YOUR GATEWAY TO ENDLESS OPPORTUNITIES

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1 IMPROVE HUMAN PERFORMANCE YOUR GATEWAY TO ENDLESS OPPORTUNITIES Setting standards for human movement research and treatment 1

2 EMPOWERING YOUR AMBITION Innovative technologies enable scientists to carry out groundbreaking research. Versatile devices offer the possibility to reliably manage experimental parameters and quickly collect real-time feedback data, opening the doors to unique and diverse experiments. With access to advanced equipment and software, researchers can make a true difference. As a technology leader, we provide our clients with these tools and technologies, empowering them to explore the field of human movement. Our state-of-the-art devices and services are the gateway to endless possibilities in the research and treatment of movement disorders. Together, we will set future standards that will help to maintain a healthy and independent lifestyle for every person. THE MOTEK DIFFERENCE Empowering leading scientists and clinics to explore new ways to study balance and movement disorders through advanced technology: that s what makes us tick. Barry Hes CEO Motek MOTEK 2017 Dynamic and interactive virtual reality environments for advanced research options, using multi-sensory input and real-time feedback. Both easy-to-manipulate research environments and ready-to-go custom built clinical protocols, based on the latest scientific evidence. An experienced and reliable research partner who offers the devices and services to support your projects, operating within a global partnership network to achieve your goals. Versatile, high-quality hardware and sophisticated inhouse software that easily integrates with third-party devices. 3

3 STRENGTHENING YOUR POSITION TEAMING UP FOR SUCCESS We provide leading support for researchers, healthcare professionals and patients. Partnering with us will accelerate you to reaching the next level. UNIVERSITY HOSPITALS REHABILITATION INSTITUTES We offer the hardware, software and services to boost your research. From global knowledge exchange to unique new research set-ups: we provide the all-round support package for every stage of your research on human movement. Treatment, assessment, research and education. Reach the highest level through: Objective measurement in a controlled and safe environment Real-world visual, cognitive and visual simulation Medically certified devices and systems (FDA, CE) Unique treatment protocol design Versatile set-ups for research settings Frontrunners among the clinics. Become a topinstitute by offering: Objective measurement in a controlled and safe environment Real-world visual, cognitive and visual simulation Medically certified devices and systems (FDA, CE) Standardized and personalized movement treatment Real-time processing with bio-feedback Fast and validated clinical gait analysis and reporting High-intensive therapy based on the latest insights in motor-learning theory RESEARCH SERVICES Restricted in time to achieve all your objectives? We offer support in writing proposals, acquiring ethical approval, securing patents and IP, staffing and facilitating collaborations. CLINICAL SERVICES TECHNICAL SERVICES Never worry about the techniques. We offer extensive technical support and regular maintenance, so you can focus on your projects. FINANCING SERVICES UNIVERSITIES Enable groundbreaking research projects and legendary schooling plans with: Objective measurement in a controlled and safe environment Real-world visual, cognitive and visual simulation Standardized performance assessment Unique human performance research, with best-in-class technology A large range of supported hardware: integrated, synchronized and open for third party integration SPORTS CENTERS Enhance human performance assessment, research and training with: High-precision and objective measurements Personalized training programs Real-time performance and bio-feedback Assessment and training at the edge of human performance High-intensive therapy based on the latest insights in motor-learning theory We offer clinical integration consulting and companionship. We can advice you on the latest recognized standards in care, implement the desired procedures and train the clinical staff to use them. PROJECT SERVICES Kick start your project today. We will help you with project management, tender application, infrastructural planning, engineering and logistics. Finances should not limit your research or therapy. We offer different financial solutions. Please contact us to find out which one suits you. MARKETING SERVICES Stand out from other research or rehabilitation facilities. With our PR and communications support, you are sure to be seen and heard. MOTEK

4 BUILDING THE PERFECT SET-UP ALL OUT OF ONE HAND Discover our portfolio: CAREN GRAIL M-Gait C-Mill / C-Mill VR / C-Mill VR HapticMaster VR Powered by: D-Flow Human Body Model (HBM) The Motek product portfolio includes everything from custom treadmills and balance platforms to sophisticated virtual environments and body weight support. All our products are interconnected through our own software platform, producing real-time feedback and progress reports. Our products have many application options, enabling flexible high-level research and efficient clinical treatment in neurological and orthopedic rehabilitation, physical therapy, movement science, sports and psychology. MOTEK

5 THE WORLD S MOST ADVANCED BIOMECHANICAL LAB CAREN The Computer Assisted Rehabilitation ENvironment (CAREN) targets all aspects of balance and locomotion in both research and clinical treatment. The use of virtual reality enables researchers to assess the subject s behavior and includes sensory inputs like visual, auditory, vestibular and tactile. HIGH-TECHNOLOGY CAREN integrates a 3D motion capture system, instrumented dual-belt treadmill, 6 Degrees-of- Freedom motion base and immersive virtual reality environment. CONTROLLED ENVIRONMENT Any parameter of the system and the person on it can be influenced and recorded. This will rapidly give insight into the context or pathology specific behavior of the subject, offering possibilities to investigate new treatment options. REAL-TIME INTERACTION Allow subjects to engage in interactive virtual reality scenarios that they can explore while performance of motor and postural tasks can be monitored, recorded and (re)trained. OPEN UP NEW POSSIBILITIES CAREN will put your institute on the map and open doors for grants, referrals and national and international collaborations with top reference institutes. Join a unique worldwide group of some of the top universities and clinical centers. Investigate new research paradigms with our CAREN High-End. Full 360 spherical immersion! MOTEK

6 THE GAIT-LAB OF THE FUTURE THE MODULAR TREADMILL SYSTEM GRAIL As the total package solution for gait analysis and training, the Gait Real-time Analysis Interactive Lab (GRAIL) employs an instrumented dual-belt treadmill, a motion capture system combined with virtual reality and video cameras. GRAIL provides analysis and therapy in challenging conditions to improve gait, while real-time feedback enables analysis and training during the same session. FUNCTIONAL GAIT ANALYSIS Challenge patients with visual, physical and auditory stimuli while measuring gait behavior, which ultimately provides a functional gait analysis. CONTINUOUS RECORDING All gait parameters, such as kinematics, kinetics and muscle activation, are continuously recorded, improving efficiency and data reliability. CLINICAL GAIT ANALYSIS Analyze the walking pattern in real-time or with our offline software that offers synchronized viewing of video, EMG, kinematics and kinetics, so you can perform and communicate your clinical gait analysis with specialists and patients. REAL-TIME FEEDBACK The D-Flow software and Human Body Model (HBM) allow for real-time feedback on gait parameters as a means to change the gait pattern for clinical or scientific purposes. M-GAIT The M-Gait enables multiple system enhancements to improve the functionality of your research set-up. Upgrade the 3D-instrumented treadmill with pitch and sway, motion capture, virtual reality, body weight support and many other features. Each add-on extends your research possibilities. HIGH-END TREADMILL M-Gait comprises a dual-belt treadmill with fully separated 3D force measurement capabilities. D-FLOW BASIC The M-Gait is controlled by the D-Flow Basic software which integrates the optional hardware components and synchronizes and processes data in real-time. AVAILABLE M-GAIT OPTIONS: PITCH AND SWAY D-FLOW SOFTWARE ELECTROMYOGRAPHY (EMG) DURABLE DUAL-BELT SYSTEM High-end treadmill with a less than 8mm gap between the belts, kept in track with a durable system. TRUSS STRUCTURE DEDICATED APPLICATIONS Data synchronization and real-time processing allow users to develop and run dedicated applications. HUMAN BODY MODEL BODY WEIGHT SUPPORT GAIT PACKAGE MOTEK

7 TOMORROW S REHABILITATION TODAY THE HUMAN-ROBOT INTERACTION TOOL C-MILL The C-Mill is a powerful tool that allows for better and more efficient rehabilitation. Besides objective assessment of balance and gait, the C-Mill provides a safe and comfortable training environment using a treadmill, augmented reality and virtual reality. Train foot placement with the C-Mill, balance and dual-tasks with C-Mill VR, or use C-Mill VR for early to late rehabilitation with body weight support. It s a complete, advanced gait-lab and training center on 4m². EFFECTIVE GAIT ADAPTABILITY THERAPY The C-Mill allows for learning gait adaptability strategies through obstacle avoidance and speed adaptation exercises in a safe and controlled environment. VARIATION AND DIRECT FEEDBACK Augmented and virtual reality environments allow for variation in training exercises with direct visual and auditory feedback. QUICK GAIT EVALUATION The software shows gait parameters like step length, width, frequency and symmetry on a step-to-step basis and session reports are generated automatically. HAPTICMASTER VR The HapticMaster VR is a haptic robot designed to give users a realistic sense of touch in a virtual or remote world. Use the D-Flow Suite to create interactive and immersive AR/VR applications that use both haptic and visual feedback. HIGH PERFORMANCE HAPTICS Research haptic and visual man-machine interaction in realistic virtual environments. Explore the virtual world and control human movement in activities of daily life with the optional ADL gimbal. FLEXIBLE DEVELOPMENT PLATFORM Enables you to develop unique systems tailored for your research into man-machine interaction, human motor control, and movement rehabilitation. Create fully programmable haptic interaction with the human arm using virtual dynamic elements and scripted challenges. Use it for master-slaveand tele-operation, or education in robotics and programming. Analyze and evaluate 3D tactile models before producing physical prototypes. COMPACT ROBOT PACKAGE HapticMaster VR has a proven track record for reliability and safety and it achieves its large range of motion in a compact robotic package. RESEARCH Define your own visual stimuli projected on the treadmill, customize a default training, or develop your own experimental program from scratch. MOTEK

8 THE TOTAL INTEGRATION PLATFORM D-FLOW SUITE The D-Flow software is our inhouse visual programming tool designed for the development of interactive and immersive virtual reality applications. Combine its modules to create complex and interactive VR applications. DEVICE INTEGRATION D-Flow integrates many different hardware devices, ranging from infrared motion capture cameras, 6 Degrees-of-Freedom platforms and dual-belt treadmills to inertia sensors and haptic devices. REAL-TIME FEEDBACK Multi-sensory input devices measure the behavior of the subject, while output devices return motorsensory, visual and auditory feedback. APPLICATION DEVELOPMENT Self-definable feedback strategies through a flexible and extensible application development framework. MODULE COMBINATION Software modules directly control the virtual environments, data streams, or specific hardware devices, such as a treadmill or a motion base. HUMAN BODY MODEL (HBM) The HBM is a computer model of the complete human body, representing a total of 46 kinematic degrees of freedom. It is designed for real-time biomechanical analysis of joint kinematics and kinetics, as well as estimation and visualization of muscle function. REAL-TIME MOVEMENT ANALYSIS HBM is part of our D-Flow Suite, in which the biomechanical information on human movement can be used to provide real-time feedback to patient and therapist. CLINICAL APPLICATION Clinicians, researchers and therapists directly benefit from real-time and offline motion insights and information on internal forces of otherwise fundamentally invisible moments. SCIENTIFIC BASIS HBM was developed in collaboration with Prof. van den Bogert, based on the findings he first published in 2013: A real-time system for biomechanical analysis of human movement and muscle function. Different studies from leading scientific groups have since been published, which led to an improved model that was released in June SURROUND SOUND HIGH SPEED VIDEO D-FLOW ELECTROMYOGRAPHY (EMG) MOTEK

9 MEETING THE FIELD VU UNIVERSITY MEDICAL CENTER AMSTERDAM VUmc is a university medical center, closely associated with the Vrije Universiteit Amsterdam (VU Amsterdam). One of the university s research institutes is MOVE, which emphasizes on human movement research. Its mission is to conduct excellent scientific research on human movement and the human movement system within the fields of rehabilitation regenerative medicine and sports, in both healthy individuals and patients. The long-term aim is to conduct innovative, surprising and fundamental research to understand, improve, maintain and/or repair motor functioning. To this end, MOVE uses a state-of-the-art virtual reality lab equipped with the GRAIL. It allows the faculty to integrate mechanical perturbations and real-time feedback on movement parameters in a virtual reality environment. This benefits the researchers, providing extra flexibility in research protocols and analyzing results. Since I have a dual-belt 3D instrumented treadmill, we can measure hundreds of gait cycles, under various conditions, within a few minutes. Prof. Dr. Jaap van Dieën VU University Faculty of Human Movement Sciences Amsterdam MOTEK 2017 CLEVELAND CLINIC Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. The founders of the clinic believed in the strength of diverse specialists working and thinking as a unit, with a core mission: Better care of the sick, investigation into their problems and further education of those who serve. The clinic strives to be the world's leader in patient experience, clinical outcomes, research and education and is recognized by many independent organizations for the quality of care it provides. Cleveland Clinic uses two virtual reality-capable treadmill systems for rehabilitation, clinical analysis and research: the Computer Assisted Rehabilitation Environment (CAREN) and C-Mill treadmill system. The systems are used to assess, train and study rehabilitation patients mobility in realistic but protected settings. Beyond the virtual immersion features, the systems provide them with a complete biomechanics laboratory in a quarter of the size of a traditional lab. The CAREN system puts us on the leading edge by enabling us to safely challenge patients through different courses in an immersive, realistic virtual environment. Dr. Jay Alberts Vice Chair for Health Technology Enablement Cleveland Clinic Neurological Institute, Director of Cleveland Clinic s Concussion Center 17

10 UNIVERSITY OF STRATHCLYDE Strathclyde is a leading international technological university located in the heart of Glasgow. Research is of central importance for the university, guiding its teaching and helping to make a difference to business, industry and society as a whole. Strathclyde s Biomedical Engineering Department is renowned for its research and educational programs. The department developed an excellent research environment that allows new talent to thrive and develop within innovative research programs and collaborations. These are supported through established clinical and industrial multidisciplinary networks. Strathclyde has a unique breadth of specialist facilities, which are some of the best across Europe. The university is ranked 1st in the UK for Medical Technology in the 2018 Complete University Guide. Motek and the Department of Biomedical Engineering are involved in a strategic collaboration since the installation of the CAREN Extended in Prof. dr. ir. Philip Rowe and his team use the CAREN Extended to develop new models and applications that improve patient treatment and evaluate effects of rehabilitation services. Researchers at Strathclyde use the D-Flow software in more than 9 labs and experimental set-ups consisting of different hardware set-ups. Together, Motek and Strathclyde are involved in many projects focusing on for example timing of surgery and success-rates after implants in orthopedic patients, improving functional outcome after total-knee replacement, and fall risk identification in older adults based on gait perturbations and fall prevention training. HOW CAN WE ASSIST YOU? Are you curious how we can support your project? We re always on the lookout for the best way to facilitate your human movement research. Challenge us with your dreams: we ll find a solution to fit your needs. We re based in the Netherlands, but act globally through our extensive international partnerships and sales network. Visit our website for more information and feel free to get in touch with us. Get your live demo appointment today! CONTACT US Hogehilweg 18 C 1101 CD Amsterdam The Netherlands Tel info@motekforcelink.com ABOUT US We are the global leader in virtual reality and robotics research and rehabilitation, combining almost 20 years of experience in highquality technologies. We excel in building the most versatile devices, integrating the latest technologies while ensuring data quality and synchronization. Together with leading clinics and scientists, we are continuously challenged to improve human performance. Motek is a proud partner of DIH International and Hocoma. The CAREN enables our lab to perform both fundamental and applied research on every aspect of human movement performance. It also puts us in an advanced position for collaborations and fund raising. DIH INTERNATIONAL DIH International focuses on rehabilitation solutions and medication management by connecting the most innovative people with the most intelligent technologies. HOCOMA Hocoma is the global market leader for the development, manufacturing and marketing of robotic and sensor-based devices for functional movement therapy. Prof. Dr. Ir. Philip Rowe Strathclyde University, Glasgow All products, patents, and trademarks are registered and owned by Motek Medcial B.V. For more information, contact us at info@motekforcelink.com MOTEK

11 IMPROVE HUMAN PERFORMANCE CHALLENGE US While we continuously work on new solutions and innovative technologies, it s the researchers and clinicians that drive us. Your hypotheses and research needs challenge us to keep developing the most flexible, adaptable and versatile products and services. So you can keep extending your knowledge on human movement.