Welcome to Anatomical Concepts (UK) - Masters of Rehabilitation

RehaMove now supplements this therapy through Functional Electrical Stimulation of impaired arms and legs and opens up completely new therapeutic possibilities for central paralysis.

Through Functional Electrical Stimulation, the affected muscles are trained and the process of motor nerve propagation is accelerated. More effective neurological rehabilitation is feasible. There are real benefits for cardiovascular health and other measures of health status.

Read more: RehaMove - FES training

RehaBike offers people affected by paralysis a higher quality of life through physical exercise during an activity which is fun!

By means of Functional Electrical Stimulation (FES), muscles in the thigh are activated in such a way that coordinated movement is possible and sufficient power is generated.

This enables paralysed people to actively use their lower limbs again. As shown by research, this exercise boosts the metabolism and the cardiovascular system with many positive effects.

Read more: RehaBike - Outdoor fun

We know that for good health we all need adequate exercise and this is normally difficult if not impossible for individuals following a spinal cord injury.  However, if exercise could become possible, those with spinal cord injury potentially have a lot to gain.

The function of the RehaMove system is to allow such individuals to operate a stationary cycle (a motorised ergometer) with their own muscle power. We know that in order to have a beneficial effect on the bones, muscles and cardiovascular system, exercise should involve working the large muscles of the body against some form of resistance.  The RehaMove system is an easy, effective and safe way of activating these leg muscles and achieving exercise health benefits. 

A sophisticated control system delivers stimulation to selected muscles of the leg to develop muscle power over time.  At the push of a button the ergometer starts to rotate, the system detects the position of the crank arms, calculates the time at which each muscle needs to be stimulated and sends the correct stimulation impulses to the electrodes. 

Read more: RehaMove after Spinal Cord Injury

Introduction
Diabetes is well understood to be a major and global public health problem that kills 3.8 million people worldwide each year; about the same number of people as HIV and AIDS.  In particular, the epidemic of type 2 diabetes is imposing a growing burden on health care systems as the number of people affected around the world is predicted to rise from 151 million in the year 2000 to 300 million by 2025 (Zimmet et al, 2001).  A great deal of that growth will be in the developing countries of the world that are perhaps not adequately resourced to deal with the challenges that will result.

Within the spectrum of challenges presented by diabetes, foot care has become a major area of interest.  Since diabetic complications have a great impact on the foot, it is perhaps not surprising that foot problems account for more hospital inpatient days than do any other diabetic problem (Shaw and Boulton, 1997).  Of the broad range of diabetic foot problems, the most important clinically are ulceration, amputation and Charcot neuropathy.  Foot ulceration is a sign of systemic disease and should never be regarded as trivial.  (Edmunds and Foster, 2006)

Since the 1980’s a great deal has been learned about why diabetic feet go wrong and what can be done to prevent and treat problems.  In some ways diabetic foot problems should, of all the complications of diabetes, be the simplest to treat.

This article looks at one aspect of diabetic foot care.  Properly prescribed orthotic devices and shoes are critical to diabetic foot care and yet those at the sharp end of care often poorly understand them.

Read more: Orthotic Management - Diabetic Foot