2. What is the NeuroMove?
NeuroMove?
It is an EMG Triggered
Neurological Relearning tool for
Stroke and Brain Injury Paralysis
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3. Where are you going to
sell the NeuroMove?
Stroke and TBI Rehabilitation Centers
Spinal Cord Rehabilitation Centers
Why do Rehab Clinics need such a product?
Shortens patients time spent in Rehab
Motivates patients to work at their own therapy
Works when there is total paralysis or no
voluntary movement.
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4. Opening Lines
What Neuro-rehabilitation devices do you use for
stroke patients?
Do you have a Neuro Re-learning Tool?
The NeuroMove retrains the brain to
regain voluntary movement.
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5. Who Benefits from the NeuroMove?
NeuroMove?
Stroke Patients
The number One cause of treatable
paralysis
•Traumatic
Brain Injury
•Palsy and other congenital paralysis
•Spinal Cord Injury
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6. Sales Tools:
Establish an invite to on our website
I will send it to your email address
All documents can be modified and saved.
Power points
Marketing items
Clinical Studies
Pictures
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8. Evidenced Based Success
-Peer Reviewed Clinical Trials
Direct clinicians to
www.neuromove.com
-Patient Testimonials
-Rehab Hospitals usage protocol
Show hospital list
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9. Clinical Studies
Chronic Motor Dysfunction After
Stroke
Conclusion:
Conclusion: “Two lines of evidence clearly
support the use of EMG triggered NMES
treatment to rehabilitate wrist and fingers
extension movements of hemiparetic
individuals > 1 year after stroke…
Recovering Wrist and Finger Extension by EMG Triggere
Neuromuscular stimulation.
By James Caraugh, Ph.D
Caraugh,
See all clinical studies at www.neuromove.com
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10. Clinical Studies
“Progress often far exceeded that of
previous conventional therapy. Regarding
mechanisms, impaired proprioceptive
feedback is considered central to strokestrokedisrupted sensorimotor control. EMGEMGtriggered EMS is intended to improve brain
relearning by reinstating proprioceptive
feedback time-locked to each attempted
timemovement. Clinical results were consistent
with this theory ”
theory.”
See all clinical studies at www.neuromove.com
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11. NeuroMove
Prescribed by Leading Rehab Hospitals
Johns Hopkins, MD
Tawam Hospital, UAE
Cleveland Clinic
Kennedy Krieger Intl.
Spine Institute
Rehab Institute of
Chicago
Mayo Clinic, MN
Kessler, NJ
Moss Magee Rehab, PA
Queen Elizabeth, H.K.
St. John’s Mercy, St. Louis
Mt. Sinai, NY
Marlton Rehab, NJ
Montefiore, Bronx, NY
Lutheran Hospital,
Brooklyn, NY
TIRR of Houston
Mission Hospital, CA
Lethbridge Hosp. Canada
Tan Tok Seng, Singapore
Seng,
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12. What Hospitals Say
about the NeuroMove
“…treatments are focused on patients who have
had a recent stroke as well as those who have
suffered from stroke-related disabilities for years.
strokeyears.
Lutheran's "Re-train the Brain" stroke recovery
"Reprogram many long-suffering patients can
longregain long lost mobility and function.”
function.
R. Ahmad, OTR, Director
Lutheran Rehab Network, Brooklyn, NY
Talk to the lead therapist about adopting a Neuro
Rehabilitation program.
program.
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13. 85% of strokes are Ischemic
Restriction of Blood to the Brain
Hemorrhagic Stroke
Bleeding into the brain
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14. What Happened
Loss of Brain Cells and the
functions they control
Causing Hemiplegia
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15. Be aware of what is done in the
stroke rehab clinics
-Find lead Occupational Therapist
-Private and Gov’t programs
Treatment of Stroke Paralysis
Physical training including:
Therapeutic exercises
Movement modification
Special equipment - FES
Assistive devices
Orthotics
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18. Neuroplasticity
Re-Mapping the brain pathways by driving the
Rehealthy neurons to take over for damaged
neurons thus regaining voluntary contractions
The NeuroMove: Not just FES!
Patient imagines movement and is rewarded
through stimulated muscle contraction…
MOVEMENT!
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19. What makes a Successful
Brain Relearning Tool?
Patient must be Cognitive
Engages the Brain
Intensive
Concentrated Effort
Frequency
Focused Repetition
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20. The Re-learning Tool - NeuroMove
EMG detects targeted neurological
attempts to move the muscle
Utilizing Repetitive attempts and
reward to stimulate Neural remapping
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25. Start on
Any Group of Muscles
Wrist & Finger Extension - Flexion
Front & Back Elbow Flexion
Shoulder Subluxation/Abduction
Ankle Dorsiflexion
Knee Extension
Starting points
upper or lower extremities
distally or proximally
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26. Ankle Dorsiflexion (Drop Foot)/Flexion
Shoulder Subluxation/Abduction
Red
Red
Red
Black
Black
Red
Knee Extension - Front
Black
Red
Refer to the Guide
Red
Flexible: Use on any
Muscle Group
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27. Therapy Session Overview
Cycle of Therapy
RELAX:
NM is Setting Threshold
READY:
Patient makes ATTEMPT
GOOD:
Stimulation or Reward
RELAX:
Deliberate rest
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28. RELAX
The processor begins to detect EMG and set the
threshold
Threshold is adjusted up or down every 15
seconds Automatically
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29. READY
Patient makes concentrated attempts
to make muscle exertion sensors
detect real attempts.
Encourage the patient to imagine or
visualize movement, have them close their
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9
eyes. Engage the brain!
33. Other Applications
Spinal Cord Injury
*Set SCI Mode
Other Relief
Erb’s Palsy
Bell’s Palsey
Cerebral Palsy
Multiple Sclerosis
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34. Trouble Shooting
Signals
“check electrodes”
electrodes”
clean skin and wet electrodes
“Poor or sporadic Signal on Screen”
Restart NM between muscle groups changes
Make sure Full Battery Charge
Set Default – See Program Guide
Check for Broken lead wires
EMG signal too low or too high
Set Defaults and restart
See Trouble Shooting Guide on dropbox
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35. NeuroMove Patients
Post stroke and SCI treatment may begin:
Once stabilized
Out patient or home use
Must be cognitive
Up to 30 years post stroke
Treatment Time
15-60 Minutes each session
15Once a day building to 2 or 3 times a day
Expect 4 months to a year treatment plan
Can be used with:
Botox – High Tone patients
Baclofen Pump – Spinal Cord patients
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36. Ancillary Benefits of NM
High Quality NMES
Programmable Parameters
Treatment of Muscle Atrophy
& Re-education
ReMuscle Spasms
Pain Relief
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37. Is this like regular biofeedback?
No - Regular EMG (electromyography) may also have a very sensitive
input, but for most other applications the input signals are filtered and
averaged.
Some stroke survivors have no EMG activity or a strong muscle tone
with high background “noise” - regular EMG/biofeedback will not stand a
chance of detecting the changes that indicate a real attempt from the
brain. The NeuroMove measures peak values in the EMG and has very
fast input circuitry. Instead of averaging the input it does the opposite – it
looks for a pattern in the small changes that indicate a real attempt. A
very effective demonstration of this is when a non-patient actually
triggers the NeuroMove just by thinking about it and imagining a
movement
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38. Why only one channel?
FES vs NeuroMove
It has one channel, patient must concentrate on one
movement at a time
Is it like FES – No, FES or an elaborate functional
stimulation product does not engage the brain. The
patient can be watching TV and doing FES, but the brain
will not relearn new pathways
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39. Is it complicated to set up?
No – Encourage Home-use.
Turn on the device and turn stimulation level up slowly for
a comfortable contraction of the muscle
Think very hard about moving the fingers, wrist, shoulder,
foot and other muscles
After relaxing, it returns to “Ready” and is ready for the
next attempt, relaxing is as important as concentrating
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40. Program Settings
Set threshold
to increase
or decrease challenge (can be set
during session)
Rest Period
(default – 15 sec. Set:60
seconds)
Mode: Stroke & SCI Sesitivity
Set Audio On or Off
Compliance Data (number of sessions
and total time used)
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41. Program Settings
Change Parameters
o
Frequency and pulse width, ramp up/off time
stim period (default at 5 sec.)
o
Range:
Range:
o
Can only be set when SCI Mode is selected
SCI two sensitivity ranges:
o
0.250.25-25 uV
o
0.500.50-50 uV
(use if signal is off screen
w stroke patients)
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