Virtual Reality Treadmill Rehabilitates Neurological Patients

A new treadmill developed by Motek Medical uses virtual reality (VR) to safely challenge patients with neurological impairments. Called CAREN (Computer Assisted Rehabilitation Environment), the platform has been tested by the Cleveland Clinic to help evaluate and train individuals with Parkinson's disease, multiple sclerosis, and other neurological conditions. The Cleveland Clinic is the first nonmilitary site in North and South America to install the interactive virtual reality treadmill. 

Specifically, CAREN analyzes balance, locomotion, and coordination in affected patients by placing them in an immersive and interactive environment. While a patient walks on the treadmill, surrounding visual projection, the floor, and the sound system react to the patient's behavior in response to real-time motion-capture capabilities. 

Another characteristic of CAREN is labeled '6-Degrees-of-Freedom,' and refers to the treadmill's ability to move up, down, left, and right and gives the platform simulator-like qualities. Real-time feedback merges data from CAREN's hardware to constantly perform quantifiable evaluation.

Physical Applications Of Virtual Reality Rehabilitation  

  • Identifying balance compensation anomalies.
  • Measuring and correcting gait problems from inefficient muscle use.
  • Identifying neural substrates of task difficulty and cognitive effort.

In less scientific terms, this means that the virtual reality treadmill has the capability to help zero in on physical and mental effects of neourological diseases, which will hopefully lead to improvements for people with brain conditions. By catering to a patient's customized needs and preferences, CAREN offers researchers future opportunities to make medical advancements for people suffering from degenerative brain diseases or traumatic brain injuries. 

Since brain injuries may occur anytime and anyplace, from playing professional football, getting into a car crash or motorcycle collision, or even due to the circumstances of being homeless, technological developments are all the more necessary to help improve the lives of people suffering from neurological impairments. A virtual reality treadmill is just the latest in modern advancements for the brain, and hopefully there are many more creative treatments to come.

CAREN could be the future for people suffering from neurological conditions or traumatic brain injuries. If you or someone you know has experienced a brain injury from a motor vehicle accident, contact The Michigan Law Firm, PLLC at 844.4MI.FIRM for a free consultation. 

5 Years Later: Revisiting Michigan's No Helmet Law

Lawmakers and motorcyclists continue to rumble about the 2012 repeal of a Michigan law that previously required motorcyclists to wear a helmet at all times. The new version of the law gives motorcyclists the option to decide whether or not they want to wear a helmet. “Our perspective is that this is a freedom issue and an individual rights issue,” said Jim Roades of American Bikers Aiming Toward Education (ABATE) of Michigan, a nonprofit cycling rights group that was vital in the push for the 2012 repeal. When asked about a potential return of the mandate, Rhoades said, “We would fight tooth and nail. We want people to know we’re not going anywhere.” 

The Republican-controlled Congress does not appear to be showing any signs of bringing back the mandate, although science and statistics reveal the price that’s paid when head meets pavement in a motorcycle crash. 146 people were killed in 2016 due to motorcycle crashes, according to Michigan State Police data, which is the highest number since 1985. MLive reports that from 2000 to 2011, an average of 112 motorcyclists were killed per year. From 2012 (when the law took into effect) to 2015, that number has averaged nearly 126 people. 

In a 2016 study of 345 motorcycle crash victims treated at Spectrum Health Butterworth Hospital in Grand Rapids, Michigan, 10% of riders who were not wearing helmets died, compared to 3% of riders who did wear a helmet. The study also found that not wearing a helmet leads to more severe motorcycle crash head injuries, more days in intensive care, and more time on a ventilator. Additionally, getting into a motorcycle accident without a helmet and living to tell the tale will cost riders more, as the average hospital cost for non-helmeted riders was $27,760, 32% higher than for riders wearing helmets. 

Dr. Carlos Rodriguez, a trauma surgeon at the hospital, told MLive that he happened to be on call the first few days following the law repeal. “We had three or four really bad motorcycle crashes and all of them had not been wearing helmets. It made an impression on me. I thought, ‘Wow, this is more than we normally see.'” The study also found that the number of riders brought to the hospital who had not been wearing a helmet during a crash had quadrupled. 

In 2014, Senator Rebekah Warren, a Democrat from Ann Arbor, Michigan introduced a bill that would restore mandatory helmet use in Michigan. The proposal was so unpopular among the legislators that it never even came to a vote. Warren once again proposed a similar piece of legislation in 2015, but it faced the same fate as the 2014 effort. “It’s very disappointing. This is really a public health issue. We are seeing a lot more injuries and deaths for people not wearing helmets,” Warren said. Warren has also stated that she is seeing growing support for restoring the law from medical groups. However, public support means little if the public doesn’t get a chance to vote on the issue. “I feel like with an issue like this, if we could actually have a hearing on what it means in our emergency room, what this means to our loved ones and what it means to all of taxpayers, I think you could change some minds,” Warren expressed. 

Senator Warren isn't the only one concerned about the risks to one's health that are created by choosing to ride without a helmet. Dr. Nicholas S. Adams of the Michigan State University College of Human Medicine and Spectrum Health in Grand Rapids recently led a study that found the number of skull fractures and other head and facial injuries doubled in the first three years following lawmakers' decision to make motorcycle helmets optional. Researchers estimate that the risk of facial trauma may be reduced by half and facial injuries by more than 30 percent just by wearing a helmet while riding a motorcycle. Despite these facts, a third of motorcyclists do not wear helmets, even in states where they are required.   

Under current law, riders 21 and older may ride a motorcycle without a helmet as long as they pass a safety course or have ridden a motorcycle in the past two years. They are also required to carry $20,000 in medical insurance. Michigan became the 31st state to allow motorcycles to ride without helmets when Governor Rick Snyder signed the bill that was twice vetoed by former Governor Jennifer Granholm. For the time being, it seems the laws will stay the same. Snyder reportedly does “not have any initiative underway to revisit the law," contrary to advice from doctors and researchers such as Adams, who say, "We urge state and national legislators to re-establish universal motorcycle helmet laws."

Motorcycle crashes can put riders, passengers, and other people on the road at risk of a severe injury or fatality. The easiest way to help prevent getting hurt from a motorcycle accident is to wear protective headgear. The endless discussion on whether or not helmets should be required will likely go on for years to come. Yet one thing remains clear: nothing bad ever came from wearing a helmet while riding a motorcycle. 

Previously, The Michigan Law Firm, PLLC blog discussed helpful tips on how to safely ride a motorcycle. In this article, wearing a helmet was the number one tip. Wearing a helmet can be the difference between a trip to the hospital and a trip to the morgue, and in a state with poor road conditions like Michigan, you can never take too many safety precautions. If you or somebody you know has been injured in a motorcycle accident or an automobile crash involving a motorcycle, call The Michigan Law Firm, PLLC. Our attorneys are experienced in working side by side with victims to identify possible legal solutions. Call us today, at 844.4MI.FIRM for a free consultation. 

90% Of Motorcyclists Killed In 2016 Had No Formal Training

Although May was National Motorcycle Safety Awareness Month, today, June 19, is International Ride to Work Day. Today, motorcyclists worldwide are celebrating their favorite form of transportation. Motorcycles give a certain freedom and excitement to drivers, unique from other boxed-in vehicles on the road. Add to that the fact that the weather in Michigan is starting to heat up, motorcyclists are starting to increase in number on the roads.


Unfortunately however, not all motorcycle drivers ride safely, and often motorcycles don't stand a chance of surviving a collision against the giant hunks of metal that are cars and trucks, moving alongside motorcycles on the roads. According to the Michigan Office of Highway Safety Planning, nearly 90% of motorcyclists killed in crashes on Michigan roads last year had no formal training during the last ten years. This is a staggering statistic, especially considering the wide number of training classes available across the state. However, many motorcycle accidents may be preventable if riders receive the proper training these classes provide and an official endorsement. 

The Michigan Department of State encourages programs that educate people on the safety of operating a motorcycle. There are multiple types of motorcycle training classes offered, through both public and private organizations, all as part of the Michigan Rider Education Program. And it is not just first-time riders who have the opportunity to take Michigan motorcycle driving classes. Beyond the Basic Rider course for beginners, other classes include: the Three-Wheel Basic Rider course for those who want to learn to ride three-wheel (instead of two-wheel) motorcycles, a Returning Rider Course for experienced drivers looking to refresh previously learned motorcycle skills, and an Advanced Rider course for already endorsed motorcycle drivers who want to brush up their riding skills.

With such a range of training class options, it seems silly for those operating a motorcycle to think they do not need training. Yet, the facts are there. The National Highway Traffic Safety Administration (NHTSA) reports that there was an 8% increase in fatalities from motorcycle crashes, nationally from 2014 to 2015. Obviously, the number of deaths from motorcycle accidents in the United States is only increasing. With many of these deaths being able to be prevented with simple training courses, there is a need for more awareness and exposure regarding these types of classes.
 
Michigan residents are encouraged to check Michigan.gov for the location of nearby motorcycle training classes that have been approved by the Motorcycle Safety Foundation (MSF). In addition to taking a motorcycle safety class, motorcyclists may be interested in reading some general safety tips for motorcyclists, that The Michigan Law Firm, PLLC blog previously posted.

Inexperienced and unprotected drivers may put themselves in dangerous situations that may lead to serious injuries or death from a motorcycle crash. The training classes the State of Michigan offers may be able to teach proper riding techniques to prevent motorcycle collisions or at the very least inform the rider how to act in such dangerous situations.

There is nothing wrong with a little wind in your hair, as long as one remembers to enjoy motorcycles the safe way. And this International Ride to Work Day, it is especially important to remember that safety comes first when enjoying the celebration of motorcycles.

Motorcyclists face unique safety risks as they are sharing the road with other, much larger vehicles. Special training classes can teach new skills or refresh old techniques, in order to help riders prevent themselves from getting into motorcycle accidents. If you or someone you know has been injured in a motorcycle car crash, please contact The Michigan Law Firm, PLLC for a free consultation at 844.4MI.FIRM.

Motorcycle Safety Tips

April showers bring May flowers. May sunshine brings motorcycles. Therefore, May is Motorcycle Awareness Month. In celebration of those who have been riding a motorbike for years and in concern for the safety of first timers, The Michigan Law Firm, PLLC would like to address the importance of motorcycle safety.

Motorcycle safety is a very serious concern. The National Highway and Traffic Safety Administration (NHTSA) states that motorcycle riders are 27 times more likely than other motorists to die in car crashes and 6 times as likely to be injured. For motorcyclists who are 60 years of age or older, the risk of serious injuries and death increase exponentially due to physical factors such as brittle bones, slower reflexes, and poor eyesight. Bearing this in mind, here are some important tips that could benefit riders who take their bikes for a spin over the next few months.

Motorcycle Safety Tips

How To Obtain A Motorcycle Endorsement

Along with a traditional automobile driver's license, motorcyclists mush obtain a state regulated motorcycle license endorsement, in order to legally operate a motorcycle. To gain this endorsement, people who are interested in driving motorcycles should invest in a motorcycle education course. As with basic driver’s education classes, bikers should make sure they are properly informed and instructed on their state's biker laws and how to properly ride a motorcycle.

Michigan motorcyclists have two ways that they can obtain a cycle endorsement on their license. One way is by taking a basic rider or returning rider course from an approved Secretary of State (SOS) training facility and instructor. Once the course is completed, the rider will receive a certificate of completion from the sponsor that they should then take to be submitted at a SOS branch. From there, a vision test is administered and if the rider passes, they must pay a small fee of $13.50 to obtain their motorcycle endorsement.

The second option is to go directly to an SOS branch and take the vision and written test, whereupon successful completion, the purchase of a temporary instruction permit is needed. In obtaining the temporary license, bikers are instructed to clock 180 days worth of driving time with a currently endorsed motorcyclist, before they can take the road test. Then, only if the rider passes the road test will they receive a completion certificate to take to the SOS where they are then obligated to pay an additional $9.00 for their motorcycle permit. 

How To Purchase A Safe(r) Motorcycle

Many people admit that the main thing they look for when purchasing a bike is speed and aesthetic appeal, right? Well, motorcycles are more than a beautiful and powerful machine to use on the road. They should also be safe, seeing as they offer much less protection than a car, when involved in a motor vehicle accident. First and foremost, riders should not even consider purchasing a bike they cannot handle. Is it too powerful? Too fast? Is the rider able to touch the ground when seated on the bike? Those are all valid questions to ask when purchasing a bike. Other important items to add to the checklist are:

Motorcycle Safety Feature Checklist

Source: Giphy, The Hangover

  • Make sure handlebars and other controls are easy to reach.

  • Is it easy to mount and dismount the bike?

  • Check the pressure and tread of the tires.

  • Make sure headlights and other indicators are working properly.

  • Make sure fluid levels are adequate.

  • Are the hand and foot brakes in working order and easy to grip?

After purchasing the bike, it's important to check for leaks, working brakes, traffic indicators, mirrors and tire pressure every time, before taking the bike for a spin. Making sure the motorcycle is well maintained will not prevent a car crash every time, but it could help reduce the the likelihood of involvement in a crash and/or limit the damage incurred in an accident.

Don't Forget Your Helmet

One look at a bike and it becomes glaringly obvious that it provides less protection than a car or a SUV. Without a top or sides, it's the opposite of a sturdier metal box car or truck. Although every state, including Michigan, does not require riders to have one, helmets are a biker's best friend. According to the NHTSA, "58% of motorcyclists killed in 2015 were not wearing helmets, as compared to 8% in states with universal helmet laws." That is a big difference in the lives that may have been saved if the biker was just wearing a helmet.

The best place to start when looking for a motorcycle helmet, is by looking for helmets that have the Department of Transportation (DOT) sticker of approval. They are usually no more than 3 pounds heavy, have thick interior lining, and come with a face shield that acts as a line of defense for the eyes. After securing a helmet which protects, arguably the most important part of a biker, the brain, it's time to start purchasing items that can protect the rest of the body. The body is essential to shield from the elements of the road or weather, when riding a motorcycle.

Motorcycle Safety Gear and Clothing

  • A heavy leather, denim, or long sleeve jacket or shirt are clothing items that may protect the rider's arms.

  • Full fingered gloves aide the riders grip.

  • Eye gear such goggles or glasses are imperative. 

  • Durable and heavy duty pants that completely cover the legs are a good idea.

  • Boots, especially ones that cover the ankle and have a hard or thick sole, will help protect the riders feet.

  • Bright and/or reflective gear is recommended, especially for night rides.

  • Pack or wear appropriate weather climate gear in case of driving long distances or as the weather forecast permits it.  

And yes, even during the summer time, thick and padded gear is expected to be worn to be as safe as possible.  

Passenger Motorcycle Safety Tips

For riders who are carrying extra cargo, balance is key. It is important that passengers mount the bike only after it is turned on. Then, both riders should adjust seating arrangements to where the passenger and the rider are both comfortably seated on the bike. Passengers should sit as close to the rider as possible to prevent throwing the bike out of equilibrium. Wrapping their arms around the rider's waist or hips, while keeping both feet planted on the foot pegs at ALL times, is highly advised to all passengers-even when the bike has stopped.

Motorcycle drivers should explain the importance of avoiding touching the muffler to the passenger, because it gets extremely hot and can cause severe burns. Passengers should also keep their movements to a minimum unless they are leaning at the same time and direction as the rider, in order to keep the bike balanced. Another precaution is that passengers should only dismount once the driver says so, to avoid them from accidentally tipping the bike or losing their grip while driving or parking the bike.

Driving A Motorcycle Safely

Riders of motorcycles are held under many of the same laws and expectations as any other motor vehicle operator. For instance, distracted driving, drowsy driving or falling asleep behind the wheel, and operating a vehicle while under the influence of drugs and/or alcohol are all serious driving offenses that can be punishable under law. Therefore, abiding by simple traffic laws, driving carefully during bad weather, always remaining vigilant and aware of the road, avoiding road hazards, and making sure to be as visible as possible to other vehicles, are all safe driving habits that bikers should utilize everyday. Some additional defensive driving tips the DMV.org list riders to use are:

Motorcycle Defensive Driving Tips

  • Be courteous to cars, trucks, bicycles, pedestrians, and any others who share the road with bikers.

  • Bikers should keep a car length worth of space between themselves and the vehicle in front of them.

  • When looking back, to the side, or over the handlebars,  it is best to do so by looking above or over the shoulder, and not below or under the arm.

  • Be assertive. Bikers who hesitate can cause other drivers to react nervously due to them expecting the motorcycle to make unexpected driving maneuvers. 

  • Don't be afraid to use a car as a shield when on the road. An example from the Road Guardians is for motorcyclists to remain close to a vehicle to avoid being hit by left-turning traffic from the opposing direction, when passing through stoplights.

  • Avoid riding aggressively. This includes changing lanes without a turn signal, aggressively swerving around traffic, and slamming on the brakes-all of which are behaviors that can cause a collision.

Since their choice of vehicle offers less protection than other modes of transportation, bikers must be twice as careful when hitting the road.Considering that motorcyclists are more likely to die in a fatal car crash than the occupants of a car, these tips, though they are not 100% effective in preventing motor vehicle accidents, could potentially decrease the number of fatalities and accidents that occur every year. 


With proper training, gear, a well-maintained motorcycle, and the above tips in mind, bikers should be ready to safely hit the road. Of course, no amount of safety tips can ever prevent a motor vehicle accident. Driving is a dangerous an unpredictable action. If you or someone you know has been involved in a motorcycle accident, call The Michigan Law Firm, PLLC. Our consultations are free and our firm is knowledgeable on Michigan motorcycle laws. We help victims of motorcycle injuries identify and obtain any benefits they may be entitled to under Michigan law. Call us today, at 844.4MI.FIRM.

Car Struck Two Motorcycles In Fatal Detroit Accident

Tuesday, April 2nd, 2015, two motorcyclists were traveling westbound on West McNichols Road in west Detroit, when a car heading southbound on Hubbell Avenue crashed into them. The car was occupied by two people, a male driver and a female passenger. Detroit Police believe that the male driver may have caused the collision by running a red light at the intersection and  running straight into the two motorcycles. Upon crashing into the two motorcyclists, the male driver got out of the vehicle and abandoned it, leaving the scene of the accident on foot. The female passenger however stayed in the car and was available to the police for questioning.
 
While the passenger of the car and possibly the driver of the car appear to be medically sound, the same cannot be said of both motorcyclists. Unfortunately, one of the motorcyclists was unable to survive the injuries he obtained in the collision. The motorcyclist who passed in the accident was a man in his 50s who went by the name of “Rico.”
 
The second motorcyclist is also a man in his 50s named Reginald Mills. Mr. Mills is still in the hospital in critical condition. His daughter says that Mills has a blood clot in his brain and requires additional surgery.
 
According to the National Highway Traffic Safety Administration ("NHTSA"), 4,668 motorcyclists were killed in 2013 alone, across America. Motorcycles are even more susceptible than cars to dangerous collisions. As motorcyclists are not protected on all sides like car drivers, they usually sustain not only more injuries, but more severe injuries than drivers or passengers involved in motor vehicle crashes.
 
More injuries means more medical bills, possible permanent injuries, and more difficulties in dealing with insurance companies. If you have been injured in a motorcycle accident or motor vehicle accident, call The Michigan Law Firm, PLLC. The Michigan Law Firm can help take care of all of these stresses for you. Our experienced accident attorneys will deal with insurance companies, to ensure that you receive all the benefits you are entitled to, so that you are able to focus on your recovery. Call us today, at 844.4MI.FIRM for a free consultation.

Source:

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