<ul><li>Real Results  for Patients with Neurological Conditions </li></ul>
Rethinking Recovery <ul><li>“ We’ve shown that with the right therapy [patients] can see  improvements in   movement,  </l...
Driving Neuroplastic Change <ul><li>Retraining the Brain…… </li></ul><ul><ul><li>“ Engage the Brain” to “Train the Brain ”...
Who Benefits? <ul><li>Stroke </li></ul><ul><ul><li>6.5 M Stroke Survivors   </li></ul></ul><ul><li>Cerebral Palsy   </li><...
The Opportunity to Improve  Upper Extremity Recovery   <ul><li>Important To Patients </li></ul><ul><ul><li>65%  of highly ...
Benefits to Patients Stroke Research Findings <ul><li>Improvement in </li></ul><ul><ul><li>Everyday Function </li></ul></u...
Benefits to Patients Cerebral Palsy Research   Findings  <ul><li>Significant Upper Extremity Gains </li></ul><ul><ul><ul><...
Benefits to Providers <ul><li>Reputation  </li></ul><ul><ul><li>Best outcomes </li></ul></ul><ul><ul><li>Best care </li></...
About InMotion Robots <ul><li>Evidence-Based rehabilitation tools </li></ul><ul><ul><li>> 600 stroke patients </li></ul></...
Unique Technology “Assist-As-Needed”- Interactive Robotics <ul><li>Adapts in real-time to the patient’s movement </li></ul...
How InMotion Robots Drive Neuroplastic Change   <ul><ul><li>High Intensity Repetition </li></ul></ul><ul><ul><li>Quality M...
The InMotion Progression of Robots ” InMotion Arm InMotion Wrist InMotion Arm InMotion Wrist
Therapy Tools <ul><li>Engaging, Interactive Computer Guided Exercise </li></ul><ul><li>Motivating Performance Feedback </l...
Significant Media Coverage and  Public Awareness <ul><li>Featured News  </li></ul><ul><li>NEJM, VA study results </li></ul...
Business Case – Rehabilitation Hospital or Unit Outpatient Robot Therapy Admissions Per Year 52 104 156 Incremental visits...
Business Case - Outpatient Therapy  Outpatient Robot Therapy Admissions Per Year 52 104 156 Incremental visits @ 18 per pa...
Business Case – Subacute SNF * RUGSIV Category RUC or RUB Incremental Admissions Per Year 6 12 18 Average Revenue Per Admi...
 
Stroke RECOVERY: <ul><li>Patient: Gene  </li></ul><ul><li>Diagnosis  </li></ul><ul><ul><li>4 years post  stroke </li></ul>...
Cerebral Palsy RECOVERY: <ul><li>Patient : Heather </li></ul><ul><li>Diagnosis   </li></ul><ul><ul><li>Cerebral Palsy </li...
Spinal Cord Injury RECOVERY <ul><li>Patient : John </li></ul><ul><li>Diagnosis   </li></ul><ul><ul><li>Incomplete Spinal C...
IMT’s Commitment <ul><li>Operational training </li></ul><ul><li>Onsite clinical training </li></ul><ul><li>Clinical suppor...
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In motion slides convention loop apta csm 211

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InteractiveMotion Rehabilitation Robots, APTA , American Physical Therapy Association

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  • Address problem or need the facility has recognized and is prepared to address (1-2 paragraphs)
  • Casting the Vision: Differentiation of the Technology Opportunity
  • What you need to do to achieve the vision – retrain the brain not the muscles
  • Solution: Slide 3 How many people will benefit and who specifically will benefit?
  • Why slide…typical therapy doesn’t reach the amount of repetition necessary to achieve neuro-plastic change. It is more difficult to attain this repetition with a weak arm than with the leg (walking is repetitive)
  • Solution: Slide 2 What will take place: What success will they experience - stroke?
  • What will happen – success in treating children
  • What will they experience – benefits to providers
  • InMotion Robots are very different from other robots. Most robots do tasks (like car manufacturing) InMotion Robots interact with a person and respond to a person’s movement. This interactivity is unique.
  • How the technology works - “Retraining the Brain” – very different from retraining muscles.
  • Solution : Slide 6 Where it will operate: What will this look like in real life for the facility? Picture of Therapist and Patients at multi unit site
  • Patients are likely to nee additional ancillary services or consultations that will result in additional revenue
  • Applies to acute hospitals too. Patients are likely to require other ancillary services, consultations which will result in additional revenue
  • In motion slides convention loop apta csm 211

    1. 1. <ul><li>Real Results for Patients with Neurological Conditions </li></ul>
    2. 2. Rethinking Recovery <ul><li>“ We’ve shown that with the right therapy [patients] can see improvements in movement, </li></ul><ul><li>everyday function </li></ul><ul><li>and </li></ul><ul><li>quality of life </li></ul><ul><li>– this is giving stroke survivors new hope.” Dr Albert Lo </li></ul>
    3. 3. Driving Neuroplastic Change <ul><li>Retraining the Brain…… </li></ul><ul><ul><li>“ Engage the Brain” to “Train the Brain ” </li></ul></ul><ul><ul><li>Active participation </li></ul></ul><ul><ul><ul><li>Brain sends an active messages to “move” </li></ul></ul></ul><ul><ul><ul><li>Brain needs a coordinated movement message back “I am moving” </li></ul></ul></ul><ul><ul><li>Repetition is crucial </li></ul></ul>
    4. 4. Who Benefits? <ul><li>Stroke </li></ul><ul><ul><li>6.5 M Stroke Survivors </li></ul></ul><ul><li>Cerebral Palsy </li></ul><ul><ul><li>. 8 M Persons Nationally </li></ul></ul><ul><li>Multiple Sclerosis </li></ul><ul><ul><li>.3 to .5 M Persons </li></ul></ul><ul><li>Spinal Cord Injury </li></ul><ul><ul><li>> 250,000 Persons </li></ul></ul><ul><li>Acquired Brain Injury </li></ul><ul><ul><li>5.3 M Persons </li></ul></ul><ul><li>Parkinson’s Disease </li></ul><ul><ul><li>. 5 to 1.5 M Persons </li></ul></ul>Whether recent or years ago
    5. 5. The Opportunity to Improve Upper Extremity Recovery <ul><li>Important To Patients </li></ul><ul><ul><li>65% of highly independent stroke victims (434 patients) could not incorporate the paretic arm into life activities* </li></ul></ul><ul><li>Important to Clinicians </li></ul><ul><ul><li>Typical therapy session** </li></ul></ul><ul><ul><ul><li>+/- 40 upper extremity repetitions </li></ul></ul></ul><ul><ul><ul><li>357 lower extremity repetitions </li></ul></ul></ul><ul><ul><li>Robotic Therapy session </li></ul></ul><ul><ul><ul><li>400-1000 repetitions </li></ul></ul></ul><ul><ul><li>* Chen and Weinstein “A Systematic Review of Voluntary Arm Recovery in Hemiparetic Stroke, JNPR March 2009 </li></ul></ul><ul><ul><li>** Lang, et.al Arch Phys Med Rehab Vol. 90, Oct 2009 </li></ul></ul>
    6. 6. Benefits to Patients Stroke Research Findings <ul><li>Improvement in </li></ul><ul><ul><li>Everyday Function </li></ul></ul><ul><ul><li>Quality of Life </li></ul></ul><ul><ul><li>Movement </li></ul></ul><ul><li>Cost effective </li></ul><ul><li>Intensive therapy makes a difference </li></ul><ul><li>“ Robot-Assisted Therapy for Long-Term Upper-Limb Impairment after Stroke” NEJM, April 16, 2010 </li></ul><ul><li>At least twice the motor recovery </li></ul><ul><ul><li>compared to traditional therapy alone </li></ul></ul><ul><li>Long lasting improvement </li></ul><ul><li>Effective even years post injury </li></ul>
    7. 7. Benefits to Patients Cerebral Palsy Research Findings <ul><li>Significant Upper Extremity Gains </li></ul><ul><ul><ul><li>Movement </li></ul></ul></ul><ul><ul><ul><li>Skill </li></ul></ul></ul><ul><ul><ul><li>Function </li></ul></ul></ul><ul><ul><ul><ul><li>“ How much” and “how well” arm used in functional tasks at home </li></ul></ul></ul></ul><ul><ul><li>( </li></ul></ul>
    8. 8. Benefits to Providers <ul><li>Reputation </li></ul><ul><ul><li>Best outcomes </li></ul></ul><ul><ul><li>Best care </li></ul></ul><ul><ul><li>Best technology </li></ul></ul><ul><li>Growth </li></ul><ul><ul><li>Patient Satisfaction and Loyalty </li></ul></ul><ul><ul><ul><li>“ Care for Life” </li></ul></ul></ul><ul><ul><ul><li>Continuum of care </li></ul></ul></ul><ul><ul><li>Specialty Programs </li></ul></ul><ul><ul><ul><li>Multiple Sclerosis </li></ul></ul></ul><ul><ul><ul><li>Spinal Cord Injury </li></ul></ul></ul><ul><ul><ul><li>Acquired Brain Injury </li></ul></ul></ul><ul><ul><ul><li>Movement Disorders </li></ul></ul></ul><ul><ul><ul><li>Pediatric Center </li></ul></ul></ul><ul><ul><li>New Centers </li></ul></ul><ul><ul><ul><li>Rehabilitation Technology </li></ul></ul></ul><ul><ul><ul><li>Neurorecovery </li></ul></ul></ul><ul><li>Therapist Recruitment & Retention </li></ul><ul><li>Clinical Research Opportunities </li></ul>
    9. 9. About InMotion Robots <ul><li>Evidence-Based rehabilitation tools </li></ul><ul><ul><li>> 600 stroke patients </li></ul></ul><ul><ul><li>> 40+ peer review publications </li></ul></ul><ul><li>Designed specifically for rehabilitation </li></ul><ul><ul><li>Interact with humans gently and safely </li></ul></ul><ul><li>Invented and patented at MIT </li></ul><ul><ul><li>Newman Laboratory for Biomechanics and Human Rehabilitation </li></ul></ul><ul><li>Made in the USA </li></ul>
    10. 10. Unique Technology “Assist-As-Needed”- Interactive Robotics <ul><li>Adapts in real-time to the patient’s movement </li></ul><ul><li>Assists, guides or steps out of the way based on patient ability </li></ul><ul><ul><li>Continuously challenges the patient </li></ul></ul><ul><li>Achieves neuroplastic change </li></ul>
    11. 11. How InMotion Robots Drive Neuroplastic Change <ul><ul><li>High Intensity Repetition </li></ul></ul><ul><ul><li>Quality Movement Experience </li></ul></ul><ul><ul><ul><li>Robot-assisted guidance </li></ul></ul></ul><ul><ul><li>Active effort - motivation </li></ul></ul><ul><ul><ul><li>Progressive, challenging, adaptive, interactive </li></ul></ul></ul><ul><ul><li>Coupling of movement with sensory information </li></ul></ul><ul><ul><li>Performance feedback </li></ul></ul>
    12. 12. The InMotion Progression of Robots ” InMotion Arm InMotion Wrist InMotion Arm InMotion Wrist
    13. 13. Therapy Tools <ul><li>Engaging, Interactive Computer Guided Exercise </li></ul><ul><li>Motivating Performance Feedback </li></ul><ul><li>Advanced Evaluation Tools </li></ul>
    14. 14. Significant Media Coverage and Public Awareness <ul><li>Featured News </li></ul><ul><li>NEJM, VA study results </li></ul><ul><li>Robotics help Tappan girl move again </li></ul><ul><li>Stroke Rehabilitation and Robotics Research - Podcast </li></ul><ul><li>Veterans Affairs Researchers Study Benefits of Robot for Ankle Rehabilitation </li></ul><ul><li>Robotic therapy holds promise for cerebral palsy </li></ul><ul><li>Therapy To 'Recharge' Stroke Victim's Arms </li></ul><ul><li>CNN: Robot workout for stroke sufferers </li></ul><ul><li>MIT develops [IMT-Manufactured] Anklebot for stroke patients </li></ul><ul><li>ABC World News Tonight with Peter Jennings </li></ul><ul><li>BBC News: Positive Results for Robot Therapy </li></ul><ul><li>Robot-Aided Neuro-rehabilitation: A Novel Robot for Ankle Rehabilitatio n </li></ul>
    15. 15. Business Case – Rehabilitation Hospital or Unit Outpatient Robot Therapy Admissions Per Year 52 104 156 Incremental visits @ 18 per patient (3x/week* 6 weeks) 936 1872 2808 Revenue per Outpatient @ $91 per visit* $ 1,638 $ 1,638 $ 1,638 Total Incremental Outpatient Revenue $ 85,176 $ 170,352 $ 255,528 Outpatient Contribution Margin (30%)** $25,553 $51,106 $76,658 ROI 26% 51% 77% Payback Period (years) 3.9 2.0 1.3 Incremental Inpatient Admissions Per Year 6 12 18 Average Revenue per Admission $21,858 $21,858 $21,858 Total Incremental Inpatient Revenue $131,146 $262,291 $393,444 Inpatient Contribution Margin (40%) $52,458 $104,916 $157,378 ROI 52% 105% 157% Payback Period (years) 1.9 1.0 0.6
    16. 16. Business Case - Outpatient Therapy Outpatient Robot Therapy Admissions Per Year 52 104 156 Incremental visits @ 18 per patient (3x/week* 6 weeks) 936 1872 2808 Revenue per Outpatient @ $91 per visit* $ 1,638 $ 1,638 $ 1,638 Total Incremental Outpatient Revenue $ 85,176 $ 170,352 $ 255,528 Outpatient Contribution Margin (30%)** $25,553 $51,106 $76,658 ROI 26% 51% 77% Payback Period (years) 3.9 2.0 1.3
    17. 17. Business Case – Subacute SNF * RUGSIV Category RUC or RUB Incremental Admissions Per Year 6 12 18 Average Revenue Per Admission* (28 Day ALOS) $ 17,472 $ 17,472 $ 17,472 Total Incremental Inpatient Revenue $ 104,832 $ 209,664 $ 314,496 Inpatient Contribution Margin (40%) $41,933 $83,866 $125,798 ROI 42% 84% 126% Payback Period (years) 2.4 1.2 0.8
    18. 19. Stroke RECOVERY: <ul><li>Patient: Gene </li></ul><ul><li>Diagnosis </li></ul><ul><ul><li>4 years post stroke </li></ul></ul><ul><li>Treatment: </li></ul><ul><ul><li>wrist robot </li></ul></ul><ul><li>Results: </li></ul><ul><ul><li>“ I can put a leash on my dog and hold it when I take him for a walk; </li></ul></ul><ul><ul><li>I can even pick up a cup of coffee. </li></ul></ul><ul><ul><li>It’s made a big difference” </li></ul></ul>
    19. 20. Cerebral Palsy RECOVERY: <ul><li>Patient : Heather </li></ul><ul><li>Diagnosis </li></ul><ul><ul><li>Cerebral Palsy </li></ul></ul><ul><li>Treatment: </li></ul><ul><ul><li>Shoulder-elbow robot </li></ul></ul><ul><ul><li>Wrist robot </li></ul></ul><ul><li>Results: </li></ul><ul><ul><li>Able to raise her arm to 90 degrees </li></ul></ul><ul><ul><li>Using both arms to cut out and glue magazine pictures </li></ul></ul>
    20. 21. Spinal Cord Injury RECOVERY <ul><li>Patient : John </li></ul><ul><li>Diagnosis </li></ul><ul><ul><li>Incomplete Spinal Cord Injury </li></ul></ul><ul><li>Treatment: </li></ul><ul><ul><li>Shoulder-elbow robot </li></ul></ul><ul><ul><li>Wrist robot </li></ul></ul><ul><li>Results: </li></ul><ul><ul><li>Progressed from electric wheelchair to standard chair </li></ul></ul><ul><ul><li>Able to work and travel internationally </li></ul></ul><ul><ul><li>Can use a Blackberry </li></ul></ul><ul><ul><li>“ It’s made a huge difference in my life.” </li></ul></ul>
    21. 22. IMT’s Commitment <ul><li>Operational training </li></ul><ul><li>Onsite clinical training </li></ul><ul><li>Clinical support </li></ul><ul><li>Technical support – warranty </li></ul><ul><li>Support for </li></ul><ul><ul><li>marketing </li></ul></ul><ul><ul><li>business planning </li></ul></ul><ul><ul><li>program development </li></ul></ul>

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