Jen DeFeo, Occupational Therapist

“Many patients can benefit from the Tyromotion Pablo and the Tyromotion Tymo,” says occupational therapist Jen DeFeo, “including survivors of stroke, spinal cord injury and brain injury, or any individual with a neurological or orthopedic condition who needs to work on movement in the arm and/or hand and balance.”

“We’ve also used these tools to work with the older adult population in general to decrease risk of falls by improving balance.”


“I believe both systems can and should be used in conjunction with hands-on conventional therapies. They provide measurable data,  visual feedback to the patient for even the smallest amount of movement which then increases motivation, and a fun and interactive approach to training.”


“The Tyromotion Pablo robot consists of several sensor-based devices providing therapies for the hand, arm, shoulder, and trunk.”

“The hand sensor can assess hand function by measuring the force of grip and various pinch patterns. This is used to measure grip strength in a stroke survivor with weakness on one side of the body.”

“When the hand sensor is used in combination with the motion sensors, it can measure range of motion in all joints of the arm. The video game system gives patients visual feedback while training to improve movement in the arm and increase strength in the hand.”

“An additional component is the multiboard used for trunk movements in coordination with the upper body.”


“The Tyromotion Tymo balance board can be used to assess weight distribution in sitting or standing.”

“The visual feedback provided on the computer monitor allows the patient to understand and feel more symmetrical or upright, which can often be a problem following a stroke or a brain injury.”

“The Tymo board is used for balance training and to work on righting reactions needed to prevent falling with loss of balance. This in turn helps decrease fall risk.”

“The level of difficulty can be graded with the use of attachments to the board. Use of the board without an attachment allows for a more stable surface to begin weight shifting and balance training in sitting or standing.”


“A survivor of spinal cord injury who may not have any movement in or use of their legs, can work on postural control and sitting balance while seated on the Tymo board.”

“Two different attachments to the board allow for more extreme one directional weight shifts (either side to side or forward and backward (similar to a see-saw motion) or for more extreme multidirectional weight shifts in all directions.”


“Survivors of stroke or brain injury or even older adults can work on improving balance with these attachments. The use of the gaming system provides a fun, interactive way to work on balance. Patients seem to really enjoy the use of this type of modern technology during treatment sessions.”


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