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Tag Archive for: NeuroMuscular Electrical Stimulation

Epidural Stimulation Study Allows Three More Paralyzed People to Take Steps

November 2, 2018/in Annoucements, General Blog Posts, News/by Chris Leeuw
In September, a breakthough in epidural stimulation research made global headlines.  The New England Journal of Medicine published work from The Spinal Cord Injury Research Center at the University of Louisville, which announced that four paralyzed people regained the ability to walk after being implanted with a stimulation device and undergoing months of physical training.
Read the article here.
Now, a new study published in Nature and Nature Neuroscience has revealed similar results in three more spinal cord injured subjects.
Epidural stimulation involves surgery that implants a set of electrodes directly on to a person’s injured spinal cord.  A power pack is also implanted underneath the person’s skin.  When the device is turned on, the spinal cord is stimulated and messages are sent to the body that bypass the injury.  (Above photo credit: The Guardian)
Dr. Susan Harkema, Director of the Christopher and Dana Reeve Foundation NeuroRecovery Network (NRN), was first behind epidural stimulation 8 years ago that restored function in multiple people with motor complete spinal cord injury.   Over the last several years her research has expanded and major milestones have been met.  First, epidural stimulation provided the ability to stand.  Then, bits of voluntary and task-specific movement were discovered.   Finally, unassisted STEPS took place.
All of these successes were performed in labs, and were combined with an incredible amount of time and repetition, but the results are fascinating, and the knowledge is still in its infancy.
NeuroHope joined the Reeve Foundation NRN earlier this year.  As a result, we are now one of a select number of sites in the world that is using what has been discovered about the unique electrical parameters in the implants, and investigating if it can be translated to Neuromuscular Electrical Stimulation (NMES) over the skin.  NMES is similar to Functional Electrical Stimulation (FES), but uses pre-programmed, task specific activities set at exclusive FDA-approved parameters that are aimed at targeting both the muscle and the circuitry of the spinal cord itself.
It is not yet known if NMES has the ability to promote neurorecovery, but we are proud to begin data collection for the NRN and thankful for the opportunity to offer it in a plan of care for our clients.
https://www.neurohopewellness.org/wp-content/uploads/2018/11/stimWalk.jpg 303 797 Chris Leeuw /wp-content/uploads/2022/07/NeuroHope_Color.svg Chris Leeuw2018-11-02 15:02:472018-11-02 15:09:27Epidural Stimulation Study Allows Three More Paralyzed People to Take Steps

NeuroHope at the NeuroRecovery Network Summit

May 21, 2017/in General Blog Posts/by Chris Leeuw

The NeuroRecovery Network (NRN) held its annual summit at Frazier Rehabilitation Institute in Louisville, Kentucky last week.  NeuroHope is laying the groundwork to join the network later this year, and our staff was invited to attend and learn about the innovative therapy interventions that are being researched and implemented at NRN sites across the country and overseas.

The NRN is a collaboration of clinical sites tied to rehabilitation hospitals (Craig Hospital, Frazier Rehab Institute, Kessler Institute for Rehabilitation, Magee Rehabilitation Hospital, Ohio State University Medical Center) and independent sites aimed to continue aggressive therapy and wellness for patients after they leave the hospital system (Next Step, Courage Kenny, Journey Forward, NeuroKinex).

The inspiration to begin this unique network of sites began through the work of Dr. Susan Harkema and Dr. Andrea Behrman, whose research led to a better understanding of neuroplasticity, which is the ability of nerve cells in the central nervous system to develop new connections and learn new functions.  Their work provided new evidence about the role the spinal cord plays in stepping, standing, and interpreting sensory information to re-learn tasks.

The Christopher and Dana Reeve Foundation (CDRF) helped fund the original research, and in the years since, the Foundation has been devoted to translating results to the clinic to help patients recovering from and living with spinal cord injury.

The NRN revolves around providing Activity-based therapy, a specific technique that activates the nervous system below the injury level and focuses on strengthening muscle weakness and neurologic recovery.  In addition to specific manual techniques, a principle Activity-based intervention is Locomotor Training.  Locomotor Training allows injured individuals to repetitively practice standing and stepping using body weight support.  In a therapy session, the participant is suspended in a harness over a treadmill at a high speed while specially trained therapists move the legs and ankles using specific sensory cues to simulate walking.  As the person gains function, improvements in sitting, standing, core strength, circulation, and bone-density may occur.

Dr. Harkema is also a pioneer in implementing epidural stimulation in her work, which made global headlines in 2011 and 2014 for restoring movement in four spinal cord injured individuals.  Since then, the NRN has incorporated new methods of NeuroMuscular Electrical Stimulation (NMES) at their sites to target upper extremity function, increase movement, and improve neuroplasticity.  NMES uses parameters beyond typical electrical stimulation to excite the central nervous system and activate weakened muscles.

Drs. Harkema and Behrman delivered lectures at this year’s summit and worked with NRN staff members from sites around the country as they practiced evaluation and activity-based therapy techniques.

We were honored to be invited to the summit and learn from some of the best minds in the world of neuroscience.  NeuroHope will soon be one of just 13 sites in the world where these innovative techniques are available.

Learn more about the NRN below:

 

 

 

 

https://www.neurohopewellness.org/wp-content/uploads/2017/05/reeve.jpg 350 960 Chris Leeuw /wp-content/uploads/2022/07/NeuroHope_Color.svg Chris Leeuw2017-05-21 19:02:102017-05-21 19:13:35NeuroHope at the NeuroRecovery Network Summit

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Mar 14

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#SpinalCordInjury recovery is a team effort💪. Caleb in a Locomotor Training treadmill session with the NeuroHope team. Step by step we’re here for you.  #keeppushing #AffordableRehab #spinalcordinjuryrecovery

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Mar 9

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On the first Friday of each month, we host a community group of rotating activities and topics. This month, @pawsandthinkinc, a fellow nonprofit that brings therapy dogs into the community paid us a visit!  Golden Retriever Nai’a had 3 objectives : Belly rubs, head pats, and smiles.
MISSION ACCOMPLISHED! 😀.
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Mar 8

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Here’s to the amazing women who make our community what it is: leaders, clinicians, patients, caregivers & supporters.  Thank you!
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#internationalwomensday

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Mar 2

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Less than two months before her 2022 high school graduation, Olivia was paralyzed in a car crash.  She has been on a physical, emotional, and mental journey over the last year, recovering from her spinal cord injury.  In the year since her accident , she has suffered pressure sores, UTIs, blood pressure issues and more.
She bounces back , and keeps pushing.  The need for continued therapy and exercise programs after life-changing injuries is real - and her story is an inspiring one!  Read it through the link on our IG Story! .
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#neurorecovery #spinalcordinjury #sci #keeppushing #affordablerehab

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Feb 17

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KENDAL driving NeuroFit class 💪💪!!
#adaptivegym #adaptiveworkout #cardio #spinalcordinjuy #keeppushing

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Feb 14

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Happiest of Birthdays to Wellness Director Bart!! He has helped build our programs for 5 years and helped hundreds of people (like Mitch 💪💪) on their recovery journey!  Thank you Bart!
#neurorehabilitation #neurorehab #affordablerehab

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Feb 5

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Calab (Spinal cord injury), on the floor with Barry and Kendal.  Balance and core work to keep his body moving 💪💪.
#spinalcordinjury #neurorehab #sci #keeppushing

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Jan 31

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We are looking for an energetic Occupational Therapist passionate about #neurorecovery AND a Development / Advancement Manager to help our growing team reach new audiences, donors, and partners!

Join our growing team .Interested applicants inquire through the link in our bio, and type either "OT" or "Development" in the subject line.

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Jan 25

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Learning to walk again is something no one ever expects they will need to do.  It is the definition of determination, resilience , patience, and guidance.  PT Brittanie is here for Mark every step of the way 💪💪.

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Jan 6

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Therapy Director Elliot and Chris were in studio @indynowtv to tell the NeuroHope story and the hundreds of families we have helped on their road to recovery from #Spinalcordinjury #braininjury and #Stroke.  Neurologic injuries are life changing.  The need for affordable rehab after hospital discharge, and specialized fitness programs to improve long-term health is REAL.  Thanks to @uindy_kspt, @orthoindy Foundation , @reevefoundation and all those who have helped us grow.
Recovery is a process.  It’s why we’re here!.
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#affordablerehab #nonprofit #neurorecovery #physicaltherapy

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Jan 2

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Just a few of the NeuroHope #heroes battling #paralysis and the hard work they put in everyday….
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#AffordableRehab #spinalcordinjury #strokerecovery #motivationmonday

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Dec 27

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Thank you @indystar for telling my personal story recovering from #spinalcordinjury , the growth of NeuroHope thanks to @orthoindy Foundation and most importantly ..the hundreds of people recovering from paralysis NeuroHope helps receive affordable , after-hospital care.

It’s all possible thanks to our amazing staff that change lives everyday , and the supporters that believe in us!

Readable link in bio!

#spinalcordrehab #spinalcordinjuryrecovery #sci #nonprofit #beinspired #indy #affordablerehab

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Dec 25

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Merry Christmas and Happy Holidays from all of us at NeuroHope!

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Dec 2

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It’s getting pretty Christmas-y at NeuroHope! 🎄 Decorations are up , and we’re in the spirit!
#tistheseason

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Nov 30

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The healthcare system is complex, especially for people recovering from neurological conditions like spinal cord injury, brain injury, and stroke.  The cost of care is high, and the time spent in insurance-covered rehabilitation is short.  Our mission revolves around providing services for the people that fall through the cracks of healthcare.  It’s why we’re here.  We smashed our $5,000 #GivingTuesday goal, and raised $7,000 yesterday to support our programs for people recovering from paralysis
Thank you all!

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Nov 29

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Keep those #GivingTuesday donations coming! $200 for a chance for four ROW 1 Colts tix, field passes, transportation to #MondayNightFootball on 12/26!
Donate link in bio!
Help us reach our $5,000 goal to help those recovering from paralysis!

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Nov 29

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TODAY!  A $200 donation could WIN FOUR 1st row @colts tickets, field passes, and transportation to Monday Night Football 12/26! Courtesy of @hensleylegal !

Help us reach our $5,000 goal today to help people recovering from #paralysis. 
Donation link in bio!
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#givingtuesday #giveback #nonprofit #spinalcordinjuryrecovery #healthcare #indy

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Nov 14

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Day 1 of our @ndtassociation seminar led by DPT Monica Diamond. “Facilitating Transitional Movements Effectively”. 
Lecture and lab today - for postural control, and balance for neuromuscular impairments.
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#pt #neurorecovery #strokerecovery #spinalcordinjuryrecovery #neuropt #physicaltherapy #ndta

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Nov 12

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Wishing a special #VeteransDay weekend to clients Mike, Bob, and ALL who have served!  Thank you for your service - and for being YOU.

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Nov 4

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Kayode (c4/5 spinal cord injury) working on sit-to-stands with Megan.  Activating quads, glutes and STANDING TALL.  Recovery is a process.  This is why we’re here!.
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#neurorecovery #spinalcordinjury #spinalcordinjuryrecovery #affordablerehab #keeppushing

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Oct 27

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BIG Congratulations to Wellness Director Bart Richwalski - now certified through the NSCA as a Special Population Specialist (CSPS). This is a rigorous exam established for kinesiologists to address the unique fitness needs of those with chronic neuromuscular conditions.

We can’t express how lucky we are to have Bart leading our Wellness Team.  Since joining NeuroHope 5 years ago, he has built a parallel program to our clinical therapy side, and made NeuroHope’s overall model - a hybrid of skilled therapy and personalized fitness what it is today.

Congratulations Bart!.
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#neuroexercisetherapist #neurorehabilitation #neurorecovery #csps #nsca
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