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FES in Action
Anatomical Concepts (UK) Ltd




                               Saturday 13th April - IFESS 4th Annual Conference
AFTER SCI




            Expectations and Reality
..Part of your
brain tells you
you should feel the water
.. it’s just that you don’t.


TALAN
It was hard after my
       accident.
   The Marines have
been great but I know
    Im on my own




Arthur - 22 - Ex Royal Marine Commando
Bridging the Gap
What are our expectations? What are the client’s expectations? What might be possible?
The GAP..
  TOO FEW will achieve their
true potential for rehabilitation
following a Catastrophic Injury




                                      Due to
                                               Limitin
                                    Attitud           g
                                           es and
                                                  Beliefs
                                         Resour
                                                ces
                                       Know-
                                               How
                                      Comm
                                             itment
ol
                       l To
                e fu
             U s
       - A
 E S
F
RehaMove 2
Manufactured in Germany
Developed around the popular
MOTOmed Viva2 ergometer
Extremely flexible and powerful
system
Claire Lomas
RehaMove 1 System user since 2009

Power generation > 20-22 W
Mark Pollock
RehaMove user since 2010




      Adventure Athlete


 Initially declared not able to
   use a RehaMove system.
      Today he uses one.

 Progressed from “Sequence
   Mode” to FES Cycling
Sequence Mode

✤   Turn on and off 1 to 8 channels in precisely
    timed and complex patterns

✤   Choose from more than 100 templates or
    create your own

✤   Manual trigger or cyclic operation

✤   Software can sit alongside FES Cycling
    software

✤   Powerful but easy to use
T10 Complete SCI
FES Rowing - Quads and Hamstrings
Sequence Mode Software
T8/T9 SCI - completing 2000m row
Sequence Mode Software
FES Rowing - Quads only
AVM - Affected Right Side
Assisting arm rehabilitation with “Tailwind”
Using triggered Sequence Mode
C4 Complete SCI
Using Triggered FES with Sequence Mode
Enabling trunk extension and core strength
SCIENCE
                                             Personal       Matlab/Simulink
  MODE 1                                    Computer

                            Isolated USB
                              interface

  Current 0 -126mA in 2mA steps
Pulse Width. 0; 20-500 µs in 1µs steps
                                                              “Science Mode”
Frequency. Up to 100 Hz across all 8        RehaStim 1           Firmware
              channels




                                         •Stimulation Pulses controlled by PC
                                         •Single Pulse on Specific Channel with
                                          Desired Pulse Width and Current
                                         •Generate Stimulation Patterns - Pulses
                                          or Pulse Groups
SCIENCE
            Personal       Matlab/Simulink                  MODE 2
           Computer

Isolated USB
  interface

                              Bidirectional
                                Interface                  Reck
           RehaStim 2                                    MOTOmed
                            Speed, Resistance Control,   Ergometer
                            Flywheel Mass, Spasticity
                                  Detection etc



 Complex stimulation patterns
Duplets, Triplets, Low Frequency
Anatomical Concepts (UK) Ltd
                       8-10 Dunrobin Court
                    Clydebank Business Park
                            Clydebank
                             G81 2QP
                         T: 0141-952-2323
                E: info@anatomicalconcepts.com
                   W: anatomicalconcepts.com


        Videos - Taken at Prime Physiotherapy, Andrew Galbraith

Images on Page 2 & 3 - David Graham, “No Diving” ISBN 978-0-9557465-1-2

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IFESS Workshop Presentation Derek Jones

  • 1. FES in Action Anatomical Concepts (UK) Ltd Saturday 13th April - IFESS 4th Annual Conference
  • 2. AFTER SCI Expectations and Reality
  • 3. ..Part of your brain tells you you should feel the water .. it’s just that you don’t. TALAN
  • 4. It was hard after my accident. The Marines have been great but I know Im on my own Arthur - 22 - Ex Royal Marine Commando
  • 5. Bridging the Gap What are our expectations? What are the client’s expectations? What might be possible?
  • 6. The GAP.. TOO FEW will achieve their true potential for rehabilitation following a Catastrophic Injury Due to Limitin Attitud g es and Beliefs Resour ces Know- How Comm itment
  • 7. ol l To e fu U s - A E S F
  • 8. RehaMove 2 Manufactured in Germany Developed around the popular MOTOmed Viva2 ergometer Extremely flexible and powerful system
  • 9. Claire Lomas RehaMove 1 System user since 2009 Power generation > 20-22 W
  • 10. Mark Pollock RehaMove user since 2010 Adventure Athlete Initially declared not able to use a RehaMove system. Today he uses one. Progressed from “Sequence Mode” to FES Cycling
  • 11. Sequence Mode ✤ Turn on and off 1 to 8 channels in precisely timed and complex patterns ✤ Choose from more than 100 templates or create your own ✤ Manual trigger or cyclic operation ✤ Software can sit alongside FES Cycling software ✤ Powerful but easy to use
  • 12. T10 Complete SCI FES Rowing - Quads and Hamstrings Sequence Mode Software
  • 13. T8/T9 SCI - completing 2000m row Sequence Mode Software FES Rowing - Quads only
  • 14. AVM - Affected Right Side Assisting arm rehabilitation with “Tailwind” Using triggered Sequence Mode
  • 15. C4 Complete SCI Using Triggered FES with Sequence Mode Enabling trunk extension and core strength
  • 16. SCIENCE Personal Matlab/Simulink MODE 1 Computer Isolated USB interface Current 0 -126mA in 2mA steps Pulse Width. 0; 20-500 µs in 1µs steps “Science Mode” Frequency. Up to 100 Hz across all 8 RehaStim 1 Firmware channels •Stimulation Pulses controlled by PC •Single Pulse on Specific Channel with Desired Pulse Width and Current •Generate Stimulation Patterns - Pulses or Pulse Groups
  • 17. SCIENCE Personal Matlab/Simulink MODE 2 Computer Isolated USB interface Bidirectional Interface Reck RehaStim 2 MOTOmed Speed, Resistance Control, Ergometer Flywheel Mass, Spasticity Detection etc Complex stimulation patterns Duplets, Triplets, Low Frequency
  • 18. Anatomical Concepts (UK) Ltd 8-10 Dunrobin Court Clydebank Business Park Clydebank G81 2QP T: 0141-952-2323 E: info@anatomicalconcepts.com W: anatomicalconcepts.com Videos - Taken at Prime Physiotherapy, Andrew Galbraith Images on Page 2 & 3 - David Graham, “No Diving” ISBN 978-0-9557465-1-2