Anatomical Concepts (UK)
Masters of Rehabilitation Engineering
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Gloreha

Simply Effective Hand Rehabilitation 

Isn't it about time we had truly efficient and effective hand rehabilitation tools?  

Damage to the hand is not just a problem of manual dexterity - the hand has always been a tool for communication and self expression - hands express our cultural identity, our place in the world and even who are as individuals at the deepest level.  

The Sinfonia and Gloreha Pro2 features significant advancements in a tool that makes hand rehabilitation efficient and effective. Gloreha is designed to be a flexible for therapists to use during any phase of rehabilitation.  Gloreha provides the means to set different functional goals and protocols according to the specific circumstances of the patient.

GLOREHA SINFONIA

Gloreha Sinfonia is the most advanced version of the Gloreha upper limb rehabilitation device. It is ideal for all the neuromotor recovery phases.  The key aspect of Gloreha Sinfonia is an "active" rehabilitation glove which supports finger joint motion, whilst detecting voluntary active motion. Each motor exercise is enriched by a multisensory stimulation and a simultaneous 3D animation on the screen to amplifiy the cortical stimulation.

Gloreha robotic glove detects fingers movements and, according to  residual motor skills, partially/totally supports patient.

A patient can use his/her healthy hand to reply similar movements on the affected hand through Gloreha robotic glove.

Gloreha Sinfonia is a fantastic means to start functional recovery, because the patient’s arm has no hindrance to movement; monolateral and bilateral task-oriented exercises are available; real objects can be used during therapy. Within Gloreha software, several settings are available. For instance: video previews, customizable vocal instructions, monitoring performance improvements, interactive games.

Gloreha Pro 2 System

Each Gloreha Pro 2 system consists of 

  • Dynamic arm supports with adjustable weight compensation system
  • Ergonomically designed workstation table
  • Gloreha Pro 2 main unit and control software
  • Set of Gloves and Wrist braces in range of sizes for left and right hands

PROTOCOL CHOICES

The Sinfonia system offers a range of protocols that support all stages of rehabilitation

  • Active-assisted mobilisation - the glove senses the slight movement intention of the patient and supports that movement
  • Active - the patient trains and develops existing hand movements with interactive tasks and games
  • Bimanual - the patient moves the "unaffected" hand and the glove performs the mirror image movement on the affected hand
  • Passive - the glove mobilises the finger joints even without the presence of active movement by the patient

Features

  • Intensive Mobilisation - As a principle, intensive mobilisation is important to make functional gains. Gloreha provides a vehicle for intensive mobilisation - even when the patient cannot use his or her fingers actively.
  • Action - Observation Therapy - The software system provides high resolution, multi-modal feedback to the patient. This is valuable as visualising and thinking about a movement activates the same brain areas as carrying the physical movement for real. Gloreha offers a video preview (a real movie or virtual 3D simulation) which supports the patient in the motor planning phase.
  • Active Assisted - With the Sinfonia version the Gloreha glove detects active movements. According to necessity it can support patients to complete finger flexion and extension. Performance indicators give immediate results on each effort. Gloreha Software proposes specific active-assisted exercises to train daily tasks with real objects. The device supports the effort of patients intervening only if and when necessary.
  • Augmented Reality - Gloreha enhances the patients sense of movement by using customisable audio-visual effects (changing colours. backgrounds, songs or verbal instruction)
  • Active Participation - The therapist can set partial ranges of motion and the patient can be tasked to actively complete the movement initiated by the device.
  • Whole Arm Focus - By using the Dynamic Arm Support system the patient can move the whole arm for functional exercises with anti-gravity support.
  • Functional Tasks - Gloreha therapy can be enhanced by interacting with real objects and by carrying out practical daily activities
  • Bimanual Therapy - In the case of stroke where there is typically an unaffected side of the body, the patient can see and replay with his unaffected hand, the movement performed by the device on the affected hand. This supports and increases the attention level.
  • Proprioceptive exercises - Loss of proprioception is a significant barrier to functional recovery. Gloreha trains the patient to "reconnect" his body-mind to the movements and tasks thereby improving body awareness.
  • Interactive Games - Gloreha Sinfonia proposes interactive and challenging games that give the possibility to sharpen the movements of the fingers of the hand. In later phases of the rehabilitation process, the glove is not only a support for the movements, but also something similar to a joystick for playing and rehabilitating all at once. Gloreha software records the patient’s performance. Improvements can be monitored session by session.

The gloreha glove leaves the palm free

Gloreha Dynamic Arm Support

Customisable Parameters

  • Patient specific exercise plan and performance tracking
  • Flexion-extension range of motion can be set for each individual digit
  • Customisable exercise duration
  • Customisable pauses after flexion/extension movement
  • Audio and video effects
  • Controllable movement speed
  • Vocal guidance in the execution of the therapy
  • Background music during the therapy

Clinical Benefits

  • Maintaining and improving finger joint range of motion
  • Prevention of adhesions, contractures and damage caused by prolonged immobilisation
  • Reduced pain, oedema and hypertonia
  • Stimulation of proprioception
  • Improving joint metabolism and blood and lymphatic circulation 
  • Maintaining functional body awareness
  • Improving coordination, dexterity and functional independence
  • Increasing grip and pinch strength
  • Improving visual-spatial exploration and attention abilities

Clinical Indications

Gloreha has broad application with patients with hand paresis or plegia after injuries of the central nervous system, peripheral nervous system or spinal cord. It is also valuable for the post-acute treatment of patients following hand surgery, CRPS and several other conditions.

Comments on the Gloreha Pro 2 System

Let's compare the Gloreha Pro 2 and the Sinfonia versions

Each Gloreha Pro 2 system consists of

  • Dynamic arm supports with adjustable weight compensation system
  • Ergonomically designed workstation table
  • Gloreha Pro 2 main unit and control software
  • Set of Gloves and Wrist braces in range of sizes for left and right hands

The Gloreha Pro 2 does not support the Active assisted and Active modes of operation.  However, a Gloreha Pro 2 can be converted to a Sinfonia version by the addition of the "Gloreha Active Package"

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NOTE: Gloreha is a professional product for clinic or hospital use. We work with UK clients only