♪ Bob and Brad ♪
the two most famous
physical therapists
on the internet.
(claps hands)
- Hi folks.
I'm Bob Sharp, physical therapist
- Brad Henick physical therapist.
- Together we are the most famous physical therapists
on the internet.
- Well, in our opinion, of course, Bob,
- The question Brad is is high tech rehab,
12 times better
for stroke or neurological neurologically injury patients
than just regular rehab?
- That's a good question, Bob, because you come
up with all these fancy dancy things
and you wonder, it's like, is it really, you know
as a therapist, I wonder, is it really necessary?
Or can I do the same with some
of the old techniques that didn't use the gadgets?
- Right.
So this is the FitMi F-I-T-M-I,
MI stands for motion interface.
- I see.
- And this is a high tech device and they,
they did a I think a little limited study
and they found out because of the nature
of this product that people tended to do
12 times more reps , which is a lot
- Sure
- Than they did, with just regular rehab.
And if, if you, I think you'd agree with this, Brad,
when you're working with a stroke patient
or an neurological patient,
it's all about reps.
The more, the more that you're
- Right,
- you're beginning that brain to rewire.
- Right.
- So that it's gonna do the things
that you wanted to do again,
- Right.
We wanna form those new neurological pathways
- Right.
- So that they can function and become normal
as they were prior to the, the stroke.
- Right. So what we're gonna do here, we, I'm just
we're gonna introduce this a little bit.
And then we're actually having Mike who has worked
with this a lot, he's our coworker.
- Right.
- And, and he's gonna explain, you know
he's gonna kinda show how we, what we did
with it when we were using it with the patients.
- Right.
- So, so the idea is
that you can get the patient more engaged
and those three types of feedback
with these,
these are the, oh, by the way
we should tell what these are.
- Yeah
- We got two pucks, by the way,
they call 'em wireless pucks.
- Well, they look like a hockey puck.
- Yep.
And they're actually, you have to charge 'em up
And, and if you push on 'em
they actually give a little vibration.
- Get some feedback.
- Yeah.
- Yep.
- And then we have the charging station.
That's where that charges this up.
And it also charges up the receiver.
This receiver has to plug into the tablet.
It also can plug into your computer
but you have to make sure your computer's compatible.
- Sure.
- And, and there's there. I saw there was a link on
that you could actually check to find out
whether or not your computer is compatible on their website.
- Oh. So this is not just a holder
it's a holder and a charger.
So you.
- Yeah.
- Yeah. I see.
- You can see on there that it, it fits in there.
You, you gotta line it up right with
- Oh, sure.
- You might have a,
- There we go.
- You got it.
Okay.
So anyway so it's gonna give you three types of feedback.
One, you got a visual feedback
cuz you'll be watching it on the screen,
which is Michael show ya
two, you got vibration
and three on some of these there's an added ping.
An auditory ping.
- Oh,
- So you got vision,
you got sensory,
you got auditory.
- Sure.
- So, and the other thing that does Brad is it, you know,
as it goes on the challenge it unlocks more and more
difficult exercises.
So you start off, it's pretty easy
and it just keeps getting harder and harder.
Once you are successful.
- Sounds like a therapist designed it.
- Yep. It does.
So, all right.
Why don't we go ahead and jump over to Mike.
This is a gonna be available down below in a link.
If you wanna take a look at it
I think it's 299 without the tablet
with the tablet it's 499.
- Right.
- So, all right.
Thanks for watching.
- As it turns off, there it goes.
- All right.
I'm here with Mike.
Mike's been very generous
in allowing us to take some of his time
and he's gonna show us how to use this thing
because he's been using it with a patient and
- Yeah, a few patients.
- Yeah. And it worked out, it was a,
as our occupational therapist was just saying
it was very motivating to especially for the one patient
where he
- Yep.
- Seemed like he stayed really engaged and that's always
the key to especially stroke rehab
as they do the multiple repetitions.
So.
All right, Mike, why don't you to take it away?
I'll try to handle the camera here.
- Okay
- You so
- First we're gonna go through the music touch program.
For this we're going to use.
- [Bob] So that's for the two pucks, right?
- Two pucks. You got yellow and blue.
- [Bob] Isn't that the name of a rapper? Tupac.
- I think he's dead Bob.
- [Bob] Is he really?
- Yeah.
- [Bob] Oh God.
Sorry.
- Shot many years ago.
- [Bob] I'm sorry about that.
I'm I'm not up on my pop Culture.
- See the screen okay?
- [Bob] Yeah. I'm gonna go a little bit closer.
- All right.
With the music touch program
this is similar to guitar hero.
If you've ever heard of that. - [Bob] Yeah.
- [Mike] You can either select playing with your hands
or you can actually put these down on the ground
and you can tap your feet on them.
- [Bob] Oh yeah.
Okay.
Got it.
- [Mike] So.
First, you wanna hit play on this select play
then you can select left arm
right arm one or the other, or both.
You can select left leg, right leg or both.
So we'll just select arms for now.
- [Bob] So it's pretty intuitive, right Mike?
I mean, it's - [Mike] It walks you through
- [Bob] Kind of tell, tells you what to do
- [Mike] When you first turn it on
you can select like a kind of a run through the program
to kind of show you how things work.
- [Bob] Sure.
- [Mike] So it kind of takes a to process.
Over here now we have a song selection,
so I have easy, medium, hard.
We'll just pick a medium song for now.
- [Bob] So that's a difficulty level in using the pucks.
- [Mike] Yep.
- [Bob] Okay, not, not try to sing the song.
- [Mike] Also, if you're in a busy room,
they do have headphones so you can
- [Bob] Oh, they do
- [Mike] Okay, good.
- [Mike] Now we hit start.
Your screen will come up up.
Up here is a total number of hits.
So say 115.
Up here is a time limit of the song.
So it's 2:14.
- [Bob] Okay.
- [Mike] So a dead center like this, you're gonna hit both
blue, you're gonna hit blue,
both
blue. If you can see on the screen what it's doing.
- [Bob] Yeah. I can see
- [Mike] So you wanna sync up - [Bob] Both. Both.
- [Mike] Yeah. These dots when they hit that bottom circle.
So it's gonna coordinate between right and left.
If you wanna make a challenge
you can make people go apart more.
- [Bob] I imagine you could put one high, one low.
You could.
- [Mike] Yeah.
- [Mike] One forward, one back. Lots of variations.
- [Mike] And then
This would be the same exact setup with the feet.
- [Bob] Okay. Sure.
- [Mike] And obviously you probably wanna put
the yellow puck on the right side
since the yellow
- [Bob] Is on the right side
- [Mike] is on the right? Yeah.
- [Bob] Gotcha.
- [Mike] And here it'll say like, excellent,
excellent.
If I'm early or if I'm off
it won't say anything.
- [Bob] Mike kind of moving back to
when we first started here
you were saying that the receiver
the part that plugs into the, the screen.
- [Mike] Yep.
- [Bob] You can plug that generally.
- [Mike] I can also, I can pause the game.
- [Bob] Okay. You can plug that into almost any computer.
I think if it's compatible.
- [Mike] Yep.
- [Bob] But that also needs to be charged you said
- [Mike] Yep. This is a charging dock.
So this is basically like a Bluetooth signal.
- [Bob] Okay.
- [Mike] Plug it in the center.
Each puck has little inputs.
And if you look in here
there's little inputs, you just plug it right in.
- [Bob] and they plug right in.
And you said, you can tell they were starting to
lose their charge, cuz you'd look inside and they'd have the
- [Mike] Yep.
There's a little, this icon here.
- [Bob] Right.
- [Mike] It's green right now and I press it.
- [Bob] Oh gotcha
- [Mike] It'll it'll turn red.
And that means they're dying.
- [Bob] And that was one of the things too
that, you know, we mentioned earlier that
- [Mike] Usually if you use it a few times a day
they'd charge for about two days
and then they'd kind of die if you didn't recharge 'em.
- [Bob] okay.
So they'd last about two days.
- [Mike] Yeah.
Couple days usually.
- [Bob] All right.
There's another program with this, Brad.
- [Mike] Brad?
- [Bob] Brad, I'm already calling you Brad.
It didn't take very long, Michael.
- [Mike] So we will plug this back in.
So either when I'm on pause, I can hit resume or end.
We'll just end for now.
- [Bob] We'll end.
- [Mike] Okay.
Do you wanna quit?
Yes.
It'll give me my statistics.
For what part I did play.
So I had 49 hits
said how many were right, left or both
or yellow. blue, both. - [Bob] So you did well.
- [Mike] Yep. I'll say my percentage was a 100%
for how much of the song I did
- [Bob] Now on the right there.
That's showing different body parts you can use.
- [Mike] Yep. This is the one I chose was
left arm and right arm.
- [Bob] Okay.
- [Mike] So that's what I did then you can either do
if you wanna play again, go new song.
You wanna replay the exact same thing hit replay
or you can hit exit.
- [Bob] Okay. Gotcha.
- [Mike] So we can hit exit.
- [Bob] All right.
- [Mike] So now you're back on the music touch screen.
- [Bob] Oh yeah. I see you got arms on there.
You got legs on there.
- [Mike] Yep.
- [Bob] So right arm right on.
- [Mike] These are more gross motor skills
when you have the pucks.
- [Bob] Okay.
- [Mike] And then if we just wanna quit, we just hit quit
and it brings us back to the kind of desktop area.
- [Bob] Now you did, did you do the rehab one yet or not?
- [Mike] Nope.
We did music touch.
- [Bob] All right.
Let's go to rehab.
- [Mike] Rehab studios is a little less of a game
and more of exact direction with video
and how to properly do exercising on it.
- [Bob] Yeah. So they, this is where they have you
supinating and pronating the discs and stuff like that.
- [Mike] Yeah.
Different grips.
They have hands. Well, I'll go to the main screen.
So when you come to here, I'm gonna go to exercise.
I don't exercise.
Okay, a little body part's gonna come up.
You press 'em.
So hands,
if you were on a computer you'd use your mouse, but
- [Bob] sure.
- [Mike] Pick hands,
arms,
core
or legs.
- [Bob] So you can press any one of those.
Once you do it'll tell you it'll direct you
which exercises to do.
- [Mike] Yeah.
And over here is how long you wanna work for out for
so say I wanna play for five minutes, I'll do five minutes.
If I wanna play for 15,
I'll do 15.
- [Bob] Gotcha.
- [Mike] And then it'll stop when I'm done.
- [Bob] Okay.
- [Mike] We'll pick the hand
when you first start a new muscle group or start,
you're only gonna have a few exercises to choose from.
- [Bob] Okay.
- [Mike] And it's gonna have very low sets
as you get more advanced,
you'll have more sets and more exercises again.
- [Bob] Gotcha.
- [Mike] So it's kind of a progression
done by the computer system.
So we'll choose hand
- [Bob] Now that progression, does that happen
if you don't, if you aren't successful?
Let's say you're working with it.
- [Mike] See, you're not successful.
It won't progress.
- [Bob] It won't progress.
So you have to progress.
- [Mike] Yeah, so you could see can see if you see,
see these bottom blue circles.
- [Bob] Yeah.
- [Mike] The ones that are filled full with the star
are a gentleman had completed at the maximum amount.
- [Bob] Okay.
- [Mike] So the ones that aren't quite filled
he didn't quite max out.
- [Bob] All right.
These are the settings that were left from the patient then.
- [Mike] Yeah.
And then if I go to say, we didn't do any core.
So automatically core only gives me three exercises
to choose from.
These are all locked.
If you see, can see the locked icons.
So I can't do those exercises
until I work these three up enough.
- [Bob] I see.
You have to be successful at those three.
- [Mike] Yeah. So the arm we have most of them open.
- [Bob] Do you want to give an example of an arm one maybe?
- [Mike] Yeah. Let's go to arm. So I'll just hit begin.
Now this has tells you direction.
So it says place the blue puck on the table.
Okay.
Press down with your arm.
So when I hit it with the arm,
the screen moves.
- [Bob] Oh yeah.
- [Mike] If you wanna watch what it is
a video comes up and they'll demonstrate it.
- [Bob] Oh nice.
- [Demonstrator On Tablet] The puck on the table
and the object is to touch and release.
- [Bob] Gotcha.
- [Demonstrator On Tablet] If you find your hiking up your
- [Mike] yep. She gives tips too.
- [Demonstrator On Tablet] Put your hands together,
then reach out for it.
- [Bob] So that's just hitting one puck
as opposed to two pucks or anything like that.
- [Mike] Yep.
- [Bob] So that's a very basic exercise.
But again, for someone who has, has had a stroke
- [Mike] So now I'll show you this.
He maxed out, so it's very fast.
- [Bob] Okay.
- [Mike] So if I hit start, it's gonna want me to
constantly do this as fast as I can.
So hot start a countdown
and it'll go.
So if you see here, it's counting,
this is infinite number.
The highest score he had was 150.
After a while this little bomb will come up
and I have to go quicker.
If I'm not quick enough, the bomb explodes
and game's over so
- [Bob] Nice motivation then not to get bombed.
So, very good.
Okay. - [Mike] So I wanna stop it.
It's paused or I could just hit done.
- [Bob] You wanna just show one,
maybe advanced exercise on it.
- [Mike] Sure.
- [Bob] Advanced that, that he may have
gone further through, right?
- [Mike] Yep. So on the hand one or the arm one here,
if you look down below it, you can actually,
once you unlock these circles
you can press them to change the exercises on your own.
You don't have to run through every exercise every time.
- [Bob] Oh sure.
- [Mike] If there's a certain one you wanna work on
- [Bob] You can go right ahead to it.
- [Mike] Yeah.
So this is a shoulder abduction
so we can try that one.
So once again, if I move it
I'm gonna have to back up on this one.
Oh, sorry.
I can sit down too.
- [Bob] I'm not a camera person.
- So, so this is sensing me moving this up and down.
I'm not hitting this time.
I'm moving.
It can also roll.
It can sense rolling.
- [Bob] Oh, it does?
- So this sets us where it is in place.
So right now it's moving side to side.
So means I'm doing it.
- [Bob] Oh yeah.
So if I hit start,
it'll make me go.
This is only five reps
cuz he didn't really get this exercise much.
- [Bob] Sure.
- So that's the start.
So I hit five there.
Next level.
- [Bob] Do it again.
Just so that yeah, I, I can watch the screen this time.
- [Mike] Yep.
So now we'll do it again.
This time it'll probably gonna have me do
a few more reps.
So this is 10 reps now.
And as you can see that little yellow stick there
that's kind of where I'm at.
So if I go faster, see how it goes up.
- [Bob] Oh yeah.
- [Mike] If I go really slow it slowly goes down
and say I fatigue at eight
and it gets to that bomb.
You can see what happens.
It'll blow up.
- [Bob] Sure.
So you stop moving the arm now that's what's happening
- [Mike] Also as you get higher in reps,
that bomb creeps up on you.
So it gets harder.
- [Bob] Oh it makes it harder to yeah.
- [Mike] You have to go fast, so.
- [Bob] All right here comes the bomb.
- [Mike] See you lit the fuse.
- [Bob] Oh yeah.
- [Mike] You're gonna blow up.
- [Bob] Cute.
- [Mike] New highest score is nine.
- [Bob] Okay.
- [Mike] And then I think the only thing probably is
if you wanna reset the stats
if you have someone different working with it.
- [Bob] Sure.
- [Mike] If you wanna start 'em over.
- [Bob] Yeah. Why don't you show how to do that?
- [Mike] I go to exit
and then it'll
it'll tell you how many reps you did on each goal
and give you kind of a percentage
of what you did right.
So then I hit done
and then see this screen
is we've done a lot of hands in arms.
So see how the blue is really filled
four of them no exercises.
So I'm gonna go to hands here.
I click on it
and then it'll show me what I worked on each day.
Obviously I haven't been working on it lately
but all you have to do is there's a little trash icon.
I click the trash icon and it says
do you wanna erase all the data.
- [Bob] I see
- [Mike] And it'll return to zero for the body region.
- [Bob] Gotcha.
- [Mike] So it'll go back to like low reps again.
- [Bob] Sure.
- [Mike] Instead of 150.
- [Bob] All right.
Excellent.
- [Mike] And that's about all for the pucks.
Obviously the pucks with the rehab,
you can do legs more
just specific hands or core exercising.
- [Bob] Sure.
- [Bob] Well thank you very much, Michael.
- [Mike] Yeah.
- [Bob] All right.