For clinicians using only passive bikes, the introduction of iFES (integrated functional electrical stimulation) can dramatically improve patient outcomes by actively engaging the neuromuscular system, rather than just passive movement. Here’s why iFES is a major advancement over passive equipment:

1. Active Muscle Engagement vs. Passive Movement

• Passive bikes mechanically move the legs without requiring muscle activation.

• iFES stimulates the patient's muscles to contract in a coordinated manner, promoting functional movement and muscle rehabilitation.

2. Neuromuscular reactivation and plasticity

• Passive pedaling prevents joint stiffness, but does not directly stimulate nerve pathways.

• iFES enhances neuroplasticity, helping the brain and spinal cord rebuild connections and improve recovery of voluntary movements.

3. Prevention of atrophy and metabolic benefits

• With passive Movement Therapies, the muscles are not actively working, leading to progressive atrophy.

• iFES combats muscle wasting, increases blood circulation and improves oxygenation, reducing the risk of complications such as deep vein thrombosis or pressure sores.

4. Management of spasticity and improvement of muscle tone

• Passive pedaling may provide temporary relief, but does not directly regulate spasticity.

• iFES delivers controlled stimulation that reduces spasticity and normalizes muscle tone, promoting better limb control.

5. Increased functional recovery potential

• Passive exercise maintains mobility, but has limited impact on recovery of voluntary movements.

• iFES may increase the chances of regaining voluntary muscle control, thereby supporting long-term rehabilitation goals.

Clinical conclusion

For clinicians using passive Movement Therapies, iFES represents a superior rehabilitation approach, actively stimulating neuromuscular recovery, improving circulation, and reducing complications. It is a more effective, evidence-based alternative to passive therapy, leading to better patient outcomes.