{"title":"MOTOmed loop.la — assisted mobilisation and training","seoTitle":"MOTOmed loop.la — assisted mobilisation and training | PES Luxembourg","metaDescription":"MOTOmed loop.la for assisted mobilisation and training of the limbs, notably in neurological rehabilitation in Bascharage.","content":"**The [MOTOmed loop.la](https://www.motomed.com/en/products/motomed-loop-la/) (RECK) motorises pedalling of the legs or the arms, even when voluntary strength is lacking. At Pôle Equilibre & Santé, in Bascharage, it is used mainly in [neurological rehabilitation](/bascharage/competence/reeducation-neurologique) — stroke, Parkinson’s, multiple sclerosis — and after a long immobilisation. Use from a wheelchair is provided for by the manufacturer.**\n\n## Passive, assisted (ServoCycling), active\n\nThree modes on the same ergometer:\n\n- **passive**: the motor turns for you, maintenance of mobility and circulation, even without voluntary strength;\n- **assisted (ServoCycling)**: the motor completes as soon as you fatigue, without the cycle stopping;\n- **active**: you pedal against an adjustable resistance.\n\nThe **7-inch** touchscreen pilots the mode. Height is adjusted **without a tool**: lower for the feet, higher for the handles. One pedals the **legs or the arms**, not both at the same time.\n\n**MovementProtector** and **SpasmControl** detect abnormal resistance (spasticity) and slow or stop the motor to protect the joint. We work **sitting**, including in a wheelchair: the feet or the hands are guided. Biofeedback can indicate if one side pushes less — useful after a stroke. This is not a ranking.\n\nThe handles can accommodate a weak hand, with straps or forearm shells.\n\n## Evidence\n\nShen et al. (*Clinical Rehabilitation*, 2018): MOTOmed **added** to usual care improves mobility and autonomy after a stroke. Ridgel, Vitek and Alberts (*Neurorehabilitation and Neural Repair*, 2009): pedalling at a higher cadence than voluntary improved motor scores in the short term in Parkinson’s disease. Alberts et al. (*npj Parkinson's Disease*, 2021) confirm the interest of cycling in this disease. In multiple sclerosis, the interest is also safety: one moves without a fall risk.\n\nThese data do not say that the MOTOmed replaces walking or balance. It is a complement.\n\n## How it goes\n\nSet-up, wedging of the feet or the hands, choice of mode. Often **10 to 20 minutes** at the start, up to 20–30 minutes according to fatigue and blood pressure. A cramp, joint pain or spasticity that is too strong: we slow, we switch to passive or we stop. A high cadence (Parkinson’s) is discussed case by case, not from the first session.\n\nThen, according to the stage: [Excite Live Synchro elliptical](/bascharage/equipement/excite-live-synchro), walking, balance.\n\n## Preparation\n\nSoft clothing, closed shoes if possible. Mention a wound on the foot or the hand, marked oedema, a recent thrombosis, chest pain on effort, a recent malaise.\n\n## After the session\n\nNormal fatigue. Sharp knee or wrist pain, redness of the foot: this is not to be continued. Stand up with help if balance is lacking. Driving is generally possible, except unusual fatigue or a contrary neurological instruction.\n\n## Contraindications\n\nA recent thrombosis, a wound at the contact point, chest pain, a febrile infection, range instructions still forbidden. Spasticity does not forbid the device: it orients towards MovementProtector, SpasmControl and the passive mode.\n\n## Frequently asked questions\n\n\nI can no longer move my legs on my own: is it useful?
\n\nYes. The passive mode exists precisely for that: to maintain joints and circulation, even without voluntary strength.\n\n \n\n\nCan one also pedal with the arms?
\n\nYes. That is precisely what the loop.la allows: to switch from leg pedalling to that of the arms and the upper body, from the screen. We do not do both at the same time: we choose according to the need of the day.\n\n \n\n\nDo spasticity or pain prevent using the MOTOmed?
\n\nNot necessarily. We slow, we switch to passive, we adjust the straps. Sharp joint pain or a wound on the foot leads us to postpone. Report what you feel while it is turning.\n\n \n\n\nHow long does one pedal, and at what rhythm?
\n\nOften 10 to 20 minutes at the start, up to 20–30 minutes. Two to three times a week is common in a neurological programme, according to fatigue and the prescription. We do not aim for a cycling stopwatch.\n\n \n\n\nCan I stay in my wheelchair?
\n\nYes. That is a use provided for by the manufacturer. Set-up is done with the physiotherapist. A more supple leg can be felt from the first sessions; walking and autonomy are judged over several weeks, with the rest of the rehabilitation.\n\n \n\n\nIs a prescription required?
\n\nPhysiotherapy 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- [Neurological rehabilitation](/bascharage/competence/reeducation-neurologique)\n- [The Excite Live Synchro elliptical](/bascharage/equipement/excite-live-synchro)\n- [The technical platform](/bascharage/equipement)\n\n","image":"https://pes-luxembourg.lu/bascharage/wp-content/uploads/sites/2/2023/01/Motomed.png"}