PROMPT - Clinic for Trauma Surgery, Orthopaedics and Plastic Surgery

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Clinic for Trauma Surgery, Orthopaedics and
Plastic Surgery




Grant agreement no.: 13GW0340B

Grant Scheme: Bundesministerium für Bildung und Forschung, BMBF

Project full title: Prostheses and orthoses for mobile and specific phantom and deafferentation-pain therapy

Project acronym: PROMPT

Duration of the project: 36 months

Start date of the project: 01.10.2019.

Project partners: Universitätsmedizin Göttingen, ROUTINE health GmbH,  Ottobock SE& Co. KGaA, botspot GmbH, Universität Jena,  Hochschule für angewandte Wissenschaften, Fakultät Life Sciences 



 The aim of the joint project is to develop a novel, dynamic, and lightweight orthosis system for paralysis of the arm and an innovative prosthesis system for amputees, equipped with integrated stable, somatosensory feedback systems. This mobile therapeutic support system (MTUS) is to be used to address a quality of pain that has been refractory so far, which often becomes chronic and is described as particularly burdensome by the predominantly young affected persons. The consortium makes a maximum individualisation of the mobile MTUS possible by using state-of-the-art planning and production processes (3D scanning, 3D printing, VR; BS/OB/RH). This produces an innovative form of pain therapy that is non-invasive, non-pharmaceutical, therefore likely free of side effects, and, moreover, is independent of institutional infrastructures. By integrating motor and sensory rehabilitation, the MTUS addresses the aetiology of the pain (somatosensory incongruence) in a causal manner. A central normalisation of the pathological reactive reorganisation as a consequence of the paralysis or amputation can be achieved. The MTUS combines a bottom-up and a top-down mechanism of action: (a) through stimulation of the peripheral somatosensory system, the painful maladaptive reorganisation is pushed back; (b) virtual reality concepts utilise the primacy of visual input to influence the somatosensory representation through illusion. The modular, patient-specific, and mobile design of the MTUS likely increases patient compliance and therefore also improves the efficiency of the therapy. The pain reduction and the consequent social and professional reintegration of the patient can save considerable costs within our healthcare system and economy.