Deans' stroke musings: Tricycle with an Electric Drive Mechanism for Post-stroke Rehabilitation

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, August 23, 2022

Tricycle with an Electric Drive Mechanism for Post-stroke Rehabilitation

Sorry but I think it is more important to deliver recovery on a two wheel bicycle rather than this compensation of tricycle and electric assist. Ask your patients what they want rather than using your tyranny of low expectations to dumb down the recovery goals.

Tricycle with an Electric Drive Mechanism for Post-stroke Rehabilitation

Conference paper
First Online: 19 August 2022

2 Accesses

Part of the Lecture Notes in Mechanical Engineering book series (LNME)

Abstract

The manual pedal tricycle is helpful in recovering the limb motor function for post-stroke patients. In certain conditions, they have to pedal the tricycle manually through hilly roads as hard as possible, whereas they still have muscle weakness and strongly discourage to do hard physical activities. Therefore, this research will be focused on developing the tricycle with an electric drive mechanism and finding the benefit for post-stroke mobility. Based on the ergonomics of the Indonesian body, an e-tricycle prototype is designed and manufactured in the delta concept. Assuming that the e-tricycle will be used on hilly or rough roads by 100 kg of rider’s weight, so it requires a 500 W of electric motor power and a 48 V-14Ah lithium battery. Furthermore, the e-tricycle tested strength and stability based on SNI 7519:2009 and braking based on SNI 4404:2008 and SNI 1049:2008. The resulting test showed that the e-tricycle can move and brake well on flat and hilly roads at 13° slope angle with 18.9 km/h maximum speed. The e-tricycle is stable at 10° slope angle. The effect of road terrain and speed from electric support setting is significant on cycling time, heart rate, VO₂ max, and energy expenditure (P < 0.05). Cycling without electric support makes the leg muscles pedal harder when passing hilly roads. Therefore, the cyclists who are post-stroke patients are strongly recommended to use electric support so that the pedaling is lighter, the heart beats normally, and less energy expenditure. Thus, the second stroke attack does not relapse.