Carbonhand, a ground breaking assistive device, is set to transform the lives of individuals with weak grip and poor hand function in the United Kingdom.

Combining advanced technology and innovative design, this grip-strengthening, robotic glove offers newfound independence and enhanced quality of life to those who struggle with hand strength and dexterity. In this article, we will explore the product, who might benefit from Carbonhand, and describe the main features of this revolutionary medical device. The journey of Carbonhand began in the early 2000s with Hans von Holst, a neurologist at Karolinska Hospital, who often encountered patients with severely reduced strength and mobility in their hands. Teaming up with Jan Wikander, Professor of Mechatronics, they began developing a glove that could help strengthen hand grip. This collaboration led to the creation of the first Servoglove, the predecessor of Carbonhand.

We have known for a very long time that the delivery of certain forms of energy, including electrical, to the tissues of the body can bring about physiological and beneficial changes in those tissues. So called electrical stimulation devices are not all the same though, as we shall discuss below.

At Anatomical Concepts we have worked with various forms of electrical stimulation technology since the 1970’s and deal with leading products including the RISE Stimulator, and the RehaMove FES Cycling system and can offer advice and demostrations on request.

In earlier articles in this series, we have seen that motor training can induce constructive neuroplasticity providing that the tasks are practiced in a particular way and are challenging enough to stimulate positive adaptations. The human body is natural adaptive to the stimulus - or lack of it - that is provided.

Athletes learning new skills and training for peak performance in strength or endurance must draw on the same fundamental body resources as those individuals recovering from a neurological condition. There are many differences however in how to approach training due to the nature of the bodies energy systems and how these are influenced by disability.

When we are encouraged for rehabilitation purposes to train intensively, frequently etc we need to be aware of these energy systems and how they affect fatigue and the perception of effort.

In the Bridging the Gap series we are making comparisons between strategies and ideas used in training for elite sport and seeing if they are relevant to rehabilitation. In this article we are looking at the natural “learning process” of neuroplasticity which is the source of much hope and effort in rehabilitation.
The exciting discovery, revealed in glimpses over the last century, that the nervous system is plastic and adaptable even in adulthood, is a source of great hope to people with a spinal cord injury and other disorders such as stroke. We now call this inherent ability of the body to adapt, neuroplasticity, and recognise that the central nervous system (CNS) can undergo structural and functional change in response to new experiences.

Pressure ulcers, once upon a time known as bedsores, are a serious and painful condition that can occur when there is prolonged pressure on the skin. When pressure is applied to the skin for an extended period of time, it can lead to a decrease in blood flow and oxygen to the affected area, causing the skin to break down and form a sore. I need to add a bit of clarification here because no one can know if there is a safe level of pressure or a safe period of application - extended amount of time might not be very long at all. It varies so much with individual circumstances. The safest thing to do is aim to completely offload the heel area.

Pressure ulcers are more likely to occur in people who are bedridden or have limited mobility, as well as those who have certain medical conditions that affect blood flow, such as diabetes.:

One of the first questions that potential FES Cycling system owners might want to know is how much does a system cost? I guess from a potential client’s point of view there is not a lot of point in finding out about all the features and benefits if the cost is out of reach. In this article I can give you some guidance on the approach to pricing we apply to our RehaMove FES Cycling range.

Although pricing will obviously depend on the exact specification of a system, I can do my best to explain some of our thinking at Anatomical Concepts. We haven't set out to offer the least expensive or the most expensive FES bike and ultimately you will judge for yourself whether we offer good value.