The research activities of the Department of Cognitive Science at MIT Massachusetts Institute of Technology in Boston have shown that, through rehabilitation in a virtual environment, the central nervous system receives feedback signals increased (augmented feedback) which, during the execution of voluntary movements even if altered by the disease, induces profound changes in cortical and subcortical synaptic and cellular level that are responsible for the restoration of motor activity even in patients who, for example, have had extensive head injuries and strokes.

The virtual environment is developed from the operational protocol resulting from a treatment method in neuromotor virtual environment, developed at the Department of Cognitive Sciences at MIT, Massachusetts Institute of Technology in Boston, using the most advanced knowledge of neurophysiological processes of motion learning and memorization processes.

VRRS


What is VRRS? 

VRRS is conceived to put the patient in a situation to generate the augmented feedback towards his central nervous system (augmented
feedback) through exercises performed in a virtual environment which help to develop knowledge of results of the movements (knowledge of results) and knowledge of the quality of the movements (knowledge of performance). The VRRS method is based on information for the central nervous system such as the evidence of results "knowledge of results" and "knowledge of performance." This way the central nervous system can activate a physiological key learning mechanism called "reinforcement learning" which implies an increase of the specific information of a movement to produce an effective improvement of performance quality. The patient treated with the VRRS method does not split his attention between his gesture and the one performed by the therapist in different times and places of work, thus avoiding to make translations or rotations in the central nervous system to take the same point of view of the movement execution.

THE VIRTUAL REALITY MOST ADVANCED AND CLINICALLY TESTED SYSTEM FOR NEUROLOGICAL, COGNITIVE, SPEECH THERAPY, CARDIO RESPIRATORY, POSTURAL, ELDERLY AND MUSCULOSKELETAL TELE/REHABILITATION

SCIENTIFIC PARADIGMS 

The scientific paradigms underlying the system are in particular those of the augmented feedback and the motor imagination, principles upon which it is based the established experience of motor learning promotion by the central nervous system. TECHNOLOGY PRINCIPLES VERSATILITY VRRS is a central hub for connecting multiple devices such as treadmill, augmented reality devices technologies, balance stabilometric and proprioceptive platforms, devices for fine hand rehabilitation and others, representing the output in virtual reality mode with the appropriate work settings combined with specific sets of report. EASINESS VRRS is exceptionally easy to use; endowed with a touch screen monitor and the smart “Interactive Touch Explorer System”, it allows the therapist to an immediate and intuitive management of all its functionalities. INNOVATION VRRS represents the world’s most advanced rehabilitation technology in the virtual reality environment; VRRS is clinically adopted on daily bases also in the most advanced Rehabilitation Centers even for remote and home telerehabilitation mode.

TECHNOLOGY PRINCIPLES 
VERSATILITY 
VRRS is a central hub for connecting multiple devices such as treadmill, augmented reality devices technologies, balance stabilometric and proprioceptive platforms, devices for fine hand rehabilitation and others, representing the output in virtual reality mode with the appropriate work settings combined with specific sets of report. 
EASINESS 
VRRS is exceptionally easy to use; endowed with a touch screen monitor and the smart “Interactive Touch Explorer System”, it allows the therapist to an immediate and intuitive management of all its functionalities. INNOVATION 
VRRS represents the world’s most advanced rehabilitation technology in the virtual reality environment; VRRS is clinically adopted on daily bases also in the most advanced Rehabilitation Centers even for remote and home telerehabilitation mode.

THE VRRS METHOD 
The rehabilitation effectiveness of the VRRS system, verified by numerous
international scientific publications (including the COCHRANE REVIEW), is the result of many years of development and clinical testing by international prestigious centers of excellence. Technically, VRRS generates a feeble magnetic field area wherein are recognized in real time the position as well as the inclination of small 3D wireless sensors with 6 degrees of freedom, completely harmless. The sensors are applied to the affected part of the patient or to daily living items, reproducing with extreme precision the patient’s movements into virtual reality scenarios. The patient is asked to emulate in real time the “ideal” movement previously recorded. Sensors can play individual segments as well as the whole body of the patient, allowing to face the most complex rehabilitation fields such as step, walking, balance and 
compensation. Each operation is carried out with extraordinary ease thanks to the "Smart Touch Explorer System” that allows to manage tasks with immediacy and intuitiveness.


AVAILABLE TREATMENTS 
VRRS platform integrates an exclusive large library of clinically validated exercises divided into specific modules, including "Neuromotor"; "Cognitive"; "Speech Therapy"; "Postural and Balance"; "Head and Cervical"; 
"Orthopedic"; "Cardiorespiratory". Each module includes specific additional hardware, such as Posturographic and Proprioceptive platforms, Handbox, Grasp Sensor.

REPORTING SYSTEM 

All activities are automatically recorded by the system, thus generating a complete and objective reporting system that, very easily, can be consulted by the therapist at any time, with the opportunity to view a real
"replay" of the exercises up to more sophisticated analysis in graphical and numerical modes. This is both, a powerful tool of analysis and evaluation, and an exceptional system of objective monitoring of the patient's progress.

DESIGNING BRAND NEW EXERCISES 
The VRRS has a large number of clinically validated exercises, set up for the different diseases, from basic scenarios to those more "environmentally" and complex. However, VRRS allows therapists to create with extraordinary
simplicity from scratch brand new exercises, fitting to the specific needs of each patient.

TELEREHABILITATION AND TELEMEDICINE 

The VRRS Tele Rehabilitation integrates all the modules, and allows to implement the remote rehabilitation and medicine, representing a genuine clinical and technological innovation. The therapist is able to take full control of the system remotely and to interact in real time with the patient via the
integrated two-way video conference. The patient can also work offline, performing activities prescribed by the therapist remotely via a dedicated web interface. Specific scientific studies have shown equal rehabilitation effectiveness of the VRRS TR compared to same treatment in hospital. 

The platform VRRS-TR allows to implement even remote telemedicine and
teleconsultation. The physician interacts in real time with the patient and in real time can upload data even of the cardiorespiratory matter.
Neurological Rehabilitation 

The exercises for Neurological rehabilitation include available scenarios
ranging from the most simple “reaching” activities to those complex and ecological ones, fitting many diseases. The exercises are organized by segment and by body area: 
--Upper limb, left and right; 
--Leg, left and right; 
--Trunk; 
--Hand. 

This module requires the magnetic kinematic tracking system. The specific activity for fine hand rehabilitation requires the VRRS HANDBOX System.

Cognitive Rehabilitation

The exercises for Cognitive rehabilitation are organized by cognitive
functionalities:
-- Memory;
-- Caution;
-- Apraxia;
-- Spatial orientation;
-- Time orientation;
-- Math;
-- Logic.
The module provides interaction through touchscreen or via the special sensor VRRS GRASP.

Speech Therapy Rehabilitation

The exercises for Speech Therapy rehabilitation are organized by domain of
activity:
-- Written denomination;
-- Exercises of respiratory education.

The module provides a wide activity based on videoconference with the
therapist.
The module provides interaction through touchscreen or via the special sensor VRRS GRASP.



Orthopedic Rehabilitation

The exercises for the Orthopedic rehabilitation are organized by
articulation:
--Wrist;
-- Elbow;
-- Shoulder;
-- Basin;
-- Knee;
-- Hip.

This module requires the magnetic kinematic tracking system.
For some activities, it is required the VRRS Stabilometric Balance.

Postural Rehabilitation

The Stabilometric and Proprioceptive exercises are organized by
domains:
-- Posturographic assesment;
-- Exercises of reaching;
-- Exercises of tracking;
-- Exercises of weight shift;
-- Exercises of weight balance.

The module requires the Stabilometric Balance and the Proprioceptive Balance.

Cervical Mobility

The activities for the Cervical Rachis rehabilitation include:
-- Exercises of tracking;
-- Exercises of reaching;
-- Exercises of trajectory tracking.

This module requires the magnetic kinematic tracking system;



Cardiorespiratory Rehabilitation and Monitoring

The activities for Cardiorespiratory rehabilitation include:
-- Remote monitoring about pressure, respiratory rate, heart-rate,
pulse-oximetry, ECG;
-- Spirometry evaluation;
-- Biofeedback exercises for monitoring the respiratory rate and
inhalation and exhalation phases.

This module requires the spirometer and the Khymeia dedicated
monitor cardiorespiratory monitor.

VRRS System