Clinical Pathway: Standing Endurance
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The Recovr Rehabilitation System (RRS) can be used to facilitate increased standing endurance needed for functional mobility and self-care.
Impacted ADL: Mobility: GG0170
Impacted Outcome:
- Transfer: G0110B
- Walk in room: G0110C
- Walk in corridor: G0110D
- Locomotion on & off unit: G0110E & G0110F
- Dressing: G0110G
- Bathing: G0120
Functional Abilities & Goals: Increase resident’s standing endurance to maximize independence with mobility and self-care.
Indications for RRS use to facilitate standing endurance:
- Stroke
- Spinal cord injury
- Parkinson’s Disease
- Degenerative neurological conditions
- Lower extremity orthopedic conditions
- Total hip and total knee replacements
- Lower extremity amputation
- Balance deficit
- Frequent falls
- Generalized weakness
- Endurance training
RRS Set-up for standing endurance:
- Facilitate safe standing with assistance, equipment, or adapted devices as needed (e.g. walker, stander, manual assistance from therapist, etc…)
- Use Kinect Settings to select the resident you’d like to track.
- Use the Lesson Planner to select which arm to use, where targets will appear, and how frequently to provide rest breaks based on resident’s range of motion, endurance, and treatment goals. Work to improve the resident’s standing tolerance by increasing the number of reaches required or gameplay time between rest breaks.
- Use Required Elbow Extension to determine the amount of elbow extension needed to hit on-screen targets. Selecting a higher percentage will require more elbow extension.
- Set the Start Position. Start positions set closer to the resident’s body will require less standing balance and postural control. Start positions farther away will be more challenging.
- During game play, provide physical assistance as needed to ensure resident’s safety and modify environmental set-up using adapted equipment to provide the appropriate level of challenge.
Tracking Progress Through RRS Data:
- Use the rest breaks taken and minutes played metrics to track the resident’s progress over time with the RRS.
