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History

The project was born in Oviedo after years of clinical trials and improvements contrasted with patients thanks to state-of-the-art technology, being in 2018 when it was assembled with the latest robotic innovations and presented commercially in order to help the healthcare professional as much as possible and facilitate access to all people with ailments.

Why the name of Adamo? When creating the Robot, it was taken into account that it was in the image and likeness of the Physiotherapist and what better way to take as the basis of the project the great work of art located in ROME by the consecrated Michelangelo in the Sistine Chapel “The Creation”, the name of Adamo reflects everything.

(The creation of Adamo is a fresco on the ceiling of the Sistine Chapel, painted by Michelangelo around the year 1511. It illustrates the biblical episode of Genesis in which God gives life to Adam).

The opportunity to combine robotics in the field of physiotherapy allows us to increase the excellence of our service, improving patient healing times and optimizing these treatments.

Innovation

Back pain is one of the most transcendental and frequent ailments in our society, appearing with greater incidence beginning at the age of 30 years, and increasingly also in children, as they develop bad postures when sitting, bending, walking, etc. throughout their development.

The ADAMO robotic treatment concept is based on a physiotherapy method widely used by physiotherapists that involves applying continuous pressure on MTP (myofascial trigger points). These points must be defined by a health professional (Physician or physiotherapist) and thus determine the existence of the pathology that can be treated with ADAMO.

The vertebral algiae are painful syndromes of the spine and nerve roots that appear with great frequency due to the stressful lifestyle that we have today, so it is very important that the position adopted is correct, since a stale posture produces fatigue, and in the long run can produce sometimes irreparable damage to the locomotor system.

The most common vertebral pains are: cervical, back and lower back pains.

ADAMO bases its operation on a computer program that controls the manipulator robot, which, and by means of cameras installed at its end, must find in each session the points of treatment in the patient previously defined by the health professional and apply the air at the necessary pressure. This pressure is generated by means of a compressed air nozzle integrated in a handpiece installed at the end of the robot.

A trigger point is a hyperirritable zone located in a taut band of a skeletal muscle that generates pain with compression, distension, overload or contraction of the tissue, which usually responds with a referred pain.

¿Why compressed air?

The cutaneous pressure receptors are in the deep layers of the skin and are, mainly, the corpuscles of Ruffini and Pacini. Both are connected to thick Aβnerve fibers, which are those with the highest conduction velocity (Zimmerman et al., 2014). These nerve fibers, for the most part, do not synapt in the posterior horn of the spinal cord but are continued through the posterior cord of the spinal cord. But these fibers emit collateral branches towards the posterior horn of the cord where they synapt with inhibitory interneurons of the second pain neurons. Taking into account the different (very slow) conduction velocity of the pain-carrying fibers (fibers C and Aδ) and of the fibers that drive the pressure, these produce an activation of the inhibitory interneurons and block the transmission of the nociceptive stimulus to the higher nervous centers.

In this same principle is based the blockade of pain through superficial scratching (touch) and the neurological mechanism that controls them is based on the gate control theory (Gu and Hu, 2014). But in addition to this mechanism, it is likely that pressure on an area of the skin territory blocks the release of algogenic substances (substance P, bradykinin, histamine) through the blood vessels and resident skin cells (especially histiocytes, Schmelz, 2011) and blockage of receptors for them and of some ion channels present in the nociceptive fibers (Caterina and Pang, 2016). On the other hand, it cannot be ruled out that the sustained pressure stimulus acted on the release of neurotransmitters related to pain in the posterior horn of the marrow and above all that it blocked the activation of the microglia responsible for central algetic sensitization and neuropathic pain (Clark et al., 2013; Benarroch, 2016; Tsuda, 2016).