Ola uses Motiview for rehabilitation at home

In Ola Melhus’ lounge, a motorised cycle and a PC couple to the TV screen have suddenly appeared. Melhus simply chooses a film from the film library before getting on the bike. While cycling, he watches films from both familiar and unfamiliar places in his local area.

Melhus is one of the first people in the country to have tried out Motiview for daily rehabilitation at home. The trial is part of the Lindås project, the country’s largest project within healthcare technology.

Balance training

«It’s fantastic to have come so far when I think I had no feeling at all the first day I arrived at the hospital,» Melhus tells us.

Melhus’ greatest challenge is his balance. He was given exercises to help him improve as well as training with a fall prevention group. But when Motiview was installed in his home, it became clear which training method he found most motivating.

«I think it’s fantastic and I don’t get bored. If I only had the cycle, ten minutes would seem an awful long time to exercise. But here I’ve got these films where I can follow the road and the sea while I’m cycling. If they’re places I recognise, it makes it more interesting,» he says.

Before he’s even aware of it, Melhus has cycled 15 minutes while watching a film. He does this twice daily.

I think it’s fantastic and I don’t get bored.
— Ola Melhus, one of the first people in the country to have tried out Motiview for daily rehabilitation at home.

Clear improvement

Just one month after starting, health personnel can see a clear improvement in Melhus’ balance.

«To start with it took him 23 seconds to walk four metres using a walker. When I came to test him again after a month, he didn’t want to use the walker, left it to one side and walked four metres on his own in the same 23 seconds,» physiotherapist Kari-Anne Simonsen tells us.

Motivation for exercise

«We have seen how motivation in relation to exercise can be a bit of a challenge, but now we have tremendous faith in Motiview as a means to increase motivation and help to increase users’ physical capacity, which in turn makes users capable of living at home longer,» says Lindås’ municipal ergotherapist, Hildegunn Baravelli.

«It’s very easy to set up and use and provides great motivation for exercise,» she says.

Baravelli thinks Motiview, alongside healthcare technology and daily rehabilitation, is an important contribution to increasing the quality of local authority service provision to people living at home.

The news item with Ola Melhus was filmed in the winter of 2015. In May, the cycle was passed on to new users but Melhus has continued with his training.

«It was really good to have the cycle at home because I was constantly reminded to exercise. The reminder I got by having it stand there was very useful and it was really good to watch the films,» he says.

«Now I’m practicing walking up and down stairs but it’s a bit scary to do it on my own. I think the cycling really helped me to get started with training,» he concludes.

Wenche stopped falling when she started cycling

Wenche Gjertsen’s life was badly affected by daily falls. After three months’ training with Motiview, she has only fallen three times. – It’s an absolute revelation; it’s unbelievable, the 75-year-old says.

Wenche Gjertsen’s life was badly affected by daily falls. After three months’ training with Motiview, she has only fallen three times. – It’s an absolute revelation; it’s unbelievable, the 75-year-old says.

Wenche Gjertsen’s life was badly affected by daily falls. After three months’ training with Motiview, she has only fallen three times. «It’s an absolute revelation; it’s unbelievable», the 75-year-old says.

Wenche Gjertsen (75) began cycling to Motiview’s film library when the equipment was installed at the Prestheia care centre in Kristiansand in January 2015. She visits the day room here three times a week.

After a good breakfast, she gets onto the exercise bike and cycles between ten and fifteen kilometres every Monday, Wednesday and Friday.

«I’ve only missed training once, when I wasn’t feeling well. At weekends, I can’t wait for Monday to come around again. I think not training for two days seems like a long time», says vigorous Wenche.

Wenche at Prestheia omsorgssenter

Better breathing and balance

Wenche at Prestheia omsorgssenter

Wenche at Prestheia omsorgssenter

- Now I’ve cycled about 200 kilometres altogether. During the period, I’ve noticed some great changes in my life. I used to keep falling over all the time, every day, at the shop, going up stairs and on completely flat surfaces too.

«In the last few months, I’ve only fallen over three times. It’s fantastic,» she says.

- I suffer from COHD too but since I’ve started training my breathing’s also got a lot easier. I’ve gradually reduced and now only use oxygen at night while I’m asleep.

A trip to Bergen

Gjertsen is originally from Bergen but moved to Kristiansand to be closer to her family.

«I travel to Bergen when I’m training and listen to music and sing along. It’s really nice, although I do get a bit homesick occasionally,» she laughs.

- But I cycle other routes too; I was in Copenhagen the other day.

One thing that Gjertsen thinks is particularly good about the actual cycle is that she can sit in an ordinary chair when she is using it.

- I used to have an ordinary ergometer cycle at home but it was painful to sit on. Now I can sit in a comfortable chair and can almost forget that I’m exercising both my arms and legs.

The woman from Bergen has no plans for stopping cycling – on the contrary.

«This is something everybody should do! I wish that more people could have access to an exercise bike and Motiview. My aim is to manage better on my own and live at home longer,» concludes dedicated sportswoman Wenche Gjertsen.

Eli Marie lost 11 kilos with the Motiview concept

Eli Marie Nising (75) has gone from being overweight to being in good physical shape after moving in to a nursing home. The Motiview films have motivated her to weekly training, resulting in easier daily life for both her and the nurses.

Eli Marie Nising (75) has gone from being overweight to being in good physical shape after moving in to a nursing home. The Motiview films have motivated her to weekly training, resulting in easier daily life for both her and the nurses.

Eli Marie Nising (75) was diagnosed with Alzheimers a few years back. She has suffered a lot of pain in her body over a considerable period and was fearful to overload her body too much. Exercise was regarded as difficult without too much pain. The safest thing to do was simply to sit quietly.

Times have changed: Now there’s a physically fit woman sitting in the lounge at the Nykirkehjemmet nursing home in Bergen, impatient to get started with the day’s training session.

Needed a lot of help

When Eli Marie was given a place at the Nykirke home in Bergen, she was quite big and took a lot of painkillers. Her daughter, Tone Tenold, was worried about her mother staying there lest there be even more sitting still and passivity became the norm.

Owing to her illness, Eli Marie could be looked upon as aggressive and negative. In addition, her weight meant that she needed a great deal of help to get out of her chair and move around.

A radical change

-I’ve lost 11 kilos, Eli Marie tells us proudly when she is about to start her daily cycle trip.

-I’ve lost 11 kilos, Eli Marie tells us proudly when she is about to start her daily cycle trip.

In the summer of 2013, Eli Marie’s family were unable to visit the Nykirke home very much owing to travel abroad. When Tenold came back to visit her mother, something was radically changed.

«There was a much slimmer, smiling woman who met us and I was immediately afraid that she’s stopped eating or that something else was wrong,» she tells us.

While Tenold and her family were away, the Municipality of Bergen had begun a trial project at the city’s nursing homes. The local authority wanted to motivate residents to exercise using a specially adapted training cycle for arms and legs, with accompanying videos as motivation. The videos are from the users’ home towns and the cycling gives users the feeling of cycling round familiar places. In other words, the concept now known as Motiview had been installed at the Nykirkehjemmet.

«The videos really carried her away. She felt like she was out in the streets of Bergen, cycling round and meeting people she knew. She enjoyed herself so much, she could cycle up to three-quarters of an hour a day. She also gets a lot of attention from the nurses at the home because of her cycling. The improvement was so noticeable that we had problems believing it,» Tenvold says.

Lost 11 kilos

«I’ve lost 11 kilos,» Eli Marie tells us proudly when she is about to start her daily cycle trip.

The nurses keep track of how far she cycles in each session. In today’s session, she cycles 5 kilometres in 40 minutes. Eli Marie has now left her walker to one side and her general mood has noticeably changed since beginning with Motiview.

«I’m going to keep cycling until I wear the bike out,» Eli Marie laughs. She has also said how much she’d like a film of Haugesund where she grew up.

«My mother has become much more positive and gets around much more easily. She’s also easier to deal with for the nurses, who have to do so much heavy lifting. We’re so grateful that the Nykirkehjemmet made this possible. They’re unbelievable good!» the daughter says enthusiastically.