new software

neurological conditions

MOTOmed® Movement Therapy MOTOmed® viva 2 and MOTOmed® viva 1 passive | motor-assisted | active resistive

at home | independent | safe

Benefits of Daily Movement Movement Therapy for a Better Quality of Life

Contents  At

a glance



page

MOTOmed Movement Therapy 1. The basic principle 



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2. Therapy goals / Indications

4–5

3. Why do I need the MOTOmed?

6–7

4. Comparison to ordinary fitness equipment

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5. A comprehensive view

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MOTOmed Models 6. MOTOmed viva2

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7. MOTOmed viva2_Parkinson / MOTOmed viva1

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8. MOTOmed gracile for children / MOTOmed letto2 in supine position

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MOTOmed Functions (basic configuration) 9. Light resistance training with minor muscle strength

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10. Movement in spite of paralysis and spasticity

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11. Training feedback in real time

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12. MOTOmed SymmetryTraining

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13. MOTOmax Motivation Program

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14. Therapy programs

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15. Independent and safe training

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MOTOmed Accessories 16. Leg trainer accessories

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17. MOTOmed arm/upper body trainer

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18. Arm trainer accessories

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19. 4-Segment Coordination Program

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20. Training Analysis Program MOTOmed sam2

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21. Printout and documentation

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22. Pulse control / Functional electrical stimulation

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23. Targeted improvement of blood circulation

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My MOTOmed 24. RECK MOTOmed

28

25. Your way to the MOTOmed

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26. Become active!

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27. Information and service

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Trust  Since 1981 RECK MOTOmed Movement Therapy has been contributing worldwide to better health, mobility, well being and vitality. 2

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MOTOmed Movement Therapy

1. MOTOmed Movement Therapy  The

basic principle

passive  Loosen your arms and legs and try letting this mode move you gently.

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motor-assisted  Achieving an easier transition

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active resistive  Active movement against finely adjustable resistance levels. Ideal home training for your heart, circulation and muscles.

Bring movement into your life MOTOmed® makes it possible.

MOTOmed Accessories

MOTOmed Functions

MOTOmed Models

from passive to active training, with minimal effort and little muscle strength.

Try it at no cost to you.  Request a MOTOmed trial free of charge and non-binding.

>> All you need for healthy and successful training. Please call: +49 7374 18-85. 3

My MOTOmed

Over ten sport scientists will gladly advise you about the most suitable MOTOmed options. For a personalized configuration you can choose from 12 basic models, over 90 accessories and 14 special therapy programs.

2. MOTOmed Movement Therapy  Therapy

goals / Indications

How does the MOTOmed® Movement Therapy benefit me ? Reduce spasticity  Loosen up your muscles to prevent sudden spasms 2,3, high muscle tone or general immobility.

Restore residual muscle strength  Are your muscles untrained or have they degenerated? Or are you inhibited by spasticity? Discover and gently rebuild residual muscle strength with the MOTOmed.

Promote walking ability  To enhance or strengthen mobility, basic fitness is necessary- muscle strength, endurance and coordination. These can be improved by engaging in regular MOTOmed training.3 The alternating and repetitive movements have a positive effect on muscle tone regulation, movement control 4 and balance.

>> Bibliography reference 1–16 can be found on page 30. Ask us about scientific studies based on the MOTOmed Movement Therapy and about additional information referring to the healing power of movement.

Medical Conditions  MOTOmed Movement Therapy is particularly beneficial for neurological or neuromuscular indications with extensive loss of leg function and/or arm motor activity which is caused by: Multiple sclerosis, stroke, paraplegia, spastic paralysis, muscle illness, traumatic brain injury, cerebral palsy, Parkinson's disease, spina bifida, polyneuropathy, Guillain-Barré-Syndrome, polio, muscular dystrophy, ALS, ... or immobility due to orthopedic conditions and general movement deficit. 4

MOTOmed Movement Therapy

Improve mental and physical well-being

MOTOmed Models

Movement stimulates your physical and emotional well-being. It can improve your brain function 5, mood 6 and energy level.

Counteract the consequences of impaired movement

MOTOmed Accessories

MOTOmed Functions

such as: • circulatory disorders (especially in the legs), thrombosis 7 • joint stiffness (contractures) 8 • muscular dystrophy 9 • digestion10 and bladder problems11 • bone fragility (osteoporosis)12 • fluid in the legs (oedema)13 • cardiovascular weakness 14 • high blood pressure15 • metabolic disorders (e. g. diabetes)16

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My MOTOmed

MOTOmed® helps with paralysis and spasticity, weakness and lack of movement.

3. MOTOmed Movement Therapy  Why

The problem 

do I need the MOTOmed®?

Lack of movement

We are all aware of the importance and necessity of movement. Scientific studies show: movement is more than an ordinary addition to improving one's health, it is a precondition for the functionality of the human body.17 Neurological, neuromuscular and other medical conditions are known for being the main causes of lack of movement.  >> More movement can lead to a better quality of life. Do it for yourself.

The chance 

Movement as a cure

Use the restorative effects of movement and become active. Improve your basic fitness, retain your mobility and strengthen your circulation and metabolism. Stimulate your digestive process naturally. Preserve, improve and build your muscles, while decreasing pain. Improve your well-being and strengthen your physical and emotional self.  >> How to make movement possible with the burden of physical limitations? general performance

lifetime

0 0 absence of physical activity presence of physical activity

Spasticity occurs even with the smallest movements. Thus, my mobility is very constricted. Initially, I had reservations and even fears about MOTOmed training. Today, the MOTOmed helps me with loosening up my muscles on a regular basis which reduces my sudden spasms. Muscle tension and spasms are pleasantly reduced by smooth, precise and continuous movement of ServoCycling, MovementProtector and SpasmControl (page 14).

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MOTOmed Movement Therapy

The solution 

MOTOmed® Movement Therapy

I am actually really lazy when it comes to exercise. However, it's different with the MOTOmed. If my performance starts to drop, the device simply continues to move me. And without even thinking I start engaging in active cycling again. This let's me overcome the limitations in my head. This alone motivates me. The MOTOmed provides support to your daily training. The motor-assisted movement does not over strain. It stimulates and offers the opportunity to rediscover and build residual muscle strength (page 9).

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My MOTOmed

>> Bibliography reference 17 can be found on page 30. Ask us about scientific studies based on the MOTOmed Movement Therapy and about additional information referring to the healing power of movement.

MOTOmed Accessories

MOTOmed Functions

MOTOmed Models

With MOTOmed training, you too will attain necessary daily physical activity. Enjoy this smooth, safe and pleasant form of training. You are able to train from a wheelchair or chair, from the comforts of your home, in a familiar environment and with no constraints, independent and safe - free from weather and seasonal obstacles. This passive, motor-assisted and active resistive training is beneficial for your legs, arms and upper body. By using the different variations such as forward and backward, fast or slow, or with more or less muscle strength, you can integrate MOTOmed training into your daily routine (e.g. while watching the morning news). This makes it easy to take charge and combat your lack of movement. Overall, the consistent movement will make you feel better. The MOTOmax Motivation Program and other advanced therapy programs make the training fun and diverse.  >> The MOTOmed motivates you to engage in regular and highly effective training sessions. It lets you achieve your therapy goals and improve your quality of life.

4. MOTOmed Movement Therapy  Comparison

to ordinary fitness equipment

The MOTOmed® does much more than an ordinary ergometer! Fitness machine (e. g. ergometer)

MOTOmed Movement Therapy

- risk of falling / balance problems

+ training from a safe wheelchair or chair

- fatigue / over exertion

+ »motor takes over« and motivates for active training

- no passive relaxation

+ round, harmonious movements relax the muscles

- heavy start resistance

+ no start resistance due to »ServoCycling«

- fear of sudden spasms

+ spasticity is recognized, loosened and relieved

- only one single form of training (active training) + passive, motor-assisted, active resistive - only physical fitness training

+ physical and concentration training

- no coordination training

+ coordination and motivation program

- limited individual adaption possibilities

+ individualized: over 90 accessory parts and adjustments

- stronger side compensates for the weaker

+ targeted training of the weaker side of body

- high pressure on joints, ligaments and tendons

+ gentle to joints, ligaments and tendons

- often heavy-sized and hard to transport

+ easily transportable via large castors

- often causes intensive running noise

+ cute, small and smooth; suitable for the home environment

Improve your gait – master the basics with the MOTOmed. >> Ask your MOTOmed provider about related scientific studies: DIEHL, W., et al.: Use of an Assistive Movement Training Apparatus in the Rehabilitation of Geriatric Patients. Neurogeriatrie 2008; 5(1): 3-12 KAMPS, A., et al.: Cyclic Movement Training of Lower Extremities in Stroke Patients. Neuro Rehabil 2005; 11(5): 259-269

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comprehensive view

passive:  The MOTOmed performance.  Let the MOTOmed move you (fig. 1).

Feel your muscles relaxing. When your muscles aren't stiff, your circulation improves and they receive a better oxygen and nutrient intake. This passive training prevents muscle shortening and joint stiffness. It keeps your muscles flexible, your joints moving more freely and it significantly contributes to the reduction of spasticity (fig. 4). >> Movement that is simply good for you.

minimal input of personal muscle strength. This active impulse is motorsupported (fig. 2). This promotes strength and endurance even with minimal muscle force. Residual strength that is either blocked by spasticity or simply insufficient for complete active movements can be rediscovered and improved.  >> Movement that supports and motivates.

fig. 2  motor-assisted training

active resistive:  Your active performance. Active training against gradual resistance levels (fig. 3) ranging from very easy to hard (fig. 5). This benefits muscle preservation, muscle formation and cardiovascular training. >> Movement that strengthens. Your Advantage: The active/passive combination  In case of fatigue during the active segment the motor automatically takes over the movement training (fig. 6). The muscles relax during passive movement which improves blood circulation and optimizes oxygen and nutrients flow in those muscles. After one to two minutes of passive movement you can proceed with active training with newly gathered strength.  >> Longer training sessions for a better training success.

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fig. 4  display »muscle tone«

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fig. 5  display »active cycling«

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MOTOmed Functions

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MOTOmed Models

motor-assisted:  MOTOmed helps you perform.  You train with

fig. 3  active resistive training

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MOTOmed Accessories

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fig. 1  motorized, passive training

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fig. 6  display »motor is taking over again«

This intelligent active/passive recognition feature of the MOTOmed optimizes the motor assistance to suit your individual needs. 9

My MOTOmed

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MOTOmed Movement Therapy

5. MOTOmed Movement Therapy  A

6. MOTOmed Models  MOTOmed®

viva2

MOTOmed® viva2  This model was specifically developed for

large letters

the needs of persons with walking disability and wheelchair users, particularly for those with limited arm-hand-finger motor coordination, as well an impaired vision.

User-friendly  Operate your MOTOmed conveniently by using the eight easy feel buttons on the operating panel. For easier leg positioning, you can smoothly move the pedals into a more suitable position via a push-button system called the foot insertion aid. Enjoy the simplicity of a two-button operation from training start to finish. A clear color-coded system supports your »intuitive navigation« – the next suggested step is marked green. All the operating prompts and the training feedback can be displayed in 27 different languages. 1

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display  active/passive time »Spanish«

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display  active/passive time »French«

palpable buttons color-coded system foot insertion aid

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display  active/passive time »Russian«

Easily operable even by palm. MOTOmed viva2 leg trainer

Accessories / configuration  For whole-body training you can utilize the MOTOmed viva2 leg trainer with an arm/upper body trainer upgrade (page 21). New MOTOmed viva2 hardware and software innovations are introduced on a consistent basis. You, too, can profit from the new scientific findings in your daily training. Therapy programs (page 18), MOTOmax Motivation Program (page 17), MOTOmed sam2 Analysis Program (page 24), Cardio16 pulse control (page 26).

MOTOmed viva 2  Technical specifications of the basic model  measurements : 94 cm (h) x 60 cm (w) x 56 cm (d) / 37 in. (h) x 23.6 in. (w) x 22 in. (d), weight : ca. 33 kg / 72.8 lbs, display : 11.5 cm ( w ) x 8.5 cm ( h ) / 4.5 in. (w) x 3.4 in. (h), mains voltage : according to country specifications,  construction : stable, all-metal design, medical device class MPG IIa

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6

button 7

MOTOmed Movement Therapy

7. MOTOmed Models  MOTOmed®

viva2_Parkinson / MOTOmed® viva1

MOTOmed® viva2_Parkinson  In combination with medication intake, regular physical therapy is the key to a modern form of Parkinson's treatment. U.S. scientists have discovered that high-speed passive leg movement, at 80 – 90 rpm  , significantly reduces the Parkinson's-typical symptoms, such as stiffness (rigor), shaking (tremor) and movement deficit (akinesia).

MOTOmed Models

The new MOTOmed viva2_Parkinson encourages you to achieve positive outcomes. It offers fast and motorized pedal crank revolution up to 90 rpm. After a short time you will see improvement in your fine motor skills which will make you more effectively engaged in regular daily ativities. >> Ask us about our free special brochures about movement therapy for Parkinson's disease.

MOTOmed® viva1  The basic model leg trainer is upgradeable, partMOTOmed Functions

by-part, to fully adapt into a combined leg and arm/upper body trainer.

incl. remote control rest

incl. handlebar

incl. arm/upper body trainer, pivoted

MOTOmed Accessories

nice and simple

Unlike the MOTOmed viva2, the MOTOmed viva1 is controlled by a simple remote control that is connected by spiral cable. The SymmetryTraining (right fig.) and training feedback are displayed digitally.

>> Contact us for more information. More than 90 accessory parts, as well as individual product adjustments compliment the 12 basic MOTOmed models. Please contact your MOTOmed representative or the RECK Company at [email protected]. 11

My MOTOmed

>> The MOTOmed viva1 configuration can be retrofitted at any later point in time.

8. MOTOmed Models 

for children / MOTOmed® letto2 in supine position

movement therapy for children or persons short in stature with body height starting at 90 cm / 3 feet. Specifications • height adjustment: The MOTOmed gracile is adjustable in height and training distance for a child, stagelessly, with no tools required. • pedal distance: The inner foot distance of 12 cm / 3 in. is approximately 30 % narrower than other movement trainers. Children can use the advantage of this movement therapy, with no additional physical strain. • upgradeable with MOTOmed arm/upper body trainer.

MOTOmed gracile12 – the only movement therapy device adjustable to the child's growth

>> For further information about movement therapy for children ask us about the free special brochure.

MOTOmed® letto2  The movement therapy system

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for patients confined to bed. Main areas of application: Coma, respiratory problems, intensive care, long-term care of bed-ridden patients, early rehabilitation or during hemodialysis treatment. Special Features • expandable chassis 1 provides an easy access to the bed unit • stability with ground fixation (4-Brake-Stop 2 ) • Knee bending adjustment 3 – knee flexion setting • TrainCare leg guides comfort 4 – safe positioning of the lower leg • MOTOmed letto2_leg/arm – for the first time, as an addition to the leg trainer, now also the arm/upper body trainer for bed ridden patients >> For further info about movement therapy in supine position, please request a free special brochure.

1 2 MOTOmed letto2 – movement therapy device for training in supine position with a secure leg guidance system

On the one hand, I know that medication is important for me but then again, the side effects bother me. I often feel weak and unmotivated.

In many cases you cannot completely discontinue medication. Although, a reduction is possible through regular MOTOmed Movement Therapy and after consultation with your doctor.

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MOTOmed Movement Therapy

resistance training with minor muscle strength

MOTOmed® ServoCycling  It's a great experience to discover residual muscle strength with the MOTOmed! This residual strength can be targeted and trained accordingly which can often lead to improvement and reapplication of those inactive muscles. This, too, can ease the treatment and care. To make this possible, our engineers have developed a special function: MOTOmed ServoCycling.

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display »passive movement«

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MOTOmed Functions

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display »active movement«

MOTOmed Accessories

MOTOmed ServoCycling: motor-assisted training (page 9)

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MOTOmed Models

This mechanism is similar to power-steering (servo steering) of a vehicle that allows a driver to control a large truck by one hand. The MOTOmed recognizes minimal muscle impulses. It assists with accelerating the pedals in order to continue the active pedaling. Therefore, active training is possible, even with minimal strength.  >> Rediscover and reapply residual muscle strength.

My physician explained to me that lack of movement is the main cause for my bone atrophy and my bone fragility. I have to admit, I am very afraid of regular, targeted movement. The MOTOmed MovementProtector (page 14) and the finely adjusted resistance levels (gears) offer a safe and precisely proportioned training resistance for the muscles, bones and joints.

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My MOTOmed

9. MOTOmed Functions  Light

10. MOTOmed Functions  Movement

in spite of paralysis and spasticity

MOTOmed® SmoothDriveSystem  This function is an especially smooth drive technique in which the push of the muscle is transferred, without jolt, via belt system. With the assistance of this smooth, fluent and motorized motion sequence, you can ease and loosen even longer-lasting muscle tension (muscle tone increase/spasticity). This function helps you to reduce your muscle pain.  >> Each training is started and finished in a gentle way with minimal impact on your joints and muscles.

MOTOmed® MovementProtector  In case of a muscle cramp, spasticity or a simple movement freeze during the course of the training, this function automatically stops the pedal movement. A special characteristic of this safety feature: No matter how the muscle tension changes, the MovementProtector does not remain constant but rather automatically adjusts to any change which makes it optimally gentle at all times. >> The motor stops the pedal movement in the occurrence of the smallest cramp.

MOTOmed® SpasmControl  The automatic rotation change feature of the SpasmControl can ease those spasms which are recognized by the MovementProtector. This process equates to the following therapeutic principle: A bending spasm is relieved by stretching, while a stretching spasm is eased by bending. The motor stops the pedal movement. Legs and arms are relieved and the direction of rotation is switched after a brief resting period. This process is repeated until the cramping is loosened. >> Eases and relieves cramps and spasms.

display »spasm detected«

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display »easing spasm«

Daily MOTOmed training at home. Easy, independent and safe.

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MOTOmed Movement Therapy

11. MOTOmed Functions  Training

feedback in real time

Detailed feedback  Follow your individual training process interactively. This allows you to optimize your movement therapy. With a vivid goal you become more motivated and you can communicate with others about the therapy and its benefits. What is important to you? Choose for yourself: 1. Training data is clearly arranged, at a glance (fig. 1).

MOTOmed Models

2. Large display of individual data - defaults to alternate view. By pushing »2« you can activate the permanent view of individual data (fig. 2–5). 3. Up to 30 training-relevant and significant training results can be viewed as displayed on the screen at the end of the training, e.g. training duration (active/ passive), distance (active/passive), average active movement [watt], symmetry, maximum active performance, energy, muscle tone, average pulse, jumps for joy and champion points (fig. 6). By analyzing and documenting training results your training becomes more effective (page 24). MOTOmed Functions

MOTOmed® viva2 display  examples in minimized view

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fig. 1  »training overview«

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fig. 2  single parameter »performance«

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fig. 4  »active/passive time«

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fig. 5  »muscle tone«

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fig. 3  single parameter »speed«

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fig. 6  post training analysis – displays up to 30 different values

>> Should you have specific questions about your personalized training, feel free to contact your RECK Company representative.

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MOTOmed Accessories

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My MOTOmed

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All screens: Original size (11.5 x 8.5 cm / 4.5 in. x 3.4 in.) The RECK Company reserves the right to technical changes in terms of innovation.

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12. MOTOmed Functions  MOTOmed®

SymmetryTraining

Targeted strengthening of the weaker side  By means of the 2-bar-diagram you are able to observe (fig. below) the invested strength that is applied during the SymmetryTraining on either side of the body. During the training you are able to identify the »weaker« side of your body which lets you train and target it directly.  >> Thereby you can prevent overstraining the joints and muscles of the healthier leg or arm. Especially persons with unilateral deficits can benefit from the SymmetryTraining (e. g. stroke patients with hemiplegic problems).

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display »SymmetryTraining«

MOTOmax stimulates you to engage in more intensive training.

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MOTOmed Movement Therapy

13. MOTOmed Functions  MOTOmax

Motivation Program

MOTOmax Motivation Program  Simultaneously train your coordination, concentration, strength and endurance. The concurrent physical and mental activity supports the development of new synapses (connections between brain cells) and has a positive effect on one's cognitive performance.

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display »MOTOmax Motivation Program«

MOTOmed Functions

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choose between the game characters MOTOmax (top) and MOTOmaxi (bottom)

The muscle output and coordination effort in this training game are displayed simultaneously but analyzed separately from each other: Your physical performance is recorded in approximate watt and is reflected in form of champion points. The coordinative effort is an accumulation of points and is reflected in form of jumps for joy.

MOTOmed Accessories

The therapeutic benefit and the simple game principle increase the training motivation.  >> Having fun during the training helps you train easier, more often and with a higher success rate. »Physical activity represents the stronger urge to prevent and limit age-related changes in the brain.« Prof. HOLLMANN, W.: RC Premium, 27/IV 2008, pg. 30

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My MOTOmed

1

MOTOmed Models

Maneuver the game character MOTOmax to the left or to the right by contributing your own efforts. The goal is it to equally engage your left and right side in order to keep MOTOmax on the middle green podium. MOTOmax will reward your success with a smile, jumps for joy and additional champion points.

14. MOTOmed Functions  Therapy

programs

Individual, targeted training  Choose your optimal training protocol out of 14 special therapy programs, according to your the medical condition or rehabilitation goal. These programs are developed by RECK sports scientists based on therapeutic aspects of scientific rehabilitation research. The programs are composed of the following segments: standard, endurance, strengthening, loosening, coordination, Parkinson's disease, stroke, multiple sclerosis, neuro, ortho, cardio, as well as the possibility to create an »individual program«.

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display »program selection«

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display »expert mode program selection«

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display »start expert mode«

Individual program  The expert mode provides the possibility to customize the therapy programs according to personal needs, directly from the MOTOmed operating panel. You can simply optimize your own, brand-new therapy protocol.

»There is no medication that offers as many positive effects, while at the same time having little or no negative side effects, as moderate physical activity.«

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Prof. Wildor Hollmann, originator of sports medicine in Germany

MOTOmed Movement Therapy

15. MOTOmed Functions  Independent

and safe training

Foot insertion aid  Stageless adjustment of the pedals into a suitable position for an easier foot insertion 1 of a button.

(fig. 1) with

the push

Stable handlebar  For more safety, you have the opportunity to grab hold of the handle 2 foot positioning.

(fig. 1), during

the training and during

slip-proof 3

(fig. 2).

MOTOmed Models

Safety foot shells  The foot shells are softly padded and Fasten your feet and legs with the soft Velcro straps.

Easy to transport  Thanks to large castors (ø 12 cm / 4.7 in.) 4 (fig. 2),

you can easily transport the MOTOmed (fig. 3).

Inside cable run  Train safely and without interruption. High stability and slip prevention  In order to prevent

fig. 2  safety foot shell incl. Velcro straps

MOTOmed Accessories

fig. 1  MOTOmed operating panel with stable handlebar

MOTOmed Functions

slipping or tilting during the training, the MOTOmed is designed with high-quality metal and a 60 cm / 23.6 in. wide large stand support 5 (fig. 2). For additional stability during the arm/upper body training, pull out the small foot stand 6 (fig. 2).

fig. 3  easy transport

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My MOTOmed

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16. MOTOmed Accessories  Leg

trainer accessories

Leg guides with calf shells (item no. 502)  The leg guides

provide a safe foothold. The softly padded and height-adjustable calf shells 2 (fig. 1) are positioned flexibly and are individually adjustable to your calves. This helps to prevent pressure marks on the skin and allows for a safe movement even in the occurrence of adduction-spasms (knock knee positions). 1 (fig. 1)

Self operating foot holders (item no. 506)  Quick and independent foot fixation and release. Foot hold 3 (fig. 1) provided by a soft pressure roll. The control lever with the safety lock 4 (fig. 1) prevents inconvenient shifting during training.

Wheelchair stabilizer (item no. 8)  Stabilize your wheelchair (fig. 2), e. g. in cases of strong spasticity. Please ask us about our chair fixation with tilt prevention.

Pedal radius quick adjustment (item no. 507)  Exact and quick pedal radius adjustment to your joints. Stageless pedal radius adjustment or selection of 4 preset levels (fig. 3).

MOTOmed® colors

MOTOmed viva2 silversand (standard)

MOTOmed viva2 blue (no extra charge)

MOTOmed viva2 green (extra charge)

MOTOmed viva2 red (extra charge)

MOTOmed viva2 »elegant wood look« (extra charge)

MOTOmed viva1 blue (standard)

>> Additional accessories are listed in our current product overview. Contact your MOTOmed consultant if you are interested in special product customization. Call the RECK Company: +49 7374 18-85. fig. 1  leg guides and self operating foot holders

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fig. 2  wheelchair stabilizer

fig. 3  pedal radius quick adjustment

MOTOmed Movement Therapy

arm/upper body trainer

MOTOmed® arm/upper body trainer  The MOTOmed viva2, MOTOmed viva1 and MOTOmed gracile (for children) models can be equipped or retrofitted with an arm/upper body trainer. The MOTOmed stativ_viva2 (fig. 5, page 28) is exclusively designed for arm/ upper body training.

motor-assisted arm/upper body training

MOTOmed Models

Training your arms and upper body will help target and strengthen your arms, upper extremities, shoulder and spine muscles.

MOTOmed viva2 leg trainer leg training for strength and endurance

MOTOmed Functions

pivot the arm trainer 180° clockwise

MOTOmed viva2 leg and arm/upper body trainer alternating between the leg and arm/upper body training

Change of training  In order to quickly change the training options in

MOTOmed Accessories

the leg and arm trainer combination device, the arm trainer can be pivoted out and into the training area, for 180 degrees, without tools or the need for additional outside assistance.

Easy transition between leg and arm/upper body training 1

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leg training with handlebar

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pivoting arm trainer

arm and upper body training

MOTOmed viva 2 leg and arm/upper body trainer  Technical specifications of the basic configuration. dimensions : 105 cm (h) x 60 cm (w) x 56 cm (d) / 41.3 in. (h) x 23.6 in. (w) x 22 in. (d), weight  : ca. 43 kg / 94.8 lbs, display : 11.5 cm ( w ) x 8.5 cm ( h ) / 4.5 in. (w) x 3.4 in. (h), mains voltage : according to country specifications, construction : stable, all-metal design, medical device class MPG IIa

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My MOTOmed

17. MOTOmed Accessories  MOTOmed®

18. MOTOmed Accessories  Arm

trainer accessories

Wrist cuff for proper hand fixation (item no. 562)  Made out of a soft material, prevents arm slipping during the arm/upper body training in cases of limited grasp function (fig. 1).

Forearm shells with arm cuffs (item no. 556)  This accessory assures a secure hold and guidance of weak and paralyzed arms. Safe training, even in cases of spastic paralysis, by simply fastening the forearms (fig. 2).

Tetra handles (item no. 555)  Vertical hand grips with forearm support for a guided forearm movement (fig. 3).

fig. 1  wrist cuffs

fig. 2  forearm shells with arm cuffs

fig. 3  tetra handles

>> Depending on the individual medical condition you can apply 9 different handles or arm fixations. Contact us for more information: [email protected]

For patients that remain in a seated position the majority of the time, it is essential to work against the lack of movement and its side effects on their health. Therefore we emphasize early passive and assistive movement therapy. The MOTOmed Movement Therapy allows for an absolutely safe motor-driven passive movement, as well as motor-assisted and active training with your own muscle strength (page 3).

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MOTOmed Movement Therapy

Coordination Program

Targeted coordination and concentration training 

1. push

4. up

2. down 3. pull

4-Segment-allocation for leg training

4. up

1. push 2. down 4. up

3. pull

4-Segment-allocation for arm/upper body training

2. down

3. pull

display of all 4-Segment allocations

MOTOmed Functions

1. push

MOTOmed Models

Train and advance your coordination and concentration with the regular MOTOmed viva2 and the MOTOmed 4-Segment Coordination Program (item no. 202). At the same time, you can engage your muscles and target different muscle groups. In order to achieve this form of training, one cycle revolution is divided into 4 segments (directions).

The health value is found in the combination of physical and mental activity. You can improve your strength and endurance while at the same time effectively train your concentration and coordination.

• The foot symbols

1 prompt you and the hand symbols to train the right and/or the left leg or the right and/or the left arm.

• The color-coded arrows

2

reflect the currently

trained segment and direction. • Muscle strength is reflected through the length of the colored

segment bars 3 . • The success bars 4 reflect the precision of movement i. e.

coordination and concentration. These values are measured independently from the physical work 5 . Both values can be analyzed and documented (pages 24/25).

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MOTOmed Accessories

Only regular training leads to noticeable results. In order to contribute to your individual progress you can adapt your training to benefit your individual physical condition. For the best therapy outcomes there are 15 different training tasks (segment options). >> Begin the training at an easier level and enhance your performance gradually.

2

1 2 3

4

3

4

5

5

6

display »4-Segment Coordination Program«

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19. MOTOmed Accessories  4-Segment

20. MOTOmed Accessories  Training

Analysis Program MOTOmed® sam2

MOTOmed® sam2 – save, analyze and motivate The MOTOmed chip card (item no. 204) automatically records the combined training data during the course of the training. Transfer and store data from the chip card to the PC with the Training Analysis Program MOTOmed sam2 (item no. 230). Use MOTOmed sam2 to evaluate the stored training data. The results are clearly shown in a graph chart, e. g. in form of a long-term analysis (fig. 1), daily analysis (fig. 2), comparisons between training periods, in different formats such as bar diagrams (fig. 4), line charts (fig. 1) or system diagrams.

Quick capture of your training progress  These interpretations provide additional assistance: mean value, tendency line and a calculation of the unique MOTOmed index, a combined evaluation of training intensity and quality.

MOTOmed® chip card with 3-way-purpose 1. Control the training by using the integrated therapy program. Insert the chip card into the operating panel. Make a selection: leg or arm/upper body training. The saved therapy program will start automatically. An easy guide with training tips will lead you through the training. 2. Store the training results on the chip card. – Evaluate your saved training results on your PC, using the MOTOmed sam2. 3. Quick and easy computer printout. Insert the chip card into the card reader, press the corresponding function button on your PC – done.

The MOTOmed chip card can be personalized. Original size comparable to a bank card.

Individual training in medical facilities  Simply take your chip card with you to the rehab facility and conveniently train in accordance to allocated settings and programs.

For me personally the MOTOmed is a complimentary therapy to physical therapy since it loosens up the muscles before the actual manual therapy. The majority of the time, MOTOmed Movement Therapy contributes to a reduction of hospital stays and to a faster mobilization of the patient. With the motorized and software-controlled MOTOmed devices a daily repetitive passive movement of the legs, arms and upper body is possible without any problems. Therefore, manual therapy can be applied in a more effective and efficient manner.

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MOTOmed Movement Therapy

With the MOTOmed sam2 you can easily print the training results in a graphical or tabular format. Pictured examples in small view:

fig. 2  »cardio daily analysis« for a detailed monitoring of training intensity based on the pulse rate

fig. 3  detailed training results analysis 4-Segment Coordination Program (page 23) - daily analysis

fig. 4  summary of training results of individual training sessions, comparison between two time periods – e. g. »success rate« within 6 months

All printouts: original letter size: DIN A4. The RECK Company reserves the right to technical changes in terms of innovation.

fig. 1  »active speed« for more flexibility, e. g. from 46 to 59 r p m in approx. 8 weeks - as long-term analysis

MOTOmed Models

and documentation

MOTOmed Functions

21. MOTOmed Accessories  Printout

Your advantages  The MOTOmed sam2 allows for a clear overview of your training

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MOTOmed Accessories

results and provides a detailed long-term documentation that you can use in consultations with your physician or therapist. Create the most effective individualized training based on your analysis. Use your printouts as a verification and proof for medical facilities and cost carriers.

22. MOTOmed Accessories  Pulse

control / Functional electrical stimulation

MOTOmed® Cardio16 pulse control  (item no. 275 / 276)  An important factor of successful muscle and cardiovascular training is the right dosage of resistance. With the Cardio16 pulse control the resistance level can automatically be regulated (up or down) according to your pulse.  >> For optimal training intensity and high safety. The MOTOmed resistance level is adopted to preset upper and lower pulse limits (target pulse rate) which can be set via operating panel or chip card. If the targeted pulse rate is exceeded, the pulse control regulates the resistance level accordingly. This allows for successful prevention of overstraining.  >> Engage in regular physical training in order to improve your cardiovascular functions, your endurance and muscle strength.

1

2

display: current pulse display: target pulse rate (dep. age and gender)

3

4

5

display »Cardio16 pulse control«

6

PC-printout »cardio analysis« in form of daily analysis: training with Cardio16 pulse control and use of MOTOmed sam2 Training Analysis Program (accessory, pages 24/25)

MOTOmed® Movement Therapy with functional electrical stimulation (FES)  The main field of application is spinal cord injury with temporary to permanent paralysis of the legs or arms. Also applied in reduction of secondary illnesses of spinal cord injury. Therapy goals • muscle preservation and build-up • execution of an effective cardiovascular training • improvement of blood circulation • activation of metabolism • improvement of skin circulation and decubitus prophylaxis • movement enhancement and preservation • improvement of the overall well-being >> For any further information about movement therapy with FES request our free MOTOmed brochures. MOTOmed viva2 leg trainer (item no. 200+502+214) with FES device (item no. 219)

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MOTOmed Movement Therapy

23. MOTOmed Accessories  Targeted

improvement of blood circulation

Ankle joint control  Make a commitment to improve your circulation! With the ankle joint adjustment, the calf muscle pump in our body is activated by engaging in a bending and stretching movement. By tensing and relaxing the calf muscle the »returning« blood is »pumped« back against the gravity to the heart. That way blood that is high in oxygen and nutrient content can flow all the way to the toes.

interplay (tense / relaxed)

open upper vein valve

open lower vein valve

closed upper vein valve

relaxed (filling phase)

tense (pumping phase)

ankle joint adjustment: with expander adjustment (item no. 538)

MOTOmed Accessories

With the help of the ankle joint control you can enhance your circulation, improve the condition of your muscles and organs, have warmer feet and reduce of pain during walking. Prevention of varicose veins and swelling in the legs, for the prevention of amputation (e. g. diabetes) or drop foot.

ankle joint adjustment: with bar scale mechanism (item no. 534)

>> Should you have specific questions about your personalized training, feel free to speak with a MOTOmed consultant. Over 10 experienced sport scientists will be of assistance to you (area of concentration: prevention and rehabilitation).

MOTOmed Functions

closed upper vein valve

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My MOTOmed

pumping phase (muscle tense)

filling phase (muscle relaxed)

MOTOmed Models

How the ankle joint control operates:

24. My MOTOmed  RECK

MOTOmed®

Quality and variety  12 basic MOTOmed models with over 90 accessory parts and 14 special therapy programs complement your daily therapy.

1 MOTOmed viva2

leg trainer with color screen for physical and mental fitness

2 MOTOmed viva2_Parkinson

6 MOTOmed viva2_duplex

simultaneous leg and arm training for high blood pressure and type2 diabetes

10 MOTOmed letto2

movement therapy in supine position with »TrainCare comfort« leg guides

90 rpm for a fast passive movement

3 Arm/upper body trainer with leg trainer for viva2, viva1, gracile

7 MOTOmed viva2 with functional

electrical stimulation ( FES ) specifically for spinal cord injury and stroke

11 MOTOmed letto2

from the therapy chair during dialysis treatment

4 MOTOmed viva1

with remote control nice and simple

8 MOTOmed gracile12 height adjustable for children

5 MOTOmed stativ_viva2 for arm and arm/upper body training

9 MOTOmed gracile5–15 stageless foot

shell distance adjustment from 5 to 15 cm / 2 in. to 5.9 in. for very small children

12 MOTOmed letto2_leg/arm

leg and arm/upper body trainer can be used from 3 bed sides

Experience and Expertise  Since 1971 the RECK Company has been contributing to innovations in the field of movement therapy, with a worldwide distribution, in close collaboration with physicians, therapists, universities and patients. Since 1981, the motor-driven and softwarecontrolled MOTOmed has successfully been used in over 70 countries. What started as a family business over 50 years ago, resulted in the RECK Company with over 200 employees and the invention of the groundbreaking passive, motor-assisted and active resistive movement therapy. Innovation, high quality, creditability and safety, the typical »Made in Germany« characteristics describe the MOTOmed trademark and make the RECK Company the world market leader it is today. In spring 2010 the RECK company increased its capacity with a 50 x 125 m / 164 x 420 ft. production hall.

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MOTOmed Movement Therapy

25. My MOTOmed  Your

way to the MOTOmed®

Ask for more information

MOTOmed Models

Personal consultation

Free product demonstration!

Choose and individualize the model

MOTOmed Functions

Financing Options

MOTOmed Accessories

My MOTOmed®

physician

therapist

medication

daily: MOTOmed Therapy

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My MOTOmed

The most successful therapy can be reached by contributing to the treatment by yourself.

26. My MOTOmed  Become

active!

Competent consultation  Our professional team of experts including more than 10 certified sport scientists will assist you in making the optimal MOTOmed equipment and program selection.

Free MOTOmed trial !  Ask your local MOTOmed representative for a trial at home. Demonstration  Your MOTOmed representative will gladly organize a product demonstration at your medical facility.

Purchase  Ask us about the available options for obtaining your personal MOTOmed.

Literature: 1 DISERENS K, et al.: Quantitative Evaluation of the effect on post stroke spasticity and motor control of repetitive training with an arm trainer. Neuro Rehabil 2004; 11(4): 208ff. 2 ROSCHE J, et al.: The effects of therapy on spasticity utilizing a motorized exercise-cycle. Spinal Cord 1997; 35. 176-178. 3 DIEHL W, et al.: Use of an Assistive Movement Training Apparatus in the Rehabilitation of Geriatric Patients. NeuroGer 2008; 5(1): 3-12. 4 MAURITZ KH.: Post Stroke Rehabilitation. Orthopädie-Technik 1999; 12: 935-941. 5 LEHRL S, et al.: Does movement deficiency make stupid? Arc Medici 2007; 12: 585-592. 6 DROSTE C.: Physical strain, endogenous opiate and pain. The Pain 1991; 5: 138-147. 7 STEINACKER J, et al.: Physical Movement in Peripheral Arterial Obstructive Disease. Dtsch Ärztebl 2002; 99(45): A3018-3025. 8 KNAHR K, et al.: Osteoarthritis of the Peripheral Joints. Constructive and Operative Treatment Options. Miner Stoffwechs 2001; 3: 7-14. 9 ANDERS J.: Mobility of Age and Immobility Syndrome. In: RENTELN-KRUSE W (Hrsg.): Medicine of Age and the Elderly People. 2., überarb. u. erw. Aufl., Steinkopf, Heidelberg 2009. 10 STEFAN H, et al.: Treatment Diagnosis: Constipation. Risl. In: POP-Practice-Oriented Care Diagnosis. Care Diagnosis Goals Measures. Springer, Wien u.a. 2009. 11 KLINGLER HC, et al.: Guidelines Bladder Dysfunction. J Urol Urogynakol 2007; 5: 4-27. 12 SMITH EL, et al. Impact of movement deficiency and physical activities on the human skeleton. Physicians and Sportsmed 1987; 91: 15ff. 13 HERPERZT U, et al.: Edema and Lymph drainage Diagnosis and Therapy of Edema Conditions. 4. Aufl., Schattauer, Stuttgart 2010. 14 HALLE M.: Secondary Prevention of Coronary Heart Diseases. Dt Z für Sportmed 2004; 55(3): 66-69. 15 PREDEL HG, et al.: Physical activity in arterial hypertention. Herz 2006; 31(6): 525-530. 16 KLARE WR.: Movement is a part of it like brushing the teeth. MMW-Fortschr Med 2007; 19(149): 36-40. 17 O.A.: Movement is it. The Healing Power of Sports. Spiegel Special 2006; 4: 14ff. The statements are cited with regards to content.

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MOTOmed Movement Therapy

Free information material

Movement therapy: neurological conditions

Movement therapy: active living (for seniors)

Movement therapy with Parkinson's disease

MOTOmed gracile for children

MOTOmed letto movement therapy in supine position

MOTOmed viva experience reports

MOTOmed gracile experience reports

MOTOmed letto experience reports

MOTOmed viva2_Parkinson experience reports

Studies based on MOTOmed movement therapy. Mobility in the field of geriatrics or stroke rehabilitation

Movement therapy during dialysis treatment

Get informed!  Ask us about specific brochures, prices, studies, special product offprints, thorough pieces of literature or MOTOmed films (DVD). We encourage you to fill out an inquiry form and send it to your local MOTOmed representative, or gather more information online at www.motomed.com or via e-mail at [email protected].

>> There are 6 MOTOmed Movement Therapy films available on DVD.

MOTOmed Models

and service

MOTOmed Functions

27. My MOTOmed  Information

Your MOTOmed consultant will be happy to process your request efficiently. Your RECK MOTOmed consultant team  

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MOTOmed Accessories

Or simply call us. We will call back. ph: +49 7374 18-85

My MOTOmed® – for a daily well-being

RECK-Technik GmbH & Co. KG GERMANY Reckstr. 1-5, 88422 Betzenweiler phone +49 7374 18-85, fax +49 7374 18-480 [email protected], www.motomed.com

Image contribution from Heinzel Facilities, Germany Gymnasiumstraße 20, 88400 Biberach/Riß, phone: 07351-80169

Movement Therapy for a Better Quality of Life

» Made in Germany «

Your MOTOmed partner :

QUALITY MANAGEMENT We are authorized

For multiple sclerosis, spinal cord injury, stroke and other neurological and neuromuscular illnesses, as well as general lack of movement.

GB 713/W1a (entspricht dt. Version “g”) 07.11 binSt. All rights reserved for technical changes and innovations. The use of reprints and excerpts is only allowed with written consent of the RECK Company.

www.motomed.com

Movement Therapy for a Better Quality of Life

My MOTOmed® for my daily well-being >> share with a friend

>> Fill out this card and send it back to us.

Movement Therapy for a Better Quality of Life

I want free information material. I want to trial the MOTOmed® viva2 at no charge and non-binding.

I want to apply this therapy at home.

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Please send me MOTOmed films (DVD)

Reply card Please send me free MOTOmed literature based on this medical condition:

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Reply card  Share with a friend



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