# data[].attributes.attachment_link.readable_text
NeuroMoves is an innovative, holistic, evidence-based exercise and therapy service for people living with a neurological condition or physical disability. Our vision is to improve a person's quality of life through maximising their mobility, function and independence, as well as understanding the unique aspects of each person's condition.

NeuroMoves offers a variety of services that will target each client's goals, as well as improve their health and wellbeing, and social interactions. Whether you are interested in attending our community gym and fitness program, or getting involved with our intensive Locomotor Training program - at NeuroMoves, there is a program to suit everyone.

We are temporarily suspending face-to-face sessions until further notice, due to the COVID-19 outbreak. We have introduced an online Telehealth service to enable our therapists to safely continue our client's therapy in the comfort of their own homes.

Read about our response to COVID-19 and the measures we are taking for the safety of our clients and staff. If you're not a NeuroMoves client, please download the application pack and apply

Need to renew your NeuroMoves Medical Clearance? Click here to download the form

We can help anyone with:

Spinal cord injury

Acquired brain injury

Stroke

Transverse myelitis

Multiple sclerosis

Motor neurone disease

Cerebral palsy

Parkinson's disease and other neurological or physical disabilities

# data[].attributes.attachment_link.description
NeuroMoves is an innovative, holistic, evidence-based exercise and therapy service for people living with a neurological condition or physical disability. Our vision is to improve a person's quality of life through maximising their mobility, function and independence, as well as understanding the unique aspects of each person's condition.

# data[].attributes.headline
Electrical Stimulation Technique helps patients with Spinal Cord Injury

# data[].attributes.subject
Electrical Stimulation Technique helps patients with Spinal Cord Injury

# data[].attributes.attachment_link.readable_text
Paralysis (loss of muscle function) is the most visible consequence of a spinal cord injury. Historically, there have been few significant advances in the treatment of such paralysis in individuals with long-term injuries.

Electrical stimulation of the spinal cord - through the techniques of neuromodulation or neurostimulation - is now beginning to show real world promise. Two case series published towards the end of 2018 in the journals and New England Journal of Medicine demonstrated that neuromodulation, coupled with intensive physical therapy, allowed participants to start walking again.

One of the most common neuromodulation approaches - epidural spinal cord stimulation - has been investigated over the past four decades and was originally developed to treat chronic pain.

Briefly, a tiny panel of electrodes are implanted into the epidural space on top of the dura (the protective layer that encases the spinal cord) and are connected to a wireless electrical pulse generator. Electrical impulses are delivered to precise parts of the spinal cord.

Work from our laboratory has pioneered a growing body of evidence that epidural spinal cord stimulation can safely and effectively restore crucial autonomic functions - such as blood pressure control and bowel function - as well as improving exercise capacity - for patients with spinal cord injury.

Research focuses on walking

Walking-focused research has received a considerable amount of mainstream media attention. The hype may be driven by the general public's perception that the ability to walk again would be the No. 1 priority for individuals with a spinal cord injury.

However, survey information collected from individuals with spinal cord injury suggests certain autonomic functions (blood pressure control, bowel, bladder and sexual function) are of a higher priority for their everyday quality of life than the ability to walk again.

Non-disabled individuals often take these functions for granted, as they are autonomous (without conscious thought or effort). Individuals with spinal cord injury commonly experience numerous invisible conditions that can have a profound impact on everyday life.

Loss of bladder and bowel functions

For example, orthostatic hypotension (a drop in blood pressure) can occur when changing position, such as sitting up, which is often accompanied by dizziness, blurred vision, nausea, confusion and loss of consciousness. Orthostatic hypotension can also have long-term detrimental health consequences, including an increased risk of dementia and stroke.

The problem with using medication to manage orthostatic hypotension is that it takes too long to take effect. It then lasts longer than is necessary for such rapid changes in blood pressure.

Low blood pressure and altered autonomic cardiovascular regulation can also impair an individual's response to exercise. For example, the volume of blood being pumped by the heart and thus the ability to transport oxygen to working muscles is reduced, leading to premature fatigue and a lower exercise capacity.

Individuals with spinal cord injury also experience impaired or even complete loss of bladder, bowel and sexual function. Most are unable to empty their bladder (requiring catheterization) or initiate bowel movement and also experience urinary and fecal incontinence.

Many men have erection and/or ejaculation difficulties and both sexes may be unable to experience an orgasm.

Restoring the capacity for orgasm

Our research team focusses on investigating and treating autonomic impairments following spinal cord injury. Evidence for the success of epidural spinal cord stimulation is mounting.

First, we completely resolved a sudden drop in blood pressure and brain blood flow using epidural spinal cord stimulation in one individual with spinal cord injury.

Second, we have shown that epidural spinal cord stimulation is capable of improving upper-body exercise capacity by 15 to 26 per cent. This is equivalent to weeks or months of aerobic exercise training.

Furthermore, we have shown that epidural spinal cord stimulation significantly reduced the time needed for bowel management, compared to a conventional bowel routine, by more than half (26 versus 58 min).

We believe this improvement is a result of enhanced contractions of abdominal muscles, which in turn increases the pressure in the abdomen and promotes bowel evacuation. We also showed that epidural spinal cord stimulation can affect bladder function. Other researchers have demonstrated a restoration of voluntary voiding.

Recent work has also demonstrated the return of the ability to experience orgasm in one woman with a five-year spinal cord injury.

Promising research advances

While this research is promising, it is worth emphasizing that the majority of these findings have only been shown in a small number of participants.

(Shutterstock)

A considerable amount of work is still required to understand how to use this technology to optimize each autonomic function and whether specific injury characteristics are best suited for this therapy. Additionally, the implantation of electrodes requires an invasive operation, which is not without risk, and may also be cost prohibitive for some individuals.

Fortunately, researchers are also beginning to make advances with non-invasive spinal cord stimulation approaches. The placement of electrodes on the skin (transcutaneous) at certain locations over the spinal cord has also showed improvements in blood pressure control, bladder function and hand function.

This less invasive approach is currently being commercialized and could be widely available in a matter of years, assuming larger scale clinical trials confirm benefits and safety.

Findings suggest that these exciting technologies have the potential to significantly improve quality of life in individuals with spinal cord injury.

# data[].attributes.attachment_link.title
Electrical stimulation technique helps patients with spinal cord injury

# data[].attributes.attachment_link.description
Paralysis (loss of muscle function) is the most visible consequence of a spinal cord injury. Historically, there have been few significant advances in the treatment of such paralysis in individuals with long-term injuries. Electrical stimulation of the spinal cord - through the techniques of neuromodulation or neurostimulation - is now beginning to show real world promise.

# data[].attributes.headline
Artikulu Zientifikoa: Recovery of over-ground walking after SCI

# data[].attributes.subject
Artikulu Zientifikoa: Recovery of over-ground walking after SCI

# data[].attributes.body
26 Urte
2.5 urte lesio egunetik
T4 (nerbio torazikoa) Bizkar-Hezur Muineko lesioa (AIS eskalan A)
Mugimendu eta sentsazio eza lesio puntutik bera.
Besoetako mugimenduaren kontrol osoa

# data[].attributes.body
22 urte
3.3 urte lesio egunetik
T1 (nerbio torazikoa) Bizkar-Hezur Muineko lesioa (AIS eskalan B)
Behatzarekin ukitzerakoan sentsazio partziala bizkar-hezur muineko segmentuetan
Besoen mugimenduaren kontrol osoa

# data[].attributes.body
1. TALDEA
Guk honako bideo hau aurkitu dugu non estimulzaio epiduralaren bidezko ariketa ezberdinak ikus daitezkeen.  Horietako bat bizikleta bat non elektrodoen eraginez mugimendua sortzen da, kasu honetan hanketan.

# data[].attributes.attachment_link.title
Functional Electrical Stimulation After Spinal Cord Injury: Improving Motor Function and Beyond

# data[].attributes.body
Guk, ariketa hau proposatzen dugu, erreabilitazioaren azken faserako.  Ariketa honen helburua, lesioa izan baino lehen zuen funtzionalitatea  ahal den neurrian berreskuratzea da hidroterapia.
Bertan, barren laguntzaz gain, bi pertsonen laguntza du, gorputzaren oreka mantentzeko eta aurrerantz joateko.

# data[].attributes.body
Ariketa: Pertsona baten laguntzaz eta besoen indarra baliatuz silatik altxatzea eta eta aurreraka joaten ahalegintzea. Besoak bi barretan apoiaturik izango ditu.

Helburua: Pixkanaka persona baten laguntzaz eta besoen indarra baliatuz hanketako muskuluen indartzen eta kontrolatzen joatea.

# data[].attributes.body
Guk Ainhoaren kasuarekin erlazioa duen bideoa aurkitu dugu, non estimulazio elektrikoaen bidez mugimenduei hasiera ematen diete, muskuluak kontraitzen.

# data[].attributes.attachment_link.title
Muscle Contraction using the Application of  Russian Electric Muscle Stimulation | Pro Physio

# data[].attributes.body
2.08 minutuan, ikusi dezakegu nola barren laguntzarekin eta besoak erabiliz, pixkanaka beheko gorptz adarren funtzionamendua berreskuratzen joan daitekeela. Igerilekuan izateak, pisuaren impaktuak gutxitzen du.

# data[].attributes.body
Estimulazio epiduralaren zenbait ariketa proposatzen dituen bideo bat aukritu dugu. Pertsona baten laguntzaz eta besoen indarrez baliatuz burutzen direnak. Bestalde, hidroterapiaren inguruan miatu dugu eta hainbat hobekuntza ditu: oreka, digestio aparatua hobetu, atrofiak saihestu, arnasketa hobetu, tono muskularra mantendu, etab.

# data[].attributes.attachment_link.title
Estimulación Epidural: El procedimiento innovador para pacientes con lesiones de médula espinal

# data[].attributes.body
Ariketa: Ibiltzeko zinta bat baliatuz eskuak ipintzeko pazienteak 2 helduleku izango ditu. Honekin pisua hor jarri eta bi pertsonen laguntzaz hankak mugitzeko prozesua egingo da

Helburua: Hanketako giharrak estimulatu eta indartzea eta horrela mugimendua pixkanaka lortu ahal izatea.

# data[].attributes.attachment_link.title
Tres personas parapléjicas recuperan la capacidad de andar

# data[].attributes.body
Gure ustez ere, bi barren artean pixkanaka hastea da egokiena. Gainera, Edortak besoen erabileran arazorik ez du eta horretaz baliatu daiteke.
Hurrengo bideoan makina bat modu ikus ditzakegu, rehabilitazio egokia gauzatzeko.