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Technology Enabled Paths – EKSO GT in Rehabilitation Process

Rehabilitation post the acute episode could be a long process and traditional methods, though effective, may not be the most efficient always. They could be intensive in terms of time and human resources. In such a scenario the advent of modern technology has eased these concerns to considerable extent. They have widened the scope of the process by inducing efficiency and added reliability and in the case of thousands of patients have pushed the boundaries of expected results. Therefore, within a very short span of time technology enabled rehabilitation tools such as robotics and virtual reality have become an integral part of the rehabilitation process. One such tool is EKSO GTTM.

Ekso GT  is a wearable bionic suit that helps individuals with any level of lower extremity weakness or paralysis, including those with complete spinal cord injury, to stand up and walk with a natural fully weight bearing gait. The robotic exoskeleton is a comprehensive rehabilitation tool and is primarily employed to help the patient relearn correct step and weight shift patterns. The battery powered motors drive the legs which initiate the steps once the patient shifts their weight or when the sensors are activated. The tool is designed to mimic the natural physiological and bio-mechanical gait pattern to enable the patient to relearn the correct step patterns.

Suitable for

The Esko can be a very effective rehabilitation tool for patients with various levels of paralysis due to neurological conditions such as stroke, spinal cord injury or disease, traumatic brain injury and more.It can prove effective in the rehabilitation process of:

  • Stroke patients
  • Complete SCI patients – Up to C7
  • Incomplete SCI patients
  • Patients with other Neurological Conditions – Lower extremity weakness, paralysis or hemiparesis

Benefits of Ekso GT

One of the main advantages of Ekso is that it is fully adjustable to each patient’s specific needs. Based on the patient progression walking aids such as crutches, walking frame, arm slings and a walking cane are also introduced at different stages of the process.

  • Accelerates rehabilitation process and is an
    efficient and reliable assistive tool.
  • Increased patient safety
  • Improved individual patient progression.
  • Improved quality of gait training as a more
    natural gait pattern is encouraged.
  • Patients are able to stand and walk earlier in the rehabilitation
    process in a wide range of conditions.


ApoKOS is committed to harnessing technological advancements to provide our patients with the best post acut care and rehabilitation. Therefore we are equipped with some of the most revolutionary technologies in the world, which includes EKSO GTTM, and we make them available to our patients to accelerate their rehabilitation process and give them the best possible chances at getting back to an independent life.

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Managing and Preventing Secondary Complications in Stroke Patients

Secondary complications post an acute stroke episode can have immense impact on recovery, rehabilitation and, most importantly, quality of life of the patient during and post rehabilitation. They can be quite frequent and studies have confirmed that as many as 60% of patients in their rehabilitation phase acquire them. Therefore, medical observation and inputs during the inpatient rehabilitation phase is very important for ensuring the recovery and rehabilitation of the patient post the acute phase.

Some complications can arise as a direct result of the injury the brain sustained during the stoke episode. Others can be caused due to the physical and neurological changes that can limit the previous physical and cognitive abilities of the patient. For example, persistent shoulder pain as a result of paralysis of an arm which can no longer support the shoulder.

Some common secondary complications are –

  • Seizures
  • Aphasia
  • Brain edema
  • Pneumonia
  • Cognitive Impairment
  • Urinary tract infection
  • Bedsores
  • Deep venous thrombosis
  • Clinical Depression

Rehabilitation principles followed post the acute episode will dictate how the patient will come to cope with the changes and disabilities as well as prevent further complications. The end goal of rehabilitation process is to ensure that the patient recovers back as many abilities as possible and reintegrates with the society while leading an independent life.

Post Stroke Management and Rehabilitation

An ideal post-stroke management and rehabilitation strategy will include a combination of medical treatment, physical therapy, occupational therapy, swallowing and respiratory therapy and psychological treatment.

Medical Treatment – Involves medical supervision, monitoring and administration of medication.

Physical treatmentPhysical therapy is given to a patient in order to help them with their motor weaknesses and gain back muscle strength and balance.

Occupational therapy – An Occupational therapist evaluates the goals of the patient and tailors specific therapies to help them meet those goals. It primarily concentrates on helping the patient relearn basic physical and cognitive skills essential for day to day life. The ultimate aim is to enable the patient to reintegrate with the society and lead as independent a life as possible.

Speech therapy – Speech therapy concentrates on communication disorders, cognition, voice disorders and swallowing disorders.

Cognitive and behaviour therapy – CBT includes counselling and also development of personal coping strategies targeting unhelpful patterns in cognitions, behaviours and emotional regulation.

Recovery and rehabilitation post an acute stroke episode can be a long process. The life for the patient after stroke may involve coping with new physical and cognitive disabilities. ApoKOS Rehabilitation Hospital adopts a holistic, patient- first approach that leverages advanced technologies and practices that provides the patient with effective post-stroke management strategies. The end goal of our rehabilitation process is to ensure that the patient receives the best chance possible to heal, recover and reintegrate with the society.


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ARMEO Therapy: A Brief Insight About The Working Of This Ergonomic Device

Regaining active movement and improving overall bodily function are some of the primary aspects of rehabilitation. Assisting patients in performing regular tasks with considerable ease is another important motive for rehab specialists. Such experts have to work with patients who might have suffered from a road accident or a slip and fall incident.

Such accidents can have an immense impact on their brain or spine and can even lead to some other complex neurological condition. Most incidents also impact the upper extremities of patients and for this reason, rehabilitation becomes an absolute necessity for them!

ARMEO therapy is one such effective tool that aids patients in improving the function and movement of their arms and hands. Interestingly, the exercises in this equipment are self-directed and self-initiated.

What is ARMEO?

This equipment is essentially a rehabilitation exoskeleton which provides intensive arm rehabilitation to patients. These patients might have difficulty in moving their arms or hands actively because of a neurological injury or disorder.

With this advanced equipment, patients can practice movement and activities essential for their daily life and therapy progress. Research by experts also indicates that ARMEO Therapy aids in better and faster recovery of upper extremities when compared to routine therapy.

The ideal device for patients  

The technologically high-end equipment of ARMEO has been designed keeping in mind the patient’s requirements. It is the perfect device for patients who have been affected with:

Mechanisms of the equipment

ARMEO Therapy enables neuroplasticity in the patient’s early stage of recovery. It helps patients in carrying out arm movements which might be difficult for them, in general. The prime aim of this therapeutic device it to restore and maintain motor skills of the patient’s affected arm. The device further enables task-specific, high-intensity and active movement training. It further supports self-directed, intensive and functional movement therapy so that impaired patients can easily and independently practice the device’s directives.

The beneficial aspects  

  • ARMEO therapy ensures high-intensive therapy for affected patients along with enabling early recovery.
  • Encourages patients by providing performance feedbacks and appropriate exercises for hand and arm training.
  • Enables independent training of hand and arm along with motivating self-initiated, functional movement therapy.

Ensuring that patients can perform activities of daily living which can be as simple as holding a fork, writing with a pen, is the chief goal of ApoKOS Rehab specialists. With the technologically advanced, ergonomic exoskeleton named ARMEO Therapy, physiatrists can check the progress of patients. The presence of this device at the rehab center makes a huge difference to the patients as it presents continual assessment and objective analysis of their condition along with ensuring their speedy recovery.

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The Role of Occupational Therapist in Rehabilitation

The primary aim of rehabilitation is to ensure that patients lead an independent and contented life. Patients often seek rehabilitative care, after their visit to the hospital, so that they can regain independence. With occupational therapy, recovering and developing skills required for performing activities of daily living independently or with minimal assistance becomes possible.

Occupational therapy can be immensely beneficial for patients who are recovering from spinal cord injuries, stroke, traumatic brain injuries, patients having developmental delays, and patients undergoing upper limb surgeries. Some of the positive aspects when it comes to this intensive rehabilitation therapy are mentioned below –

  • The patients first receive therapy that helps in recovery of functions in weak upper limbs.
  • Patients, in whom regaining function in upper limbs is not possible, are taught compensatory techniques to perform their functions with the better hand with the use of assistive devices.
  • Therapists help patients to adapt and work in different environments and settings. Aiding patients in engaging and adapting themselves in varied activities is essential for the rehab specialists.
  • Children having developmental issues and who are affected by behavioral issues like autism and attention deficit hyperactive disorder are immensely benefitted by sensory integration techniques, applied behavioral analysis and self help techniques taught to them by an occupational therapist.
  • This patient-centric therapy focuses on the overall functionality of the patient. When occupational therapy is combined with physical therapy, the patient is able to regain their strength and mobility.
  • Providing patients with suitable assistive technology support and devices is another responsibility of occupational therapists. Other primary concerns include reducing the environmental barriers for patients so that it doesn’t limit their participation in community based activities.

The desired outcome of occupational therapy is to ensure that patients learn to be independent, as much as possible. Developing and utilizing adaptive technologies so that patients can perform routine activities without difficulty.

At ApoKOS Rehabilitation Hospital, assisting patients in improving their abilities and providing them an integrated therapy plan is crucial for specialists. Helping patients perform activities with regard to their personal hygiene, their fitness and other routine activities are some of the crucial responsibilities of the rehab therapists, here.

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Points to consider for choosing the right Mobility Assistive Device

Mobility Assisting Equipment like crutches, walkers, canes, electronic and manual wheelchairs are an essential part of rehabilitation. Be it a severe neurological condition or an orthopedic injury, rehabilitation experts will prescribe patients the appropriate mobility device for early and safe mobility of the patient.

This vital piece of equipment is important for the health and independence of patients. The selection of this equipment depends on certain factors based on the patient’s –

  • Cognitive aspects
  • Current functional status
  • Past and current medical history
  • Recent changes in their medical condition

The rehab team will select the optimal mobility assistive device for patients, after considering the environment in which they will be using it. Taking into consideration the patient’s mobility limitations and their impact on activities of daily living, here are a few essential points –

  1. Physicians will assess and examine patient’s strength and range of motion of his joints. This is because cases of spasticity, joint abnormalities, weakness, and contractures affect their ability to ambulate and transfer safely.
  2. A crutch, cane , or walker is advised after taking in account the height , strength of upper extremity muscles and available range of motion of joints .
  3. Crucial features of the wheelchair will have an effect on the ability of transferring in and out of the wheel chair or moving from one place to another. Hence, the height, armrests, foot support of the wheelchair should be comfortable for patients.
  4. Ability of a person to self propel the wheel chair , relieve pressure , navigate thresh holds will decide the type of wheel chair and the quality of seating system for prevention of bed sores and easy ambulation.

Choosing a wheeled mobility device entails many a consideration. The device’s functionality, aesthetic aspect and it’s assistance in helping patients regain their movement are critical factors. At ApoKos Rehabilitation Hospital, specialists select the appropriate assistive device that works on their range of movement. Prescribing patients with a device that offers greater reliability and, flexible functionality is essential for the rehabilitation team.

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Understanding the Varied Aspects of Pressure Sores or Bed Sores

Pressure sores are a common problem for patients who have been immobilized for a long period of time. These sores are  wounds on body where too much pressure is put on the skin surface.

Such pressure injuries usually occur on pressure bearing areas of the body. It is also essential to understand that these wounds are not accidental and can be quite painful and have overall inhibitory affect on the recovery of the patient. Hence, it becomes essential to know the symptoms, causes and treatment aspects of these wounds.

Identify the signs –

  1. The first warning sign can be erythema or reddened skin which appears in skin areas sustaining maximum pressure from either a wheelchair cushion or bed mattress.
  2. It is very important to identify the location of these pressure sores, as well. Such wounds mainly occur in areas like occiput, elbows, shoulder blades, hip, lower back, heels, internal and anterior part of the knee.
  3. Medical attention becomes necessary as soon as a non subsiding erythema sets in.
  4. If the wound starts darkening and is accompanied with the presence of drainage and dead tissue, consult the healthcare provider immediately.

Know the causes –

  • Physical factors are among the primary reason for pressure sores. It exerts unnecessary duress in the body’s pressure points along with shearing friction. Repeated friction and increased pressure thus leads to degeneration of the skin .
  • Certain internal factors like anemia ,poor nutrition , poor blood supply also hastens the occurance of pressure sores.
  • Certain external factors like foreign bodies, moisture, bandages, medical adhesives can also intensify the occurrence of pressure sores.

Obtain treatment –

  • Doctor-supervised rehabilitation can be quite helpful for treating pressure sores. These specialists ensure the application of rigorous methods for preventing such wounds.
  • Getting screened for these sores, at an early stage, will be beneficial for you and the rehab team.
  • Daily monitoring and examination of the affected areas is vital. The rehabilitation team will also recommend that changing positions frequently can be beneficial for bed ridden patients. This helps in relieving pressure on the affected skin area.
  • Regular dressing of a wound and maintaining a dry environment is needed for deep wounds.
  • Late stage pressure sores require tissue grafting.

For helping patients in coping better with their condition, ApoKos Rehabilitation Hospital provides different types of beds like nimbus, alpha, etc.  which are either water-filled or air-filled mattress. The mattresses help in better positioning of the patient in the bed and aid in protecting vulnerable areas of the body from pressure sores.


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Benefit of Rehabilitation for Spinal Injuries

Any damage to the spinal cord can be detrimental for your health. It can result in considerable loss of different functions be it sensation, tone and power of muscles, bladder and bowel dysfunctions. Hence, it becomes necessary to ensure proper and timely treatment. This is because the usage of correct techniques for treating the patient can accelerate the recovery and result in a better outcome.

With a robust, patient-centric rehab program, ensuring the successful transition of patients from the hospital to their routine life becomes easy. Specialists always recommend that a proper, well-tailored rehabilitation program is necessary for improving the patient’s life.

Below mentioned are the benefits of rehabilitation for Spinal Cord Injury (SCI) patients

  • Physical therapy is an integral part of the rehabilitation program. It helps in facilitating the restoration of flexibility and muscle strength. The program also aids in improving mobility, coordination, maintaining body functions and early ambulation of the affected individual.
  • Occupational therapy is also a vital aspect as it enable patients in getting back to an independent lifestyle. This therapy encourages patients in performing daily tasks like bathing, dressing, going to the toilet, transfer in and out of bed and using aids etc.
  • Prevention and management of the various complications like pressure sores , aspiration pneumonia , recurrent urinary tract infections can go a long way in improving the quality of life and life expectancy of Spinal cord injury patients.
  • Management of neurogenic bladder and bowel and sexual rehabilitation are essential for the patient to lead a content life and help him integrate in the society without any hesitation.

Rehabilitative care focuses in stabilizing the patient’s condition, facilitate his independence and returning back to his previous life after a spinal cord injury. The rehab team stresses on the importance of an integrated and comprehensive approach using the various treatments, and prevention strategies available in today’s world.

The EKSO GT Exoskeleton helps patients in regaining their lost skills so that they can lead an independent life.  It is a technologically advanced wearable bionic suit that improves the gait, mobility and movement aspects of the patients condition. The Exoskeleton is an essential part of ApoKos Rehabilitation Hospital’s patient-centric program. With advance technology and integrated rehab services gaining independence after spinal cord injury and trauma becomes possible!


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Understanding the Acute Phase of a Cardiac Rehab Program

An intensive and structured cardiac rehabilitation program always helps patients in regaining optimal fitness. These programs become essential especially after a patient suffers from a heart attack or other cardiac problems. The team of therapists will help in improving your functional disability along with decreasing additional risk factors.

Before opting for an inclusive and integrated rehabilitation plan, it is important to know more about the acute phase. It primarily comprises of the cardiac rehabilitation’s initial stage. It begins immediately after the patient has suffered from a cardiac event.
This phase include –

  • Cardio pulmonary exercise training with monitoring, prescribing safe exercises which aid in improving mobility and overall cardiac fitness. Such exercises often entail self-care and range-of-motion exercises for patients.
  • As these rehab plans are inclusive and patient-centric, the involvement of family becomes mandatory. In this case, family members are educated about the patient’s condition, the probable benefits and risks of rehabilitative therapy.

Helping patients engage in activities which they can perform in regular life is a vital aspect of cardiac rehabilitation programs. Educating patients and their family also becomes important as they get to know about specific heart-related problems, exercises and activities. They are also educated about other aspects like risk factors, lifestyle changes, nutrition, and emergency planning.

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Taking Care of Orthopedic Injuries & Trauma With Rehabilitation

Orthopedic trauma is not uncommon or unheard of! Be it a sports related injury or a slip and fall accident, such mishaps can put a halt to your regular activities. Even after being careful and taking precautionary methods for preventing injuries, you might end up getting hurt.

By responding appropriately to your injuries, you can get back to routine life, as early as possible. If the wounds and discomfort are serious, then opting for a comprehensive rehabilitation program might work wonders for you! Here are a few important points to keep in mind –

  • Too much exertion on the affected areas will only cause more discomfort. If you experience unnecessary muscle fatigue or throbbing in the injured area, then stop all activities and rest.
  • Compression on the affected areas of the body can also be helpful, at times. A light wrap in the form of tape or bandage will aid in preventing fluid accumulation.
  • Physiologists and therapists recommend moving around a little, once the swelling and pain has subsided. Their primary aim is to ensure that you return to daily activities with full range of motion.
  • Physical therapy is another important part of orthopedic rehabilitation. It comprises of exercises which improves your gait, balance and strength.

When an orthopedic injury starts bothering you and if the pain is unbearable, it is always better to seek medical help followed by rehabilitation. Specialists also help in choosing the right assistive devices like walker, cane or crutches which enable you to move around smoothly.

It is crucial to remember that orthopedic rehabilitative care goes a long way in helping you regain proper skills and movement. Whether it be torn muscles, hip replacement or spine injury, undergoing rehabilitation and therapy becomes mandatory. An intensive rehab program will help you in healing quickly and ensure that you get back to normal activities, without much pain.

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Points To Consider When Choosing A Rehabilitation Facility

After suffering from a cardiac or neurological problem, it is essential for patients to get ample and safe therapy. This enables their swift recovery so that they can regain their freedom of movement and mobility.

Thus, it becomes essential to choose the right rehabilitation facility for ensuring the best possible treatment and care for patients. Choosing a top-notch rehab center becomes an essential consideration for the future, for both you and your loved one!

Before choosing a rehabilitation program, it is important to take note of the quality of care. This factor will help you in choosing the right rehab facility for taking care of a patient’s neurological or cardiac problem.

Here are a few ways with the help of which you can make the necessary decision –

Developing treatment plans–This is an essential point which you must discuss before beginning the rehab program. Physicians and specialists will provide you with a detailed treatment plan where you may have to work with speech/language, swallow, occupational, physical and psychological therapists under supervision with a target oriented approach.

Specific programs – A patient-centric rehabilitation plan will always cater to the patient’s requirements. It will ensure that they get back to their normal life, as early as possible. Providing appropriate therapy for treating disorders like brain injury, stroke, cardiac problem, or orthopedic surgery is an important factor. Asking your physician regarding the provided services before opting for the rehab program will be helpful.

Other basic considerations include the availability of state-of-the-art equipments like body-weight support treadmill,electrotherapy, passive and active ergometers,robotic devices and if other supplemental services are provided. These can include physical therapy that helps in improving your coordination, balance and mobility.

Asking about the facility’s specialties, maybe in trauma or brain injury, will help you in making a wise choice. An optimal rehabilitation facility will always encourage the participation of family members in the program. This aspect helps in maximizing the patient’s recovery possibilities.

The above-mentioned qualities are important for a rehabilitation hospital. Regardless of your prior knowledge of rehab facilities, it is vital that you do proper research on the same. This will help in making the selection process easier and will also ensure faster recovery for you!

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