VRRS

Khymeia VRRS – Virtual Reality Rehabilitation System – is a medical device Class I certified and patented internationally. VRRS is the most advanced, comprehensive and clinically tested virtual reality system for rehabilitation and tele-rehabilitation in the market. The extreme ease of use, the high customization capabilities, the complete automatic reporting, the tele-rehabilitation functionalities, are some of the principles that lead the continuous development of the system. VRRS, in fact, is conceived as a “central HUB” to which it is possible to connect via USB a wide range of specialized peripheral devices, fully synchronized and integrated with the system. VRRS, with the exclusive magnetic kinematic acquisition system, is used as a clinical routine for the rehabilitation of a wide spectrum of diseases via the numerous rehabilitative modules containing the most extensive library of clinically validated exercises available.

Scientific principles

The scientific paradigms underpinning the system are in particular those of the “augmented feedback” and the “motor imagery”, principles that underpin the consolidated experience of the promotion, by the central nervous system, of motor learning. The augmented feedback, through exercises performed in a virtual environment, allows to develop the “knowledge of results” and the “knowledge of performance” of movements. By this way the central nervous system can activate a crucial mechanism of “physiological learning” which implies an increase of the specific information of a movement to produce as a result an effective increase of the performance quality.

These feedback signals, during the execution of voluntary movements even if altered by the disease, lead to profound changes in the cortex and subcortical depth at the cellular and synaptic level that are responsible for the recovery of motor activity, even in patients with large cerebral stroke and cranial trauma. The patient treated with VRRS method does not need to divide his attention between his gesture and the one performed by the therapist at different times and different work spaces, thus avoiding to operate translations or rotations in the central nervous system level to assume the same point of view in the execution.

Simplicity


VRRS, equipped with “remote touch” technology and “virtual assistant”, is remarkably easy to use. The system has a simple, intuitive interface that allows immediate management of all its functionalities. Each exercise is equipped with a preview clip that shows the correct positioning of the sensors and the execution of the exercise.

Versatility


The VRRS is conceived and developed as a “central HUB” to which you can connect via USB a wide range of specialized peripheral devices, natively integrated and synchronized with the system. This allows the therapist to benefit from a single system of a wide range of rehabilitation activities related to the same patient and getting just one medical folder in which are automatically recorded all the sessions carried out by the patient with whatever peripheral device used.

Rehabilitative modules


VRRS, with the exclusive magnetic kinematic acquisition system, is used as a clinical routine for the rehabilitation of a wide spectrum of diseases via the numerous rehabilitative modules: NEUROLOGICAL (motor; cognitive; speech therapy; balance; hand, fingers and wrist; cervical; immersive virtual reality; occupational therapy; muscle synergies) and ORTHOPEDIC (ankle; knee; pelvis; hip; hand; fingers; wrist; elbow; shoulder; back; cervical).

Exercises

VRRS contains the most extensive library of clinically validated exercises available. All exercises were carried out on precise clinical indication of the most authoritative international rehabilitation centers.

VRRS provides the possibility for therapists in very quick and simple way to create by themselves brand new exercises, getting the opportunity to customize the rehabilitation programs for each patient. Likewise they can make any changes to existing exercises.

Each exercise is equipped with a variety of feedback that can be freely activated by the therapist. This allows to activate the mechanisms of the central nervous system related to the well-known scientific principles behind the method.

All exercises have a score, modulated by the therapist based on the residual functional abilities of the specific patient, that rewards and motivates the execution of the prescribed exercise. The score is also an excellent tool to asses the progress made by the patient.

Virtual assistant


The smart virtual assistant system is the exclusive technological support that allows the patient to receive in real time an interactive feedback during the execution of the exercises. This tool is particularly useful in the remote tele-rehabilitation.

Sensors


VRRS is equipped with the most advanced sensor technologies available. From the exclusive magnetic kinematic acquisition sensors that allows unparalleled temporal precision, kinematic accuracy and avoids any position shadow cone, to the light-detection sensor. The VRRS sensors do not require any specific setting and do not require any reference to the starting position of the patient, being automatically generated by the system, thereby enabling to start with the exercises in no time.

Reporting


Each patient activity is automatically recorded by the system, thereby generating a complete and objective reporting system that can be intuitively consulted by the therapist at any time, with the opportunity to view from an actual “replay” of the completed exercises, to the most sophisticated analysis in graphical and numerical format. All data can be printed or exported into the most common formats. The reporting is integrated into the patient’s medical file. This is an outstanding tool for analysis and evaluation as well as an objective way of monitoring the patient progress.

Telerehabilitation

Learn more

Server web cloud


VRRS is designed natively to be synchronized with Cloud Server, enabling all the telemedicine and telerehabilitation activities, including the sharing of data and patient cards across multiple devices and across multiple clinical facilities.

Benefits

Many international scientific journals have certified the better effectiveness of the VRRS method compared to the traditional rehabilitation activities. Moreover, the VRRS shows an extraordinary compliance by patients who play the VRRS exercises. Its gaming like structure activates a key motivational mechanism for the achievement of rehabilitation goals.

The VRRS method allows to give a concrete response to the constant increasing of rehabilitation demand, generated by the growing average survival rate.

The native functionality of interconnectivity and the automatic reporting system of VRRS allows not only to maintain a continuous monitoring of patients, but also to integrate the existing medical records and health records.

VRRS is also played as tool for scientific research. Its features provide an organized set of tools that can facilitate the conduct of scientific trials for a wide range of diseases.

The characteristics of the tele-mode enable to implement efficient rehabilitation models that face concretely the needs of health economic efficiency and social expenses of patients and their care givers.

Publications


Telemedicine for Facio-Scapulo-Humeral Muscular Dystrophy: A multidisciplinary approach to improve quality of life and reduce hospitalization rate? – Disability and Health Journal

The aim of the study "Telemedicine for Facio-Scapulo-Humeral Muscular Dystrophy: A multidisciplinary approach to improve quality of life and reduce…


Virtual reality rehabilitation in patients with total knee replacement: Preliminary results – Gait and Posture

The paper "Virtual reality rehabilitation in patients with total knee replacement: Preliminary results" published on Gait & Posture aims to evaluate…


Effects of planar robotic rehabilitation on muscle synergies of the upper limbs in post-stroke subjects – Gait & Posture

The aim of the publication "Effects of planar robotic rehabilitation on muscle synergies of the upper limbs in post-stroke subjects" published on…


Planar robotic rehabilitation of upper limb in post-stroke subjects: Transfer of training effects to a non-trained 3D functional task – Gait & Posture

The study "Planar robotic rehabilitation of upper limb in post-stroke subjects: Transfer of training effects to a non-trained 3D functional task"…


Virtual Reality to Assess and Treat Lower Extremity Disorders in Post-stroke Patients – Methods of Information in Medicine

The purpose of the paper "Virtual Reality to Assess and Treat Lower Extremity Disorders in Post-stroke Patients" published on Methods of Information…


Decomposing time series data by a non-negative matrix factorization algorithm with temporally constrained coefficients – IEEE Xplore

In the paper "Decomposing time series data by a non-negative matrix factorization algorithm with temporally constrained coefficients" on IEEE Xplore…


Virtual reality for stroke rehabilitation 2015 – Cochrane Review

Review of the publication COCHRANE REVIEW of Cochrane Australian group 2011, which performed a meta-analysis of virtual reality in gaming and in…


Telerehabilitation and recovery of motor function: a systematic review and meta-analysis – SAGE Journals

The paper "Telerehabilitation and recovery of motor function: a systematic review and meta-analysis" on SAGE Journals - Journal of Telemedicine and…


A Decade of Progress Using Virtual Reality for Poststroke Lower Extremity Rehabilitation: Systematic Review of the Intervention Methods – BioMed Research International

The objective of the paper "A Decade of Progress Using Virtual Reality for Poststroke Lower Extremity Rehabilitation: Systematic Review of the…


Interventions for improving upper limb function after stroke – Cochrane Review

The Cochrane review "Interventions for improving upper limb function after stroke" examines the effectiveness of rehabilitation interventions…


The application of virtual reality in neuro-rehabilitation: motor re-learning supported by innovative technologies – Medical Rehabilitation

The review paper "The application of virtual reality in neuro-rehabilitation: motor re-learning supported by innovative technologies" on Medical…


Reinforced Feedback in Virtual Environment for Rehabilitation of Upper Extremity Dysfunction after Stroke: Preliminary Data from a Randomized Controlled Trial – BioMed Research International

The publication "Reinforced Feedback in Virtual Environment for Rehabilitation of Upper Extremity Dysfunction after Stroke: Preliminary Data from a…


Telerehabilitation for stroke patients: an overview of reviews – JACCES

The publication "Telerehabilitation for stroke patients: an overview of reviews" in the Journal of Accessibility and Design for All provides an…


Rehabilitation of Children with Hemiparesis: A Pilot Study on the Use of Virtual Reality – BioMed Research Institute

The paper  "Rehabilitation of Children with Hemiparesis: A Pilot Study on the Use of Virtual Reality" published on BioMed Research International…


Virtual reality for the rehabilitation of the upper limb motor function after stroke – JNER

The publication on Journal of Neuroengineering and Rehabilitation "Virtual reality for the rehabilitation of the upper limb motor function after…


Muscle synergy patterns as physiological markers of motor cortical damage – PNAS

The publication in PNAS "Muscle synergy patterns as physiological markers of motor cortical damage" uses the VRRS system for the innovative study on…


Virtual reality for stroke rehabilitation 2011 – Cochrane review

The publication COCHRANE REVIEW of Cochrane Australian group performed a meta-analysis of virtual reality for gamin and medical devices for upper…


10 years experience in the application of the Reinforced Feedback in Virtual Environment (RFVE) for neurorehabilitation: Preliminary results from a retrospective analysis in stroke patients – IEEE

The aim of the paper "10 years experience in the application of the Reinforced Feedback in Virtual Environment (RFVE) for neurorehabilitation:…


Assessment of a virtual teacher feedback for the recovery of the upper limb after stroke – Italian Journal of Physiotherapy

The aim of the paper "Assessment of a virtual teacher feedback for the recovery of the upper limb after stroke" in the Italian Journal of…


The effectiveness of reinforced feedback in virtual environment in the first 12 months after stroke – Polish Journal of Neurology and Neurosurgery

The paper on Polish Journal of Neurology and Neurosurgery "The effectiveness of reinforced feedback in virtual environment in the first 12 months…


Motor Learning Principles for Rehabilitation: A Pilot Randomized Controlled Study in Poststroke Patients – SAGE Journals

In the publication on SAGE Journals "Motor Learning Principles for Rehabilitation: A Pilot Randomized Controlled Study in Poststroke Patients" the…


Stability of muscle synergies for voluntary actions after cortical stroke in humans – PNAS

The paper on PNAS "Stability of muscle synergies for voluntary actions after cortical stroke in humans" tests the hypothesis that motor cortices may…


Exercises for Paretic Upper Limb After Stroke: A Combined Virtual-Reality and Telemedicine Approach – Journal of Rehabilitation Medicine

The paper on Journal of Rehabilitation Medicine "Exercises for Paretic Upper Limb After Stroke: A Combined Virtual-Reality and Telemedicine Approach"…


Assessment and Treatment of the Upper Limb by Means of Virtual Reality in PostStroke Patients – IOS Press

The publication on IOS Press "Assessment and Treatment of the Upper Limb by Means of Virtual Reality in PostStroke Patients" shows how the…


Satisfaction with care in post-stroke patients undergoing a telerehabilitation programme at home – SAGE Journals

The paper on SAGE Journals - Telemedicine and Telecare "Satisfaction with care in post-stroke patients undergoing a telerehabilitation programme at…


Virtual environment vs conventional physical therapy for arm motor rehabilitation after stroke: a RCT study – Europa MedicoPhysica

The paper on Europa MedicoPhysica "Virtual environment vs conventional physical therapy for arm motor rehabilitation after stroke: a RCT study"…


Reinforced Feedback in Virtual Environment Facilitates the Arm Motor Recovery in Patients after a Recent Stroke – IEEE

The publication "Reinforced Feedback in Virtual Environment Facilitates the Arm Motor Recovery in Patients after a Recent Stroke" in IEEE - Virtual…


Impaired Short-term Motor Learning in Multiple Sclerosis: Evidence From Virtual Reality – Sage Journals

The paper on SAGE Journals "Impaired Short-term Motor Learning in Multiple Sclerosis: Evidence From Virtual Reality" investigates the usefulness of…


Post-stroke arm motor telerehabilitation web-based – IEEE

The paper on IEEE "Post-stroke arm motor telerehabilitation web-based" evaluates the effects of a telerehabilitation program designed for…


Virtual Environment Training Therapy for Arm Motor Rehabilitation – Presence

The paper on Presence "Virtual Environment Training Therapy for Arm Motor Rehabilitation" shows how motor recovery in post-stroke patients may be…


Virtual Environment Training Improves Motor Performance in Two Patients with Stroke: Case Report – JNPT

The publication on Journal of Neurologic Physical Therapy "Virtual Environment Training Improves Motor Performance in Two Patients with Stroke: Case…


Augmented Feedback Presented in a Virtual Environment Accelerates Learning of a Difficult Motor Task – Journal of Motor Behaviour

The publication on Journal of Motor Behaviour "Augmented Feedback Presented in a Virtual Environment Accelerates Learning of a Difficult Motor Task"…