The Amadeo by Tyromotion builds strength to improve function.
Our hands are essential to performing the activities of daily living. When they are not working properly due to a stroke or other neurological impairment, the Tyromotion Amadeo is a powerful robot in occupational therapy’s toolkit.
Sharon Cressman, OTR/L offers her insight and experience on the value of the Amadeo.
“The Amadeo is for anyone with difficulty moving their hand. If a person can’t move it by himself, there is an exercise that moves the fingers for him in preparation for moving by himself. There has to be some passive movement with the fingers. If the fingers cannot move, such as with contractions, it does not work.”
Can the Amadeo help with spasticity?
“It can also help with spasticity, but the spasticity should be medically managed first. Then the patient would come to OT for splinting or to see if they have enough passive movement for the Amadeo.”
Does it increase strength? Mobility? Is there a functional improvement?
“The whole point of the Amadeo is to improve movement of the fingers and strength of someone’s fingers, to help them be able to use their hand more functionally. All of OT ‘s goals are to help a person be more functional, to be able to care for themselves independently or even if it is just to have less pain, that can make someone more functional.”
What other sorts of therapies would you do with a person who has spasticity or impairment of the hand and fingers?
“Not only do we use the Amadeo, we also do traditional therapy with range of motion, strengthening as appropriate, splinting as needed, and education in home exercise programs. This can also incorporate electrical stimulation with Bioness or with traditional FES. Each person is evaluated, and an individualized plan of care is set.”
Is there a video component to this robot?
“There are games that the patient can play to help encourage them to participate more. Patients tend to be goal driven. So even if they can only move their fingers a little bit, we can scale back the amount of movement needed to fit each person, so they can still be challenged without being frustrated. And each game has levels, so once they can beat one level, there is another level that may be harder for them to try out.
Do the patients like using it and is it comfortable?
“Patients love it, they ask to use it all the time. Sometimes, though, we still need to work on other areas that they also have problems with too. As the Amadeo only works their hand, it is limited in that if they have arm movement problems too, we need to switch to other robotics to focus on those areas. Some of our other robotics also have the same games. So, if a patient is having problems with their shoulder, they can play a game on the Diego, then also play the same game with their hand on the Amadeo.”