- Can I walk independently with the HAL-system?
No. The safety system may not be waived due to the risk of falling.
- Can I take the HAL-system home?
No. The HAL-system is a therapy device only. It is not designed for home-use.
- I need an accommodation during my therapy in Bochum. Where can I live during therapy?
We’ll be happy to help you with finding a wheelchair-accessible apartment or hotel room. For details please contact Bochum@ccr-deutschland.de.
- Can I continue with my other therapies (physiotherapy, ergotherapy etc.) while training with the exoskeleton?
Yes, for sure. We will assist you in organization.
- What do I have to bring to the training?
The therapy with the HAL-system is comparable with a gym session. You should wear a comfortable top and socks - we will provide the special trousers needed for the therapy with the exoskeleton. Please also bring your orthoses or leg splints if you need them for walking.
- How long does one therapy unit take?
One unit will take about 2 hours, including time for preparation and after care.
- How can I apply for the therapy with the HAL-system?
If you’re interested in practicing the therapy, please cal 0234-5873007000 or write an E-Mail to: Bochum@ccr-deutschland.de.
- I am tetraplegic. Is it possible to practice the neuromuscular feedback therapy anyway?
Yes. It does not depend on the level of your SCI. The most important thing is the existence of residual neurological functions in the hip- and knee areas. However the training is facilitated by torso stability and residual functions in the upper extremities.
- What does “HAL” mean?
HAL is the abbreviation of ‘ Hybrid Assistive Limb’. The different support modes can be triggered dependently by the patient’s grade of functional mobility.
- How does the HAL-system work?
If a person intends to walk, the brain sends out signals that are transmitted to the spinal cord to the peripheral nerves, which then forward the information to musculature. These so called ‘myoelectrical signals’ can be detected by electrodes on the surface of the patient’s skin and they are transmitted to the HAL-system. The system detects the impulses and provides the patient with the required power assistance in order to execute the desired movement. This means that the patient is not moved passively during the neuromuscular feedback therapy, but he demands the required support by his own residual neuronal functions.
- Can I buy the HAL-system?
No. The HAL-system (it consists of the motion modules with the so called “HAL Power Units, the connecting elements for recording/collecting the myoelectrical signals and the safety system) is a therapy device. Therapeutic instruction and supervision is required for usage. The patient has to be secured against falling during therapy. Therefore the HAL-system is not intended for own/private use.
- Is it possible to practice the therapy despite some restrictions of mobility (e.g. equinus position)?
Mobility restrictions are not an exclusion criterion for the neuromuscular feedback therapy. In a trial session with the ‘robot’ our physicians and our therapists will check whether it is possible.
- Can I participate in the therapy despite my Foley catheter?
Yes, there’s no problem wearing it during therapy.
- What kind of results can be expected from the treatment?
The results are dependent from the patient’s condition. At the beginning of the therapy the individual objectives are discussed together with a physician and a physiotherapist. The following results were achieved in different forms:
- increased walking speed
- reduced amount of assistance needed
- improved sensibility of the skin
- decrease of spasticity
- reduction of neuropathic pain
- muscle build up
- Are my muscles being stimulated electrically during therapy?
No. There are no external electrical stimuli. It is just your own myoelectrical function that is detected by the HAL-system.
- What does a neuromuscular feedback cost?
- Who bears the costs for the neuromuscular feedback therapy?
The cost absorption has to be coordinated with your funding unit (e.g. statutory health insurance or pension scheme, private health insurance, accident insurance). We’re pleased to support you in making an application. The health insurance schemes are not legally obliged to cover the costs of the treatment.
- What are the prerequisites for a therapy with the HAL-system?
Before starting the neuromuscular feedback therapy there will be a medical examination to check your eligibility for the HAL-system. The most important prerequisites are:
If you’re not sure to comply with the requirements, please call 0234-5873007000 or write an E-Mail to Bochum@ccr-deutschland.de.
- Residual muscle functions in the hip- and knee-region (extension/flexion)
- Height: max. 2m
- Weight: max. 100 kg
- No highly developed contractures
- No acute infections with multiresistant germs
- Does my spasticity pose an obstacle for the practice of the therapy?
In individual cases, the spasticity might prevent the therapy (depending on its level). In a first trial session we will find out together how the spasticity affects the signal transmission. The spasticity can be useful in controlling the exoskeleton in some cases.