MusicGlove Combining Music and Games for Stroke Rehab: Interview with Dr. Nizan Friedman, CEO of Flint Rehab
Stroke is a number one purpose of demise and incapacity around the globe. In the United States on my own, just about 800,00 folks be afflicted by a stroke every yr. Many of those that are fortunate to continue to exist proceed to reside with quite a lot of long-term bodily disabilities, together with higher limb motor impairment.
Studies have proven that early motor rehabilitation is one of an important components to lend a hand reduce incapacity and regain serve as after a stroke. This rehabilitation duration normally contains more than one extensive and extremely repetitive workouts designed to lend a hand the mind rewire itself and reclaim serve as via neural plasticity.
Unfortunately, staying motivated to accomplish those workouts persistently, particularly as soon as a affected person returns house, will also be difficult. Recent information means that simplest one-third of sufferers post-stroke proceed to accomplish and practice their prescribed house workouts. Therefore, a couple of years in the past, a California-based corporate referred to as Flint Rehab created MusicGlove. MusicGlove is a sensorized glove that makes use of gamified healing workouts to extend affected person engagement and encourages the efficiency of vital workouts to regain hand dexterity after a stroke or different neurological harm.
We at Medgadget coated MusicGlove when it was once first presented to the marketplace again in 2014. Recently, we had the risk to interview Nizan Friedman, CEO and Co-Founder of Flint Rehab, to be informed extra in regards to the product and any updates it has gone through over the previous few years.
Kenan Raddawi, MD, Medgadget: Can you please give our readers a temporary evaluate of MusicGlove? For instance, when is it used, how does it paintings, and what sort of sensors does it make the most of?
Dr. Nizan Friedman, Flint Rehab: MusicGlove is an workout device utilized by somebody with impaired hand serve as because of stroke, spinal twine harm, tense mind harm, or different neurologic accidents. The instrument contains customized, fabric-based contact sensors which are worn at the guidelines of every finger, with an extra sensor at the aspect of the index finger. These sensors permit MusicGlove to hit upon when the wearer plays the gripping actions maximum ceaselessly practiced in typical hand treatment and continuously utilized in day by day lifestyles (e.g. a key-pinch grip, or a pincer seize). To workout, customers merely put at the glove and then play a healing, music-based online game that cues them to accomplish those grips alongside with scrolling notes which are synchronized to a track. This transforms regimen hand treatment into an enticing, motivating enjoy that will get customers addicted to their restoration.
Medgadget: What are the differing types of gloves utilized in stroke rehabilitation remedies, and through which class does MusicGlove fall?
Dr. Friedman: The two primary classes are assistive gloves and healing gloves. An assistive glove, reminiscent of a splint or brace, is a tool that holds a person’s hand in a static place. The function of an assistive glove is to both save you a person from regressing or to quickly building up their serve as so long as they’re dressed in the instrument. Thus, when a person takes the assistive glove off, that person won’t see any long-term receive advantages.
Conversely, the main serve as of a healing glove is to allow the person to accomplish hand treatment in a simpler means. Consequentially, as with MusicGlove, the mind creates new neural connections, which in flip results in long-term enhancements within the skill to make use of the hand, even if the glove comes off.
Medgadget: MusicGlove’s app interface seems to have a equivalent arrange because the musical recreation, “GuitarHero”. Why did Flint Rehab choose this sort of recreation? Are there any plans so as to add extra selection one day?
Dr. Friedman: This was once very intentional. While clinical instrument corporations are mavens in sensor design, online game corporations have actually been those who’ve mastered person engagement, replayability, and amusing. So, fairly than reinvent the wheel, we appeared to the gaming business for inspiration. Music-based video games reminiscent of Rock Band or GuitarHero, are amongst the most well liked online game franchises of all time, and have persisted to maintain person hobby over masses of hours of play. By the usage of a equivalent method, we have been in a position to switch that addictive gaming enjoy right into a rehabilitation device that customers if truth be told stay up for the usage of. Since launching, we now have persisted to enlarge the song variety with a Pop Song Pack, and are growing classical, nation, and rock packs to practice.
Medgadget: How clean is it to make use of MusicGlove for individuals who don’t seem to be essentially tech-savvy?
Dr. Friedman: Our moderate buyer is 70 years outdated and ceaselessly now not laptop literate. Our mantra from the beginning was once to offer a high-tech treatment answer that anybody can use. MusicGlove works proper out of the field. Users merely have to place the instrument on, open an app on their laptop, and then click on “begin.” For those that aren’t relaxed putting in tool on their very own laptop, we additionally be offering a customized touchscreen pill this is locked all the way down to run simplest our tool, so customers merely have to show the pill on and then they may be able to in an instant get started exercising.
Medgadget: Does the affected person desire a healthcare supplier (OT, PT) to arrange the instrument, choose the fitting workout program, and ceaselessly observe the affected person’s development? Could the affected person remotely be in contact with a therapist by the use of the app?
Dr. Friedman: In two randomized managed trials funded by way of NIH, we discovered that MusicGlove considerably improves hand serve as each within the sanatorium with therapist steering and at house with out therapist steering. Therefore, getting the lend a hand of an occupational therapist to create an optimum routine for the affected person is recommended however now not obligatory.
We are these days growing an easy-to-use far flung tracking answer that allows clinicians that observe affected person development. The anticipated release date is 2nd quarter 2019, and will unencumber extra main points round that point. In the interim, therapists can communicate to their sufferers at the telephone or by the use of Skype in the event that they need to take a look at in. The MusicGlove tool supplies an easy-to-use analytics suite that permits sufferers to simply view and be in contact their development.
Medgadget: Since MusicGlove works extra on positive motor talents, what stage of capability does the affected person want earlier than he/she is in a position to use MusicGlove?
Dr. Friedman: MusicGlove works by way of encouraging customers to finish workouts on their very own, strengthening the neural connection between the mind and the hand through the years. This implies that it does now not transfer a affected person’s hand for them, so some preliminary motion skill is needed. In our scientific trials, we now have observed the most productive effects when customers start the usage of MusicGlove as soon as they may be able to contact their thumb to both the aspect or tip of their index finger and unencumber it at least one time each 10 seconds. If the survivor does now not be able to transfer their hand, we advise that they use our different instrument, FitMi, which is extra adaptable to all ranges of impairment.
Medgadget: How does hand rehabilitation with MusicGlove examine to traditional treatment? Has your product been clinically examined in opposition to typical treatment?
Dr. Friedman: The workouts that customers carry out with MusicGlove are necessarily the similar workouts that they might carry out in typical hand treatment. The distinction is that the quantity of repetitions carried out in typical hand treatment is orders of magnitude not up to what is needed for most restoration. With MusicGlove, it’s clean for customers to finish 1000’s of repetitions with out even feeling like they’re doing treatment. We’ve finished two randomized managed trials to check MusicGlove to traditional treatment, one in a sanatorium surroundings and one in a house surroundings. In each instances, sufferers that used MusicGlove had considerably higher enhancements in hand serve as than those who did typical treatment. These practical enhancements additionally ended in important development in sufferers’ skill to accomplish actions of day by day dwelling, reminiscent of with the ability to open a door, brush their tooth, wash dishes, or use the bathroom independently. Notably, in the house learn about, the MusicGlove customers if truth be told ended up doing much more treatment than we requested them to do as time went on, just because they loved it such a lot. We imagine that’s the primary reason why that they had higher enhancements in hand serve as than the opposite crew.
Medgadget: One of the nearest competition to MusicGlove is the Rapael Smart Glove by way of Neofect. How does MusicGlove examine to this product, and what units it aside?
Dr. Friedman: The number one variations between MusicGlove and the Rapael Smart Glove come with usability and capability. We advanced MusicGlove from the bottom as much as be a clinical instrument that was once in reality out there to the house marketplace. These options come with:
- A cheaper price level for possession at a value of $349 which is 70% less than Rapael
- Transparency in pricing and no obstacles to buying the product. Rapael calls for a signup shape to simply get pricing on their site while survivors can merely click on the purchase button and have the product shipped out subsequent day.
- No coaching required and minimum setup.
- MusicGlove trains positive motor motion with more than one grip diversifications together with a key pinch grip (one of essentially the most repeatedly used grips). This grip variation isn’t to be had the usage of the Rapael.
Finally, MusicGlove is the primary product to marketplace and has an extended monitor document as a a hit neurorehabilitation instrument for the house marketplace.
Medgadget: How a lot does MusicGlove price, and do insurance coverage corporations quilt it?
Dr. Friedman: MusicGlove begins at $349. This elegance of regenerative rehabilitation units, MusicGlove incorporated, isn’t coated by way of maximum insurance coverage corporations.
Medgadget: We at Medgadget coated MusicGlove when it was once first introduced again in 2014. Have there been any primary updates for the reason that preliminary release?
Dr. Friedman: When we first introduced MusicGlove, it was once simplest to be had as a complete gadget that incorporated the 10” touchscreen pill for $1200. Since then, we now have launched a desktop model of the MusicGlove tool that may run on a Mac or PC. We have considerably larger the quantity of units being offered to 1000’s of gadgets and subsequently have subsequently been in a position to scale back the associated fee of manufacturing. We had been in a position to cross those financial savings alongside to the tip person and can be offering the instrument at a considerably cheaper price level of $350 (70% aid) for the tool model. We’ve additionally made different updates to the MusicGlove tool to permit sufferers to accomplish extra custom designed workout regimens which are adapted to their explicit impairments and to enlarge the quantity of songs they may be able to workout alongside with.
Medgadget: Gamified neurorehabilitation methods had been out for a couple of years now. Based to your intensive enjoy, what are the primary obstacles to the adoption of such methods?
Dr. Friedman: Price is all the time going to a barrier, and it’s person who we’re very delicate to. Often occasions, the people who want treatment essentially the most are the ones that can have essentially the most bother paying for it. Unfortunately, insurance coverage corporations haven’t made the long-term restoration of those folks a concern. They are glad to get sufferers to some extent the place they’re “good enough”. We don’t seem to be. And so we knew that the one method to offer a sustainable approach to those sufferers was once to determine the way to make a product that was once inexpensive sufficient for them to buy out of pocket. Now, for about the cost of 3 outpatient treatment visits, sufferers should purchase a MusicGlove and have limitless get admission to to a amusing, easy-to-use hand treatment device this is confirmed to paintings. We are proud to be the primary corporate to turn that this type will also be a hit. Thousands of folks have already used MusicGlove to take their restoration into their very own palms since our release in 2014, and extra are becoming a member of them each day.
Medgadget: Is there the rest you suppose our readers must find out about MusicGlove or your corporate?
Dr. Friedman: MusicGlove was once our first product, however we didn’t prevent there! We additionally be offering every other instrument referred to as FitMi that permits customers to observe arm, leg and trunk workouts at house along with the hand treatment that MusicGlove supplies. In the approaching six months we will be able to even be launching two new units. One is a wearable meant for folks with neurologic harm and the second one is an workout cycle for rehabilitation. Both of those units would be the first Bluetooth-enabled neuro rehab equipment that make treatment a social enjoy. Users will likely be in a position to sign up for collaborative teams to succeed in objectives and keep motivated.
We additionally know that restoration is set extra than simply doing all your workouts, so we’ve additionally excited by fostering neighborhood and training sources for stroke survivors. We average one of the most important stroke reinforce teams within the nation (https://www.fb.com/teams/flintstrokesupportgroup/) and we run one of the highest stroke blogs within the U.S. with over 500 articles on stroke prevention, remedy, and restoration (www.flintrehab.com/be told). Our challenge is to empower folks with efficient, attractive equipment to spark their restoration, and we stay up for persisted inventions to lend a hand us higher accomplish that function.
Link: Flint Rehab…