there’s a pleasure and a privilege to be here this evening to to share with you
here this evening to to share with you
here this evening to to share with you and introduce you to a topic there’s
and introduce you to a topic there’s
and introduce you to a topic there’s really near and dear and and and for
really near and dear and and and for
really near and dear and and and for which we our team is incredibly
which we our team is incredibly
which we our team is incredibly passionate about and that is seeing not
passionate about and that is seeing not
passionate about and that is seeing not if we can evolve a whole new human but
if we can evolve a whole new human but
if we can evolve a whole new human but seeing if we can simply help the humans
seeing if we can simply help the humans
seeing if we can simply help the humans that are on this planet ReWalk again so
that are on this planet ReWalk again so
that are on this planet ReWalk again so I want to start off if you’ll indulge me
I want to start off if you’ll indulge me
I want to start off if you’ll indulge me a minute with sort of a series of
a minute with sort of a series of
a minute with sort of a series of questions to help illustrate a
questions to help illustrate a
questions to help illustrate a appointment so by a show of hands could
appointment so by a show of hands could
appointment so by a show of hands could I get everyone who got up this morning
I get everyone who got up this morning
I get everyone who got up this morning to raise their hands okay there’s a few
to raise their hands okay there’s a few
to raise their hands okay there’s a few hands not raised out there but but we
hands not raised out there but but we
hands not raised out there but but we got almost complete penetrants can I get
got almost complete penetrants can I get
got almost complete penetrants can I get a show of hands by those who had
a show of hands by those who had
a show of hands by those who had something to eat today maybe made
something to eat today maybe made
something to eat today maybe made breakfast went to lunch
breakfast went to lunch
breakfast went to lunch alright we’re gonna get a little bit
alright we’re gonna get a little bit
alright we’re gonna get a little bit more personal how many people have
more personal how many people have
more personal how many people have actually visited a lavatory gone to the
actually visited a lavatory gone to the
actually visited a lavatory gone to the bathroom or brush their teeth this
bathroom or brush their teeth this
bathroom or brush their teeth this morning again everyone so those types of
morning again everyone so those types of
morning again everyone so those types of activities fall into what are called
activities fall into what are called
activities fall into what are called activities of daily living this is sort
activities of daily living this is sort
activities of daily living this is sort of ADL’s is a term that’s used by groups
of ADL’s is a term that’s used by groups
of ADL’s is a term that’s used by groups such as the World Health Organization
such as the World Health Organization
such as the World Health Organization and others to describe the level of
and others to describe the level of
and others to describe the level of disability that patients or people might
disability that patients or people might
disability that patients or people might have they use it to compare geographic
have they use it to compare geographic
have they use it to compare geographic regions to compare disease and they
regions to compare disease and they
regions to compare disease and they assess how how much is a person able to
assess how how much is a person able to
assess how how much is a person able to complete the tasks and others that we
complete the tasks and others that we
complete the tasks and others that we just discussed so now let’s see how
just discussed so now let’s see how
just discussed so now let’s see how quick people are in the audience does
quick people are in the audience does
quick people are in the audience does anyone recognize at least one common
anyone recognize at least one common
anyone recognize at least one common factor that all of those activities you
factor that all of those activities you
factor that all of those activities you all completed this
all completed this
all completed this or today had in common you use your legs
or today had in common you use your legs
or today had in common you use your legs you have to walk or get up or move to
you have to walk or get up or move to
you have to walk or get up or move to accomplish them it is a macand you think
accomplish them it is a macand you think
accomplish them it is a macand you think about all the people that are actually
about all the people that are actually
about all the people that are actually unable to do that it is really a very
unable to do that it is really a very
unable to do that it is really a very sobering and humbling thought and it is
sobering and humbling thought and it is
sobering and humbling thought and it is one that sort of drives our team one can
one that sort of drives our team one can
one that sort of drives our team one can ask why is it that you can’t move why is
ask why is it that you can’t move why is
ask why is it that you can’t move why is it that I couldn’t get up out of bed
it that I couldn’t get up out of bed
it that I couldn’t get up out of bed right there’s a lot of different reasons
right there’s a lot of different reasons
right there’s a lot of different reasons that that could happen maybe a accident
that that could happen maybe a accident
that that could happen maybe a accident disease age it’s a little harder for me
disease age it’s a little harder for me
disease age it’s a little harder for me to move than it was 10 years ago
to move than it was 10 years ago
to move than it was 10 years ago right but the disease or the condition
right but the disease or the condition
right but the disease or the condition that I want to speak to you about today
that I want to speak to you about today
that I want to speak to you about today that afflicts many around this planet is
that afflicts many around this planet is
that afflicts many around this planet is the disability and mobility that occurs
the disability and mobility that occurs
the disability and mobility that occurs because of stroke so this is a picture
because of stroke so this is a picture
because of stroke so this is a picture that I took recently of one of my
that I took recently of one of my
that I took recently of one of my favorite places it’s that’s Mount
favorite places it’s that’s Mount
favorite places it’s that’s Mount Rainier and I want to just use this
Rainier and I want to just use this
Rainier and I want to just use this picture and others to illustrate a point
picture and others to illustrate a point
picture and others to illustrate a point so in the United States there’s 800,000
so in the United States there’s 800,000
so in the United States there’s 800,000 people that have a stroke per year it’s
people that have a stroke per year it’s
people that have a stroke per year it’s a big number right but it’s less than 1%
a big number right but it’s less than 1%
a big number right but it’s less than 1% in this audience roughly one in 25
in this audience roughly one in 25
in this audience roughly one in 25 people will have a stroke before they
people will have a stroke before they
people will have a stroke before they before they pass we think about the
before they pass we think about the
before they pass we think about the United States but what I want to
United States but what I want to
United States but what I want to challenge you today is to think about
challenge you today is to think about
challenge you today is to think about the rest of the world so while there’s
the rest of the world so while there’s
the rest of the world so while there’s 800,000 strokes that occur in the United
800,000 strokes that occur in the United
800,000 strokes that occur in the United States there’s 15 million strokes that
States there’s 15 million strokes that
States there’s 15 million strokes that occur worldwide if we switch that from
occur worldwide if we switch that from
occur worldwide if we switch that from the number of strokes that are occurring
the number of strokes that are occurring
the number of strokes that are occurring each year to the number of people that
each year to the number of people that
each year to the number of people that survive from strokes in the United
survive from strokes in the United
survive from strokes in the United States there’s 8 million people
States there’s 8 million people
States there’s 8 million people a very good robust health system right
a very good robust health system right
a very good robust health system right and we have a quick access to health
and we have a quick access to health
and we have a quick access to health care which helps many of those strokes
care which helps many of those strokes
care which helps many of those strokes stroke victims become stroke survivors
stroke victims become stroke survivors
stroke victims become stroke survivors amazingly around the world there’s 62
amazingly around the world there’s 62
amazingly around the world there’s 62 million stroke survivors importantly
million stroke survivors importantly
million stroke survivors importantly around the world stroke incidence is
around the world stroke incidence is
around the world stroke incidence is increasing at a much higher clip than it
increasing at a much higher clip than it
increasing at a much higher clip than it is in the United States for example in
is in the United States for example in
is in the United States for example in China it is the fastest growing and most
China it is the fastest growing and most
China it is the fastest growing and most costly disease that they have in their
costly disease that they have in their
costly disease that they have in their country so if we ask ourselves now what
country so if we ask ourselves now what
country so if we ask ourselves now what is the burden to that to that disease
organizations like World Health shift
organizations like World Health shift the way that they talk about it so it’s
the way that they talk about it so it’s
the way that they talk about it so it’s less about individuals and they talk
less about individuals and they talk
less about individuals and they talk about something called disability
about something called disability
about something called disability adjusted life years or Daly’s and what
adjusted life years or Daly’s and what
adjusted life years or Daly’s and what these are it’s a very complex
these are it’s a very complex
these are it’s a very complex calculation much too in-depth for for
calculation much too in-depth for for
calculation much too in-depth for for this type of conversation but what they
this type of conversation but what they
this type of conversation but what they do is they say ok there is a subset of
do is they say ok there is a subset of
do is they say ok there is a subset of people that die because of stroke or
people that die because of stroke or
people that die because of stroke or some other disease but there is a large
some other disease but there is a large
some other disease but there is a large set that continue to live but their
set that continue to live but their
set that continue to live but their disability takes away years on their
disability takes away years on their
disability takes away years on their life they will pass earlier than others
life they will pass earlier than others
life they will pass earlier than others because they’re not able to achieve sort
because they’re not able to achieve sort
because they’re not able to achieve sort of the normal daily living activities
of the normal daily living activities
of the normal daily living activities that we discussed in the first slide so
that we discussed in the first slide so
that we discussed in the first slide so if we ask that for stroke every year
if we ask that for stroke every year
if we ask that for stroke every year there’s almost 44 million
there’s almost 44 million
there’s almost 44 million disability-adjusted life years lost
disability-adjusted life years lost
disability-adjusted life years lost around the planet what’s even more
around the planet what’s even more
around the planet what’s even more amazing to me is that when you look at
amazing to me is that when you look at
amazing to me is that when you look at all of the disability adjusted life
all of the disability adjusted life
all of the disability adjusted life years lost accident disease things like
years lost accident disease things like
years lost accident disease things like HIV right all of it
HIV right all of it
HIV right all of it stroke accounts for 3.2 percent of those
stroke accounts for 3.2 percent of those
stroke accounts for 3.2 percent of those Lost years part of the reason is because
Lost years part of the reason is because
Lost years part of the reason is because post stroke if you survive the
post stroke if you survive the
post stroke if you survive the disability is so debilitating what leads
disability is so debilitating what leads
disability is so debilitating what leads into the idea that I hope you take home
into the idea that I hope you take home
into the idea that I hope you take home with you tonight and become maybe as
with you tonight and become maybe as
with you tonight and become maybe as charged as we are about is shown in
charged as we are about is shown in
charged as we are about is shown in colors on this picture which is from a
colors on this picture which is from a
colors on this picture which is from a report from a World Health Organization
report from a World Health Organization
report from a World Health Organization report on disabilities around the world
report on disabilities around the world
report on disabilities around the world and what it shows by color is that the
and what it shows by color is that the
and what it shows by color is that the lighter colors our fewer disability
lighter colors our fewer disability
lighter colors our fewer disability adjusted lost years the darker colors
adjusted lost years the darker colors
adjusted lost years the darker colors are more disability adjusted life years
are more disability adjusted life years
are more disability adjusted life years lost okay so what you can immediately
lost okay so what you can immediately
lost okay so what you can immediately see in this picture is that the burden
see in this picture is that the burden
see in this picture is that the burden for stroke in the Western cultures
for stroke in the Western cultures
for stroke in the Western cultures Canada America Australia Western Europe
Canada America Australia Western Europe
Canada America Australia Western Europe that burden is much less than it is to
that burden is much less than it is to
that burden is much less than it is to the developing world significantly and
the developing world significantly and
the developing world significantly and severely less because if you survive a
severely less because if you survive a
severely less because if you survive a stroke in the developing world there is
stroke in the developing world there is
stroke in the developing world there is no rehabilitation center there is no
no rehabilitation center there is no
no rehabilitation center there is no clinic to help you learn how to cope
clinic to help you learn how to cope
clinic to help you learn how to cope again you are simply sent home this is a
again you are simply sent home this is a
again you are simply sent home this is a graph there’s a lot of different ways to
graph there’s a lot of different ways to
graph there’s a lot of different ways to assess this this is just one that I
assess this this is just one that I
assess this this is just one that I picked from another World Health Report
picked from another World Health Report
picked from another World Health Report World Health Organization report and
World Health Organization report and
World Health Organization report and what it looks at is physiotherapists per
what it looks at is physiotherapists per
what it looks at is physiotherapists per I think 10,000 people in the country and
I think 10,000 people in the country and
I think 10,000 people in the country and as you can see in Western cultures New
as you can see in Western cultures New
as you can see in Western cultures New Zealand Australia USA Finland there are
Zealand Australia USA Finland there are
Zealand Australia USA Finland there are many many many many more times the
many many many many more times the
many many many many more times the number of therapists available – when
number of therapists available – when
number of therapists available – when you get down to countries like Senegal
you get down to countries like Senegal
you get down to countries like Senegal or Pakistan there are none per 10,000
or Pakistan there are none per 10,000
or Pakistan there are none per 10,000 they don’t exist so this moves into
they don’t exist so this moves into
they don’t exist so this moves into what I would like to get across with you
what I would like to get across with you
what I would like to get across with you tonight which is Cathy Steiner who at
tonight which is Cathy Steiner who at
tonight which is Cathy Steiner who at the international stroke rehab
the international stroke rehab
the international stroke rehab roundtable just a short while ago said
roundtable just a short while ago said
roundtable just a short while ago said while we’ve had many many therapies and
while we’ve had many many therapies and
while we’ve had many many therapies and advancements in prevention of stroke in
advancements in prevention of stroke in
advancements in prevention of stroke in the treatment of stroke there have been
the treatment of stroke there have been
the treatment of stroke there have been no new technologies in the
no new technologies in the
no new technologies in the rehabilitation of stroke so thus what
rehabilitation of stroke so thus what
rehabilitation of stroke so thus what that means is we can help you live but
that means is we can help you live but
that means is we can help you live but we can’t help you live after right so we
we can’t help you live after right so we
we can’t help you live after right so we can keep you alive but what we are
can keep you alive but what we are
can keep you alive but what we are really going to do especially in
really going to do especially in
really going to do especially in countries developing countries around
countries developing countries around
countries developing countries around the world is we are going to move you
the world is we are going to move you
the world is we are going to move you back to your family and your family is
back to your family and your family is
back to your family and your family is going to have to take care of you or
going to have to take care of you or
going to have to take care of you or your community will have to take care of
your community will have to take care of
your community will have to take care of you so as was mentioned I’m the CEO and
you so as was mentioned I’m the CEO and
you so as was mentioned I’m the CEO and founder of a company called tile life
founder of a company called tile life
founder of a company called tile life sciences we develop and invest in early
sciences we develop and invest in early
sciences we develop and invest in early stage medical technologies we like big
stage medical technologies we like big
stage medical technologies we like big problems right that’s an area where our
problems right that’s an area where our
problems right that’s an area where our engineers who are awesome can apply
engineers who are awesome can apply
engineers who are awesome can apply their their skills and so we saw this as
their their skills and so we saw this as
their their skills and so we saw this as a challenge this is not a very good
a challenge this is not a very good
a challenge this is not a very good picture for a variety of reasons not the
picture for a variety of reasons not the
picture for a variety of reasons not the least of which is the person who’s
least of which is the person who’s
least of which is the person who’s walking on that device is me and what
walking on that device is me and what
walking on that device is me and what this device is called is a Karen device
this device is called is a Karen device
this device is called is a Karen device computer assisted rehabilitation
computer assisted rehabilitation
computer assisted rehabilitation environment it is the absolute state of
environment it is the absolute state of
environment it is the absolute state of the art for treating and helping stroke
the art for treating and helping stroke
the art for treating and helping stroke patients rehab these devices cost well
patients rehab these devices cost well
patients rehab these devices cost well over a million dollars in fact in the
over a million dollars in fact in the
over a million dollars in fact in the United States we are only aware of seven
United States we are only aware of seven
United States we are only aware of seven of them one of those devices is at the
of them one of those devices is at the
of them one of those devices is at the University of South Florida with one of
University of South Florida with one of
University of South Florida with one of the most amazing scientists and
the most amazing scientists and
the most amazing scientists and engineers that I’ve ever interacted with
engineers that I’ve ever interacted with
engineers that I’ve ever interacted with a guy by the name of Kyle Reed Kyle has
a guy by the name of Kyle Reed Kyle has
a guy by the name of Kyle Reed Kyle has one of these devices in fact he was the
one of these devices in fact he was the
one of these devices in fact he was the first University in the United States to
first University in the United States to
first University in the United States to receive one
receive one
receive one and what Kyle said was it is an honor
and what Kyle said was it is an honor
and what Kyle said was it is an honor and a gift for me to be able to have
and a gift for me to be able to have
and a gift for me to be able to have this device and there’s a lot that we
this device and there’s a lot that we
this device and there’s a lot that we can do with us and the first thing that
can do with us and the first thing that
can do with us and the first thing that we want to do is see if we can take this
we want to do is see if we can take this
we want to do is see if we can take this technology and compress it to something
technology and compress it to something
technology and compress it to something that could be used at home most places
that could be used at home most places
that could be used at home most places around the world aren’t going to give
around the world aren’t going to give
around the world aren’t going to give million-dollar devices to help rehab
million-dollar devices to help rehab
million-dollar devices to help rehab their pay their patients but if we could
their pay their patients but if we could
their pay their patients but if we could take the technology the ideas that are
take the technology the ideas that are
take the technology the ideas that are in that device and condense it into
in that device and condense it into
in that device and condense it into something people could take home how
something people could take home how
something people could take home how powerful would that be in places like
powerful would that be in places like
powerful would that be in places like Nigeria or Southeast Asia mm-hmm and
Nigeria or Southeast Asia mm-hmm and
Nigeria or Southeast Asia mm-hmm and that’s about the time that we got
that’s about the time that we got
that’s about the time that we got involved with Kyle and over the last few
involved with Kyle and over the last few
involved with Kyle and over the last few years what came from that what you see
years what came from that what you see
years what came from that what you see here is a prototype of a device that we
here is a prototype of a device that we
here is a prototype of a device that we call a gait enhancing mobile shoe and
call a gait enhancing mobile shoe and
call a gait enhancing mobile shoe and what this device does is it recognizes
what this device does is it recognizes
what this device does is it recognizes that that gait problem that a stroke
that that gait problem that a stroke
that that gait problem that a stroke patient has is fundamentally a
patient has is fundamentally a
patient has is fundamentally a relearning issue all of us learn to walk
relearning issue all of us learn to walk
relearning issue all of us learn to walk at a very early age most of us may be
at a very early age most of us may be
at a very early age most of us may be around one right and it is amongst the
around one right and it is amongst the
around one right and it is amongst the most ingrained aspects of activities
most ingrained aspects of activities
most ingrained aspects of activities that go on in our brain to relearn how
that go on in our brain to relearn how
that go on in our brain to relearn how to do that when your brain is still
to do that when your brain is still
to do that when your brain is still telling you this is what you should do
telling you this is what you should do
telling you this is what you should do is an almost impossible complex and what
is an almost impossible complex and what
is an almost impossible complex and what it takes our devices that have full
it takes our devices that have full
it takes our devices that have full surround video tactile feedback auditory
surround video tactile feedback auditory
surround video tactile feedback auditory information and that alter the way that
information and that alter the way that
information and that alter the way that the the the patient’s legs are trying to
the the the patient’s legs are trying to
the the the patient’s legs are trying to relearn how to walk that’s what it used
relearn how to walk that’s what it used
relearn how to walk that’s what it used to take what Kyle recognized was that if
to take what Kyle recognized was that if
to take what Kyle recognized was that if you take fundamentally what is going on
you take fundamentally what is going on
you take fundamentally what is going on on a split Bell treadmill and
on a split Bell treadmill and
on a split Bell treadmill and destabilize the patient’s foot from the
destabilize the patient’s foot from the
destabilize the patient’s foot from the bottom by putting something on it you
bottom by putting something on it you
bottom by putting something on it you can trick the brain into learning how to
can trick the brain into learning how to
can trick the brain into learning how to walk again this is a picture of one of
walk again this is a picture of one of
walk again this is a picture of one of the patients who went through our
the patients who went through our
the patients who went through our clinical trial
clinical trial
clinical trial she’s post-stroke seven years so what
she’s post-stroke seven years so what
she’s post-stroke seven years so what that means is it’s been seven years
that means is it’s been seven years
that means is it’s been seven years since she’s had rehabilitation seven
since she’s had rehabilitation seven
since she’s had rehabilitation seven years since she’s been surviving and in
years since she’s been surviving and in
years since she’s been surviving and in that time she’s never been able to walk
that time she’s never been able to walk
that time she’s never been able to walk without assistance she needs some sort
without assistance she needs some sort
without assistance she needs some sort of device and in some cases somebody
of device and in some cases somebody
of device and in some cases somebody helping her walk when we asked her after
helping her walk when we asked her after
helping her walk when we asked her after four weeks of using our device which you
four weeks of using our device which you
four weeks of using our device which you can sort of see on her foot down here
can sort of see on her foot down here
can sort of see on her foot down here what this device had meant to her she
what this device had meant to her she
what this device had meant to her she said the following last week I walked
said the following last week I walked
said the following last week I walked into church for the first time without
into church for the first time without
into church for the first time without my cane that’s what the most important
my cane that’s what the most important
my cane that’s what the most important thing was to her but what that meant to
thing was to her but what that meant to
thing was to her but what that meant to us was that we could take stroke
us was that we could take stroke
us was that we could take stroke patients who had been walking in
patients who had been walking in
patients who had been walking in correctly for seven years and helped
correctly for seven years and helped
correctly for seven years and helped them walk well enough so that they could
them walk well enough so that they could
them walk well enough so that they could get rid of their walker or get rid of
get rid of their walker or get rid of
get rid of their walker or get rid of their cane so what do I want to leave
their cane so what do I want to leave
their cane so what do I want to leave you with so if we can take one small
you with so if we can take one small
you with so if we can take one small step to the moon which we all know we’ve
step to the moon which we all know we’ve
step to the moon which we all know we’ve successfully done and is an amazing feat
successfully done and is an amazing feat
successfully done and is an amazing feat can’t we also help the 50 million people
can’t we also help the 50 million people
can’t we also help the 50 million people around the world ReWalk again who
around the world ReWalk again who
around the world ReWalk again who suffered a stroke and have survived it
suffered a stroke and have survived it
suffered a stroke and have survived it we say we can thank you
we say we can thank you
we say we can thank you [Applause]
”
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