Target Zone
112–138 BPM
Threshold
Seizure threshold elevated
during aerobic activity
Med Timing
✓ Synced
ILAE-referenced protocols · Neurologist-reviewed
Exercise Safely
With Epilepsy —
Know Your
Readiness Score
5 Checkpoints Between You
and a Safe Workout
Most fitness programs skip every one of these. Pulse is built around all five.
Medication Timing
When did you last take your antiseizure medication relative to your planned workout?
ASMs can affect coordination, reaction time, and heat regulation. Exercising at peak concentration vs. trough creates meaningfully different risk profiles.
Pulse Safeguard
Medication-Synced Scheduling
Pulse calculates your optimal exercise window based on your medication class and dosing schedule — not a generic recommendation.
- Input your medication type and timing
- Receive a personalized exercise window
- Alerts if workout falls in high-risk period
Trigger Identification
Do you know which conditions reliably precede your seizures — and whether exercise-induced states overlap?
Overexertion, hyperthermia, hypoglycemia, and dehydration are exercise-related states that can lower seizure threshold in susceptible individuals.
Pulse Safeguard
Personal Trigger Mapping
Your program is built around your documented triggers, not population averages. Heart-rate corridors, session duration limits, and hydration protocols are individualized.
- Seizure diary integration for pattern detection
- Heart-rate ceiling set below your trigger threshold
- Session cap at 45 minutes per ILAE guidance
Heart-Rate Zone Mapping
Has anyone mapped your safe heart-rate corridor — the zone that elevates your seizure threshold without crossing it?
Moderate aerobic exercise (50–70% HRmax) has been associated with increased seizure threshold and reduced interictal epileptiform discharges on EEG.
Pulse Safeguard
Personalized HR Corridor Protocol
Pulse uses your age, medication class, and seizure history to calculate a heart-rate corridor — the therapeutic window where exercise protects rather than provokes.
- Wearable-synced real-time HR monitoring
- Automatic alerts when approaching ceiling
- ILAE Group 1 sport classification applied
Hydration & Nutrition Protocols
Is your hydration and pre-exercise nutrition plan calibrated for seizure prevention, not just athletic performance?
Dehydration and hypoglycemia are among the most common exercise-related seizure triggers. Standard sports nutrition guides do not account for ASM interactions.
Pulse Safeguard
Clinical Hydration Framework
Pre-workout, during-workout, and post-workout protocols designed for people on ASMs — accounting for the diuretic effects of some medications and electrolyte needs.
- Minimum hydration targets by session duration
- Pre-exercise meal timing recommendations
- ASM-specific electrolyte considerations
Emergency Preparedness
If a seizure occurred mid-session, would your training environment and support contacts respond correctly?
Coaches and training partners who don't know your seizure type may intervene incorrectly. Environment selection (pool vs. mat vs. track) carries different risk profiles per ILAE Group classification.
Pulse Safeguard
Environment & Response Planning
Every Pulse program includes an emergency action card, ILAE sport-risk classification for your activities, and a VNS device awareness protocol if applicable.
- Printable emergency action card for training partners
- ILAE Group 1/2/3 sport classification guidance
- VNS device activation awareness during exercise
The 6 Exercise-Related Triggers
Guessing Ignores
Each one is manageable with the right protocol. None of them appear in standard fitness programming.
Overexertion
Pushing past your heart-rate ceiling can lower seizure threshold in some epilepsy syndromes.
Real-time HR corridors with automatic ceiling alerts
Dehydration
Some ASMs have diuretic effects. Standard hydration guides don't account for this.
ASM-adjusted hydration targets before, during, and after sessions
Hyperthermia
Core temperature rise is a documented seizure trigger — especially relevant in outdoor and hot-yoga settings.
Environment classification and temperature-adjusted session caps
Hypoglycemia
Low blood sugar during exercise can compound seizure risk, particularly for those on ketogenic-adjacent diets.
Pre-exercise nutrition timing and blood glucose awareness protocols
Sleep Deprivation
Poor sleep is the most commonly reported seizure trigger. Exercise timing relative to sleep quality matters.
Sleep-score integration with session intensity adjustment
Missed Medication
Training on a missed-dose day dramatically changes your risk profile. Most programs have no mechanism to detect this.
Medication adherence check integrated into session start flow
Don't Guess Your Risk Level
Find Out Where You Stand
Answer 5 clinical questions. Receive a personalized readiness tier — green, amber, or red — with a recommended program entry point your neurologist can review.
Trusted by Neurologists.
Used by Patients.
More than 90% of neurologists support physical activity for people with epilepsy. Now there's a program designed to match that recommendation.
"I've been looking for something I could confidently refer patients to when they ask about exercise. Pulse is the first program I've seen that actually accounts for medication timing, seizure type, and heart-rate thresholds. I sent three patients in the first week."
Dr. Margaret Hollis
Epileptologist, Northwestern Medicine
3
patients referred in week one
"I was diagnosed at 38 and just stopped going to the gym entirely. I didn't know if I ever could again. The readiness assessment gave me actual numbers — a heart-rate ceiling, a session length, a hydration plan. I ran my first 5K at 40."
Daniel Ferreira
Architect, San Francisco · Epilepsy diagnosed 2022
5K
completed 18 months post-diagnosis
"My husband has focal onset seizures and his neurologist had no specific guidance on exercise. Pulse walked us through every checkpoint — medication timing, trigger mapping, emergency planning. For the first time we felt like we had a real protocol, not just 'be careful.'"
Priya Nair
Caregiver, Chicago
0
exercise-related seizure events in 6 months
400
pts studied
Only 2 exercise-induced seizures
90%+
neurologists
Support exercise for epilepsy
47%
reduction
In seizure frequency with regular exercise
22.9%
comorbid depression
Exercise is a proven intervention
Stop Guessing.
Know Your Score.
5 clinical questions. 3 minutes. A personalized readiness tier — green, amber, or red — with a program entry point your neurologist can review. No email required to see your results.
Answer 5 Questions
Seizure frequency, medication class, last neuro visit, exercise history, fitness goal
Receive Your Tier
Green (ready), Amber (proceed with protocol), or Red (consult first) — with clinical rationale
Share With Your Neurologist
Download a one-page PDF summary with your tier, recommended entry point, and protocol notes
Not a substitute for medical advice · ILAE-referenced protocols · Neurologist-reviewed methodology