Japan: Medical Use of Bicycles – enjoyable rehabilitation

by Sachie Togashiki

 

I found an interesting article about the development of bicycles for rehabilitation for hemiplegic patients. Sufferers of apoplexy, a percentage of which is overrepresented in mortality rate in Japan, tend to have a secondary disease, which is hemiplegic, after surgery. In order to recover from hemiplegia, rehabilitation is needed, but it usually bores patients or needs someone’s help. To solve this problem, two authors, Hiroshi Shoji and Takeshi Aoki at Chiba Institute of Technology, are trying to develop bicycles for easier and more fun rehabilitation.

How does it work?

The attraction of using bicycles as a rehabilitation tool is its sustainability, non-boringness, and refreshing feeling which comes from outside exercise. Although there is the attraction which the authors can make use of, they also need to cover some anxieties such as safety and uneasiness when pedaling. In order to guarantee safety, a foot which is not paralysed is applied a load to, so that a rider cannot pedal too fast, which results in a stable and low pedaling speed. In addition, a load is applied also to reduce patients’ uneasiness caused by a feeling of unbalanced heaviness depending on feet. The authors used an electrically-powered tricycle made by YAMAHA for an experiment and succeeded in keeping a low pedaling speed by applying a load to a healthy foot. They are going to conduct an experiment to mitigate patients’ uneasiness and to develop a smoothness when pedaling.

Significance

The article is crucial because this is an academic article which was published as a documentation of JSME (The Japan Society of Mechanical Engineers) Conference on Robotics and Mechatronics and it shows a new significant way of using bicycles. Because riding on a bicycle is lots of fun and can be done without any permanent help, the authors suggested using bicycles for rehabilitation for the hemiplegic patient, which means bicycles can be used not only for town development and disarmament, which I will report on in two upcoming posts, but for medical uses. The use of bicycles as a rehabilitation tool might enhance patients’ motivation to recover from hemiplegia and contribute to a more positive future.

Additionally, in order to get the article, I paid for it, while most of the Australian articles are available for free. This made me think about freedom for students to research in Japan, which might be a little poorer than Australia.

 

Shoji, H., & Aoki, T. (2014). Development of rehabilitation bicycle for hemiplegic patients. Proceedings of the JSME Conference on Robotics and Mechatronics, 14(3P2-G03), 3P2-G03(1)-3P2-G03(2) Retrieved from http://ci.nii.ac.jp/naid/110009967356

 

Sachie Togashiki is our Guest Blogger, unveiling some of Japan’s bicycle culture, from 11th April to 24th April.

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