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Multiple Sclerosis: regaining movement - progress from April to June

When Laura first saw Denys in April, there were specific parts of her leg muscles with very little engagement/response due to Multiple Sclerosis progression. Denys had minimal control in these areas. Laura uses targeted electrical stimulation to help improve responses in this area, and when Denys returned in June just a few months later, there is a marked improvement in the responses and control in this area. Even without the electric turned on Denys is now able to recruit the muscle voluntarily.

With more advanced cases, it takes time and work to ‘switch on’ muscles that have been inactive for some time, but these sparks of progress is a huge step forward.

Multiple Sclerosis, MS, walking rehabilitation, Multiple Sclerosis therapy, MS drop foot, MS dorsiflexion, MS walking power, spasticity, HSCT, MS spasticity, MS walking, MS gym, MS training, gym, spasms, Multiple Sclerosis intensive therapy, neubie therapy, neufit, neubie, neubie uk therapy, electrical stimulation therapy, e-stim, FES, electrical stimulation for multiple sclerosis, international rehabilitation intensive programmes, UK leading MS rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

Multiple Sclerosis: regaining muscle control and feeling

Most of our clients with Multiple Sclerosis experience symptoms affecting one side of their body more than the other - particularly in the lower body muscles, which often presents as altered sensation and differences in muscle control on the left and right sides of the body. This imbalance leads to changes in gait and affects balance/stability, so working towards a more equal level of control and feeling in both the left and right side is important ‘groundwork’ when working with MS.

Erin and Suky are working on improving the muscle contraction and control in her weaker side - primarily in the glutes which are important for walking balance and power. The left side has good control, however the right initially has very little movement/response. Erin initially helps Suky achieve better contraction in the right glute, but with some work Suky is able to contract the glute to lift the leg away from the bed! This is huge progress and the start of improving her walking and stability.

Multiple Sclerosis, MS, walking rehabilitation, Multiple Sclerosis therapy, MS drop foot, MS dorsiflexion, MS walking power, spasticity, HSCT, MS spasticity, MS walking, MS gym, MS training, gym, spasms, Multiple Sclerosis intensive therapy, neubie therapy, neufit, neubie, neubie uk therapy, electrical stimulation therapy, e-stim, FES, electrical stimulation for multiple sclerosis, international rehabilitation intensive programmes, UK leading MS rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

Multiple Sclerosis GOAL: walking his son to school (part 2)

Alex’s main focus for rehab is around his son, who starts school in September, with the goal of walking to do school drop-off. Rob and Alex worked on improving his muscle control over the first few weeks together (1.5hr per week in the clinic) before they did some trial runs in the clinic.

By week 6, Rob knew Alex was ready to put everything they’ve built and practiced to the test - walking 0.4miles on uneven surfaces, using stairs and up/down hills to practice the school run. This is the longest Alex has walked unaided in a long time!

In part 2 - the return journey - fatigue starts kicking in, so Rob and Alex have to apply all the techniques and coaching they’ve practiced. This includes taking strategic breaks, body positioning, reminders of which muscles should be contracted at what point (not allowing compensation patterns to take over). What an achievement!

Multiple Sclerosis, MS, walking rehabilitation, Multiple Sclerosis therapy, MS drop foot, MS dorsiflexion, MS walking power, spasticity, hamstring, HSCT, MS spasticity, MS parent, MS walking, MS gym, MS training, gym, spasms, Multiple Sclerosis intensive therapy, neubie therapy, neufit, neubie, neubie uk therapy, electrical stimulation therapy, e-stim, FES, electrical stimulation for multiple sclerosis, international rehabilitation intensive programmes, UK leading MS rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

Multiple Sclerosis GOAL: walking his son to school

Alex’s main focus for rehab is around his son, who starts school in September, with the goal of walking to do school drop-off. Rob and Alex worked on improving his muscle control over the first few weeks together (1.5hr per week in the clinic) before they did some trial runs in the clinic.

By week 6, Rob knew Alex was ready to put everything they’ve built and practiced to the test - walking 0.4miles on uneven surfaces, using stairs and up/down hills to practice the school run. This is the longest Alex has walked unaided in a long time! Pt 2 covers the return journey, when fatigue starts to kick in and Alex faces the second part of the challenge.

Multiple Sclerosis, MS, walking rehabilitation, Multiple Sclerosis therapy, MS drop foot, MS dorsiflexion, MS walking power, spasticity, hamstring, HSCT, MS spasticity, MS parent, MS walking, MS gym, MS training, gym, spasms, Multiple Sclerosis intensive therapy, neubie therapy, neufit, neubie, neubie uk therapy, electrical stimulation therapy, e-stim, FES, electrical stimulation for multiple sclerosis, international rehabilitation intensive programmes, UK leading MS rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

Multiple Sclerosis standing progress - from 15sec to 5mins

After years of progressive decline, Lorraine spends 95% of the time seated or in a wheelchair. One of the main goals was to help Lorraine stand - not only did they achieve this but she stood for 20x longer than she has in 4 years! Until now, her maximum standing duration was 15 seconds… over the course of 5 days she worked to 5 minutes.

At first, they start with Luke’s support - holding both hands while Lorraine learns to engage the muscles correctly again. With practice, they are able to shift from the weaker side to the stronger side - this is important with Multiple Sclerosis as very often one side is impacted more than the other and clients learn to bias the side with better communication. They are then able to establish a more even weight distribution which helps Lorraine stay stable and avoid hyperextending.

Multiple Sclerosis, MS, walking rehabilitation, Multiple Sclerosis therapy, MS drop foot, MS dorsiflexion, MS walking power, spasticity, hamstring, HSCT, MS spasticity, MS walking, MS gym, MS training, gym, spasms, Chicago, MS Chicago, Multiple Sclerosis intensive therapy, neubie therapy, neufit, neubie, neubie uk therapy, electrical stimulation therapy, e-stim, FES, electrical stimulation for multiple sclerosis, international rehabilitation intensive programmes, UK leading MS rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

Motor Neurone Disease - upper limb control and hand movement/dexterity

Christian visited APEX NEURO to work intensively with the team following decline due to Motor Neurone Disease. One of the key focus areas was control in the arm muscles, which are important to lifting food/drink towards the face. Christian was experiencing a common symptom - a twist in the wrist at the top of the movement, Laura is coaching him on where to focus to minimise the twist and keep control of his hand position.

They also focus on his dexterity and finger movement (Christian has played the piano since he was just 5 years old!) working on straightening and flexing the fingers with better control.

MND, Motor Neurone Disease, ALS, Motor Neurone Disease UK, amyotrophic lateral sclerosis, upper limb onset, bulbar, degenerative conditions, intensive therapy, neubie, neubie therapy, neubie therapy, neubietherapy, neubie therapy uk, intensive rehab, neurorehab, UK, neurorehab UK, laser therapy, electrical stimulation therapy

Multiple Sclerosis - walking without aid

Dan and Erin have worked hard on improving Dan’s muscle control and reducing spasticity to get towards the goal of walking unaided.

This is without electricity - Erin is coaching Dan particularly on foot positioning and which muscles he needs to contract at what point to give him better power and stability. He also now has reduced the hip swinging and is gaining speed and confidence walking without any aid.

Multiple Sclerosis, MS, walking rehabilitation, Multiple Sclerosis therapy, MS drop foot, MS dorsiflexion, MS walking power, spasticity, HSCT, MS spasticity, MS walking, MS gym, MS training, gym, spasms, Multiple Sclerosis intensive therapy, neubie therapy, neufit, neubie, neubie uk therapy, electrical stimulation therapy, e-stim, FES, electrical stimulation for multiple sclerosis, international rehabilitation intensive programmes, UK leading MS rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

Multiple Sclerosis: improving stability and standing independently

After many years of decline in her mobility, Rob and Bev are working hard in the clinic and remotely on her standing after she stood for the first time in 7 years! The biggest areas of focus are on her ability to voluntarily contract and maintain contraction in the muscles involved in stability and power to help her getting up from seated, and staying stood with control.

Multiple Sclerosis, MS, walking rehabilitation, Multiple Sclerosis therapy, MS drop foot, MS dorsiflexion, MS walking power, spasticity, HSCT, MS spasticity, MS walking, MS gym, MS training, gym, spasms, Multiple Sclerosis intensive therapy, neubie therapy, neufit, neubie, neubie uk therapy, electrical stimulation therapy, e-stim, FES, electrical stimulation for multiple sclerosis, international rehabilitation intensive programmes, UK leading MS rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

Transverse Myelitis - rebuilding strength

We are seeing a growing client base with Transverse Myelitis which shares a number of similarities to Multiple Sclerosis (the condition we see most in the clinic) including damage to the myelin sheath.

Our approach is showing improved function, improved muscle control and improved range of motion which is demonstrated in functional/walking ability and distance. Combining specific electrical stimulation and targeted training we are improving muscle contraction and strengthening muscles to improve walking stability, gait and control

Luke is teaching Nikita how to train so she can continue this work at home - we don’t want clients to rely on us and focus heavily on education and coaching. The first time our clients hear ‘training to failure’ they often think of failure negatively, however in this context it is an achievement - we are working towards building new muscle tissue! “We aren’t training to failure, we are training to succeed”.

Transverse Myelitis, TM, transverse myelitis rehab, transverse myelitis rehabilitation, transverse myelitis UK, TM UK, Multiple Sclerosis, MS, walking rehabilitation, Multiple Sclerosis therapy, spasticity, HSCT, MS spasticity, MS walking, MS gym, MS training, gym, spasms, Multiple Sclerosis intensive therapy, neubie, neubie uk therapy, electrical stimulation therapy, international rehabilitation intensive programmes, UK leading MS rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

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LEADERS IN NEUROREHABILITATION

SETTING A NEW STANDARD OF NEUROREHABILITATION FOR COMPLEX CONDITIONS, INCLUDING MULTIPLE SCLEROSIS, MOTOR NEURONE DISEASE AND FUNCTIONAL NEUROLOGICAL DISORDER. OUR RESULTS SPEAK FOR THEMSELVES, DEFYING TYPICAL CONVENTIONAL AND OUTDATED OUTLOOKS.

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