Recently, I found myself reflecting on the notion of "snake oil salesmen" as I observed a new client navigating their recovery from a spinal cord injury. In their quest for healing, this individual encountered a maze of contradictory advice regarding what recovery was achievable, leading to confusion about their journey. What to trust? Who to believe? What action makes sense?
Some individuals naturally know how to focus on what they can control while releasing the rest. While the future is unpredictable, carefully examining controllable factors, likely outcomes, and strategies to address these variables offers the best chance for success. This approach considers the chain reaction: "If I do X now, then Y will follow, leading to Z." The wise person sets out to carefully define the unknowns in that chain reaction. Carefully filtering the advice offered is a sound step.

Functional Electrical Stimulation cycling, also known as FES cycling or using an FES bike, is a rehabilitation technique that uses electrical stimulation to activate skeletal muscle in individuals with spinal cord injury or other types of neurological injury. This technique is well established in the homes of hundreds of people in the UK as well as in NHS and private facilities. In this article we address the topic of how often you should exercise with this technology. For example, is 20 minutes, three times per week really enough?

Many of us today walk around or exercise with products that sense many aspects of our daily activity. Smartphones and sensor developments mean that we can be more in tune with what is happening to our health and fitness. My Suunto watch monitors my heart rate and heart rate variability, blood oxygenation, skin temperature and activities in many ways. It can nudge me to exercise more, tell me how I recovered from exercise and alert me to how well or how badly I am sleeping.. I personally do like having these insights, but of course, some people will hate the idea of this.

The smartwatch and related sensor technologies have opened up some new possibilities. In this article, im going beyond the smartwatch of today and take a look at what additional sensor technologies might assist us with spinal cord injury rehabilitation in the near future. In particular, we take a look at two sensor areas that have grown in popularity with elite athletes - Muscle oxygen sensing and Lactate sensing. If you want to know why, then read on.

This article discusses how to counter Goodhart's Law in healthcare, focusing on quality metrics and patient outcomes. You might not have heard of Goodhart's Law, but it describes an extremely common tendency that has almost certainly affected us all at some point.
The temptation with complex services such as healthcare, is to focus on some simple metric that might reflect overall performance. Unfortunately this often results in misrepresenting the true performance of the system.
This article offers strategies to balance care quality with quantitative measures, enhancing rehabilitation services.

The challenge of providing effective and affordable rehabilitation for stroke survivors in the UK, and indeed globally, is multifaceted. It involves the development, availability, and cost of safe and effective technology and services. We can't take the development of new medical technology for granted. The time and cost of taking an idea forward and creating a product are becoming increasingly significant. Developers of such technology need to imagine making a return on their investment, and this needs more than the assurance of a clinical need - it takes someone willing to pay.
Stroke is a significant global healthcare challenge affecting millions, but this alone will not drive technology development unless there is a likely path toward a return on investment. This article considers the challenge of supporting stroke survivors in their recovery journey when resources seem lacking. We point to some products we loved that never developed sustained sales and some that might.

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.