Pressure plate with visual biofeedback to rehabilitation activities.

2. PHYSICAL THERAPY | NEUROREHABILITATION | ORTHOPEDICS | GERIATRICS | SPORT
BALANCE AND STABILITY
LOAD TRANSFERS
PROPRIOCEPTION
LOAD DISTRIBUTION
THERAPEUTIC EXERCISE
THERAPEUTIC GAMES
PLANTAR PRESSURE MAP
FALL RISK
EARLY STROKE REHABILITATION
NEUROMUSCULOSKELETAL CONDITIONS
ACTIVE AGEING

3. CONCEPT
Visual
Biofeedback
Patient
Health
Professional
Evaluation and
Diagnosis
Therapeutic
Exercise
Clinical
Report
Pressure Platform Motivation
Objective Data
Neuromusculoskeletal
Conditions
Results
Re-evaluate
The PhysioSensing is
a pressure platform
and is part of the
next-generation
products based on
visual biofeedback
to support physical
therapy and
rehabilitation
activities.

4. Visual Biofeedback can be
used for evaluation or rapid
diagnosis as well as for
training.
The interfaces are simple
and intuitive, presenting a
very low learning curve.
All interfaces were
developed with health
professionals and are
available in Portuguese,
English, Spanish and French.
Visual Biofeedback
provides valuable
information for the health
professional who can
objectively quantify results
and therapy progress,
allowing as well greater
interaction with the
patient. Additionally, the
patients will be more
proactive in their
rehabilitation process,
once they see real-time
results and goals can be
set so they can achieve
them with greater
enthusiasm and
motivation.
VISUAL
BIOFEEDBACK

5. The balance evaluation
can be made in the sagittal
plane, the anteroposterior
plane or both
simultaneously.
In the balance exercises,
interfaces are a set of two
colors, green and red. The
tolerance for the color
change can be adjusted.
The exercise times and the
balance times can be
recorded.
To evaluate the stability
limits, an interface that
indicates the center of
gravity can be used.
BALANCE AND STABILITY

6. Use the center of gravity to make several
routes.
BALANCE AND STABILITY

7. With the load transfers, it is
intended that the patients
transfer load to their lower
limbs in the sagittal and
anteroposterior planes, in
the standing position.
In the load transfers
exercises, the maximum
loads achieved are
recorded.
LOAD TRANSFERS

8. Use load distribution
exercises to analyze the
load exerted in the sagittal
plane or in the
anteroposterior plane.
These exercises can be
used in situations that only
require an assessment of
the load distribution
without association to a
specific exercise or goal.
Which are frequenlty used
for rapid diagnosis. Its
utility may be compared to
the use of a balance.
It is also possible to
analyze the load
distribution through a
dynamic analysis.
LOAD DISTRIBUTION

9. Use plantar pressure
mapping to obtain foot
pressure points.
In addition to the pressure,
it is possible to obtain the
load distribution in the
sagittal and
anteroposterior planes,
and the center of pressure
coordinates.
It will be available soon a
gait analysis module.
PLANTAR PRESSURE MAP
40 cm
40 cm1600 sensors
1 cm 2

10. *IT WILL BE AVAILABLE ON JUNE 2016
Use the BART- BAlance
Rehabilitation Therapy, a
therapeutic game that
gathers a set of exercises
for several therapeutic
situations.
Uses the Physiosensing
platform and can also
integrate the Kinect
sensor.
THERAPEUTIC GAMES*
CENTER OF PRESSURE MAINTENANCE IN THE CENTER.
CENTER OF PRESSURE SHIFT IN THE SAGITTAL PLANE
CENTER OF PRESSURE SHIFT IN THE ANTEROPOSTERIOR PLANE
SQUATS
UNIPEDAL BALANCE

11. The Fall Sensing
project intends to
create a fast system
for fall risk
assessment and to
implement fall
prevention exercise
plans. It is a
consortium research
project with Sensing
Future Technologies,
Fraunhofer and
Coimbra Health
School.
FALL RISK
RESEARCH PROJECT: FALL SENSING*
Falls Efficacy Scale
Falls History Questionnaire
10 Meters Walking Speed
Step-up Test
Limits of Stability
Functional Reach Test
Time Up and Go
30 Seconds Sit to Stand
10 Meters Walking Speed
*THE FALL SENSING MODULE WILL BE AVAILABLE IN THE
PHYSIOSENSING ON JANUARY 2017

12. CLINICAL
REPORT
At the end of each exercise generate a clinical
report containing patient and exercise
information, and the results obtained.
All data can be exported in .pdf, .xls and .jpeg
format

13. BENEFITS
Patient
Motivation
Effort
Setting Goals
Proactivity
Health Professional
Results Objectivity
Clinical Report
Therapeutic Adequacy
Extended Exercises Offer
Institution
Resource Optimization
Next-generation products
Avant-garde image
More patients
UTILIZATION
Therapist Occupation
Time
Patient Occupation
Time
Recovery time
Occupation
time
Throughout the rehabilitation
sessions the patient will become
more independent, capable of
interacting with the Physiosensing.
A health professional can
preprogram a set of therapeutic
exercises for the patient.
Physiosensing can be used in
various stages of rehabilitation
period. In a 1-hour session, the
Physiosensing may fall within a
time span of 15 to 20 minutes
with proven benefits.
Average Session Duration
with Physiosensing:
15 to 20 minutes

14. SCIENTIFIC EVIDENCE
STATE OF THE ART
Title Author(s) Citations Publisher Evidences
Balance training and load transfers
Direction-Induced
Effects of Visually
Guided Weight-
Shifting Training on
Standing Balance in
the Elderly
Hatzitaki
V., Amiridis
I.G., Nikodelis
T.
and Spiliopou
lou S.
24
Gerontology
2009;55:145–
152
The most striking effect of A/P training was the reduction of postural sway during
performance of the sharpened-Romberg test (SRS). In SRS, A/P training induced a
significant reduction of CoP displacement, lower limb pitch and upper trunk roll
rotation. The results of the study stress the importance of using direction-specific WS
(weight-shifting) tasks in balance training, particularly in the A/P direction, in order to
improve control of static balance.
The effects of balance
training on gait late
after stroke: a
randomized controlled
trial
Yavuzer
G., Eser
F., Karakus
D., Karaoglan
B. and Stam
H.J.
145
Clinical
Rehabilitation
2006; 20:
960-969
The difference between before-after change scores of the groups was significant for
pelvic excursion in frontal plane (P=0.039) and vertical ground reaction force
(P=0.030) in favour of experimental group. Balance training using force platform
biofeedback in addition to a conventional inpatient stroke rehabilitation programme is
beneficial in improving postural control and weight-bearing on the paretic side while
walking late after stroke.
Motivation / Visual Biofeedback
Post-stroke balance
training: Role of force
platform with visual
feedback technique
Srivastava
A., Taly
A.B., Gupta
A., Kumar S.
and Murali T.
110
Journal of the
Neurological
Sciences 287
(2009) 89–93
This study shows that force platform with visual feedback technique is an effective
approach for post-stroke balance training as it results in better locomotor abilities. The
analysis revealed statistically significant differences for all primary and secondary
outcome measures at follow-up.
Changes in Postural
Balance in Frail Elderly
Women during a 4-
Week Visual Feedback
Training: A
Randomized
Controlled Trial
Sihvonen
S.E., Sipilä S.
and Era P.A.
147
Gerontology
2004;50:87–
95
Our study supports the notion that through enhanced use of
visual feedback, the learning of balance skills can be facilitated. The participants of the
EG (exercise group) showed an improved ability to move their center of pressure
more quickly and accurately through the different tracks used in testing. The EG
showed improvement after the training period in performance time and distance of all
dynamic force platform balance tests.
Therapeutic Games
Lower limb power
rehabilitation (LLPR)
using interactive video
game for
improvement of
balance function in
older people
Chen P.Y., Wei
S.H., Hsieh
W.L., Cheen
J.R., Chen L.K.
and Kao C.L.
21
Archives of
Gerontology
and Geriatrics
55 (2012)
677–682
For clinical assessments (balance, mobility, and selfconfidence), exercise group
showed significantly better scores. The STS (sit-to-stand) movements in video-game-
based training mimic real life situations which may help to transfer the training effects
into daily activities. After six-weeks of training, the video-game-based exercise group
displayed an improvement in lower limb muscle power, with a percentage change
64%.
Games-based
biofeedback training
and the attentional
demands of balance in
older adults
Heiden E.
and Lajoie Y.
26
Aging Clinical
and
Experimental
Research,
2010; Vol. 22,
No. 5-6
Gamesbased balance biofeedback training using a range of training postures can
significantly improve functional balance in exercise trained older adults by reducing
the attentional demands of postural control.
Plantar Pressure Map
Plantar Pressure
Assessment
Margo N.
Orlin and
Thomas G.
McPoil
254
Physical
Therapy .
Volume 80 .
Number 4 .
April 2000
Data obtained from a plantar pressure assessment can be used by the physical
therapist in the evaluation and management of adult and pediatric patients with a
wide variety of foot and lower-extremity disorders associated with the neurological,
integumentary, and musculoskeletal systems.
Forefoot joint damage,
pain and disability in
rheumatoid arthritis
patients with foot
complaints: the role of
plantar pressure and
gait characteristics
Van Der
Leeden
M., Steultjens
M., Dekker
J.H., Prins A.P.
and Dekker J.
98
Rheumatology
2006;45:465–
469
In this study relationships are identified between foot function on the one hand and
joint damage, pain and disability on the other hand, in patients with RA-related foot
complaints. Forefoot joint damage was significantly correlated with both PP (peak
pressure) and PTI (pressure-time integral) under MTP1 and MTP4. Gait parameters, i.e.
total contact time and duration of heel loading, were significantly correlated with all
disability measures.
The forefoot-to-
rearfoot plantar
pressure ratio is
increased in severe
diabetic neuropathy
and can predict foot
ulceration
Caselli
A., Pham
H., Giurini
J.M., Armstro
ng D.G.
and Veves A.
208
Diabetes
Care. 2002
Jun;25(6):
1066-71.
The data suggest that both forefoot and rearfoot peak plantar pressures are increased
in diabetic patients with peripheral neuropathy, but the F/R peak plantar pressure ratio
was significantly higher only in patients with severe neuropathy, indicating an
imbalance in pressure distribution with increasing degrees of neuropathy.

15. We send
Physiosensing to
anywhere in the
world.
Technical Specifications::
Size: 61 x 58 cm
Thickness: 1 cm
Weight: 4 kg
Portable
Active Surface: 40 x 40 cm
Sensors number: 1600
Maximum pressure: 100 N/cm2
Connection/power: USB
Frequency: 100 Hz
Package contents:
1 PhysioSensing platform
1 technical manual
1 USB cable
1 year warranty
Online Support
Medical Device Certified:
Class I
Software sent online to the
client. Available in:
Sensing Future Technologies is seeking distributors or sales agents..
GET PHYSIOSENSING
Software update guarantee
We provide other accessories
by budget (computer, holder,
etc)

16. Coimbra Instituto Pedro Nunes - Bloco C
Rua Pedro Nunes
3030-199 Coimbra
Portugal
“We have a commitment to innovation”
WHO WE ARE?
We design and develop
technological medical
devices in a unique
synergy between
engineering and health.
Clinical application
for registration based
on Internacional
Classification of
Functionality,
Incapacity and Health
Proprioceptive
training based on the
balance board
Freeman and Visual
Biofeedback
OTHER PRODUCTS

17. www.sensingfuture.com
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