Download as PDF, PPTX
Uploaded byDerek Jones
FES cycling with the RehaMove system
FES cycling combines electrical stimulation of paralyzed muscles with a motorized ergometer to allow active exercise. It can benefit those with spinal cord injuries or other neurological conditions. Benefits include improved cardiovascular health, increased muscle and bone strength, and better feelings of well-being. Precise stimulation parameters are used and electrode positions are selected to safely activate specific muscles and allow cycling motions. Assessment is required to ensure no contraindications and to manage any risks.
More Related Content
Similar to FES cycling with the RehaMove system
FES cycling with the RehaMove system
- 1. Advanced Rehabilitation Technology FESCycling Dr Derek Jones, PhD., MBA. ! Anatomical Concepts (UK) Ltd with RehaMove from Hasomed GmbH
- 2. Following a catastrophicinjury Part of your brain tells you you should feel the water! ..it’s just that you don’t. Images- David Graham, “No Diving” ISBN 978-0-9557465-1-2
- 3. The GAP..! TOO FEWwill achieve their true potential for rehabilitation following a Catastrophic Injury Due to Limitin g! Attitud es and Beliefs! Resour ces! KnowHow! Comm itment
- 4.
- 5. FES Cycling Combines amotorised ergometer with a control system to deliver electrical stimulation to muscle - allows active exercise using the clients own paralysed muscles
- 6. Who Can Benefit? Spinalcord injury! ! intact lower-motor neurons! ! complete or incomplete! MS, Parkinson’s & most ! Neurological Conditions! Following catastrophic injury!
- 7. Benefits of FESCycling ❖ Improved cardiovascular health! ❖ Increased muscle bulk in the legs! ❖ Increased bone density in the lower limbs! ❖ Reduction of spasticity in most cases! ❖ Lowered risk of pressure sores! ❖ Cosmetic benefits! ❖ Improved feelings of well being
- 8. Research Pedigree ❖ Extensive bodyof research! ❖ Supports FES Cycling as permitting a substantial increase in a user’s exercise performance! ❖ Peak work rate, oxygen uptake, oxygen cost of work done, ventilatory threshold! ❖ Most studies were of relatively low exercise intensity
- 9. Absolute Contraindications ❖ Unhealed fracturesof the limbs to be stimulated! ❖ Pregnancy! ❖ Certain older cardiac pacemakers
- 10. Relative Contraindications ❖ Denervated muscles! ❖ Severespasticity! ❖ Limited range of joint motion preventing cycling! ❖ Severe osteoporosis or > 5 years post injury! ❖ Damaged skin open wounds in the current path! ❖ Metal implants underneath areas to be stimulated
- 11. Cautions ❖ Uncontrolled autonomic dysreflexia! ❖ Historyof lower-limb fractures or joint injuries! ❖ Suspected or diagnosed epilepsy! ❖ Cardio-vascular diseases; tumours; suspected or diagnosed heart problems! ❖ Implanted medical devices
- 12. Assessment Considerations ❖ Verify absenceof absolute contraindications! ❖ Verify presence of relative contraindications and cautions and assess risk! ❖ Identify any complicating factors! ❖ ❖ leg length discrepancy? limited range of joint motion? severe spasms? wheelchair type! Client expectations!
- 13. FES Cycling system RehaMove2 Active arm and leg exercise! 8 channels - sufficient for practical applications! ! Versions for Adult - Paediatric and Bed/ Critical Care! ! Can use the FES unit independent from the MOTOmed
- 15. Applications RehaMove Letto Allows FESCycling with unconscious patients in critical care situations! ! Reduce risk of intensive care syndrome
- 16. Stimulation Parameters ❖ Frequency -Varied and applied across all channels! ❖ Pulse width - Varied dynamically and automatically during exercise between set limits! ❖ Current - adjusted for each muscle group
- 17. Stimulation Intensity 10 -50 Hz in steps of 5 Hz Frequency 0 to 130 mA 20 to 500 micro secs Current Pulse Width Precisely Controlled Biphasic rectangular! impulses Intensity of Stimulation
- 18.
- 19. FES Applications ❖ Connect withother exercise systems! ❖ FES rowing! ❖ Wound healing! ❖ Ventilator weaning via abdominal muscle stimulation
- 20. 8-10 Dunrobin Court ClydebankBusiness Park Clydebank G81 2QP Tel: +44 141 952 2323 info@anatomicalconcepts.com anatomicalconcepts.com