Intensive Upper Limb Training, with Benefits
We’re keen to help you use your clinical time and resources effectively to give patients as much functional and task-oriented rehabilitation as possible. ableX engages primarily the upper limb, while at the same time stimulating various other neural activity centres to influence cognition, core balance, mobility, attention and language.
ableX enables patients to develop the components of functional independence faster, giving your therapy team more to work with during scheduled contact time. Patients can do many more hours of hospital-level training without you needing more FTEs. This brings the cost of care down and your health service metrics up.
Telerehabilitation and Virtual Care
Already used in dozens of hospitals and clinics as a stand alone system, ableX is now available as a cloud solution, my.ableX. This means you can administer and personalise this therapy with a high degree of accuracy without always needing to be face to face, and you can access real time data showing each patient’s actual performance. Patients see their own progress represented in real time too, and use this for motivation. This capability adds a new dimension to your existing expertise and resources.
We are advocates of empowering patients to develop independence and self-management. So a typical clinical deployment of ableX involves a handful of workstations within the rehabilitation gym where a therapist or rehab physician can assess, set up and coach patients individually and in a group.
After a handful of sessions even severely impaired patients reach a degree of autonomy within the ableX games and in the use of the devices. It is natural for them to interact socially with other patients while using and learning to use the equipment. The simplicity of ableX means patients are far less dependent on a particular clinician or technical expertise.
We often hear that ableX helps to accelerate patients to a point where they can access more complex clinical tools or complete longer contact sessions, and so it has a role in optimising existing interventions.
ableX includes training (soon available as an online accreditation) which helps you prescribe the Just Right Challenge for each patient. Through this methodology you can modularise a patient’s exercise routine so that anyone on the care team can administer it. Online delivery gives you anytime access to monitor and personalise for each patient, and to cohort data for KPIs.
Finally, because we feel strongly about continuity of care, our equipment and exercise routines are designed to go with the patient, bridging the gap as they transition from each care setting to the next. Our subscription access model helps to ensure that the cost of ableX fits closely to the actual provision and funding of care throughout the journey.
Contact us to implement ableX into your neuro rehabilitation practice.
"The major plus for a therapist is that the client is fully interacting with the games cognitively and functionally. I had never seen a client so engaged in the task for 45 minutes when focusing on upper limb rehabilitation."
Anne Recordon - Rehabilitation Specialist
ableX provides rehabilitation activity which promotes neural plasticity: intensive and meaningful unilateral and bilateral activity for global recovery and motor relearning. You apply standard goal setting and functional task analysis to personalise specific training routines, and we can offer guidance in mapping the intervention to the International Classification of Function. All of this helps you to demonstrate delivery against established clinical performance standards.
The ableX system fits easily into a range of practicing rehabilitation settings, with no additional staff. At Royal Melbourne Hospital the ableX system is accessible to acute patients from Day 2 post-stroke. The 10-week Hand Hub intervention forms part of a patient’s rehabilitation journey from inpatient through to outpatient care, and the ableX cloud platform (my.ableX) is operational as part of a randomised controlled trial of in-home telerehabilitation.
Specialist centres, such as ABI Rehabilitation in New Zealand, incorporate the ableX system into high needs care for residential clients, in particular patients with acute traumatic brain injury.
In Western Australia we have implemented a community-based telerehabilitation service based around the ableX cloud platform for MSWA, in close alliance with the Perron Institute.
General rehabilitation units and long term care facilities in Australia and NZ employ ableX as a stroke treatment tool when expert therapists are unavailable. It can be reimbursed when recommended by a rehabilitation professional.
MSWA with Perron Institute
A therapist-led service model at MSWA in Perth enabled 20 stroke and MS clients to complete 532 independent therapy sessions in their own homes over an average 10 weeks, each needing just a single hands-on visit to access the ableX cloud platform. Patient support, adherence/activity data and benefits reporting were all delivered remotely.
75% of patients reported moderate or significant benefits
69% of therapy sessions outside clinical hours
In-Home Clinical Workflow
Royal Melbourne Hospital
A clinic-based circuit programme recruited 92 outpatients with stroke and MS. The protocol provided 18 sessions over 6 weeks, for groups of up to 6. Using multiple devices the protocol developed into a graduated pathway for each individual. The “Hand Hub” is now a permanent programme, and is also accessible to inpatients.
92 0utpatients | 1656 therapy hours
0.2 FTE therapist | 97% adherence
The core intervention of devices and software has been the subject of peer reviewed research papers and conference presentations, mainly in stroke cohorts. Clinically significant gains in arm function, cognition, mobility and quality of life are recorded. Download the list of publications to date here.
On the strength of pilot studies completed to date, opportunities exist for future research in connection with the use of ableX for stroke, dementia, multiple sclerosis, and cerebral palsy.
Return on Investment
Average 5 hours actual contact time per participant
Patient Sessions to Contact Sessions - 6:1 Productivity Ratio*
10 Week Delivery vs Conventional Therapy - 11% Cost Saving*
|Cost to a Funder of this Delivery|
|Funded Value of Therapy Sessions Delivered|
= ROI 330%*
* ableX analysis of patient and therapist activity data in the MSWA at-home pilot, applying NDIS funding rates