Hybrid assistive limb technology, which senses the movement you want to perform and then helps you do it, is starting to catch on in the U.S.
on 28 people with chronic heart failure. Eight patients regained the ability to walk independently after an average of 7 days of treatment, compared to three patients who could walk again after receiving conventional therapy.
Our bodies have sensory receptors called “proprioceptors” that detect motion and our body’s position. HAL treatment taps into this. “In the past, I would need to get down on the ground and move the patient’s legs with my hands to give tactile cues that provide input to the central nervous system that travels up through the spinal cord,” said Bob
As they progress, he can dial back the assistance or even add resistance to spur muscle growth and increase strength. “The end goal is to dial all those back to zero so the patient gets back to normal walking function,” McIver says. For patients, treatment with HAL generally costs the same as or a little more than regular physical therapy. “It’s no different than going to another center and doing a leg press – we charge the same codes,” McIver says. “There’s no special Medicare code for ‘Cyberdyne HAL.’”
Universal components for use across the HAL product line are being developed. Sankai envisions affordable HALs that a patient could take home for a few months.Cyberdyne has even done basic research on implantable semiconductors to improve nerve signal detection, but Cyberdyne USA chief clinical affairs officer Hiroki Kimura emphasized that “we do not have any devices that are invasive in our commercial lineup.
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