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Topics in NeuroRehabilitation – Episode 21. Judy Meier, PT from MYOLYN provides a overview of Functional Electrical Stimulation (FES) cycling for both clinic and home use settings. Judy talks through the clinical benefits of FES cycling, and outlines some of the patient populations who can benefit from FES cycling programs, including individuals with diagnoses of SCI, TBI, MS, or CVA, and how therapists’ treatment plans may adapt to the different goals for each of these diagnoses. Judy also elaborates on how clinicians can evaluate and prepare patients for potential home FES cycling programs for longer term therapeutic interventions. To learn more about the MYOLYN cycles discussed in this episode, please visit: https://rewalk.com/resource-center/my... You can also download the Clinical Resource Summary that Judy mentions here: https://rewalk.com/wp-content/uploads... In case you missed last month’s episode, be sure to check out Episode 20 of Topics in NeuroRehabilitation here: • Topics in Neuro Rehab Ep 20: Spinal Cord S... References: MYOLYN website: https://myolyn.com/ Spasticity: Bremner, L. A., et al. "A clinical exercise system for paraplegics using functional electrical stimulation." Spinal Cord 30.9 (1992): 647-655. https://www.nature.com/articles/sc199... Krause, Phillip, Johann Szecsi, and Andreas Straube. "Changes in spastic muscle tone increase in patients with spinal cord injury using functional electrical stimulation and passive leg movements." Clinical rehabilitation 22.7 (2008): 627-634. https://journals.sagepub.com/doi/abs/... Yeh, Chun-Yu, et al. "Effect of a bout of leg cycling with electrical stimulation on reduction of hypertonia in patients with stroke." Archives of physical medicine and rehabilitation 91.11 (2010): 1731-1736. https://www.sciencedirect.com/science... Bone Density: Mohr, T., et al. "Increased bone mineral density after prolonged electrically induced cycle training of paralyzed limbs in spinal cord injured man." Calcified tissue international 61.1 (1997): 22-25. https://link.springer.com/article/10.... Frotzler, Angela, et al. "High-volume FES-cycling partially reverses bone loss in people with chronic spinal cord injury." Bone 43.1 (2008): 169-176. https://www.sciencedirect.com/science... Prevent Atrophy/Build Muscle: Sloan, K. E., et al. "Musculoskeletal effects of an electrical stimulation induced cycling programme in the spinal injured." Spinal Cord 32.6 (1994): 407-415. https://www.nature.com/articles/sc199467 Scremin, AM Erika, et al. "Increasing muscle mass in spinal cord injured persons with a functional electrical stimulation exercise program." Archives of physical medicine and rehabilitation 80.12 (1999): 1531-1536. https://www.sciencedirect.com/science... Increase Strength: Hooker, Steven P., et al. "Peak and submaximal physiologic responses following electrical stimulation leg cycle ergometer training." Journal of rehabilitation research and development 32 (1995): 361-366. https://www.rehab.research.va.gov/jou... Bloomfield, S. A., Walter Jerry Mysiw, and Rebecca Dorothy Jackson. "Bone mass and endocrine adaptations to training in spinal cord injured individuals." Bone 19.1 (1996): 61-68. https://www.sciencedirect.com/science... Multiple Sclerosis and Stroke: Szecsi, Johann, et al. "Functional electrical stimulation-assisted cycling of patients with multiple sclerosis: biomechanical and functional outcome–a pilot study." Journal of rehabilitation medicine 41.8 (2009): 674-680. https://europepmc.org/article/med/195... Fornusek, Ché, and Phu Hoang. "Neuromuscular electrical stimulation cycling exercise for persons with advanced multiple sclerosis." Journal of Rehabilitation Medicine 46.7 (2014): 698-702. https://pubmed.ncbi.nlm.nih.gov/24763... Ambrosini, Emilia, et al. "Cycling induced by electrical stimulation improves muscle activation and symmetry during pedaling in hemiparetic patients." IEEE Transactions on Neural Systems and Rehabilitation Engineering 20.3 (2012): 320-330.https://ieeexplore.ieee.org/abstract/...