Living Jackson

Benefits of cycling

Stroke therapy using (FES) Functional Electrical Stimulation Cycling Following a Stroke


I want to focus on the ones that are
weaker on him which are his, you know the muscles in the front of the shoulder, to
come, to reach forward and then sort of do his triceps which are back here. He
has pretty long arms. Patient: You can tell I did not do any curls. Therapist: Anterior Deltoid, no. Putting this mitt on him just to
help him grip the handle better. Since his grip is a little on the weaker side this
just helps keep his hands on there. What we are gonna do, put the electrical stim up
on every muscle that I put the electrode on, so you just let me know
it’s too much, too little. So lets start with the scapular right there. How’s it feel? Patient: Its not bad right now. Therapist: That’s all I need. Did you see,
did you feel it, just okay so I know it kicked it ok. So whats going to happen is
do a warm up first okay, what happens first is the the shoulder and your
shoulder blade back here, the muscles back here, you’ll feel those go on first.
Those will stay on the whole time and they’re on for a few minutes on, cause
they really work to stabilize, you need to stabilize the shoulder before we
actually get it moving. Then after that when it says active therapy, and you’ll
feel it, like you can’t mistake it, it’ll say active therapy that’s when you’re
going to start these muscles start cycling with the e-stim
okay, because it’s gonna, kind of, simulate you cycling and that’s when it
kicks in. So the ones on the arm which is this one back here, kind of
cycle, the ones on top right over your shoulder and in the shoulder blade stay
on the whole time to keep your shoulder nice and stable and in good form. Okay so
are we ready? Patient: Yes. Therapist: I’m gonna hit go. So this is the FES bike. I’m currently using it
with Joe for his right arm. Basically it targets certain muscles in his arm
that we want to promote and improve movement and function. So right now I
have it on his shoulder and on to the muscles in his arm which kind of, one
muscle helps him reach forward and the other muscle helps him straighten out
his elbow. Those are two movements that Joe has some weaknesses in, so we’re
trying to target those. Later on as we progress in this we will use other or
target other muscle groups. So right now this is his first day so we figured we’d
give a shot with his shoulders to stabilize his shoulder and shoulder
blade and two of the muscles in his arm. You can use it for the legs, but I don’t
do the legs I do mostly the arms so we’re doing, and in strokes since
usually it’s one sided, one side of the body is affected, we usually use one arm,
but on spinal cord, a lot of times it’s likely that they’ll be using both
arms but right for today, for Joe, it’s his right arm since it’s the stroke
affected his right side of his body, and so far he’s tolerating it really well. If
you fall under the control speed and resistance that I set, I set target
speeds and target resistant, so if you fall under it you’ll probably feel a
zing or some e-stim some more e-stim because the machine is trying to get you
to get to those target speeds and resistance so will actually send some
more electrical stim to those muscles, ok so that’s what you’ll feel. We use this
as a form of muscle reeducation, because the e-stim bypasses the brain,
targets the muscle directly, but the more you move your arm the more you retrain
the brain.

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