How does RehaMove work
In order to best understand how RehaMove works, it is important to know the basics of FES (Functional Electrical Stimulation) and its function in the system.
FES is when low level electrical impulses are sent through muscles, usually by electrodes, in order to stimulate and contract the weak or paralysed muscle. Effectively the FES replaces the signal from the brain that travels through the spinal cord and stimulates the muscle into action. It is more effective than simply using passive motion as the muscle tissue itself is activated, bringing with it a host of benefits.
Why integrate FES with the MOTOmed?
Countless patients have experienced the health benefits of consistent use of the MOTOmed, particularly in its ability to assist when little or no power can be given by the patient. An opportunity was seen to integrate FES technology - mixing the technological expertise of electrical stimulation from Hasomed with the intuitive and assistive power of the MOTOmed - and the RehaMove was born.
Both Hasomed and RECK have been committed to refining the system over the last 10 years and will continue to ensure it consistently exceeds expectations and remains a leader in FES rehabilitative technology. You can find out more about our Global Partners here.
Seamless, functional integration
The FES stimulator is programmed to know the exact position of the pedals or hand crank at any time. It assesses which muscles should be activated in order to complete the movement and sends stimulation (based on therapist parameters) at exactly the right timing in order to produce a smooth cycling or cranking motion.
At the same time the MOTOmed is measuring the amount of power the patient is providing to produce the movement. If the patient fatigues, the MOTOmed will give assistance by taking over with the motor. This is measured on a moment to moment basis, so, if the patient recovers the MOTOmed will back off and allow the patient to actively cycle again. The stimulator has a variety of displays to let you see patient performance and make program changes in real time.
At the end of the training program you will see a results screen. Over time this becomes an excellent tool to assess progress and make considered changes to the parameters. To further assess training results, you can download all data to a USB key and see in great detail a variety of progress parameters using PC Software provided.
The First Session
Once the patient has been set up as a user, you can begin to create training profiles. On creating a new profile you can select whether it is a unilateral or bilateral training program, whether the stimulation is constant or adaptive, and whether to use a premade training template or to create your own. This gives you extensive control over the type of training.
Assuming you select a program template, you can place the electrodes on the patient as indicated by the diagram on screen, and connect them to the color coordinated cables. One by one, you test the stimulation you want to be delivered to the muscles. By turning the knob on the stimulator you can slowly increase the stimulation until you see and feel the desired contraction in the muscle. Once this has been completed for each muscle you can start the training.
You can wake the MOTOmed at this point by pressing the start button on its interface, then begin training from the stimulator. We always recommend a period of passive cycling before turning on the stimulation to allow the muscles to warm up. When stimulation begins, the stimulator will sense which position the pedals are in and begin to stimulate the correct muscles in order to start active cycling. The stimulation is based entirely on the position of the pedals to maintain a smooth cycling motion.
You can see a number of videos of the RehaMove in use in our Media Section.