Hocoma C-Mill

The C-Mill is an augmented reality (AR) and virtual reality (VR) instrumented single belt treadmill, used for the evaluation and training of impaired gait and balance. A complete, advanced gait lab and training centre on 4m squared, the C-Mill allows for gait adaptability strategies through obstacle avoidance in a safe and controlled environment.

We have been pleased to work with the C-Mill for a number of years with our partner Motek. Now distributed now by Hocoma, the treadmill uses visual and acoustic cues projected onto the belt surface and displayed on the front screen, as well as game elements, to provide motivation and challenges for patients as they recover their stability and gait.

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Objective, Real-Time Analysis

Therapists can make adjustments tailored to each patient, set challenges, monitor the immediate effects, and generate reports, all with just a few clicks. The patient’s performance can be measured and saved to provide short and long-term progress reports, allowing the therapist to tailor each session according to the patient and their progress.

Parameters such as step length, width, frequency and symmetry are automatically recorded and analysed via the force plate within the treadmill, so there’s no need to attach markers or wires to the patient.

The C-Mill’s extensive data collection, thanks to the force plate, allows for valid, objective and reliable assessment of gait, balance and adaptability. The C-Mill can be used for balance (static postural control and dynamic weight shifting in four directions); for gait (spatio-temporal parameters and the patient’s centre of pressure); and for gait adaptability (using the treadmill’s projection and VR applications to simulate real-life situations).

C-Mill Configurations

There are three different configurations for the C-Mill available, which can be tailored to your specific needs:

Box Icon C-Mill

C-Mill

This is the basic C-Mill model, featuring an instrumented treadmill, augmented reality projections on the treadmill belt, a safety harness, handrails, and a full suite of gait and balance applications.

Box Icon C-Mill VR

C-Mill VR

This C-Mill model features an instrumented treadmill, augmented reality projections on the treadmill belt, a virtual reality screen, a safety harness, handrails, and a full suite of gait and balance applications.

Box Icon C-Mill VR+

C-Mill VR+

This advanced C-Mill features an instrumented treadmill, augmented reality projections on the treadmill belt, an inset virtual reality screen, a safety harness and built-in body weight support system, handrails, and a full suite of gait and balance applications.

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Case Study - BASIC

“A 54-year-old patient had a left-sided stroke in September 2016. After 10 sessions using Virtual Reality (VR), including the C-Mill, she stated she was more confident in her walking and her balance skills had improved. This means she felt safer when walking around, both indoors and outdoors.

A 52-year-old patient suffered a right-sided weakness following a stroke in April 2017. He had 10 sessions using Virtual Reality, including the C-Mill. He states that his confidence has grown and he feels safe walking short distances, and he is now able to manage the stairs.

A 60-year-old patient has right-sided weakness following a haemorrhagic stroke in 2011. He has had 12 sessions using Virtual Reality, including the C-Mill, and he feels he is confident in walking and everyday movement including indoor and outdoor activities. This includes managing to step up curbs and weather-related challenges. The C-Mill’s Gait Adaption applications have helped with better placing of the right foot when using the stepping stones programme, and the obstacle avoidance challenges has helped this patient with walking on pavements.”

The Brain and Spinal Injury Centre (BASIC)

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Case Study - Portland Hospital

“We have a standard treadmill in our outpatient gym but felt that the C-Mill would offer a more interactive therapy experience and enhanced treadmill training. We have had the treadmill on loan for 3 months and have used it with a wide variety of patients aged from 4 -15. We have used it for post-operative orthopaedic and neurological diagnoses including Cerebral palsy-following SDR surgery, post-op limb lengthening and brain injury rehabilitation.

The stepping stones function has been excellent for promoting improvements in stride length and the children have particularly enjoyed the animal games that promote sideways movement and stepping over objects. It is unusual to have a treadmill that you can move around on and it provides a much more functional environment to work on gait training. We have found that we have been able to do longer sessions than on a standard treadmill as interest is more easily sustained.

There has been a great reception from staff and they have all found it easy to use; our patients have loved it, remaining engaged throughout their treatment sessions.”

Nicole Cash, Clinical Lead Paediatric Physiotherapist at the Portland Hospital for Women and Children

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Patient Testimonial: Mike Jones, Lower Limb Amputee

C-Mill user at The Morrello Clinic, currently number 2 in the European Disabled Golf Association, and 6-time winner on the EDGA tour.

“My lower left leg was amputated after a traffic collision in October 2015. After I relearned how to walk with my prosthetic leg, I started my physiotherapy under the expert care of staff at The Morrello Clinic in Newport where I started using Motek’s C-Mill. The C-Mill is an amazing piece of equipment which has changed my life. I use it every week as part of my rehabilitation therapy, mostly walking on the treadmill to improve my gait and speed but also using applications such as targeted stepping stones, slalom and tandem walking, obstacle avoidance and using visual cues to speed up and slow down. The treadmill’s step adaptation to my own gait is brilliant, as the equipment knows exactly where I will naturally step. It projects obstacles on the treadmill right where I am about to place my foot so I have to change my step suddenly. The gait analysis reports help me see how much progress I’ve made each session. The C-Mill has really made a difference, as it’s made me more confident and pushes me to make improvements in a safe environment.”

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The Hocoma total solution: the entire therapy continuum

From acute inpatient care to outpatient rehabilitation.

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Andago

The Andago is the world’s first free-moving mobile gait robot, combined with a body weight support system.

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Armeo

The Armeo is a robotic exoskeleton which enables patients to practise and repeat movements with their hands and arms to aid rehabilitation.

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Erigo

The Erigo combines gradual verticalisation with robotic movement therapy, using robotic leg movement in a safe tilt table-style system.

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HocoNet®

The all-new software platform, connecting all of Hocoma‘s portfolio across the entire continuum of care.

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Lokomat

Relearn how to walk from the beginning with the Lokomat, a robotic-assisted therapy solution that enables intensive gait training.

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Valedo

Fight back pain by playing games using the Valedo, a medical sensor device for digital back therapy at home or in the clinic.