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.
Developed by Motek and 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.
Therapists can make adjustments tailored to each patient, set challenges, monitor the immediate effects, and generate reports, all with just a few clicks. 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 treadmill is ideal for patients requiring rehabilitation for neurological conditions, brain and spinal injuries, stroke, Parkinson’s Disease, movement disorders, amputees, cerebral palsy, stability training, and fall prevention. A fully-integrated body weight support system is available as an optional extra, for any patients who are unable to stand or walk by themselves or require help to stand up out of their wheelchair.
There are three different configurations for the C-Mill available, which can be tailored to your specific needs:
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.
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.
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.
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)
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
Where can I find the C-Mill?
We’re proud to include UK clinics such as the Morrello Clinic in Newport, South Wales, and The Brain and Spinal Injury Centre (BASIC) in Salford, Manchester, as users of the C-Mill. Read the Morrello Clinic’s research report and case studies here.
Want to try out a C-Mill treadmill with your own patients? We are pleased to be able to offer the C-Mill on a 3-month clinical trial basis. This includes installing the C-Mill in your clinic for a small fee and giving your staff full training so your patients can feel the benefits themselves. After 3 months, you can either purchase a C-Mill or return it to us. It’s as simple as that.
Mike Jones testimonial
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.”