The effects of a spinal cord injury (SCI) vary depending on the neurological level of the damage and the extent of neural traffic interruption at the site of the lesion. Common primary effects may include paralysis and loss of sensation in the legs, arms, and trunk, as well as disruptions in bladder and bowel function and the regulation of blood pressure, heart rate, and lung function. In this article, we will look at this topic in detail and how FES Cycling can help persons following a spinal cord injury maintain fitness with a particular focus on cardiovascular function.

What we have found in many years of working with spinal cord injured persons using FES Cycling, is that some clients are impatient to see their legs working hard from day one. They are disappointed when their muscles seem to fatigue so quickly when they start training for the first time. To understand why this is the case, we need to look at how muscles behave when contracting with the aid of electrical stimulation. We should also understand how a spinal cord injury produces changes in a person's muscular, skeletal and neural structures.

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The RehaMove FES Cycling system (sometimes known as an FES bike) is widely used by clients to allow them to exercise paralysed muscles actively. There are many benefits of doing this following a neurological condition such as a spinal cord injury.

This video may be of general interest, but will be particularly useful to existing users of our FES Cycling system who wish to get more from using the product. The video is around 15 minutes long and it addresses three commonly asked questions

• Why should I use an FES bike?

• When and why should I change the stimulation settings?

• How should I make these changes?

The video distinguishes between training for a goal and general exercise and looks at a useful structure to think about how to train, The effect of changing each of the stimulation parameters is considered. You might want to term on subtitles when viewing the video.