18
Saturday 13th April - IFESS 4th Annual Conference FES in Action Anatomical Concepts (UK) Ltd

IFESS Workshop Presentation Derek Jones

Embed Size (px)

DESCRIPTION

Workshop presentation by Dr Derek Jones to be made at the IFESS Annual Conference, April 12th &13th, University of Southampton. Aims to showcase the usefulness of FES technology for spinal cord injured clients as a means of improving the effectiveness of activity based rehabilitation. Too few persons after a catastrophic injury actually achieve their potential for rehabilitation. There are a number of reasons for this. Our experience is that in the right hands FES technology can offer much more than FES Cycling. The presentation highlights the challenge and shows how a RehaStim FES system can power not just a RehaMove FES Bike, but also - by using additional software - it can power other exercises such as FES rowing, arm exercise and trunk extension exercise. Researchers can adopt the Science Mode software option for the ultimate in control of both stimulation sequences and a MOTOmed viva2 cycle.

Citation preview

Page 1: IFESS Workshop Presentation Derek Jones

Saturday 13th April - IFESS 4th Annual Conference

FES in ActionAnatomical Concepts (UK) Ltd

Page 2: IFESS Workshop Presentation Derek Jones

AFTER SCI

Expectations and Reality

Page 3: IFESS Workshop Presentation Derek Jones

..Part of your brain tells youyou should feel the water

.. it’s just that you don’t.

TALAN

Page 4: IFESS Workshop Presentation Derek Jones

Arthur - 22 - Ex Royal Marine Commando

It was hard after my accident.

The Marines have been great but I know

Im on my own

Page 5: IFESS Workshop Presentation Derek Jones

Bridging the GapWhat are our expectations? What are the client’s expectations? What might be possible?

Page 6: IFESS Workshop Presentation Derek Jones

The GAP..TOO FEW will achieve their

true potential for rehabilitation following a Catastrophic Injury

Due to Limiting Attitudes and BeliefsResourcesKnow-HowCommitment

Page 7: IFESS Workshop Presentation Derek Jones

FES - A Use

ful Tool

Page 8: IFESS Workshop Presentation Derek Jones

RehaMove 2Manufactured in Germany

Developed around the popular MOTOmed Viva2 ergometer

Extremely flexible and powerful system

Page 9: IFESS Workshop Presentation Derek Jones

Claire LomasRehaMove 1 System user since 2009

Power generation > 20-22 W

Page 10: IFESS Workshop Presentation Derek Jones

Mark PollockRehaMove 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

Page 11: IFESS Workshop Presentation Derek Jones

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

Page 12: IFESS Workshop Presentation Derek Jones

FES Rowing - Quads and HamstringsT10 Complete SCI

Sequence Mode Software

Page 13: IFESS Workshop Presentation Derek Jones

FES Rowing - Quads only

T8/T9 SCI - completing 2000m rowSequence Mode Software

Page 14: IFESS Workshop Presentation Derek Jones

Assisting arm rehabilitation with “Tailwind”Using triggered Sequence Mode

AVM - Affected Right Side

Page 15: IFESS Workshop Presentation Derek Jones

C4 Complete SCIUsing Triggered FES with Sequence Mode Enabling trunk extension and core strength

Page 16: IFESS Workshop Presentation Derek Jones

Isolated USB interface

Personal Computer

RehaStim 1“Science Mode”

Firmware

Matlab/Simulink

•Stimulation Pulses controlled by PC•Single Pulse on Specific Channel with

Desired Pulse Width and Current•Generate Stimulation Patterns - Pulses

or Pulse Groups

Current 0 -126mA in 2mA stepsPulse Width. 0; 20-500 µs in 1µs stepsFrequency. Up to 100 Hz across all 8

channels

SCIENCE MODE 1

Page 17: IFESS Workshop Presentation Derek Jones

Personal Computer

RehaStim 2

Isolated USBinterface

Matlab/Simulink

Reck MOTOmedErgometer

Complex stimulation patternsDuplets, Triplets, Low Frequency

BidirectionalInterface

Speed, Resistance Control, Flywheel Mass, Spasticity

Detection etc

SCIENCE MODE 2

Page 18: IFESS Workshop Presentation Derek Jones

Anatomical Concepts (UK) Ltd8-10 Dunrobin Court

Clydebank Business ParkClydebankG81 2QP

T: 0141-952-2323E: [email protected]

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