Class Schedule (subject to change)
Sat Oct 12 live online and recorded (5 contact hours)
12:00 pm-5:30 pm
60 min: Electrical stimulation technology (electrical parameters, electrodes). What we must know about the stimulation systems.
30 min Current research
30 min: Testing of muscle- nerve connection for upper and lower extremity with electrical stimulation
60 min: Introducing non-invasive spinal cord stimulation including treatment protocols and various placements and settings for spinal electrical stimulation
30 min: Functional Electrical Stimulation (FES) in sit to stand transitions and gait for children with various disabilities.
30 min: Treatment ideas and strategies
30 min: Intro to Turtle Bracing
30 min Q and A
Sat Oct 19 in person (9 contact hours)
7:30-8:00 Sign in
8:00-9:00 Hands–on laboratory I: Sensory vs. muscle activation, twitch vs. tetanic contraction, experiencing different settings, nerve conduction testing
9:00-10:00 Demo patient with myelomeningocele: Testing the connection between nerve and muscle and setting up for therapy. Interpretation of test results and treatment descicons.
10:00-10:15 Break
10:15-11:30 Review and Hands-On Laboratory II: Various placements and settings for spinal electrical stimulation
11:30-1:00 Review and Hands–On Laboratory III: Functional Electrical Stimulation (FES) in for trunk stability, reaching, gait and sit to stand transition for children with various disabilities.
1:00-1:30 Lunch
1:30-2:30 Demo patient
2:30-3:30 4:30-5:15 (60 min) Stimulating alternating movements and weight shifts
3:30-3:45 Break
3:45-5:00 Demo pateints to treat for participants
5:00-6:00 (60) Lab: The Turtle Brace System molding braces, AFOs, TLSO, wrist
Research:
Motavalli, Gerti, Jan J. McElroy, and Gad Alon. "An exploratory electrical stimulation protocol in the management of an infant with spina bifida: a case report." Child Neurology Open 6 (2019): 2329048X19835656.
Goutam Singh, PT, PhD; Anastasia Keller, PhD; et al.
Safety and Feasibility of Cervical and Thoracic Transcutaneous Spinal Cord Stimulation to Improve Hand Motor Function in Children With Chronic Spinal Cord Injury. Neuromodulation 4/2023, https://doi.org/10.1016/j.neurom.2023.04.475
Kristin Girshin 1,2, Rahul Sachdeva, et al. Spinal Cord Neuromodulation to treat Cerebral Palsy in Pediatrics: POUNCE Multiside Randomized Clinical Trial 6/2023 Frontiers in Neuroscience, 10.3389/fnins.2023.1221809
James J. Laskin, Zeina Waheed,et al. Spinal Cord Stimulation Research in the Restoration of Motor, Sensory, and Autonomic Function for Individuals Living With Spinal Cord Injuries: A Scoping Review, Archives of Physical Medicine and Rehabilitation 2022;103: 1387-97, http://www.archives-pmr.org/
Parag N. Gad, Evgeniy Kreydin, Non-invasive Neuromodulation of Spinal Cord Restores Lower Urinary Tract Function After Paralysis, Frontiers in Neuroscience, doi: 10.3389/fnins.2018.00432
Samejima, S. Caskey, C. D. Inanici, F. Multisite Transcutaneous Spinal Stimulation for Walking and Autonomic Recovery in Motor-Incomplete Tetraplegia: A Single-Subject Design. Phys Ther 2022;102: DOI10.1093/ptj/pzab228.
Anastasia Keller1,2, Goutam Singh 1,2, et al. Noninvasive spinal stimulation safely enables upright posture in children with spinal cord injury NATURE COMMUNICATIONS https://doi.org/10.1038/s41467-021-26026-z
Solopova IA, Sukhotina IA, Zhvansky DS, et al. Effects of spinal cord stimulation on motor functions in children with cerebral palsy. Neurosci Lett. 2017;639:192-198.
Krucoff MO, Rahimpour S, Slutzky MW, Edgerton VR, Turner DA. Enhancing Nervous System Recovery through Neurobiologics, Neural Interface Training, and Neurorehabilitation. Front Neurosci. 2016;10:584.
Gerasimenko Y, Gad P, Sayenko D, et al. Integration of sensory, spinal, and volitional descending inputs in regulation of human locomotion. J Neurophysiol. 2016;116(1):98-105.
Lee NG, Andrews E, Rosoklija I, et al. The effect of spinal cord level on sexual function in the spina bifida population. J Pediatr Urol. 2015;11(3):142 e141-146.
Sayenko DG, Atkinson DA, Floyd TC, et al. Effects of paired transcutaneous electrical stimulation delivered at single and dual sites over lumbosacral spinal cord. Neurosci Lett.2015;609:229-234.
Shideler, B.L., et al., Toward a hybrid exoskeleton for crouch gait in children with cerebral palsy: neuromuscular electrical stimulation for improved knee extension. J Neuroeng Rehabil, 2020.