With the therapeutic movement concept “forced exercise”, the lower extremities of Parkinson’s patients get moved noticeably faster than the symptoms of their disease would normally allow them to do. A group of researchers (Ridgel et al., 2009) from the US found out that movement speeds of up to 90 rpm help to improve Parkinson-related symptoms. Moreover, a significant improvement of the finger’s fine motor skills about 30% could be measured.

Regular movement therapy in combination with medicine is the basis for recent Parkinson’s therapy. The MOTOmed parkinson models  have a software-controlled motor, which enables a movement training with high revolution speed. Parkinson patients can either train passively or actively with own muscle strength. Therapy sessions with the Parkinson can have positive effects on gait ability, balance, akinesia, fine motor skills and posture. Regular therapy training with the MOTOmed parkinson models  also helps to improve Parkinson-related symptoms such as tremor (trembling muscles) and rigor (stiff muscles). 

Scientific studies

Scientific studies and research results about the MOTOmed movement therapy (forced exercise) in Parkinson's

• Stuckenschneider T., Helmich I., Raabe-Oetker A., Froböse I., Feodoroff B. (2015). Active assistive forced exercise provides long-term improvement to gait velocity and stride length in patients bilaterally affected by Parkinson‘s disease. Gait Posture, 42(4), 485-490., DOI: 10.1016/j.gaitpost.2015.08.001

• Ridgel A., Peacock C., Fickes E., Kim Ch. (2012). Active-Assisted Cycling Improves Tremor and Bradykinesia in Parkinson’s Disease. Archives of Physical Medicine and Rehabilitation, 93 (11), 2049-2054., DOI: 10.1016/j.apmr.2012.05.015

• Ridgel, A. L., Peacock, C. A., Fickes, E.J., Kim C.H. (2010). Effects of active-assisted cycling on upper extremity motor and executive function in Parkinson’s disease. Presentation on the Society of Neuroscience Meeting 2010.

• Ridgel A. L., Kim C-H., Fickes E. J., Muller M. D. & Alberts J. L. (2011). Changes in Executive Function After Acute Bouts of Passive Cycling in Parkinson´s Disease. Journal of Aging and Physical Activity, 19, 87-98., DOI: 10.1123/japa.19.2.87

• Ridgel A., Vitek J. L., Alberts J. L. (2009). Forced, Not Voluntary, Exercise Improves Motor Function in Parkinson’s Disease Patients. Neurorehabilitation and Neural Repair, 23 (6), 600-608., DOI: 10.1177/1545968308328726

• Laupheimer M., Härtel S., Schmidt S., Bös K. (2011). Forced Exercise – Auswirkungen eines MOTOmed-Trainings auf parkinsontypische motorische Dysfunktionen. Neurologie & Rehabilitation, 17(5/6), 239-246.

• Fickes E. J. (2012). Effects of interval active-assisted cycling on balance in individuals with Parkinson’s disease. Dissertation, Kent State University.

• Ridgel A., Phillips R. S., Walter B. L., Discenzo F. M., Loparo K. A. (2015). Dynamic high-cadence cycling improves motor symptoms in Parkinson’s disease. Frontiers in Neurology, 6 (194)., DOI: 10.3389/fneur.2015.00194

• Ridgel A. L., Muller M. D., Kim C.-H., Fickes E. J., Mera T. O. (2011). Acute Effects of Passive Leg Cycling on Upper Extremity Tremor and Bradykinesia in Parkinson’s Disease. The Physician and Sportsmedicine, 39(3), 83-93., DOI: 10.3810/psm.2011.09.1924

The new 7’’ big color touch display can be operated easily and intuitively and offers intelligent functions of innovative form. Naturally, the display is suitable for wipe disinfection.

• Therapy programs
• Games and videos
• Slideshow

Standard Features

• Plastic-coated safety foot shells with Velcro fastening
• Soft Grip handles
• Passive rotation of up to 90 rpm
• Height adjustment of leg or arm/upper body trainer can be adjusted without tools.
• Pedal axle of the leg trainer is height adjustable from 30 cm to 45 cm.
• Pedal axle of the arm trainer is height adjustable from 90 cm to 105 cm.
• Color touch display (7"), retractable and inclinable.
• Stable metal construction, high quality and stable.
• 2-stage pedal radius adjustment (7 cm or 12.5 cm).
• Closed plastic body (PC/ABS), easy to clean and disinfect.
• Easily movable with large transport rollers (Ø 13 cm).
• Serial interface, USB interface.
• Reduced device stand width to 38.5 cm.
• Therapy and motivation programs
• Training programs & Games
• Slideshow via USB (delivered without USB stick)
• Color: white/chrome/black.

Foot Insertion Aid The insertion aid function facilitates the insertion of the feet into the foot shells before the start of the training. Using a button on the operating panel, the user can move the foot shells continuously into the appropriate position.
	MovementProtector If muscle cramp, spasticity or movement blockage (freezing) occurs during training, this function stops the pedal movement. It does not matter how the basic muscle tension changes; the MovementProtector does not remain constant, but automatically adapts to any change. As a result, it always remains optimally sensitive. This function is implemented in all MOTOmed models through a sensitive sensor system.
SpasmControl This function works closely with MovementProtector and can loosen and release detected spasms or cramps. The basis for the development of such a function is the following therapeutic principle: bending spasm is loosened by stretching and stretching spasm by bending. The automatic change of direction of rotation through the SpasmControl program can loosen the cramps detected by the movement protection. If a spasm occurs, the motor gently stops the crank movement. Legs and arms are relieved and the direction of rotation is switched following a brief resting period. This process is repeated until the spasm is relieved.	ServoCycling Similar to a bicycle with an auxiliary motor, the MOTOmed function ServoCycling (leg training) or ServoTurning (arm training) supports users in performing their active movement. The function enables the person exercising to perform an active movement even with the lowest inherent forces. Residual muscle strength can be recognized and built up without overstraining efforts.
SymmetryTraining The SymmetryTraining function unfolds its beneficial effect when it comes to specifically strengthening the weaker side. The display of the function differs depending on the model. In MOTOmed viva2, MOTOmed gracile12 and MOTOmed letto2 models, a two-scale diagram shows the users how much strength they exert with the left and the right body half. On the MOTOmed muvi as well as the MOTOmed loop edition and MOTOmed layson edition models, this function is displayed with an animated figure. Based on this graphic display, the users can target their "weaker" side of the body during training. SymmetryTraining prevents overloading of the healthy extremities.
	Training analysis All MOTOmed models provide the user with a variety of training feedback. Training values such as duration, distance, symmetry, total metabolic rate, tone, the average and maximum active performance as well as the active and passive training percentage can be viewed by the user on the screen both in real time during the training and as an overall evaluation after the training.

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