In Cosne-sur-Loire, the Pasori functional rehabilitation center is at the cutting edge of technology

The Pasori functional rehabilitation center in Cosne has state-of-the-art equipment and this is not necessarily known to the general public. Sophie Bordet, one of the managers of the structure, recalls “that the establishment has always wanted to provide the best response to its patients”. And for this, the leaders (daughters of the creator Bernard Bordet) and the staff try to “stick as closely as possible to technological developments”.

The establishment, which was founded thirty years ago and now employs 200 full-time equivalents, was the first in France to equip itself, six years ago, with a rehabilitation exoskeleton. A medical robot that allows paralyzed patients to stand up and walk. “Artificial intelligence completes what the patient is unable to achieve”, explains physiotherapist Pierre May-Carle, referent of the service. “Movement allows the brain to reconnect and be stimulated through walking,” he points out.

Provide the best solution

Another tool, at the forefront and not widely used, is the driving simulator which offers the possibility “to put the patient back in a driving situation before being behind the wheel of an adapted vehicle”, indicates the physiotherapist. Facing a screen, steering wheel in hand, his physical and cognitive abilities as well as his reflexes are analyzed by neuropsychologists or occupational therapists through virtual exercises that give the impression of being on the road.

The driving simulator puts the patient back in a driving situation before being behind the wheel of an adapted vehicle.

Work through a virtual task is also the component of several other tools such as the Arméo spring, which has the function of rehabilitating the upper limb, by eliminating the effect of weightlessness or by assisting the movement with an adapted motorization .

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These devices, robotic and high-tech, are linked to computerized systems that offer exercises in the form of video games. “The patient thus has his arm rehabilitated early and intensely in a playful environment”, explains Pierre May-Carle who specifies “that we find very few of them in France, because it is a heavy investment”.

?Several medical tools are linked to computer systems in order to make patients work in a fun way.

The double satel platform, which makes it possible to assess and rehabilitate balance disorders, is also based on entertainment. Immersed in a virtual environment, the patient must orient his body in space to work on his balance. “We involve him in his rehabilitation without being off-putting”, underlines the health professional who is delighted to observe that “even the elderly adhere to this type of technology”.

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Last novelty, inaugurated at the same time as the new technical platform of the Pasori 5, a system offering the possibility of getting the patient back to walking thanks to a harness suspension system, which lightens the weight of the body. Connected to a rail of about twenty meters, the patient can go back and forth in complete safety.

Connected to a rail of about twenty meters, the patient can go back and forth in complete safety with this system.

In this same room, there is the Imoove, an ultra-modern device, not very widespread, acquired recently, which works on balance and muscle strengthening thanks to a mobile platform moving under the patient’s feet. Right next to it, the Thera trainer, which makes it possible to “keep patients who do not have the capacity to stand up on their own”, says the physiotherapist. The machine, mounted on springs, is connected by Bluetooth to a computerized system and a screen is located in front of the patient. By the movements of its trunk, it moves an avatar on the screen.

The Pasori also has an isokinetic chain, a system invented by NASA, which scientifically evaluates the musculature of patients. Pierre May-Carle recalls that “we were among the first to be equipped with this device in France, which is very expensive. »

High-level athletes welcomed

Before leaving for the Rio 2016 Games, the members of the French BMX team, training at Creps in Bourges, came to take stock at Pasori. “For top-level athletes, this device allows them to know their exact level of muscular competence, or helps them treat certain lesions,” says the practitioner, who also works with a locomotor tracker that analyzes walking, or even a virtual reality device (a helmet immerses the patient in an artificial universe in which he must carry out a rehabilitation task).

Other devices such as augmented reality mirror therapy allow treatment by deceiving the brain using visual illusions. Another rare device, which also allows treatment by stimulating certain areas of the brain using vibrators placed along the muscles and giving the illusion of movement, the Vibramoov.

“Care teams are the drivers of the evolution of practices”, underlines Sophie Bordet, whose establishment welcomes patients from the region, but also from Tours, Dijon, Orléans. “When caregivers have projects, management is receptive. »

Matilda Thomas

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