What is RehaMove?
RehaMove is an FES Cycling system that allows individuals with weakness or paralysis of the legs to actively cycle a stationary bike, by stimulating the muscle with a small electrical current.
Active cycling means the individual will use their own muscle power to create force. By activating the muscle, the patient will receive immediate benefits through improved muscle tone, increased strength, reduced spasm and better circulation, alongside the many long term benefits of light cardiovascular exercise.
The RehaMove system combines the expertise of our FES stimulator "RehaStim2" and the respected RECK system, MOTOmed. The RehaMove is also available with an Upper Limb hand crank and software modules for upper body exercise.
What does RehaMove do?
RehaMove combines sophisticated FES technology with a reliable bike system to enable active exercise for people with weak or paralysed limbs.
The RehaMove has 8 channels to stimulate up to 8 muscles with attached electrodes. Electrodes (flexible, sticky pads) are placed over the muscles you want to activate and connected to the stimulator. The stimulator then sends a safe and controlled amount of electrical stimulation to the muscle, enabling it to contract.
Once you begin a training program, the system detects the position of the foot pedal (or hand crank) and stimulates the correct muscles in the correct sequence to produce a fluid cycling (or cranking) movement. Where the patient cannot yet power the bike actively for the whole rotation or training session, the bike will sense the assistance required within seconds and assist with motor power.
Like all physical training the muscles will adapt and require more challenge. Once the patient’s muscles can actively cycle for the desired training time you can increase the difficulty by raising the gear of the bike, therefore providing resistance to cycle against.
What are the benefits of RehaMove?
The main benefits of using RehaMove are the huge short and long term health impacts. These include but are not limited to:
The system can be setup for use my multiple users. There are no limits to the number of users or programmes so you can have as many clients on the software as you wish.
The system can store multiple training programmes per user. Once you have setup a programme you can save it under a unique name for immediate and quick start at their next session. Multiple programmes give you choice, adaptability and variety.
Once familiar, a user can be setup and working in a matter of moments! This gives you the ability to maximise your therapy time by supervising and instructing additional patients, setting up new tasks, completing admin etc.
The system has 8 channels, allowing you stimulate 8 muscles simultaneously. This means, for example, you can stimulate both the upper and lower leg to create a smooth cycling motion, or choose to add in glutes or abdominals with the upper leg for additional benefit.
Sequence mode software brings unlimited possibility. With the addition of sequence mode software, the RehaMove stimulator can be used independently from the MOTOmed. It can be used to activate single muscles or programmes to assist in exercises such as the ‘Sit to Stand’ or in shoulder stabilisation. There are multiple inbuilt safety mechanisms for peace of mind. If i client is working on their own you needn’t worry about their safety. The system has a safety Stop button to immediately halt the programme and inbuilt cut offs e.g.. if an electrode becomes disconnected.
The system has a small blueprint and easy to move. When not in use the RehaMove can be stored safely out of the way and easily rolled back into position when needed.
You’re a leader! FES Stimulation is widely recognised and praised for its excellent health benefits. By adopting the RehaMove you show your willingness and interest in future health technologies and your commitment to your patients rehabilitation and long term health.
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.
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.
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Who can use RehaMove?
It can be used wherever there is a weakness or paralysis of the muscle, as long as there are no contraindications for use. We have a number of available for your interest. Increasingly, many patients purchase a RehaMove system for home use - with and without continued supervision by a clinician.
RehaMove is widely used by patients:
RehaMove is used extensively in hospitals, rehabilitation units, private clinics and in the community by clinicians, Physiotherapists, Occupational Therapists and more to enhance the recovery and long term care of their patients. There is extensive Research into the use effective use of RehaMove in different environments available.
We know there is no perfect product and the RehaMove system may not be suitable for everyone. As such there are a number of contraindications and considerations that should be addressed before a trial of the system. The majority of these contraindications are most specific to those patients with spinal c injury but are applicable across the board.
When should FES and the RehaMove system not be used?
How is RehaMove used?
The RehaMove system is available in a number of configurations to offer the widest range of training options for your patients needs. In its basic form RehaMove can be made available as lower or upper body training.
Lower body training
The lower body training modules allow the active exercise of the legs through a number of unilateral and bilateral training programmes.
Upper body training
The upper body training modules allow the active exercise of the arms and shoulders through a number of unilateral and bilateral training programmes.
When sequence mode is included the FES stimulator can be used independently of the MOTOmed. It can be adapted to augment the use of other exercise equipment, and assist with common therapy exercises including Sit to Stand exercises, FES Walking and FES Rowing. When sequence mode is included the FES stimulator can be used independently of the MOTOmed. It can be adapted to augment the use of other exercise equipment, and assist with common therapy exercises including:
What is the science mode of RehaMove?
RehaMove3 is a medical device for scientists. It is controlled via serial interface with a precompiled C-library (download file at the media center below). This allows flexible control of the device. The control can be carried out via script languages (C, C++, Python, MATLAB etc.) or via graphical programming systems (LabVIEW, Simulink etc.). Scientists can define various stimulation patterns.
RehaMove communication protocols
Define individual stimulation pulses, which has to be triggered by the user.
Stimulation pulse is initially defined and repeated with a fixed frequency till an update is made or the treatment is stopped.
Research with RehaMove
ScienceMode3 protocol is unique and has a broad range of applications for scientists around the world. HASOMED likes to promote innovative applications for clinical use.
CONTACT FOR RESEARCH APPLICATIONS
+49 391 610 76 45
This device is part of a project that has received funding from the European Union‘s Horizon 2020 research and innovation programme under grant agreement No 644721.
How can I get to know RehaMove?
The UN forecasts a world population of more than 9.7 billion people by 2050. A challenge for medical care and a task that physicians and manufacturers of medical technology can master together. Medica 2019, World Forum of Medicine, creates the link between medicine and medical technology, present and future. HASOMED is there.
- Races in six disciplines
- Two-day competition, attractive supporting programme and scientific symposium
- The Italian team POLIMI RehaMove participates on behalf of the Politecnico di Milano in the category FES Bike teams.
Medica is the largest international trade fair for the medical industry. More than 5000 exhibitors from all over the world present innovations for outpatient and clinical care, supplemented by forums and specialist lectures, in Düsseldorf, Germany.
What are the most frequently asked questions about RehaMove (FAQ)?
- stimulation of blood circulation, muscle relaxation and pain reduction
- no or low physiological contraction/movement
- no building up muscle strength
- no complex stimulation
Usual devices for electrotherapy
- only few channels
- no complex functional movement
Advantages FES with RehaMove
- stimulation of functionals movements
- motorlearning and call up of neuromuscular patterns
- cycling due to connection with the MOTOmed
- external trigger (cause stimulation via manual switch)
- different training options: sequens, adaptive/constant mode