support for the patient.