Robotic Device for Balance and Stability: Tymo

Tymo is an advanced sensory therapy platform used in rehabilitation to improve balance and stability of both upper and lower body, as well as the entire body as a whole.

The Tymo is utilized for patients with issues in postural control, coordination and balance disorders, body asymmetry, and dysfunctional movement control and weight transfer difficulties.

The therapy can be conducted through a combination of different positions (sitting, standing/with or without support) and loads, which allows the therapist to plan and deliver therapy in a creative and motivating manner for the patient.

In addition to carrying out static exercises and load exercises, the Tymo sensory board also enables a dynamic form of therapy with the help of its specific, unstable surfaces that are placed on the base of the board itself, which makes it mobile.

The therapy is carried out through a precisely determined active movement or load that is applied directly to the surface of the plate itself. In addition to therapeutic purposes, we use the Tymo device to assess and test balance, base of support and/or weight transfer, as well as to monitor the progress of therapy. In therapy, we can combine the sensory board with other robotic devices and therapies.

Who and when needs Tymo?

Tymo is intended for the rehabilitation of orthopedic and neurological patients, including children.

• After surgery on joints or the implantation of artificial joints (hip, knee) and lower limb amputations, the Tymo sensory plate helps regain optimal movement control and weight transfer, proper balance distribution in the joint, and increases muscle strength.

• The Tymo sensory plate is also intended for neurological patients with difficulties in posture, coordination, and balance, which are often the result of diseases or injuries affecting the central nervous system: stroke, traumatic brain injury, brain tumors, spinal cord injury, Parkinson’s disease, multiple sclerosis, cerebral palsy.

• In diseases where muscle weakness is the main symptom (motor neuron disease, muscular dystrophy), Tymo helps maintain muscle strength and stability.

• Tymo is also used for balance and weight transfer testing as part of initial diagnostics and for monitoring rehabilitation progress.

Therapy process

Upon entering therapy, the Tymo device uses “Measurement Applications” to perform initial assessments, which are then stored in the device’s database. Subsequent assessments are compared to the initial state to monitor progress and therapy outcomes.

Measurement applications include:

1. Analyzing balance
2. Testing strength distribution in various positions (sitting, standing, under load)
3. Testing stability while standing
4. Testing balance distribution in static and dynamic forms in different positions (standing, sitting, under load)
5. Stepping – number of repeated steps per unit of time
6. Testing weight distribution in various positions (standing, sitting, under load)

For therapy of the upper extremities, patients use their hands to support themselves on the sensory platform. The therapy focuses on increasing upper extremity activity, improving and controlling active strength, and proper weight distribution in the arm area.

In a sitting position, therapy can focus on improving sitting function without support, symmetrical balance distribution, increasing trunk and pelvic activity, and better control of weight distribution during position changes.

In a standing position, therapy aids in standing, active knee control, increasing muscle strength of the lower extremities, and improving their coordination and muscle stability.

Therapy often involves fun games where patients manage the game by performing specific movements or pressures on the platform. The therapist sets specific movements or pressures that the patient must achieve during the game’s duration, maintaining continuous contact with the sensory platform.

The Tymo sensory panel allows us to carry out an individual therapy plan with continuous measurement and documentation of therapy. It gives us a daily report on the results of therapy and the state of recovery of each individual patient.

Therapy on the Tymo device is carried out in our polyclinic within 55 minutes.

Recovery

Therapy with the Tymo device positively impacts stability and trunk control, activity of the trunk and pelvis, joint range of motion, muscle strength, proper/symmetrical strength and weight distribution, and balance and coordination control.

After each therapy session on the Tymo device, patients receive a set of related exercises to perform at home, based on what was done during the session. This practice helps improve recovery by increasing repetition of the same actions.

Candidates

Candidates for rehabilitation with the Tymo sensory board are patients of all ages (including children) who, due to illness, injury, or after orthopedic surgery, have improper postural control, coordination and balance disorders, body asymmetry, dysfunctional movement control, and difficulty with weight transfer.

Therapy using Tymo is recommended for:

• Orthopedic patients who have undergone surgery on the leg joints, hip or knee replacements, or those who have undergone amputation of the lower extremities
• Neurological patients who have had a stroke, traumatic brain injury, brain tumor, spinal cord injury, or suffer from Parkinson’s disease, multiple sclerosis, cerebral palsy
• Patients whose cervical disc herniation has resulted in paralysis
• Individuals with diseases causing progressive muscle weakness (motor neuron disease, muscular dystrophy)

Absolute contraindications, or conditions where Tymo therapy is not performed, include: acute pain, joint contractures, severe spasm, psychological behavioral disorders, high-degree ataxia (irregular and uncoordinated limb movements), severe osteoporosis, unstable fractures.

Relative contraindications, where therapy can be performed but with caution or after certain symptoms improve, include: apraxia (complete or partial inability to perform learned motor tasks), joint arthritis, cognitive impairments, fractures of the upper extremities with callus formation, epilepsy, pacemakers (distance from the device <15 cm), infections, osteoporosis, blood pressure issues (dizziness), pain, sensory disorders, skin problems (wounds), swelling.

Preparation

Before starting therapy, each patient must undergo an assessment by a doctor and/or therapist to determine if Tymo therapy is suitable and will provide positive results.

The therapist assesses the duration of therapy based on the patient’s cognitive ability and overall health. In doing so, the patient’s cognitive ability and general state of health are taken into account. The therapist is always present during therapy.

If Tymo therapy is recommended, patients will have the opportunity to test and experience the therapy before starting.

Price of therapy

The price of robotic neurorehabilitation at Poliklinika Sinteza can be checked in the current price list.

Service location

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