Basic elements of Hero Rentals™

OrthoBike Hero™: A recumbent therapy bike with adjustable variable length pedals and adjustable seat you can offer to your knee and hip patients for home therapy.

OrthoBike Hero is uniquely suited for home therapy equipment rental:

It is just a bike; your patients already know how to use it. You don’t have to be there.
It is more than a bike; it is also an effective therapeutic mechanical modality giving repetitive motion to patients with limited ROM:
- Patients with <60° flexion can pedal without pain.
- Patients can adjust the variable-length pedal cranks and seat position according to the customized roadmap to increase flexion incrementally, systematically by 3-5°.
Patients love cycling without pain (especially pain-averse patients).
They love controlling the progress of their therapy.
They love seeing their progress along their therapy roadmap.
Compliance: 100%.
Early cycling rehab with OrthoBike gives the patients hope—especially difficult situations—and makes them more compliant to therapy.

Modeling shows gross revenue is based on

How many of your patients will rent
How much your patients pay for rent
How long the rental period is
Perhaps RTM billing

Modeling shows net revenue is based on

Number and cost of Hero bikes
Whether you, the patient, or a DME delivers and picks up
Whether you train the patients in the OrthoBike ISP Roadmap or we do

How many Hero bikes will you need? Two factors to consider:

The number of your knee patients who will likely rent, which depends on:
- Their socioeconomic situation
- Their need or desire for additional cycling exercise
How long they want or need to rent:
- Fewer Heroes are required for 3-week rehab rentals than 4–6-week periods (difficult knees require 6–12 weeks)

Financial details

Rental charge: $60–$100 per week
Price of Hero bikes: MSRP less than $2,000
First 20 businesses that sign up get special pricing discounts
We may offer financing options, including leasing, to lower startup costs
Contracts, receiving payments, security deposits, etc.
You may be able to use Remote Therapeutic Monitoring (RTM) billing codes (98975, 98977, 98980, 98981) to supplement income
- We will provide instructions on how to use these codes later

How do your patients at home progress their rehab with OrthoBike?

Differences between clinic use of OrthoBike and home-based therapeutic riding

In the clinic:

OrthoBike settings follow manual therapy. The OrthoBike pedals and seat are adjusted so that the patient's maximum pedaling knee flexion angle is a little less than the passive flexion gained with your hands at the table. (See explanation of settings summary label which guides you in quickly adjusting the pedals and seat and instructing the patient.)

Follow-up cycling motion helps lock in the passive gains with many revolutions of a consistent reciprocal pattern of knee flexion and extension. Early cycling also reduces the disabling fear of pain: guarding decreases, compliance increases.

At home:

ROM follows OrthoBike settings. Patients adjust the pedals and seat according to their customized ISP Roadmap to Incrementally and Systematically Progress their knee and hip flexion and extension. They have access to their "second therapist" 24/7 and get therapeutic motion daily to supplement their 2-3 hours of weekly clinic visits.

OrthoBike ISP Roadmap

A customized chart showing the relationship between seat and pedal settings and the rider’s maximum pedaling knee flexion. It shows them exactly how to adjust the settings to incrementally and systematically progress their knee and hip flexion. It also shows them how to set the pedals and seat to work on extension while progressing their flexion. They can control their cycling therapy at home. It gives them exact guidance with milestones and mile markers so they know where they are, where they are going, and when to celebrate.

It gives them their riding prescription keyed to the pedal crank position (as an indicator of their status): tension setting, sessions/day, session duration, pedaling direction (forwards/backwards), and pace. It tells them how to test and determine when they are ready to advance the bike settings.

Everything in one place, simple, and proven effective. It is easy to teach; they quickly grasp it —about 15-30 minutes.

Do I have to take the time to train the patients how to use the OrthoBike Hero at home?

If you have the bandwidth and desire to learn the details of OrthoBike therapy and how to teach a new rider, do it. We’ll help you. If your time is better spent treating patients and running your business, we will take full responsibility for turning your renting patients into OrthoBike experts. We will answer all questions and take care of all issues.

Do I have to store the Hero bikes, deliver and set up, and pick them up?

You can save the DME costs if you have the business bandwidth and personnel and space. Or you can contract with a local DME to do the work they normally do. You will likely not have to store more than 1 or 2 bikes for a day or two, anyway.

How do I learn to sell my patients on the value of renting the Hero?

We will train you. Once you understand the fundamentals of OrthoBike therapy and how to communicate its great benefits, you will easily see how to pitch it. You probably already sell patients on in-clinic cash treatment options so you know what it takes.

How OrthoBike Hero Rentals™ Can Work For Your Practice