Schedule:
10:00 AM – 10:30 AM
Review & Newest Developments in NISE-Stim
Overview of NISE-Stim principles
Discussion of recent advancements in techniques and applications
10:30 AM – 11:15 AM
Topic: Kyphosis
Lecture (15 minutes): Anatomy and mechanics of kyphosis, treatment goals, and considerations
Hands-On (30 minutes): Guided electrode placement and stimulation techniques
11:15 AM – 12:00 PM
Topic: Lordosis
Lecture (15 minutes): Understanding lordosis patterns, challenges, and treatment approaches
Hands-On (30 minutes): Practice with tailored NISE-Stim applications for lordosis
12:00 PM – 12:15 PM
Break (15 minutes)
12:15 PM – 1:00 PM
Topic: Scoliosis
Lecture (15 minutes): Exploring scoliosis types, spinal curves, and treatment customization
Hands-On (30 minutes): Applying techniques for scoliosis-specific stimulation
1:00 PM – 1:45 PM
Topic: Hypotonia (SMA)
Lecture (15 minutes): Understanding hypotonia and its impact on posture and movement
Hands-On (30 minutes): Practical application of stimulation to address muscle activation
1:45 PM – 2:15 PM
Q&A Session
This schedule provides a comprehensive learning experience, allowing time for in-depth lectures, extended hands-on practice, and a dedicated Q&A session to address any remaining questions.
Program Objectives:
- Understand Advanced NISE-Stim Concepts: Deepen knowledge of spinal electrical stimulation principles and the latest developments in NISE-Stim techniques.
- Address Specific Spinal Conditions: Learn targeted treatment approaches for kyphosis, scoliosis, lordosis, and hypotonia (SMA).
- Master Practical Application: Gain hands-on experience in electrode placement and stimulation techniques for trunk-specific conditions.
- Enhance Assessment Skills: Identify and assess structural and functional issues in the trunk to tailor NISE-Stim treatments effectively.
- Improve Postural and Functional Outcomes: Apply NISE-Stim techniques to improve alignment, stability, and motor function.
- Build Confidence in Self-Treatment: Explore the impact of treatments on your own body and develop a deeper understanding of patient experiences.
Articles about electrical stimulation in pediatrics:
Published specifically about this surface spinal electrical stimulation treatment Gerti Motavalli developed together with Dr. Alon
An Exploratory Electrical Stimulation Protocol in the Management of an Infant With Spina Bifida: A Case Report Gerti Motavalli, MPT1 , Jan J. McElroy, PT, PhD, PCS2 , and Gad Alon, PhD, PT3
Child Neurology Open Volume 6: 1-6 ª The Author(s) 2019 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/2329048X19835656 journals.sagepub.com/home/cno
Ø Search: Child Neurology Open Sage Pub Electrical Stimulation https://journals.sagepub.com/doi/pdf/10.1177/2329048X19835656
The application of functional electrical stimulation and noninvasive spinal cord electrical stimulation (transcutaneous spinal cord stimulation) protocols to a 6-month old infant with myelomeningocele has not been previously reported in the medical literature. The observed gradual development of previously absent sensory and motor responses in this infant was novel, surprising, and encouraging. Functional electrical stimulation and spinal cord electrical stimulation are well tolerated and have minimal, transient adverse events when applied to infants with spina bifida. The initial positive outcomes and safety of the novel application of electrical stimulation for this case infant provide a basis for further research into a new intervention approach which could enhance development for infants born with spina bifida.
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.