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.

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Telerehabilitation and virtual care

Originally a stand-alone device-and-software system in use in dozens of hospitals and clinics, ableX is now offered 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.


my.ableX is enjoying its first implementations for our clinical partners. Royal Melbourne Hospital is our first site. A collaboration between ableX, Perron Institute and MSWA, in Western Australia is shaping up as our second key site. We’re discussing requirements with other clinical sites too.

Game-LobbyButterfly-Catch-350x250Reports

 

Clinical implementation

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 actively reduces patients’ dependency 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.


Theoretical principles

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.


Clinical Sites

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 are currently developing a community-based telerehabilitation service based around the ableX cloud platform, in close alliance with the Perron Institute and MSWA.

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.


Efficacy

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.