Friday March 12 , 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

Advances in neurology

Connecting electrodes to the nervous system is difficult because the tissue becomes inflamed when in contact with metal. This creates a layer of electrically insulating scar tissue that makes it harder to send or receive signals. In an article in New Scientist entitled "Moulded connections could improve brain implants" you will find a discussion of some proposed solutions to implanted electrode problems.

The problems typically get worse over time - solving them is important for medical treatments like implanted stimulators and deep-brain stimulation for conditions such as Parkinson's and for future prosthetic devices, like bionic eyes.

 

To get round the problem, researchers have tried making electrodes out of soft materials, or coating metals in drugs that reduce inflammation or promote neuron growth. But no solution is a clear winner.

In the course of experimenting with soft, rubbery electrodes, neuroscientists at the University of Michigan, US, had a new idea. Instead of connecting previously formed polymer to the neurons, why not build the rubbery electrode around them?

Flexible network

"We add the liquid precursor of the polymer to the tissue, and then have it assemble in place," says Sarah Richardson-Burns, who worked with colleagues Jeffrey Hendricks and David Martin on the new approach.

The polymer, PEDOT, assembles from a solution of monomers that assemble into polymer chains in response to electric current.

After testing that the monomer solution was not toxic to cells, the team allowed it to soak into cultures of mouse neurons, and living slices of brain tissue containing wires around which scar tissue had already formed.

Running a small current through the wires caused the monomers to form rubbery conductive polymer in a close-fitting web around the cells.

"It forms a network in the tiny gaps between cells," Richardson-Burns explains, "we think that will allow a better long-term connection."

But he adds that an even bigger challenge for the field is making implants capable of two-way communication with the brain or other parts of the nervous system - receiving signals, as well as sending them to the neural tissue.

"If this technology would allow low-impedance connections to real neurons, that would be a major step forward," Smith 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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