-<
m
0
"
(\
;::
m
"
!"
(\
(\
F
(\
c:
'
.
"
.,
"'
E
xercise
for
patie
n
t
sw
i
th
neuro
l
og
i
ca
l
co
n
d
i
ti
o
n
s
I
W
i
th
th
is
mode
o
f
exerc
i
se
th
e
t
he
r
ap
i
s
t
se
t
s a res
i
s
ta
n
ce
l
evel.
Th
e
res
i
s
t
a
n
ce level
r
ema
i
ns co
n
s
ta
n
t
0
;::
z
1'i
('\
N
e
u
ro
I
(e
.
g
.
pos
t
-
s
tr
o
k
e
,
MS
,
and
Pa
r
k
i
nso
n
'
s
D
isease
)
rega
rd
l
ess o
f
peda
li
n
g
spee
d
.
H
ig
h
e
r
peda
l
in
g
speeds
me
an
g
r
eate
r
powe
r
o
u
t
put.
m
Wi
t
h
t
h
i
s
m
o
de
o
f
exe
r
c
i
se
t
h
e
t
herap
i
st
sets
a powe
r l
evel.
T
h
e
Omnicyc/e
va
ri
es
th
e
m
=<
0
..,
<
c;
:z:
E
xercise
for
o
rth
opedic
pa
ti
e
nt
s
(
e
.
g
status pos
t
res
i
s
t
ance
a
u
t
oma
t
i
ca
ll
y
acco
r
di
n
g
t
o
th
e
peda
li
ng
spee
d
so
t
h
e set
p
owe
r
o
u
t
p
u
t r
emains
t
he
c:
Ortho
t
o
ta
l
knee
,
t
o
t
al
s
h
.
oul
d
er
,
h
i
p
fr
ac
tur
e)
same
.
T
h
e
r
efo
r
e
,
t
he
r
es
i
s
t
a
n
ce dec
r
eases w
h
e
n
t
h
e pa
t
ie
n
t
pedals
f
aste
r
a
nd
t
h
e resis
t
ance
"
i
n
c
r
eases w
h
en t
h
e patien
t
peda
l
s s
l
owe
r
.
l
z
>
c:
....
E
xercise
fo
rp
atie
n
t
sw
i
th ca
r
d
iac
i
ssues
(
e
.
g
.
status
W
i
th
th
is
mode
o
f
exerc
i
se
th
e
th
e
r
apis
t
sets a
t
arge
t
h
ea
rt
ra
t
e
.Th
e
p
atient
wea
r
s a
ca
r
diac
mon
i
to
r
.
l>
"
"'
'
Cardio
"
'
'
post M
l
,
CAO
,hy
pe
rt
e
n
sio
n
)
Th
e
cycle
res
i
s
t
ance a
ut
oma
tic
a y
d
ec
r
eases
th
e
t
arge
t
hea
rt
rate is exceede
d
.
"'
By
p
edal
in
g
fas
t
e
r
or
slower
(
RPMs)
the p
a
ti
en
t
co
nt
r
o
l
s
th
e
p
osi
ti
on o
f
a g
oa
l
i
e to p
r
even
t
a
socce
r
l>
Int
eractive B
i
o
f
eedba
ck
ac
ti
vity
e
n
co
u
r
ages g
re
a
t
e
r
ball
fromgo
i
n
g i
nt
o
th
e
goa
l
ne
t
Th
e RPMs
r
eq
u
i
r
ed
t
o
p
osrt
i
o
n t
he
goa
li
e
a
r
e
p
re-se
t
at m
in
im
u
m
,
'"
patient mo
!iv
atio
n
,
pa
rti
cipa
tion
,
and
pertormance
by
moderate
,
o
r
max
i
mum
l
eve
l
s o
f
diffi
cu
lty.W
h
e
n
th
e
RP
Ms (patien
t
effort
)fa
ll
b
el
ow
th
e se
t
parameter
'
"
"
S
occ
er
v
a
ryi
n
g
peda
l
RPM
.
May
faci
l
i
tate
ca
r
d
iovascu
l
a
r,
ra
n
ge
,
th
e
go
alie
d
rops
below
the
goa
l
area
.
W
h
e
nt
h
e
RPMs exceed
the
se
t
u
p
per
parame
t
er ra
n
ge
,
0
'"
m
u
sc
l
e
,
R
OM
,
a
n
d/o
r
cog
n
rt
i
ve exe
r
c
i
se-
r
e
l
ated
th
e
goa
l
ie
moves
a
bove
th
e
go
a
l
area.
I
nth
e
'
ass
i
sted' exe
r
c
i
se
mode
.
th
e
peda
l
RPMs
are
l
im
i
t
ed
t
o
"
l>
go
a
ls
1-
15
in
m
i
n
i
m
u
m
,
1-25
in
mod
e
r
a
t
e
,
a
n
d
1
-
35
in
max
i
m
u
m
.Th
e set
r
es
i
s
t
ance
l
e
ve
l
r
ema
i
n
s
co
n
s
t
an
t
rega
r
d
l
ess o
f
th
epeda
l
i
n
g
speed.
"
8
'
I
nt
e
rac
tive
B
i
o
f
eedback
act
i
vity e
n
co
u
rages
grea
t
e
r
By vary
i
n
g
t
he
amou
n
t
o
f fo
r
ce
a
pp
l
i
ed
t
o
t
h
e
ri
gh
t
a
n
d
l
eft peda
ls
,
th
e
pa
ti
e
nt
co
n
t
r
a
s
t
h
e pos
i
oo
n
o
f a
?
"
p
atien
t
mo
tiv
a
tio
n
, pa
rti
cipatio
n
,
a
n
d
pe
rt
orma
n
ce
by
porcup
i
ne
(ri
g
ht
.
a
n
d
l
e
ft
)
.Th
e
go
a
l
o
f
th
e
exer
ci
se
i
s
t
o
pos
i
t
i
o
n
the
p
orc
u
p
in
e
u
n
der
as
m
a
n
y
f
a
l
i
n
g
l>
Porcupi
n
e
varyi
n
g
pedal
ri
g
h
tlleft
p
eda
l
force o
ut
put
May
objects
as
p
oss
i
b
l
e (balloo
n
,
pape
r
a
i
r
a
n
e
,
etc.). Eq
u
a
l
f
orce on
th
e
ri
g
h
Uleft peda
l
s
h
olds
th
e
"
c;
:
..
z
.
:
.
'
"
"
"
'
fa
ci
l
rt
ate
c
a
r
d
iovasc
ul
a
r
,
m
u
scle
,
ROM,
a
n
d/or
porcup
i
ne
i
n
th
e p
osrtio
n
necessary
to i
nt
ercep
t
th
e
fa
i
n
g
ob
j
ec
t
s
.
Th
e
se
t
r
esis
t
ance
l
eve
l
r
emai
n
s
coo
n
iti
ve exerc
i
se-r
el
ated
ooa
l
s
co
n
s
t
a
n
t reaardless of
t
h
e
oa
tien
rs
oedali
n
o speed
.
By vary
i
n
g
t
he
amount
of
force
ap
p
l
i
ed
t
o
t
h
e
ri
gh
t
a
nd
l
eft
peda
ls
,
th
e
pa
ti
e
nt
moves
('s
t
ee
r
s
')
a car
'"
th
roug
h
t
ra
ffi
c
.
Th
e
g
oal o
f
the
exe
r
c
i
se
is to drive
t
h
e ca
r
wrtho
ut h
itti
n
g
any
veh
i
d
es
th
a
t
ap
p
ear a
l
ong
0
'"
Int
eractive
B
i
o
f
eedb
a
ck
a
c
ti
vity
e
n
co
u
r
ages
gre
a
t
e
r
patien
t
mo
tiv
ation
,
pa
rt
i
c
i
pa
t
i
on
,
a
n
dpe
rt
ormance by
th
e
way Ove
rt
ak
i
n
g
or
p
ass
i
n
g veh
i
cles
r
eq
u
i
reseve
n
d
i
s
t
rib
uti
o
n
o
f
fo
r
ces
app
l
ied
t
o
t
h
e
ri
g
h
t
and
l
e
ft
Traf
f
ic Jam
I
varyi
n
g
peda
lrig
h
ll
le
ft
p
e
da
l
force
o
u
t
put. May
ped
a
l
s
.
A
n
adj
u
s
t
able
p
a
r
ame
t
e
r
called
ane
Prese
l
ec
t
i
o
n
'
en
ab
l
es
t
heop
e
r
a
t
or
t
o se
l
ec
t
w
h
e
th
er
f
ac
i
l
rta
t
e