Motion Rehabilitation Training System

Motion Rehabilitation Training System is a modern technology for restoring movement, balance, and the skills of daily living (ADL) at PYONG Rehabilitation Penthouse (Gaysorn Tower floor 11, BTS Chit Lom), where the team of rehabilitation medicine physicians and the multidisciplinary team care for you closely. Unlike general exercise, Cotras combines the training of the brain (cognition), the doing of daily routines, and movement together. It suits older people and patients with diseases of the nervous system, such as cerebrovascular disease (Stroke), a state of dementia, or the degeneration of the body with age.

What is the Motion Rehabilitation Training System

Motion Rehabilitation Training System (Cotras) is a digital platform that combines the movement of the body with interactive training of the brain, using sensors that detect movement and programmes in the form of games so that the patient can train safely and enjoyably. The programme shows the result on a screen and adjusts it to suit the level of capacity of each person. The strong point is training both the body and the brain at the same time, building up movement, balance, memory and concentration. Besides this, the Motion Rehabilitation Training Content Menu also adds game programmes that simulate real life, such as picking things up, walking, or doing daily routines, making the restoration closer to real life.

Why choose the Motion Rehabilitation Training System at PYONG Rehabilitation

The Motion Rehabilitation Training System at PYONG Rehabilitation Penthouse is the latest generation of technology, with a Motion Sensor that can detect the movement of the user precisely and collect data on the user's movement, for the highest effectiveness in treatment. Besides this, the Motion Rehabilitation Training Content Menu also has more than 100 diverse training games, designed to help train patients to exercise, walk, move and shift the body in various directions, so that the body and the brain learn and remember the movements necessary for daily living

At PYONG Rehabilitation Penthouse, at every step of the restoration the rehabilitation medicine physician always assesses first, in order to determine a programme that is suitable and safe, unlike training at home or with general apps, because it can follow, analyse and adjust the programme in real time. Besides this there is also a complete team, with physiotherapists, occupational therapists, speech therapists, clinical psychologists, dietitians, and nurses, helping build up the care of the patient in a well-rounded way. The clinic is located at Gaysorn Tower (BTS Chit Lom), for the convenience of patients in Bangkok.

How does the Motion Rehabilitation Training System work

The training begins from an assessment by a doctor or an expert. After that the patient will stand or sit in front of the machine. The system uses sensors to detect the movement and shows tasks according to the game chosen, such as reaching to pick something up, stepping, or solving a problem, through the screen. The patient follows them while receiving sound and image feedback in real time, making the training enjoyable like playing a game, but behind it is a design that stimulates the working of both the muscles and the brain. Each session takes 30–45 minutes, training movement, balance, and concentration. When training continuously, patients usually observe movement that is steadier, better concentration, and doing daily routines more fluently.

The symptoms and states that suit the Motion Rehabilitation Training System

• Restoring patients after cerebrovascular disease (Stroke)
• Problems of balance in older people
• The initial stage of Parkinson's disease
• The degeneration of the capacity for movement with age
• An early state of dementia, or impairment of memory/concentration
• Preventing falls, and training confidence
• Restoration for self-reliance in older people
• Recovery after surgery on the knee/hip joint
• Controlling abnormal movement from an injured nerve
• Training in ADL, such as dressing, cooking, or moving about the house
• Neurological therapy after brain injury
• Building up strength and endurance for older people whose bodies are weak

The academic evidence

Several pieces of research support digital restoration systems of the Cotras kind. In patients with cerebrovascular disease it has been found that training that combines the brain and the body helps develop balance, walking, and the ability to do daily routines better than general training. Research in older people indicates that virtual training that uses movement helps reduce the risk of falling and increases the response to the things around them, and also builds up concentration and memory when trained together with solving problems. Although no technology guarantees a certain result, this evidence shows that the Cotras system may help build up restoration effectively.

How often should one train

The frequency depends on the state and the goals of the patient. In patients with cerebrovascular disease or diseases of the nervous system, the doctor usually advises 2–3 times a week, alongside physiotherapy and occupational therapy. For older people training for balance or to prevent falls, training once a week may be used for regularity. Every programme at PYONG will be adjusted specifically to the individual after assessment by a doctor, so that it is safe and gives the greatest benefit.

When should a result be expected

Some people may feel enjoyment and more motivation from the first session. Initial results, such as better concentration and posture, can usually be observed within 1–2 weeks. As for clear restoration of movement and of the brain, it usually takes 4–6 weeks. Obtaining a long-term result, such as coming back to living daily life independently, requires continuous training together with other therapies. The results will differ in each individual according to health and the receiving of treatment.

Safety and precautions

The Cotras programme has a high level of safety and is not invasive. At PYONG every patient will receive an assessment by a doctor before beginning, in order to screen for contraindications, such as severe heart disease that is not controlled, epilepsy that is not yet controlled, or a severe injury of the bones. Every training session has a therapist caring for the patient closely, particularly for those who have problems of balance. The environment at the Penthouse clinic is also prepared in terms of safety and has complete medical equipment.

The cost

At PYONG Rehabilitation Penthouse (BTS Chit Lom, Bangkok) the Motion Rehabilitation Training System programme starts at 4,600 baht per session. The cost depends on the plan of treatment, the length of time, and the services included in the package. Everyone must always pass an assessment by a doctor first, in order to be certain that the treatment is suitable and worthwhile for the goals of restoration.

FAQ

1. What is Cotras Motion Training?
   It is a restoration system that combines the training of the body and the brain with sensors and activities in the form of games
2. Who does it suit?
   It suits patients with cerebrovascular disease, diseases of the nervous system, older people who have problems of balance, or those who need to train in ADL
3. How long does each session take?
   About 30–45 minutes according to the plan of treatment
4. Is it safe for older people?
   It is safe, since every programme passes screening by a doctor and there is a therapist caring for the patient closely
5. Is a referral letter from a doctor needed?
   It is not necessary, but every patient must always receive an assessment from a physician of PYONG Penthouse before beginning training

Choosing a place to treat pain and diseases of the brain from a clinic cared for by a team of specialist physicians with expertise, such as PYONG Rehabilitation Clinic and PYONG Rehabilitation Penthouse, will help the patient receive care that is effective and safe. With modern technology, patients have the opportunity to recover and come back to a better quality of life quickly.