Increase of Muscle Activities in Hemiplegic Lower Extremity During Driving a Cycling Wheelchair

The Application of Cycling and Cycling Combined with Feedback in the Rehabilitation of Stroke Patients: A Review

“…43,44 Seki and colleagues 43 observed significant increases in the muscle activity of the rectus femoris, tibialis anterior, and the soleus' muscle in the affected leg during cycling in comparison with a baseline isometric contraction, in patients with subacute poststroke hemiplegia, who were not able to walk. Fujiwara et al 44 observed an increase in muscle activity at the end of 5 minutes of cycling and 30 minutes later, in patients with 3 months' poststroke hemiparesis, who were not able to walk, even with assistive devices, and with a Stroke Impairment Assessment Set knee extension score less than 3.…”

“…Regarding stroke phases, cycling exercise has been applied in subacute 4,14,40,43,45 and chronic 7,17,18,26,27,[29][30][31][46][47][48]51,52 phase patients. The majority of the studies considered the time after stroke as an inclusion criterion; others 3,40,43,49 did not.…”

“…Some studies divided the stroke patients into 2 groups-experimental and the control groups 3,7,30,40,45,[47][48][49][50] -that allowed a more reliable comparison of the applied cycling therapies. Some studies had a control group formed by healthy people, 7,18,43 usually to compare the expected values for some variables used in the assessment of the cycling therapies. Elderly healthy subjects were also considered as a control group in some studies 26,27,29,31,51,52 to determine the expected values in the same age group of the stroke patients (experimental group).…”

Design and simulation of leg exoskeleton cycling-actuated wheelchair

“…12,13 In particular, Handa et al developed the Profhand wheelchair, which helps motor function rehabilitation of the lower limbs using pedal cycling. [14][15][16] This wheelchair is propelled by the lower limbs of a user in a way that can be compared to the upper limb propulsion of a conventional wheelchair. Thus, this is a novel approach to enabling daily activities, thereby promoting exercise of the lower limbs.…”

Comparison of Muscle Stimulation Groups for Simplified Practical FES Cycling Control with Cycling Wheelchair: An Experimental Test with Healthy Subjects

“…The cycling wheelchair also makes it possible to undergo rehabilitation of lower limbs for patients who have severe motor paralysis, because it has an advantage of decreasing significantly the risk of falling. In a previous study [3], measurement of electromyogram (EMG) during driving the cycling wheelchair with severe hemiplegic patients showed that the cycling wheelchair training could induce muscle activities of the paretic leg. This suggests that training with cycling wheelchair is effective in motor rehabilitation.…”