Research
Stroke Recovery
For stroke survivors, motorized range-of-motion therapy can provide a safe, supported way to keep affected limbs moving when active exercise is difficult. Regular passive and active-assist cycling may help maintain joint range of motion, reduce stiffness and spasticity, support circulation, and make daily positioning and care more comfortable. The research shown also suggests that repetitive cycling movements can support motor control and rehabilitation by engaging similar movement-related brain pathways, even when the person cannot contribute much force on their own. Ex N’ Flex is not a cure or a replacement for therapist-led rehabilitation, but it can be a practical part of an ongoing stroke-management routine—helping people maintain movement, participate at their own level, and build consistency between clinical therapy sessions.

Studies and White papers:
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Effects of Passive Exercise Training in Hemiplegic Stroke Patients: A Mini-Review. http://www.remedypublications.com/sports-medicine/articles/pdfs_folder/smrj-v3-id1036.pdf
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The effect of repetitive arm cycling on post stroke spasticity and motor control Repetitive arm cycling and spasticity.Repetitive movements seem to be particularly effective in rehabilitation and motor learning. https://www.sciencedirect.com/science/article/abs/pii/S0022510X06005004
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The cortical control of cycling exercise in stroke patients: an fNIRS study. The results showed that passive cycling had a similar cortical activation pattern to that observed during active cycling without feedback but with a smaller intensity of the SMC of the unaffected hemisphere https://onlinelibrary.wiley.com/doi/abs/10.1002/hbm.22072

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