Tuesday March 16 , 2010

Site Purpose

Guide to FES CyclingThis site has two intentions.  Information about FES (Functional Electrical Stimulation) - and in particular FES Cycling.  The second is to offer support and information to our clients. 

If you would like a Guide Document to FES Cycling please Click Here and complete the form or Click the Image to Request a Copy

What is FES Cycling?

FES Cycling is an effective way of keeping fit when, following a spinal cord injury, regular exercise is difficult to get.

This is a therapeutic activity that uses transcutaneous electrical current to initiate muscle contractions of paralysed lower limbs in persons who have sustained a spinal cord injury or been affected by stroke or MS.

The order and strength of the muscle contractions are controlled by computer to generate the power to pedal a stationary cycle. The aim is not to provide passive motion - but to actively engage the muscles to generate muscle strength and improve fitness.

Benefits

Key benefits of FESCycling exercise are as follows:

  • Cardio-pulmonary fitness
  • Rebuild muscle strength and bulk
  • Improve bone density
  • Improve blood circulation
  • Improve intestinal & bladder function
  • Improve response to insulin (diabetes)
  • Decrease limb spasticity
  • Improved feelings of well-being

FES is a useful in many cerebral motor lesions of the lower limbs including Paraplegia/ Spinal Cord Injury and Stroke

Studying the maths of how we learn

Brain powerOne of my favourite sites is medgadget.com. It is often a good source of information about - well - medical gadgets.

They report on attempts by science to use the maths most commonly used to create email spam filters - this time to imporve our understanding of how the brain sends signals to muscles.  The scientists believe that their methodology can allow the development of better rehabilitation therapies.

 

Teams of engineers from Johns Hopkins, MIT, and Northwestern are reporting in the latest issue of Nature Neuroscience how they used {mosWikipedia Bayesian probability} mathematical modeling to offer insights into neural control of muscle movements. 

In their report this week in Nature Neuroscience, the team says their new tool could make it possible to predict the best ways to teach new movements and help design physical therapy regimens for the disabled or impaired.

Reza Shadmehr, Ph.D., professor of biomedical engineering at Hopkins, who with his colleagues built the new model, says the artificial brain in the computer, like its natural counterpart, is guided in part by a special kind of statistical "probability" theory called Bayesian math.

Unlike conventional statistical analysis, a Bayesian probability is a subjective "opinion," that measures a "learner's" individual degree of belief in a particular outcome when that outcome is uncertain. The idea as applied to the workings of a brain is that each brain uses what it already knows to "predict" or "believe" that something new will happen, then uses that information to help make it so.

"We used the idea that prior experience and belief affect the probability of future outcomes, such as taking an alternate route to work on Friday because you've experienced heavy traffic Tuesday, Wednesday and Thursday and believe strongly that Friday will be just as bad," says Shadmehr. E-mail spam filters operate on a similar principle; they predict which key words are "probably" attached to mail you don't want and "learning" as they go to fine tune what they exclude from your in-box.

The computer model, Shadmehr says, almost precisely duplicates the results of experiments that tested the ability of monkeys to visually track rapid flashes of light. Experiments using such rapid eye movements, or saccades, are a staple in studying how the brain controls movement.

Initially, the animal learner made large errors, but also stored the information about its mistakes in a memory bank so it could adapt and make more accurate predictions the next time around. Every time the learner repeated the task, it would sift through the prior knowledge in its memory banks and make a prediction on how to move, which in turn would also be memorized. While short term memory was periodically purged, repeated errors were transferred to a long term memory bank.

The computer learner was tasked with "looking" at a spot of light. Then all the lights were turned off. The spot of light was turned on again and the computer learner was again asked to look at that same spot. The learner's speed and pattern in adapting its movements matched the experimental results of the monkeys almost perfectly. "We found that this Bayesian model can explain almost all of the phenomena we observe in regard to learning motor movements," says Shadmehr.

Beyond possible use in helping stroke patients, the new tool might also be applied to better understand how we learn language, develop ideas and make memories. "How we learn to think operates under many of the same principles as how we learn to move, Shadmehr says.

 

Contact Us

Anatomical Concepts (UK) Ltd
8-10 Dunrobin Court
Clydebank Business Park
Clydebank
Scotland

E: info@fescycling.com
T:+44(0)141-952-2323

Registered in Scotland No SC162409

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