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Chris Leeuw Awarded “Rosenbaum Friend of Physical Therapy” from INAPTA

October 2, 2018/in Annoucements, General Blog Posts, News/by Chris Leeuw

NeuroHope Founder and Executive Director Chris Leeuw was presented with the 2018 “William T. Rosenbaum Friend of Physical Therapy” award by the Indiana chapter of the American Physical Therapy Association (APTA) at Bellarmine University in Louisville, KY on September 22.

From the INAPTA: “The award is presented to honor and recognize the accomplishments of those persons outside our profession who, through their dedicated assistance and support, have promoted our ideals and improved our profession.”

Leeuw was nominated and presented with the award by Donna Peterson, who was recognized as the Schneider PTA of the Year in 2017.  Peterson was Leeuw’s primary therapist during his two month inpatient rehabilitation following his 2010 spinal cord injury.  Five years later, she joined NeuroHope when Leeuw and physical therapist Nora Foster first launched the clinic to provide long-term, affordable therapy for neurologic injuries.

Peterson’s remarks:

“Chris Leeuw’s life changed in an instant when a little over 8 years ago, a perfect late summer day and adventure left him paralyzed from the neck down as a result of a C4-C5 SCI. I had the fortunate pleasure of meeting Chris during the early days of this journey as one of his first physical therapists in acute rehabilitation.  I knew then that Chris, along with his family, had a special drive that the injury and the status quo of the health care system would not contain.

 Fortunately for Chris, he demonstrated early signs that his injury was incomplete and his potential for recovery was great. What he was lacking was time, as insurance was pushing for discharge from acute rehab and the intensive therapy that his injury indicated.  Chris and his family, not taking “no” or “that’s how the system works”, as an answer fought for an alternative and found a program in Utah that offered affordable, long term rehabilitation options. Chris thrived in this environment and was able to make huge strides in his recovery. Upon his return to Indiana, Chris vowed to make a difference and began his quest to develop and provide a similar option in Indiana and change the paradigm of rehabilitation and wellness for individuals affected by and living with paralysis in Indiana.  

That’s how NeruoHope was born. In the months and years that followed, Chris worked tirelessly to fund and open NeuroHope in February 2015, a non-profit outpatient clinic with a mission to provide affordable, activity-based therapy to people living with and recovering from neurologic injury.

In the last few years, not only has Chris opened NeuroHope, but he has been instrumental in changing legislation that allows funding for long term rehabilitation and wellness, promoted awareness of the needs of those with neurological injuries, been a mentor, inspiration and friend to patients and supporters of Neurohope, facilitated the strategic affiliation with the Christopher & Dana Reeve Foundation NeuroRecovery Network as a one of only 7 Community Fitness and Wellness Centers in the U.S.,  and lead multiple fundraising efforts which have allowed Neurohope to expand to offset the costs in providing services to countless individuals.  On top of that, his most outstanding achievement was hiring me. 

In all seriousness, I have been honored to have the unique opportunity to watch Chris battle his personal physical challenges with SCI, but take an idea and turn it into reality that benefits countless individuals.   I knew early on, that Chris would always look for a new road, a new way, and never stop striving to be the best version of himself.  Chris, through his relentless pursuit of his vision, has provided others with the opportunity to become the best version of themselves and allow them every possible chance for maximum recovery and the best quality of life possible.

I am honored to present Chris Leeuw, my former patient, current boss and long-time friend with the 2018 Bill Rosenbaum Friend of PT Award.”

https://www.neurohopewellness.org/wp-content/uploads/2018/10/Chris-Leeuw-award.jpg 303 797 Chris Leeuw /wp-content/uploads/2022/07/NeuroHope_Color.svg Chris Leeuw2018-10-02 14:11:412018-10-02 14:11:41Chris Leeuw Awarded “Rosenbaum Friend of Physical Therapy” from INAPTA

Client Spotlight: Ryan Bardellini

September 12, 2018/in General Blog Posts, News, Success Story/by Chris Leeuw

Less than one year ago, Ryan Bardellini was enjoying his senior year at the International School of Indiana. A standout fencer and student, Ryan’s future plans involved looking at colleges and planning his future. Ryan’s life changed in November of 2017. He was involved in a serious accident and sustained a traumatic brain injury. Ryan was in the hospital for three months, and at an inpatient rehabilitation facility for a few weeks. After his insurance coverage ran out, however, Ryan was discharged, and his recovery slowed.

“He went from having intensive therapy five days a week to being limited to 2 or 3 weekly visits,” says Ryan’s mother Kimberly. “He wasn’t ready to be discharged [from daily therapy], he needed much more.”

Through their own research for resources available to people with brain or spinal cord injuries, the Bardellini’s found NeuroHope to supplement the outpatient visits he was receiving at the Rehabilitation Hospital of Indiana (RHI).

Ryan began coming to NeuroHope on days he did not have sessions at RHI so he could receive the most therapy and exercise he could during the critical first year after his injury. In March of 2018, Ryan was still significantly paralyzed on his right side and was just re-learning to take small steps with a walker. NeuroHope’s therapists and trainers have paid particular attention to his weaknesses and fragile gait pattern over the last 6 months, and have pushed him through vibration plate balancing, electrical stimulation, treadmill training, and core exercises.

By May of 2018, Ryan had gained significant return on his right side and had become strong enough to walk on his own across the stage at his high school graduation. Ryan’s journey, attitude, and hard work have been nothing short of inspiring. He has come far in his life-changing journey, but he is not finished yet. Today, he continues to work with NeuroHope’s trainers, who push him to continue to improve his balance, coordination, and overall strength. And college plans are right around the corner! He’s been accepted to Purdue University and is taking his first class this semester with an eye on returning as a full-time student soon.

As an accomplished fencer – his next goal is get back back on the strip!

 

https://www.neurohopewellness.org/wp-content/uploads/2018/09/Bardellini-post.jpg 303 797 Chris Leeuw /wp-content/uploads/2022/07/NeuroHope_Color.svg Chris Leeuw2018-09-12 10:09:062022-09-26 16:37:35Client Spotlight: Ryan Bardellini

NeuroHope: 2018 Brackets For Good Champions!

April 10, 2018/in Annoucements, General Blog Posts, News/by Chris Leeuw

WE DID IT!! Each one of YOU made NeuroHope the 2018 BRACKETS FOR GOOD CHAMPIONS!!  We are still in awe at the support that flooded in for our cause throughout this MONTH LONG tournament.  Round by round, you carried us past 63 other fantastic charities to the very end. In total, we raised $80,088 AND took home the $10,000 grand prize.  SIMPLY STUNNING!

As one of the smaller charities in the tournament, we were seeded in the “Least Resources / Least Awareness” division.  This meant we were seeded low and faced some difficult competition.  But, THANKS TO YOU, we wore our Cinderella slipper well.  The final round was edge-of-your seat entertainment.  A NeuroHope  “war room” was set up at the Incrediplex As the donations poured in throughout the closing seconds, the LAST PLAY put us over the top for a thrilling $42,339 – $40,207 final round victory.  CHECK OUT THE VIDEO OF THE CLOSING SECONDS BELOW!

Throughout this campaign we totaled:

  • 716 donations
  • 123 First time donors
  • A grand total of $90,088

We are proud and humbled that our mission to provide affordable, extended rehabilitation for neurologic injury is striking a chord in our community and we have all of you to thank.

A special shout-out is dedicated to our corporate teammates at Incrediplex and Hensley Legal Group, who helped make this improbable championship run a reality!

What a month. THANK YOU ALL!

https://www.neurohopewellness.org/wp-content/uploads/2018/04/bfgChamps_v2.jpg 350 960 Chris Leeuw /wp-content/uploads/2022/07/NeuroHope_Color.svg Chris Leeuw2018-04-10 16:14:242018-05-03 15:11:42NeuroHope: 2018 Brackets For Good Champions!

NeuroHope: Reeve Foundation Spotlight!

March 26, 2018/in Annoucements, General Blog Posts, Homepage, Media, News/by Chris Leeuw

NeuroHope is the newest affiliate of the Christopher and Dana Reeve Foundation NeuroRecovery Network (NRN), and has been featured as a spotlight program on their website / newsletter!  Read the original article here! 

Full text copied below:

“There is no preparation for a spinal cord injury,” says Chris Leeuw. “You wake up one morning a physically fit, able-bodied person and in the blink of an eye your life is completely transformed. When you are looking at paralysis and the potential permanence of that, that’s a situation that’s almost impossible to describe.”

Leeuw is the Founder and Executive Director of NeuroHope, the newest Christopher & Dana Reeve Foundation NeuroRecovery Network® (NRN) Community Fitness and Wellness Facility in Indianapolis, IN. In August 2010, he sustained a level C4 spinal cord injury in a swimming accident that initially left the then 28-year-old paralyzed from the neck down. Like many, Leeuw was given a poor outlook.

“After a few weeks, I began to see some signs of hope,” said Leeuw. “Early recovery in my fingers and right leg gave me the inspiration I needed to do more. My time in outpatient therapy was up and I was still mostly paralyzed. I knew that with more rehab, I had a good chance of recovery.”

In 2011, he travelled to Neuroworx in South Jordan, UT, a NRN Community Fitness and Wellness Facility at the time.

“Neuroworx understood neurological recovery and had the resources and experience to help me get my life back,” said Leeuw. “It took two years to get where I am today, walking and independent. Recovery is slow and different for everyone, but much of the journey is similar for all who are hurt.”

Although Leeuw has had a good deal of recovery, his injury is still a big part of his everyday life.

“I wanted to bring the cutting-edge interventions I’d experienced at Neuroworx back to Indianapolis,” said Leeuw. “Living with a spinal cord injury is not just about recovery, it is about long-term maintenance. Every movement is a conscious effort. These recoveries are a lot more than neurologic return, a lot of it is maintaining your body afterward.”

In 2015, he opened NeuroHope as a part-time clinic in a small University of Indianapolis gym with a therapy mat and a vision.

“Right now in traditional healthcare, people get discharged from inpatient and insurance will reimburse only for a limited number of outpatient visits. Then they go home,” said Leeuw. “These individuals need more time to maximize their recovery. They need time to learn some of the skills to deal with their new life, and in most communities, there is no place for them to go. There is a void in long-term rehab options.”

Leeuw reached out for community support. Working with the Indiana state legislature, Leeuw received a nearly $1 million grant from the Indiana Spinal Cord and Brain Research Fund which allowed NeuroHope to expand. The facility moved into a larger space, bought new equipment and now sees 50 participants a year, with a hope to double that number by 2019.

“My main goals were to create a clinic where people could come for continued, affordable care and we wanted to join the NRN,” said Leeuw. “I saw first-hand the value of the NRN interventions and I wanted badly to bring that to Indiana.”

In 2017, NeuroHope’s staff was invited to begin training to become a NRN Community Fitness and Wellness facility.

“We are thrilled to be part of the NRN. It gives us a chance to reach more people and bring that level of care to Indiana for affordable private pay rates,” said Leeuw. “Healthcare is great here but we want to go beyond that so people can continue their care. This is about providing a wellness center in addition to therapy where disabled individuals, wounded veterans, stroke survivors, brain injury survivors can go to exercise to live a long, happy and healthy life.”

Leeuw continues, “An injury changes you, changes your family, and changes your character. Every family needs more help when they leave the hospital. Our hope is to be there for them as they navigate their new path, and put them in the best position to maximize their recovery and quality of life.”

https://www.neurohopewellness.org/wp-content/uploads/2018/05/NRN-story-blog.jpg 350 960 Chris Leeuw /wp-content/uploads/2022/07/NeuroHope_Color.svg Chris Leeuw2018-03-26 16:01:452022-09-26 16:38:24NeuroHope: Reeve Foundation Spotlight!
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Sep 20

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It was an amazing 6th annual ”SWING FORE HOPE” presented by Valeo Financial!! Thank you to our sell-crowd of participants and sponsors that made year six a success at Ironwood Golf Club: All told $63,000 raised for our programs!!.

Thank you @hensleylegal @rehabmedicalinc @fourdayray Barnstown Bourbon, @jacksonfamilywines for a fantastic day raising funds for #paralysisrecovery 

And ALL of our hole and food sponsors that made happen! @goodmancampbellbrainandspine , @vonlehman , @conquerparalysisnow , @indy_biplanes
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#fundraiser #nonprofit #golf #indy #affordablerehab

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Sep 14

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Team NeuroHope hosted a two-day seminar with @iuskillsonwheels for chair practice navigating ramps, curbs, obstacles, transfers and all around wheelchair skills.  Big thanks to the volunteers and the Skills on Wheels team for an awesome time ♿️💪!
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#wheelchairusers #wheelchairlife #wheelchairdontcare #skillsonwheels

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Sep 7

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Thanks to @indynowtv @fox59 for having Chris and NeuroHope patient James Ahlers in studio to talk about spinal cord injury recovery, NeuroHope’s growth and “Swing Fore Hope” - where James will be the 2023 “Grand Marshal”!

#healthcare #indy #nonprofit #affordablerehab

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Sep 5

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Tune in @indynowtv tomorrow morning at 10:00! 24-year-old James Ahlers and NeuroHope Executive Director Chris Leeuw will be on @fox59 to raise awareness for our programs!
Hear James’ story - paralyzed with a #spinalcordinjury in a swimming accident last summer - and his journey at NeuroHope. 💪💪.
#spinalcordinjury #neurorecovery #affordablerehab #nonprofit #keeppushing

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Sep 1

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We’re kicking off National Spinal Cord Injury Awareness Month with First Friday with Friends, featuring Health Coach and NeuroHope client Laura Burdick, MPH. Laura gave us amazing tips for making delicious healthy snacks and fueling our bodies with dense nutrients to promote healing and good health! We are so grateful for the supportive community here at NeuroHope! 

#healthcoaching #neurohope #spinalcordinjuryrecovery #neurofit #affordablerehab #hope #neurorecoverycenter #nonprofit #healthcare #inspiring #beinspired #health #adaptivefitness  #firstfriday #spinalcordinjury #wellness #nationalspinalcordinjuryawarenessmonth b

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Aug 24

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Staff Highlight Video! Spotlight on Physical Therapist, Brittanie Howe!

Brittanie started her career aspirations with a Bachelor‘s degree in Biology and then moved on to earn her Doctorate of Physical Therapy degree from Trine University. In graduate school, Brittanie found her passion for the neurologic population because of the complexity of the patients, needs and the amazing people within this population. Brittanie is LSVT certified, a treatment protocol to aid those with Parkinson’s disease.

In this video, Brittanie describes the supportive nature of the NeuroHope community and compares it to a family. Brittanie describes her goal-oriented approach to physical therapy with clients and how she is inspired by her client’s resiliency and positive energy. Check out Brittanie’s video here…

#spinalcordinjuryrecovery #neurofit #affordablerehab #neurorecoverycenter #nonprofit #healthcare #indy #neurohope #hope #inspiring #beinspired #adaptivefitness #pathtoindependence #spinalcordinjury

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Aug 17

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Don't miss the EARLY-BIRD REGISTRATION for our 6th Annual Swing "Fore" Hope Golf Scramble at Ironwood Golf Club on Monday, September 18th, 2023 presented by Valeo Financial!  Our teams are almost full! Join us with a foursome or sponsor a hole. Register here: https://neurohopewellness.networkforgood.com/events/57914-swing-fore-hope

We will kick off the event with a meet-and-greet with special guest, Indy 500 Champion Alexander Rossi. NeuroHope client James Ahlers will speak at our opening ceremony as Grand Marshal and Dalhia Goldstein from Country Summer will sing the National Anthem!

Enjoy an end-of-summer day at Ironwood Golf Club in Fishers. Your ticket covers breakfast, coffee from Lulu's Coffee & Bakehouse, bourbon cocktails and cigars by Bardstown Bourbon, lunch, beer from Four Day Ray, pizza dinner, and a full day of fun. Please help us reach our $50,000 goal to expand our programming!

Big thanks to our early-bird event sponsors: Hensley Legal Group, Rehab Medical, and Langdon Shaw Associates. 

#swingforehope #indygolf #neurohope #hoosiergolf @arrowmclaren @alexanderrossi

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Aug 15

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Wooo Whooo!! James’s approval from a power chair to a manual chair got approved. This is a big step in his recovery journey! We are so happy for you, James! 

#neurohope #spinalcordinjuryrecovery #neurofit #affordablerehab #hope #neurorecoverycenter #nonprofit #healthcare #inspiring #beinspired #adaptivefitness  #spinalcordinjury

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Aug 11

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Groundbreaking Day with @conquerparalysisnow and @sam.schmidt_ !  Excited to begin renovations on the 108,000 square foot facility : expanding our services for an affordable continuum of care for neurologic injuries .

Read about it in the Indianapolis Star! Link in bio!

#neurorecovery #spinalcordinjuryrecovery #affordablerehab #healthcare #indy #nonprofit #walkingafterspinalcordinjury #bethechange

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Aug 9

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🚨MAJOR NEWS!!🚨 Thrilled to announce a partnership with @sam.schmidt_ & @conquerparalysisnow as we begin renovations this fall for our FUTURE HOME! - the 108,000 square foot , former “Five Seasons Sports Club” on the northside of #Indianapolis !

This is a monumental step for the community as we take our shared mission of providing an affordable continuum of care for neurologic conditions to the next level.

1 in 4 people will experience a paralyzing condition (#stroke, #spinalcordinjury, #braininjury) in their lifetime.  These conditions often take months or years of intense rehabilitation to maximize recovery. 

Unfortunately, due to rising #healthcare costs, and limited insurance allowances, it is difficult for traditional healthcare providers to offer affordable access to  long-term care.

 The average stay in acute rehabilitation for patients has declined from 98 days in the 1970s to just 16 days in 2022.  Then, most insurance plans limit outpatient therapy to just to an average of just 28 days.

It’s a sad irony: As research and therapeutic innovation advances, access to resources declines.

 Since 2015, NeuroHope has worked tirelessly to fill this void in care in Indiana.  With support from @uindy , @uindy_kspt , the Indiana Spinal Cord and Brain Injury Research Fund, the @orthoindy Foundation, @reevefoundation @cicfoundation and many others , we have built a multidisciplinary #physicaltherapy, #occupationaltherapy, and adaptive wellness center that has helped hundreds of patients. 

The need for care has outgrown our 13,000 square foot gym.  We are honored to be working with CPN to create a continued care, and #adaptivefitness center unlike any other!

STAY TUNED!! #neurorecovery #nonprofit #spinalcordinjuryrecovery #walkingafterspinalcordinjury #socent #affordablerehab #neurohope @drivenlv

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Aug 4

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In March 2020 Renee had a heart attack and a stroke. After completing treatment at Community South and RHI, she came to NeuroHope in March of 2023 to continue her recovery journey with us. Renee works hard, engaging in both physical and occupational therapy. Check out Renee running on our Power Step with the support of PTA Lydia and Tech Lex. 

#neurohope #strokesurvivor #physicaltherapy #affordablerehab #hope #neurorecoverycenter #nonprofit #healthcare #inspiring #beinspired #adaptivefitness  #cvarecovery #tgif #beyonce

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Jul 27

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Unveiling our new @bionessrehab BITS Balance training system - thanks to the generosity of an incredible donor!!
OT Elizabeth and PTA Lydia demonstrate how BITS combines vision, cognitive, motor, and balance tasks to challenge and assess patient strength , memory, and stability.  Our team can use this tool for posture and balance training, hand-eye coordination, vision re-training and much more.
It's all part of our continuing mission to make the best resources and interventions available to the patients that need them.
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#neurorecovery #affordablerehab #nonprofit #strokerecovery #spinalcordinjuryrecovery #braininjuryrecovery

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Jul 25

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James taking a stroll on the @hocomamedical Lokomat. Like most insurance covered therapy - access to resources like this are typically limited to an average of 28 therapy visits before coverage is exhausted. 
The reality is - MUCH more time and access is needed to maximize recovery.
The great irony - at a time when breakthroughs in research and therapy interventions are being discovered, access to them is becoming increasingly limited.
Affordable, longer-term access is needed.
This is why we’re here!
.
#neurorehab #affordablerehab #spinalcordinjuryrecovery #walkingafterspinalcordinjury

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Jul 21

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Longtime client Juan #tbi still making strides.  Sit to stand and ALL HIM 🙌. Long-term, affordable rehab.  This is why we’re here 💪💪

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Jul 17

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⛳️ EARLY-BIRD registration is ON for the 6th Annual Swing “Fore” Hope Golf Scramble benefiting NeuroHope, presented by Valeo Financial!  Monday, September 18 at Ironwood Golf Club in Fishers. Food, beer, prizes, bourbon tastings by @bardstownbourbonco and a day on the course. Early-bird prices until August 15!

Our goal: $50,000 campaign to expand our programming and spinal cord injury research. Sign up, sponsor, or spread the word! https://neurohopewellness.networkforgood.com/events/57914-swing-fore-hope

Thanks to our current sponsors: Langdon Shaw Associates, Inc., @hensleylegal and Rehab Medical. 

#neurohope #spinalcordinjuryrecovery #neurofit #affordablerehab #hope #hopetalks #neurorecoverycenter #nonprofit #healthcare #indyhealthcare #indy #inspiring #beinspired #healthcareheroes #adaptivefitness #pathtoindependence #spinalcordinjury#swingforehope #nonprofit #indygolf

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Jul 14

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Today is Disability Awareness Day and we’re shining the spotlight on one of NeuroHope’s caregiver/family members! 

Michele Green is the wife of NeuroHope client Steve Green. In this video, she shares her unique perspective as a family member and caregiver of someone who has suffered from a stroke that resulted in paralysis. 

Caregivers and support systems play a crucial role in a NeuroHope client’s recovery. Michele discusses how the NeuroHope team has supported and given her family hope during her husband’s recovery and rehabilitation. Listen to Michele’s insightful words here…

#neurohope #cva #neurofit #strokesurvivor #affordablerehab #hope #disabilityawareness #caregiver #neurorecoverycenter #nonprofit #healthcare #indyhealthcare #indy #inspiring #beinspired #adaptivefitness #disabilityawarenessday

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Jul 12

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🎉 We are so excited to welcome our new Wellness Coordinator Melissa “Mel” Spencer to the NeuroHope Team!

Mel comes to us from the University of Indianapolis and she is a certified Exercise Physiologist, working towards her masters in Exercise Science. Mel loves to run and spend time with her dog. We are so pumped to have her at NeuroHope!

#neurohope #nonprofit #healthcare #indy #wellness #neurofit #multifit #neuro#adaptivefitnessclasses #neurorecovery #spinalcordinjuryrecovery #hope #affordablerehab #adaptiveexercise

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Jul 11

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🎉 Thanks to the O’Bryant family for their generous donation of this stepper for our NeuroFit cardio classes! 

#neurohope #spinalcordinjury #spinalcordinjuryrecovery #neurofit #affordablerehab #hope #sci #neurorecoverycenter #nonprofit #healthcare #indyhealthcare #indy #inspiring #healthcareheroes #adaptivefitness #pathtoindependence

neurohope

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Jul 5

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This is Debbie, she suffered from a stroke almost two years ago. After maxing out on insurance benefits, Debbie came to NeuroHope to continue her therapy through our Guided Rehabilitative Exercise (self-pay) program. 

Debbie has been working hard and making progress towards her recovery goals since she began treatment at NeuroHope a year ago. We are all inspired by Debbie’s positive outlook. Debbie is an ambassador of hope and encouragement for our NeuroHope community. 

Check out Debbie’s improved coordination, balance, and strength on her affected side! Go Debbie! Keep up the great work! 

#affordablerehab #neurorecovery #cva #cvarecovery #hope #strokesurvivor#affordablehealthcare #beinspired

neurohope

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Jul 3

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HUGE Congratulations to our Director of Therapy Elliot Cohee - a newly board certified :  Neurological Clinical Specialist (NCS)!!

It’s an honor that comes through years of experience, rigorous training , and devotion to understanding and treating neurologic conditions.

We can’t express how fortunate we are to have Elliot leading our clinical services.  His commitment to care is second to none.

Congratulations Elliot!!
.
#physicaltherapy #neuroscience #neuropt #ncs #choosept #neurorecovery #neurologicaldisorder #neurological_rehabilitation #neurologicalphysicaltherapy

neurohope

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Jun 29

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Client Highlight Video! NeuroHope client Sam Schultz sustained a brain injury from a 2016 mountain biking accident in Colorado.  

After 3 1/2 months of rehabilitation at Craig Hospital, Sam came home to Indiana in need of continued care. She first came to NeuroHope in 2018 and has been a regular in our gym ever since progressing from physical therapy, to personal training sessions and is now a workout warrior in our wellness program.

Sam inspires us all with her words: “Continue to grow. Do not give up. You can do it - You’ve  just got to do it.”  Sam has set big goals for herself and she shares how NeuroHope has helped better herself. Watch her story here:

#NeuroHope #neurofit #affordablerehab #neurorecoverycenter #nonprofit #healthcare #indy #hope #inspiring #beinspired #adaptivefitness #pathtoindependence #tbi #traumaticbraininjury #braininjuryrecovery
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