 HYPERMED PAEDIATRIC BRAIN INJURY
Hypoxic Induced Damage includes the following disorders: Cerebral Palsy (Adult and Childhood), Autism, Infantile Stroke, Near Drowning, Delayed Development Syndrome, Behavioural and Learning Difficulties, Compulsive Obsessive Disorders, Motor Skill Delay ... Hyperbaric oxygen in the treatment of patients with cerebral stroke, brain trauma, and neurologic disease Al-Waili NS, Butler GJ, Beale J, Abdullah MS, Hamilton RW, Lee BY, Lucus P, Allen MW, Petrillo RL, Carrey Z, Finkelstein M. SourceLife Support Technologies, Inc., and NewTechnologies, Inc., The Mount Vernon Hospital, Westchester Medical Center, New York Medical College, New York, USA. AbstractHyperbaric oxygen (HBO) therapy has been used to treat patients with numerous disorders, including stroke. This treatment has been shown to decrease cerebral edema, normalize water content in the brain, decrease the severity of brain infarction, and maintain blood-brain barrier integrity. In addition, HBO therapy attenuates motor deficits, decreases the risks of sequelae, and prevents recurrent cerebral circulatory disorders, thereby leading to improved outcomes and survival. Hyperbaric oxygen also accelerates the regression of atherosclerotic lesions, promotes antioxidant defenses, and suppresses the proliferation of macrophages and foam cells in atherosclerotic lesions. Although no medical treatment is available for patients with cerebral palsy, in some studies, HBO therapy has improved the function of damaged cells, attenuated the effects of hypoxia on the neonatal brain, enhanced gross motor function and fine motor control, and alleviated spasticity. In the treatment of patients with migraine, HBO therapy has been shown to reduce intracranial pressure significantly and abort acute attacks of migraine, reduce migraine headache pain, and prevent cluster headache. In studies that investigated the effects of HBO therapy on the damaged brain, the treatment was found to inhibit neuronal death, arrest the progression of radiation-induced neurologic necrosis, improve blood flow in regions affected by chronic neurologic disease as well as aerobic metabolism in brain injury, and accelerate the resolution of clinical symptoms. Hyperbaric oxygen has also been reported to accelerate neurologic recovery after spinal cord injury by ameliorating mitochondrial dysfunction in the motor cortex and spinal cord, arresting the spread of hemorrhage, reversing hypoxia, and reducing edema. HBO has enhanced wound healing in patients with chronic osteomyelitis. The results of HBO therapy in the treatment of patients with stroke, atherosclerosis, cerebral palsy, intracranial pressure, headache, and brain and spinal cord injury are promising and warrant further investigation.
HyperMED Paediatric Protocols Are Unique - We Are About 'Driving Functional Changes' HyperMED provides saturative blocks of Hyperbaric Oxygenation (HBOT) combined with Australian first LOKOMAT (Robotic Gait Training - Adult and Paediatric) to promote neuroplasticity - the ability of neural pathways to foster and develop new connections and ‘learn’ new functions. Other supportive modalities include MonoRail Walking, Median Nerve Stimulation, Whole Body Vibration and immune stimulating supplements HyperMED combination protocols ‘awakens’ dormant neural pathways and provides accurate neurological repetition enhancing and re-training connections and pathways in the brain and spinal cord. Patients have the ability to ‘salvage back’ what has been damaged - the capacity to wake-up dormant pathways, rewire, retrain and reconnect function improving brain and spinal cord function. HyperMED: Patient Registration - Complete and fax with ALL medical reports prior to attending HyperMED Paediatric Inquiry - Typical Parent inquiry and HyperMED response Do Wheel Chairs Inhibit Recovery? 'Learned non-use' HyperMED/Cerebral Palsy Outcomes Using HBO, LOKOMAT, Cerebrolysin - HyperMED Research Submission 2009 - Excellent overview to benefits of Hyperbaric Oxygenation combined with Lokomat (Robotic Assisted Training) and Cerebrolysin Hyperbaric Oxygen Treatment Cerebral Palsy: Review and Comparison to 'Accepted' Therapies (Marois 2007) "A recent study that showed notable improvements in children with CP treated with slightly pressurized air, as well as those treated with a standard protocol for HBOT, is invoked to deny effectiveness of HBOT! Political and economic considerations rather than purely scientific ones play an important role in this controversy. Their is unusual resistance to expanding the indications for this modality ..." Dr Earl Willams - Low Pressure HBOT For Rett Syndrome, Cerebral Palsy The Emerging Role Of Robotics In Cerebral Palsy 
A PERTH family whose 11-month-old daughter was severely disabled after being vaccinated with CSL's influenza vaccine is about to launch legal action against the Australian pharmaceutical giant. PerthNow understands that Kirsten and Mick Button will shortly launch a lawsuit against CSL. The suit will allege the vaccine supplied by Australian pharmaceutical giant CSL, and distributed for free to parents by the WA government, was defective. Alert! Virus in the system (inoculations) - potential cause for infantile brain injury ... Stem Cell Mobilization Hyperbaric Oxygenation 8-fold (800%) increase in the patients own target specific CD34+ stem cell mobilization after HBOT Clinical_Report_LS_UT LOKOMAT Southwestern USA Clinical_Report_LS_ LOKOMAT Spaulding USA LOKOMAT_Clinical_Report_ LOKOMAT Shepherd USA Robotic Gait Training in an Adult with Cerebral Palsy - A Case Report Dr Ben Patritti The National CMT Resource Center - Lokomat: The New Treatment for ... 'We spoke with Dr. Paulo Bonato, Director, and Pamela Reynolds, Project Coordinator, from the Motion Analysis Laboratory at Spaulding Rehabilitation Hospital in Boston, MA. They are at the forefront of exciting developments in the treatment of mobility impairments.
What is the Lokomat and what does it do for patients?
The Lokomat is a robotic machine built to provide intensive gait training for those who need it. People who might find it useful include children with Cerebral Palsy, adults who have suffered a stroke, as well as patients with spinal cord injury, traumatic brain injury, multiple sclerosis or other neurological disorders which can impair gait. The Motion Analysis Lab at Spaulding Rehabilitation Hospital is one of the very few labs in the country that offers gait training with the Lokomat and which studies how effective the machine actually is. There are only a few rehabilitation centers around the country that offer such an integrated research and clinical program focused on the use of robotics in rehabilitation. The Lokomat system is composed of a driven gait orthosis with a treadmill and bodyweight support. Patients are strapped into a body sling which might support most of their body weight, or provide no support at all, depending on the patients needs. Legs are strapped into an adjustable robotic exo-skeleton which extends from the hips down to the feet. When the treadmill is turned on, the exo-skeleton helps patients to walk correctly by applying pressure where needed. A computer monitors patients movements by providing a real-time analysis of the actual biomechanics of the movements. Studies, as well as the experiences of our own patients, show that this kind of robotic-assisted gait training facilitates motor recovery. Thats because the device retrains the brain by requiring patients to engage in numerous repetitive motions. Repetition is key in learning new movements or improving incorrect movements. Another big advantage of this kind of robot-assisted gait training is that it makes rehabilitation easier from the therapists perspective. Therapists are no longer burdened by the grueling, physically-exhausting labor required during manually-assisted treadmill training. Training sessions can be longer, the therapy is more efficient, and therapy achieves its training goals sooner.'
Mackenzie Maher, Patient from Colorado, Benefits from LOKOMAT It's ...
Mackenzie Maher’s sister Jessica saw a segment on the Today Show about the LOKOMAT, gait-driven ― walking machine developed in 2005 by a Swiss doctor. Mackenzie’s mother Rhonda went on the Internet to discover there were only six pediatric machines in the U.S., and the LOKOMAT nearest their home in Colorado Springs, CO is at SHC – Chicago. Rhonda requested that Mackenzie, who was born with cerebral palsy, be considered for therapy to use our new LOKOMAT. Dr Lawrence Vogel, spinal cord injury physician here, called the Mahers on Christmas Eve, 2009, to tell them Mackenzie had been accepted for care. ―It was a gift from God on Christmas Eve! Rhonda exclaims. She and Mackenzie came to SHC – Chicago during April and May, 2010. Mackenzie began her five-day-a-week training program under the supervision of our rehab specialists. During those two months, she developed endurance sufficient to spend 90 minutes, walking strenuously on the LOKOMAT. ― We saw her speed, endurance, and stride improve, Rhonda says. And, remarkably, we found that her bone mass increased as well. She was stronger! Before she left our hospital in May 2010, she could ride a tricycle, which Rhonda believes was the direct result of the repetitive reciprocal motion the LOKOMAT provided. In March 2011, Mackenzie and Rhonda were back for two more weeks of training. Mackenzie said ― Shriners is the Disneyland of hospitals! ― Her Mom commented, ― She never thought therapy could be so much fun! She added, ―We are so grateful to the Shriners and their great hospital for what they have done for Mackenzie. And, of course, we are delighted to have them as guests. www.bejapotentate.com/images/shrinelinesapril.pdf 
| Effects of Intensive Locomotor Treadmill Training on Young Children with Cerebral Palsy. Mattern-Baxter K, Bellamy S, Mansoor JK. Department of Physical Therapy, University of the Pacific, Stockton, California.Pediatr Phys Ther. 2009 Winter;21(4):308-318 PURPOSE: To examine whether an intensive, short-term locomotor treadmill training program helps children with cerebral palsy (CP) younger than 4 years of age improve their gross motor skills related to ambulation, walking speed, and endurance. METHODS: Six children with cerebral palsy, ages 2.5 to 3.9 years, participated in treadmill training 3 times per week for 1-hour sessions consisting of 2 individualized treadmill walks, for 4 weeks, and were tested before and after the intervention and at a 1-month follow-up. The outcome measures included the Gross Motor Function Measure-66, the Pediatric Evaluation of Disability Inventory, a timed 10-m walk test, and a 6-minute walk test. RESULTS: Significant differences were found in the Gross Motor Function Measure-66 Dimensions D and E, the Pediatric Evaluation of Disability Inventory Mobility Scales, over-ground walking speed, and walking distance. CONCLUSIONS: The results of this study provide preliminary evidence that children with CP younger than 4 years of age can improve their gross motor function, walking speed, and walking endurance after intensive locomotor treadmill training. [PubMed] |
Assessment Of The Impact Of Orthotic Gait Training On Balance In Children With Cerebral Palsy. Acta Bioeng Biomech. 2010;12(3):53-8. Source Institute of Physiotherapy, Rzeszów University, Poland. AbstractThe cerebral palsy symptoms are, among others, balance and gait disorders. The goal of this study was to assess balance capabilities in children with spastic diplegic cerebral palsy rehabilitated using LOKOMAT active orthosis. The experimental group included children with cerebral palsy, aged 6-14 years, independent standing, level II-III according to GMFCS classification. The cohort was randomly divided into two groups. The balance was assessed on a stabilometric platform. The experimental group was administered a rehabilitation program with the use of LOKOMAT active orthosis. Statistically significant improvement of balance was found in the experimental group; however, in the control group the improvement was also visible, but not on the statistically significant level. While comparing the results of both groups, significantly bigger improvement was achieved by the children from the experimental group. LOKOMAT active orthosis is one of the newest devices applied in the rehabilitation. The study shows that training with active orthosis can have positive influence on the balance improvement in children with CP and that further analysis of the impact of such training on locomotive functions is needed. |
HyperMED Patient Testimonials In accordance with current Australian Health Professional Advertising Guidelines actual HyperMED patient written and video testimonials cannot be featured. HyperMED patient testimonials have been edited to conform and others removed. Simply You Tube Hyperbaric Oxygen Therapy and LOKOMAT for a world wide forum.
HyperMED Slide Show Presentation - Patient File 
HyperMED UPDATE Chloe Bloch - Near Drowning - Anoxic Enchepalopathy  
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HyperMED UPDATE Tate Kemp (Ataxic Hypotonic Cerebral Palsy) 
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Sustainability Of Motor Performance After Robotic-Assisted Treadmill Therapy (LOKOMAT) In Children: An Open, on-Randomized Baseline-Treatment Study. AIM: The aim of the study was to investigate the sustainability of motor improvements achieved after a three week trial of robotic assisted treadmill therapy in children and adolescents with central gait disorders within a follow up period of about six months. METHODS: Open, non-randomized, baseline-treatment study. Fourteen patients (mean age 8.2+/-5.4) underwent a trial of 12 sessions of robotic-assisted treadmill therapy using the LOKOMAT over a period of three weeks. Outcome measures were the dimensions D (standing) and E (walking) of the Gross Motor Function Measure, the ten meter walking test and the six minute walking test. Outcome variables were evaluated immediately before and after the trial and at a follow up of about six months. RESULTS: Improvements after the trial in the dimension D from 49.5% to 54.4% (P=0.008) and from 38.9% to 42.3% (P=0.012) in the dimension E of the GMFM were seen and are within the same range of previously published results. The mean score at the follow up after six months was 56.8% and 43.3% for dimension D and E, respectively. Gait speed improved from 0.80 m/s to 1.01 m/s (P=0.006) after the trial and was 1.11 m/s at the follow-up visit at six months. Similar results were obtained for endurance. CONCLUSION: The improvements of motor function after a three-week trial of robotic-assisted treadmill therapy appear to be sustained after a mean period of six months. | Safety of robotic-assisted treadmill therapy in children and adolescents with gait impairment: a bi-centre survey. OBJECTIVE: The aim of the present study was to report on adverse events encountered with robotic-assisted treadmill therapy in children and adolescents with gait disorders. METHODS: Eighty-nine patients who underwent a trial of robotic assisted treadmill therapy in the two participating centres were analysed. Demographic data and safety data of the patients were analysed using descriptive statistics. RESULTS: In 38 (42.7%) out of 89 patients, adverse events were documented. Most commonly, mild skin erythema at the sites of the cuffs of the device and muscle pain were encountered. In five patients (5.6%), open skin lesions (n = 2), joint pain (n = 2) or tendinopathy (n = 1) limited the continuation of the therapy with the LOKOMAT. No severe side-effects emerged. CONCLUSIONS: Robotic assisted treadmill therapy is a safe method to enable longer periods of gait therapy in children and adolescents with gait disorders. | Robotic-assisted treadmill therapy improves walking and standing performance in children and adolescents with cerebral palsy. OBJECTIVE: Task-specific body-weight-supported treadmill therapy improves walking performance in children with central gait impairment. The aim of the study was to investigate the effect of robotic-assisted treadmill therapy on standing and walking performance in children and adolescents with cerebral palsy and to determine parameters influencing outcome. METHODS: 20 Patients (mean age 11.0+/-5.1, 10 males and 10 females) with cerebral palsy underwent 12 sessions of robotic-assisted treadmill therapy using the driven gait orthosis LOKOMAT. Outcome measures were the dimensions D (standing) and E (walking) of the Gross Motor Function Measure (GMFM). RESULTS: Significant improvements in dimension D by 5.9% (+/-5.2, p=0.001) and dimension E by 5.3% (+/-5.6, p<0.001) of the GMFM were achieved. Improvements in the GMFM D and E were significantly greater in the mildly affected cohort (GMFCS I and II) compared to the more severely affected cohort (GMFCS III and IV). Improvement of the dimension E but not of D correlated positively with the total distance and time walked during the trial (r(s)=0.748, p<0.001). CONCLUSIONS: Children and adolescents with bilateral spastic cerebral palsy showed improvements in the functional tasks of standing and walking after a 3-week trial of robotic-assisted treadmill therapy. The severity of motor impairment affects the amount of the achieved improvement. |
HyperMED Australia : Beyond Therapy - Treatment Program HyperMED Australia : LOKOMAT HyperMED/LOKOMAT - Australian Experience HyperMED NeuroRecovery.pdf HyperMED/HyperMED LOKOMAT 2009.pdf Effects of Hyperbaric Oxygen Therapy in Autistic Children: A Pilot Study Effects of Hyperbaric Oxygen Therapy on Cognitive Function on Autistic Spectrum Disordered Children A Clinical Trial of the Clinical Effects of Hyperbaric Oxygen Therapy in Thai Autistic Children (VPH) Hyperbaric Oxygen Therapy in Chronic Stable Brain Injury Hyperbaric Oxygenation role in White Matter Hyperintensities - Hyperbaric Oxygen Treatment In Patients With White Matter Hyperintensities On Magnetic Resonance Imaging and Neurologic Deficits Hyperbaric Treatments for Children With Cerebral Palsy Atlanta Hyperbaric & Wound Care Clinic, LLC - Impact of neural stem cells released by Hyperbaric Oxygenation http://www.renegadeneurologist.com/category/hyperbaric-Oxygen-therapy/
HyperMED UPDATE Adult Cerebral Palsy - Significant Functional Gains 
Robotic Gait Training in an Adult With Cerebral Palsy: A Case Report Benjamin L. Patritti, PhDa, Sofia Straudi, MDb, Lynn C. Deming, PTc, Maria Grazia Benedetti, MDd, Donna L. Nimec, MDe, Paolo Bonato, PhDf. Improved treatments and rehabilitation for cerebral palsy (CP) have led to an increased number of children with CP surviving into adulthood. Adults with CP show an increased prevalence of pain, fatigue, and musculoskeletal dysfunction, leading to a decrease in ambulatory function. Recent work has demonstrated the potential benefits of intensive task-specific gait training, including the use of robotic-driven gait orthoses, on motor recovery in children with CP []. In contrast, reports of interventions aimed at improving motor function in adults with CP are lacking. This case study reports on the outcomes of a 6-week intervention of robotic-assisted gait training administered to a 52-year-old woman with right hemiplegia attributable to CP. Improvements were noted in balance, walking speed, and time to negotiate stairs at posttraining and follow-up. Gait analysis showed an increase in step length and a reduction in the period of double support. In conclusion, robotic-assisted gait training may be beneficial in enhancing locomotor function in adults with CP. |
HyperMED UPDATE Will Patterson (Hypoxic Ischemic Encephalopathy)  
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HyperMED UPDATE Nicholas North - Stroke, Cerebral Palsy, Epilepsy, ADHD 
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HyperMED UPDATE Talia Rees 
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HyperMED UPDATE Brittney Guerra - Complex Cerebral Palsy Autism 
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HyperMED UPDATE Ashton Hayes - Microcephaly Cerebral Palsy 
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HyperMED UPDATE Oscar Martin-Pawson 
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HyperMED UPDATE Jarrad Moulton 
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HyperMED UPDATE Abby Godfrey - New Zealand 
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HyperMED UPDATE Infantile Stroke, Cerebral Palsy, Speech delay
 
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HyperMED UPDATE Drowning incident 14-years prior to attending HyperMED 
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HyperMED UPDATE Cerebral Palsy Dystonia 
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HyperMED - Global Development Delay, Cerebral Palsy, Delayed Speech 
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HyperMED UPDATE Cerebral Palsy - Global Atrophy, delayed development, progressive dystonia, diminished cognition, gross motor delay
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HyperMED UPDATE - Ben Allen (Genetic Disorder)
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HyperMED UPDATE Cerebral Palsy - HBOT/LOKOMAT 
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HyperMED UPDATE Adult Cerebral Palsy - Cervical Disc Prolapse, Cord Compression, Chronic Arm Pain 
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HyperMED UPDATE Cerebral Palsy HBOT 
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HyperMED UPDATE Cerebral Palsy, Brain Shunt, Dystonia 
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HyperMED UPDATE Cerebral Palsy, Global Development Delay, Dystonia 
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HyperMED UPDATE Cerberal Palsy - Hypoxic Ischemic Encephalomalacia 
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HyperMED/Hocoma_Pediatric LOKOMAT.pdf LOKOMAT - United Cerebral Palsy Research Foundation (USA) Periventricular Leukomalacia - Brain Injury resulting in Cerebral Palsy states Does Hyperbaric Oxygenation cause Toxicity? Dr Richard Neubauer Neurosurgical forum 1993
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