{"title":"Technogym Excite Live Climb — stair training","seoTitle":"Technogym Excite Live Climb — stair training | PES Luxembourg","metaDescription":"Excite Live Climb stair simulator for lower-limb endurance and effort tolerance during rehabilitation in Bascharage. Informations et rendez-vous au Pôle Éq","content":"**The [Excite Live Climb](https://www.technogym.com/int/excite-live-climb.html) (Technogym) rolls steps at an adjustable speed, to rebuild stair function after a knee or hip replacement. At Pôle Equilibre & Santé, in Bascharage, the hands stay on the rails first. Climbing a step is not walking faster: it is a distinct vertical load.**\n\n## Stairs, a real-life test that the treadmill does not replace\n\nClimbing a step is not walking faster. The knee and the hip flex more, the quadriceps and the gluteals push the body upwards, the calf stabilises, and the foot must land flat before relaunching. It is a gesture of **vertical load**, without the pounding of running. After immobilisation, that is precisely what is missing: the concentric strength to hoist oneself, and the confidence to let go of the wall.\n\nThe handrails secure the start. We work step height, rhythm, posture — trunk rather upright, gaze horizontal, support on the whole foot rather than on the toes. A patient who climbs by helping with the arms does not train the stairs: they train the shoulders. The Climb makes it possible to repeat the cycle without depending on a building landing, a dark cellar or a hurried neighbour.\n\nDescent, later, is another job (eccentric, fear of giving way). We often start by climbing only, very slowly.\n\n## After a knee replacement: rebuild the floor before the car park\n\nProgrammes after TKR or THR aim early at stairs, a criterion of autonomy. Pozzi, Snyder-Mackler and Zeni (2013) underline that exercise after TKR should target function — strength, walking, stairs — not only range on the table. Artz et al. (2015) show a benefit on pain and function, with variable contents: there is no single Climb protocol.\n\nBandholm and Kehlet (2012) argued that exercise after TKR or THR too often arrives late and too light. That does not mean climbing fast from day 3. It means that, **when** weight-bearing allows it, repeating a dosed stair gesture is worth more than waiting. The Climb: very low speed, short duration, quality before quantity.\n\nIt complements the [leg press](/bascharage/equipement/leg-med-press): the press doses strength in a guided closed chain; the Climb retranslates that strength into function. One without the other leaves a hole — stronger thighs on a machine, still hesitant on a real step.\n\n## Fear of falling, pain, progression by minutes\n\nFear of the step is legitimate: a step that rolls, even slowly, gives an impression of a void. The rails are there, speed starts at the lowest, and someone stays within reach. We only accelerate when the foot lands whole, the knee does not give way and breathlessness stays reasonable. If fear takes over, we fractionate: a few cycles, a pause, we resume. Nobody is humiliated by keeping both hands on the bars.\n\nClothing: soft trousers that do not hinder flexion, closed shoes with a non-slip sole — no mules, no socks alone. Bring the prescription, the operative report and the weight-bearing, maximal flexion and stair-climbing instructions possibly already authorised by the surgeon. A light meal is enough; hydrate. The passage on the Climb often lasts five to ten minutes at the start, within a session of about thirty minutes. We progress by **minutes** and by releasing the hands, not by an improvised number of floors.\n\nDuring the exercise, thigh burn and short breath are expected. Sharp pain under the patella, giving way, a painful click, swelling that appears during the session: we stop. Forcing a flexion still forbidden by the surgeon does not advance healing.\n\nDriving home is generally possible after slow work, if you are not dizzy and if the surgeon has already authorised driving. After a recent TKR, the driving delay depends on the operated side, the clutch and medical advice — not on the machine.\n\n## Contraindications and what one can hope for\n\nForbidden weight-bearing, an unstable wound, a recent thrombosis not lifted, unexplored dizziness, chest pain, infection: no stairs. A limited-flexion instruction is respected on the Climb as elsewhere. The first progress is often seen on **confidence** and the number of cycles without hanging on. Climbing a real floor at home is counted in weeks. Resuming a job with stairs or a sport with elevation comes afterwards, once strength, control and pain in the following 24 hours are aligned.\n\n## Frequently asked questions\n\n\nHow should I prepare and what should I wear?
\n\nClosed shoes, soft trousers, prescription and the surgeon’s instructions (weight-bearing, flexion, stairs). No bare feet. Mention unusual swelling, fever or dizziness before getting on.\n\n \n\n\nHow long does the passage on the Climb last?
\n\nOften five to ten minutes at the start, within a session of about thirty minutes. We lengthen when the knee, the hip and the breath allow it, without aiming for a number of floors.\n\n \n\n\nI am afraid of falling: what does one do concretely?
\n\nMinimal speed, both hands on the rails, physiotherapist beside you. We only let go of one hand, then both, when the foot lands stably. If fear remains too strong, we fractionate or we postpone.\n\n \n\n\nWhat if it hurts during the exercise?
\n\nSay so. We slow, we reduce the time, we check flexion. Effort thigh burn is not prosthesis pain. Giving way or sharp pain stops the set.\n\n \n\n\nCan I drive, and when can I resume work or sport?
\n\nAfter slow work, driving is often possible if it is already medically authorised. Desk work can return before a stair job. Elevation sport waits for strength, control and the surgeon’s instructions.\n\n \n\n\nWhat are the contraindications, and how soon does one see results?
\n\nForbidden weight-bearing, an unstable wound, a recent thrombosis, infection, unexplored dizziness: we wait. Confidence on the machine advances in a few sessions; the real floor at home, in weeks. Physiotherapy is provided on medical prescription so that it can be reimbursed by the [CNS](https://cns.public.lu/fr/assure/remboursements/prestations-remboursees/prestations-paramedicales/kinesitherapeutes.html). The practice handles the paperwork. Details: [The Consultation](/bascharage/kinesitherapie/consultation-kine).\n\n \n\n\nHow can I book an appointment?
\n\nVia [Doctena](https://fr.doctena.lu/cabinet/Pole_Equilibre_Sante-281318) or on +352 26 65 28 42. Practice at 20B Rue du Bois, 4912 Bascharage — see [Contact & access](/contact).\n\n \n\n## Find out more\n\n- [The Leg Press Med](/bascharage/equipement/leg-med-press)\n- [Orthopaedic rehabilitation](/bascharage/competence/reeducation-orthopedique)\n- [Our technical platform](/bascharage/equipement)\n\n","image":"https://pes-luxembourg.lu/bascharage/wp-content/uploads/sites/2/2023/02/Excite-Live-Climb.png"}