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Exploring New Technology in Catastrophic Bodily Injury RehabilitationECC March 2018
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Table of Contents / Agenda
• Exoskeletons
• Lower Limb Prosthetics
• Virtual Reality
• Technology in the Home
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• Previously
• Wheelchair / Stand-up wheelchair
• Adapted vehicle
• Adaptions to home
Scenario: John works on his fathers farm in a remote part of Scotland and is catastrophically injured in an accident rendering him a paraplegic.
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Exoskeletons
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• Initially created 40 years ago
• Wearable robot – assistive walking device which supports/substitutes users own movements
• Full & partial lower limb exoskeletons
What is an exoskeleton?
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Exoskeleton
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• Reduction in neuropathic pain
• Reduction in musculoskeletal pain
• Reduction in spasms
• Improvement in bladder & bowel regime
• Improvements in cardio health / exercise tolerance
• Improvements / maintenance in bone density
• Improvement in sleep hygiene
• Maintenance of range of movement
• Psychological – pleasure in walking
• Psychosocial – being at eye-level with others
Benefits of an Exoskeleton
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Challenges
• Back pain
• Tissue damage
• Joint pathology
• Increased risk of falling
• uncomfortable to wear – create sores
Lower Limb Prosthetics
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Solutions
• Hydraulic ankles
– Self aligns to floor
– Provides greater support
– Improves posture
– Reduces risk of falls
– Reduced socket pressures
Lower Limb Prosthetics
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Multi-joint fully integrated microprocessor lower limb
• Processes data from the foot & ankle
• functions as one complete limb
Perforated Liner
• Air circulates rather than becoming trapped
Lower Limb Prosthetics
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Articulating hand with rotating wrist
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Multi articulating hand
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Advantages
• Enhance patient motivation
• Fun
• Personalise therapy & training
• Independent management of rehab
Impact
• Health gains
• Reduction in neuropathic & musculoskeletal pain
• Reduction in spasms
• Improved cardio & exercise tolerance
Virtual Reality
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• Smart phones / Tablets
• Amazon Echo – Alexa
• Hive / Nest
• Robotic lawn mower
• Robotic vacuum cleaner
• Rise & Fall worktops / cupboards
Technology in the Home
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• Previously
• Wheelchair / Stand-up Wheelchair
• Adapted vehicle
• Adaptions to home
• Now
• Re-walker (Exoskeleton)
• Segway Wheelchair
• Drone to monitor farm animals
• Motorised gates
• Amazon Echo
• Robotic vacuum cleaner
Scenario: John works on his fathers farm in a remote part of Scotland and is catastrophically injured in an accident rendering him a paraplegic.
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• Can carry on working – albeit to a limited degree
• Less impact on future loss of earnings
• Claimant more mobile & self sufficient – requires less help from carers
• Positive impact on his mental health & wellbeing
• Potential to settle claim early
Impact on Future Earnings & Care
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Legal notice
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The information and opinions contained in the presentation are provided as at the date of the presentation and are subject to change without notice. Although the information used was taken from reliable sources, Swiss Re does not accept any responsibility for the accuracy or comprehensiveness of the details given. All liability for the accuracy and completeness thereof or for any damage or loss resulting from the use of the information contained in this presentation is expressly excluded. Under no circumstances shall Swiss Re or its Group companies be liable for any financial or consequential loss relating to this presentation.