• January 11-12, 2027

    Panjim, Goa, India

  •  


                                           

    NISE-Stim Course for the Trunk (Level 2A)

    and

    NISE-Stim for Tone Modulation

    from Hypotonia to Spasticity and Dystonia (Level 2B) 

    NISE-Stim 2 Certification

    by Gerti Motavalli, PT, MPT — Founder of NISE-Stim


    Deepen Your Skills in Postural Correction

    & Tone Modulation

     

    🔹 Be Among the First to Achieve Advanced NISE-Stim 2 Certification
    Join us for an intensive, 8-hour in-person training focused on advanced clinical strategies to improve posture, tone regulation, and functional outcomes in children with complex neuromotor challenges.


    💡 What You’ll Learn
    Gain advanced clinical tools and hands-on experience in:

    Treatment of scoliosis, kyphosis, and lordosis
    Neuromodulation techniques to either excite or dampen nerve activity for:

    Enhancing muscle activation and strength in SMA and severe hypotonia
    Reducing high tone in spasticity, dystonia, and mixed tone presentations
    Clinical reasoning for targeted muscle activation and optimized postural alignment

    🔌 Who Should Attend
    This course is exclusively for therapists who have completed NISE-Stim 1 and wish to deepen their expertise in spinal stimulation for tone modulation and spinal alignment.
    If you haven’t taken NISE-Stim 1 yet, you can request the online NISE-Stim 1 course to get started.


    🕐 Course Details
    Day: Monday
    Time: 8:00 a.m. – 5:00 p.m.

    Day: Tuesday
    Time: 8:00 a.m. – 2.45 p.m.


    Location: Panjim, Goa, India

    Course Coordinators:
    Shreya Donadkar
    📧 shreya.donadkar@gmail.com

    Cost (amounts below are in US$):

    Deposit to reserve your spot (non-refundable) $50
    NISE-Stim® Level 2 ONLY $500 before $50 deposit or $450 after $50 deposit 
    NISE-Stim® Level 1 and 2 register for both or $400 each course before $50 deposit) or $350 each course after $50 deposit

    Payment Plans Available (amounts below are in US$)

    NISE-Stim® Level 2 ONLY

    Option 1
    $50 deposit towards the course cost to reserve your spot 
    $200 due October 1, 2026
    $250 due November 1, 2026

    Option 2
    $500 pay-in-full 

    NISE-Stim® Level 1 and 2 (registration required for each) 

    Option 1 ($400 per course) 
    $50 deposit towards the course cost to reserve your spot ($50 deposit per course) 
    $200 due by October 1 
    $150 due by December 1, 2026 ($400 course fee due for each course)

    Option 2
    $400 pay-in-full 

     


    🔗 Learn More
    🌐 spinalstim.net
    📸 Follow on Instagram: @NISEstimtherapy

     

    Biography:

    Gerti Motavalli is a pediatric physical therapist with over 40 years of clinical experience across Germany, India, and the United States. She is the co-developer of the NISE-Stim protocol (Non-Invasive Spinal Electrical Stimulation) designed specifically for children with neuromotor impairments such as Spina Bifida, cerebral palsy, spinal cord injury, and brachial plexus injury.

    In collaboration with Dr. Gad Alon, a world-renowned expert in electrical stimulation, Gerti developed the first surface spinal electrical stimulation protocol for children, published in Child Neurology Open and presented at major conferences including the Pediatric Physical Therapy Conference (CSM 2020), the Spina Bifida World Congress (2023), and the International Functional Electrical Stimulation Society (IFESS) Conference in the UK (2024).

    Gerti currently treats children both in person and virtually, and has trained hundreds of therapists worldwide in applying spinal stimulation safely and effectively. Her courses combine strong clinical reasoning with hands-on practice and real case demonstrations, making them highly practical and transformative for pediatric therapists.

    Program Objectives:

    By the end of this 14-hour training, participants will be able to:

    1.     Apply advanced NISE-Stim® concepts by integrating updated spinal electrical stimulation principles and recent clinical developments into treatment planning.

    2.     Design targeted treatment strategies for kyphosis, scoliosis, lordosis, hypotonia, spasticity, and dystonia using condition-specific stimulation approaches.

    3.     Demonstrate proficiency in practical application of NISE-Stim® through accurate electrode placement, parameter selection, and hands-on trunk-specific stimulation techniques.

    4.     Perform advanced trunk assessment and clinical reasoning to identify structural and functional impairments and tailor individualized NISE-Stim® protocols.

    5.     Improve postural alignment, stability, and functional motor outcomes through integration of spinal stimulation with positioning and movement-based strategies.

    6.     Demonstrate clinical competence and confidence by observing, participating in, and reflecting on live treatments of children with complex neuromotor presentations, including spasticity, dystonia, and hypotonia.



                                                            

     

  • Class Schedule (subject to change)— Advanced NISE-Stim 2 Certification

     

    Day 1 – Postural Correction & Advanced Setup (8 Hours)
    8:00 – 9:30 AM
    Lecture & Hands-On – Advanced E-Stim Adjustments
    An in-depth session on how to fine-tune stimulation parameters for specific clinical goals using NISE-Stim. Includes guided hands-on application.

    9:30 – 10:30 AM
    Lecture & Hands-On – Lordosis
    Learn and practice targeted stimulation strategies for improving trunk alignment and reducing excessive lumbar extension.

    10:30 – 10:45 AM – Break

    10:45 – 11:45 AM
    Lecture & Hands-On – Kyphosis
    Explore treatment techniques to improve upper trunk extension and correct postural collapse.

    11:45 AM – 12:45 PM
    Demo Treatment – Gerti Motavalli
    Live demonstration treating lordosis and kyphosis, with discussion of stimulation parameters and patient setup.

    12:45 – 1:15 PM – Lunch Break

    1:15 – 2:30 PM
    Lecture & Hands-On – Scoliosis
    Comprehensive training on managing scoliosis using NISE-Stim. Learn to improve flexibility and alignment toward the midline.

    2:30 – 3:30 PM
    Demo Treatment – Gerti Motavalli
    Live scoliosis treatment demo with clinical reasoning discussion.

    3:30 – 3:45 PM – Break

    3:45 – 5:00 PM
    Hands-On – Trunk Alignment Practice with Children
    Participants work directly with 4–5 children presenting with scoliosis, kyphosis, or lordosis to apply individualized trunk stimulation techniques.


    Day 2 – Tone Modulation & Functional Control (6 Hours)
    8:00 – 9:30 AM
    Lecture & Hands-On – Hypotonia, SMA & Weakness
    Learn how to activate low-tone muscles and improve endurance and function in children with SMA and generalized weakness.

    9:30 – 10:30 AM
    Lecture & Hands-On – Spasticity
    Strategies to inhibit high tone and enhance voluntary movement control.

    10:30 – 10:45 AM – Break

    10:45 – 11:45 AM
    Lecture & Hands-On – Dystonia
    Techniques to reduce overflow, twisting, and co-contractions through precise inhibitory stimulation setups.

    11:45 AM – 12:45 PM
    Demo Treatment – Gerti Motavalli
    Live tone modulation treatment showcasing stimulation adjustments and clinical reasoning.

    12:45 – 1:15 PM – Lunch Break

    1:15 – 2:15 PM
    Hands-On – Tone Modulation with Children
    Participants practice tone modulation techniques for spasticity, dystonia, and mixed tone presentations.

    2:15 – 2:45 PM
    Summary & Q&A
    Review, discussion, and clinical insights to conclude the course.

    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.

    Transcutaneous spinal cord stimulation (tSCS) is emerging as a promising non-invasive intervention for reducing spasticity in children, particularly those with cerebral palsy (CP) and spinal cord injury (SCI). Recent studies demonstrate both neuromodulatory benefits and improvements in motor control, making it a viable option for pediatric neurorehabilitation.

    A 2023 pilot study by Shrivastav et al. (Transcutaneous Spinal Stimulation and Short-burst Interval Treadmill Training in Children with Cerebral Palsy: A Pilot Study, IEEE Transactions on Biomedical Engineering doi: 10.1109/TBME.2024.3522317) investigated the combination of tSCS with short-burst interval treadmill training in children with CP. The results showed sustained reductions in spasticity for up to 8 weeks post-intervention. These improvements were accompanied by enhancements in walking function, suggesting a dual benefit of the intervention. https://doi.org/10.1109/TBME.2024.3522317
     

    Building on this, a 2024 study by the same group Shrivastav et al. Transcutaneous Spinal Stimulation and Short-Burst Interval Treadmill Training in Children With Cerebral Palsy: A Pilot Study, IEEE Transactions on Biomedic... >Volume: 72 Issue: 5 reinforced these findings. In this multi-session protocol, improvements in spasticity were consistently observed, further supporting the feasibility of integrating tSCS into pediatric therapy regimens.

    An earlier controlled study by Solopova et al. (2017) Effects of spinal cord stimulation on motor functions in children with cerebral palsy, Neuroscience Letters, Volume 639, 3 February 2017, Pages 192-198 provided foundational evidence for spinal cord stimulation in children with spastic diplegic CP, reporting motor function improvements after stimulation at two spinal levels. EMG data confirmed decreased spastic responses post-stimulation.

    In a broader review of tSCS application across age groups, Singh et al. (2023) Transcutaneous Spinal Stimulation From Adults to Children: A Review, Top Spinal Cord Inj Rehabil (2023) 29 (1): 16–32. https://doi.org/10.46292/sci21-00084 discuss how neuromodulatory principles effective in adults appear to translate well into pediatric populations, with similar reductions in spasticity and potential for motor recovery.

    Although tSCS studies in pediatric SCI populations are still sparse, preliminary research
    like Singh et al. (2024) Safety and Feasibility of Cervical and Thoracic Transcutaneous Spinal Cord Stimulation to Improve Hand Motor Function in Children With Chronic Spinal Cord Injury, Neuromodulation: Technology at the Neural Interface, Volume 27, Issue 4, June 2024, Pages 661-671 has confirmed its safety and feasibility in children with chronic SCI, laying groundwork for future clinical use.
     

    Together, these studies signal a growing consensus: tSCS can safely reduce spasticity and enhance function in children, especially when combined with gait training or neurodevelopmental therapies

     

     

  • Registration

  •  - -

  • Liability Waiver and Agreement

    1. Intellectual Property and Teaching Restrictions

    I acknowledge that all course materials, presentations, videos, documents, and recordings related to NISE-Stim are the intellectual property of Gerti Motavalli, LLC, protected by copyright law.
    I agree that I will not teach NISE-Stim courses, workshops, or training sessions to other therapists or professionals, nor will I reproduce, distribute, or modify any NISE-Stim materials for instructional, promotional, or commercial use.
    I may, however, educate families, caregivers, and other professionals about what NISE-Stim is, its purpose, and its general benefits—provided such communication does not constitute teaching or training in the NISE-Stim method.

    2. Purpose of Instruction

    I understand that the purpose of the Class is to provide professional education, demonstrations, and hands-on learning in Non-Invasive Spinal Electrical Stimulation (NISE-Stim).
    The Class is intended to expand professional knowledge and clinical skill and does not authorize participants to teach NISE-Stim.
    To receive full continuing education credit, I must attend the entire course as scheduled.

    3. Assumption of Risk and Safety

    I understand that participation in this Class involves the use of electrically powered therapeutic equipment. I agree to exercise appropriate care and caution in its use and acknowledge that I am responsible for my own safety and personal belongings at all times.
    I hereby release and hold harmless Gerti Motavalli, MSPT, LLC, and all affiliated instructional staff, assistants, contractors, and facilities from any and all liability for injury, loss, or damages incurred during my participation in the Class.

    4. Professional Responsibility

    I understand that the Sponsor and its affiliates are not responsible for my conduct or professional services as a licensed therapist, health professional, or provider of related services.
    I remain fully responsible for the care and safety of my own patients and for adhering to the laws and regulations governing my professional license.
    If I request mentorship from Gerti Motavalli regarding a specific patient, I acknowledge that I remain the licensed professional responsible for that patient’s care and clinical outcomes.

    5. Release of Liability

    I hereby release and hold harmless Gerti Motavalli, MSPT, LLC, its employees, contractors, assistants, and affiliates from any and all claims, damages, or causes of action arising out of or related to my participation in the Class or mentorship, including but not limited to injury, property loss, or professional disputes.

    6. Acknowledgment

    I have read and fully understood this Liability Waiver and Agreement. I voluntarily accept and agree to all terms and conditions set forth herein.

  • Date
     - -

  • PLEASE READ THE INFORMATION BELOW CAREFULLY. If you have questions, please email us at NISE@Spinalstim.net

    Cost (amounts below are in USD):

    NISE-Stim® Level 2 ONLY ($500 course fee) - this is for therapists registering for only Level 2 in Panjim, Goa, India.
    OPTION 1 - Payment Plan (amounts below are in USD)
    $50 deposit to reserve your spot
    $200 due October 1, 2026
    $250 due November 1, 2026

    OPTION 2
    $500 pay-in-full 



    NISE-Stim® Level 1 and 2 - must register for each course ($400 each course) - this is for therapists registering for both Level 1 and 2 in Panjim, Goa, India. 
    OPTION 1 - Payment Plan (amounts below are in USD)
    $50 deposit to reserve your spot ($50 deposit per course required)
    $200 due by October 1 (per course) 
    $150 due by December 1, 2026 (per course)

    OPTION 2
    $400 each course - pay-in-full  

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            • Please note that in the event of unforeseen circumstances, such as sudden severe illness or canceled flights, that prevent me from attending the course, I will refund the course fee in full. However, I cannot be held responsible for any additional expenses that participants may incur, such as travel or accommodation costs.

            • If you can't pay by the payment methods below, please make a

              Bank Transfer


              Name: Gertrud Motavalli

              Routing number: 026073150

              Bank name and address: Community Federal Savings Bank, 89-16 Jamaica Ave, Woodhaven, NY, 11421, United States

              Swift/BIC: CMFGUS33

               

              Once you have completed your payment, please upload an image or screenshot of your bank transfer confirmation. 

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