Reviewed By: Dr. Nishant Joshi, General Physician, MBBS – Delhi NCR
When someone experiences a stroke or a spinal injury, the road to recovery can feel long and uncertain. While physiotherapy plays a central role in restoring strength, mobility and function, the addition of advanced bio-feedback tools like Pheezee is helping to speed up recovery after stroke and deepen outcomes. At HCAH, we’ve integrated Pheezee into our neuro-rehabilitation programmes, giving patients a new edge in regaining control, precision and confidence.
What is Pheezee?
Pheezee is a bio-feedback device used in physiotherapy that monitors muscle activity in real time and provides visual or auditory feedback to both therapist and patient. The idea: you can see or hear how your muscles are performing as you attempt an exercise, enabling more targeted, effective rehabilitation.
Why Bio-feedback Matters in Neuro & Spinal Rehab
After a stroke or spinal injury, the body often loses the ability to coordinate muscle activation effectively. Bio-feedback helps retrain those patterns by giving immediate feedback.
The brain’s ability known as neuro-plasticity (its capacity to form new connections) is strongest in the early phases of recovery after stroke. Devices like Pheezee support those rewiring processes by providing clear cues and motivating progress.
Tracking progress in a measurable way rather than just “I feel a bit stronger”, makes rehabilitation more transparent and boosts both patient and therapist engagement.
How Pheezee Works in HCAH’s Physiotherapy Sessions
Step 1 – Set-up & Baseline: The therapist places sensors on the key muscle groups (for example, wrist extensors after a stroke, or lower limb muscles after spinal injury). Baseline muscle activity is recorded.
Step 2 – Guided Exercise with Feedback: As the patient performs the exercise (e.g., ankle dorsiflexion, leg extension, shoulder abduction), the Pheezee device displays/plays feedback based on muscle activation (too weak, correct, too much compensation).
Step 3 – Progress Tracking: Data is saved session-to-session, enabling therapists and patients to review trends, improvements, plateaus and adjust therapy accordingly.
Step 4 – Motivation & Engagement: Seeing measurable improvements (for example, “muscle activation improved from X mV to Y mV”) helps the patient stay motivated. It becomes less about guesswork and more about objective progress.
Conditions Where Pheezee Adds Value
Post-stroke upper limb weakness: helping relearn hand/wrist/finger control, improving grip strength, fine motor skills.
Spinal cord injuries (incomplete): facilitating activation of partially preserved motor units, improving muscle recruitment patterns.
Traumatic brain injury: where motor control is disrupted, and feedback helps retrain movement pathways.
Neuro-rehabilitation of other conditions: such as hemiparesis, spasticity disorders, where precise monitoring of muscle activation helps optimise therapy.
Orthopaedic trauma rehabilitation: after fractures or surgeries where muscle atrophy and delayed activation are issues.
Key Benefits for Patients & Therapists
Precise feedback: Enables correction of compensatory patterns early (e.g., using shoulder instead of wrist).
Data-driven decisions: Therapists can make objective calls i.e. what exercise to intensify, what to adjust.
Motivation boost: Visual + audible cues make therapy less abstract and more engaging.
Better outcomes: Faster restoration of muscle activation leads to earlier gains in functional independence.
Tailored rehabilitation: With saved session data, therapy is customised based on the patient’s unique activation profile.
How HCAH Delivers This Advantage
At HCAH, our rehabilitation centres (Delhi-NCR, Hyderabad, Kolkata, etc.) are equipped with the latest in robotic rehabilitation, bio-feedback systems like Pheezee, and a multidisciplinary team (physiatrists, physiotherapists, occupational therapists).
Our approach:
Begin assessment within 24–48 hrs of stabilisation.
Introduce Pheezee during the early-intermediate phase of rehabilitation for eligible patients.
Combine Pheezee-guided physiotherapy with occupational therapy, robotic gait or upper-limb systems, and cognitive/motor pairing.
Review weekly activation data with the patient and set measurable goals (“increase extensor activation by 20% in next 2 weeks”).
Involve family/caregivers: show them how feedback works, what targets are, and how home exercises link back to measured progress.
Tips for Patients & Caregivers
Stay consistent: Bio-feedback works best when integrated into every session and not just occasionally.
Set small, visible goals: Instead of “I want to regain full hand use,” aim for “I will increase muscle activation by X%.”
Mind the brain–body link: Sensor feedback is great, but it must connect to meaningful activities (gripping a cup, walking over uneven ground).
Stay patient: Some days will show big gains; others may plateau. The data helps identify stagnation so you can change strategy.
Engage your support system: Caregivers can help monitor progress, encourage regular exercises, and understand what the data means.
Bio-feedback technology like Pheezee is transforming physiotherapy even for complex cases such as stroke and spinal injury recovery. By providing real-time muscle activation feedback, tracking progress and enabling customised therapy, it gives patients a measurable advantage in the journey back to independence.
At HCAH, our commitment is to equip you with the latest devices, expert therapists, data-driven programmes and compassionate care so you can reclaim strength, mobility and confidence.
If you or a loved one are beginning rehabilitation after a stroke or spinal injury, ask about Pheezee-integrated therapy at HCAH. Contact us to schedule an assessment and learn how bio-feedback can accelerate your recovery after stroke.
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