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Multiple Sclerosis - Reducing Spasticity & Building Strength

Spasticity is one of the most common Multiple Sclerosis symptoms our team works with. Spasticity can significantly limit range of motion and the ability to engage the muscles, as well as often causing a lot of discomfort and challenge in day to day movement. With spasticity reduced, the rest of our work becomes a lot easier.

You’ll see our team working to reduce spasticity on many of our videos for this reason. Clients often have greater muscle control that we ‘uncover’ when the spasticity isn’t acting as a barrier.

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

Nearly x10 Better Than She Expected…

Corinna, who travelled from Germany to spend 9 days working intensively with Rob after her first intensive over a year ago, outlines a limit she perceives is holding her back - that she “could only do 3-4 leg raises”. Let’s see if that is really the case!?

If you don’t finish watching the full video - she ended up doing 37 in a matter of minutes.

This evidence is a turning point for Corinna for understanding her own limits. Corinna, who has worked with Rob before and has made incredible progress in the clinic and through diligent work remotely (including being able to hike across a frozen lake and up a mountain!) has built the trust that she can be challenged in order to change her perspective.

Clients are often able to do much more than they realise… part of our role is to assess and understand the abilities, and the beliefs that may be holding someone back. This is important not just to demonstrate to Corinna how much more capable she is, but it also informs where the focus should be now - in Corinna’s case beginning to use the gym to build this strength. If we took her first answer “3-4 leg raises” - Rob would be making different recommendations.

Corinna puts it best when she finds out she did around 36 leg raises - “shit!” “I have to confess, I wasn’t aware I can do so many.”
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

Functional Neurological Disorder (FND) - Regaining control in both sides of the body

One of the major challenges when working towards resolution of Functional Neurological Disorder is the variety of ways symptoms present (and also change or vary across time). Often, clients with Functional Neurological Disorder find each side is affected differently (the same can be true for the upper and lower body).

Leanne has good control on one side - when she wants to contract the core muscle she can do this easily and voluntarily without any issue.

However, the other side is a different story. When she tries to contact her core, there is a ‘resistance’, which can also result in increased tremors. Having uninhibited voluntary control in the whole body is very important. Unlike conditions that effect the ‘hardware’ of the body like Multiple Sclerosis, HSP and Motor Neurone Disease, there often isn’t a clear or obvious explanation as to why specific areas are affected.

Luke and Leanne’s goal for this session is to help her achieve voluntary control in the core on both sides. She’s using her strong side to help ‘mirror’ and guide her brain towards producing the correct movement. Interestingly, and not an uncommon experience with FND, she can feel when she’s getting closer to achievement the movement - then it happens! This is a huge step in the right direction towards complete control over her body!

Functional Neurological Disorder, FND, FND therapy, tremors, FND tremors, apex neuro, apex neuro manchester, neubie, neubie therapy, neubie therapy, neubietherapy, neubie therapy uk, electrical stimulation therapy, international rehabilitation intensive programmes, UK leading FND rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

Multiple Sclerosis - Why is training so important?

When working with conditions that are as complex as Multiple Sclerosis - you need lots of tools in the toolbox. 🧰🔧

The electrical stimulation (delivered by the machine commonly featured in our videos that helps deliver a specific type of electrical current) is one part of the approach - primarily to help improve muscle engagement and control.

However, this is just one part of a bigger picture.

For many people, loss of strength, and sometimes muscle atrophy (reduction in muscle mass) are common with degenerative conditions. Over time, this affects mobility and day to day function. Alongside improving the communication between the brain and the body with help from electrical stimulation, we also work towards building and maintaining muscle mass and strength using specific types of training. This isn’t just important to the work in the clinic, it is an actionable change for the work clients continue at home.

Muscle takes time and repetition to build - so giving clients the confidence to use the gym in the most effective way for them is so important to long-term change.

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 intensiv

Multiple Sclerosis - Building Muscle Control

Jo came back for her second intensive with APEX NEURO after achieving some big goals during the first visit (standing independently for over 6 minutes!)

Previously, Erin had worked on the muscles important for sit-to-stands and remaining stable when stood up, and Jo, who usually uses a wheelchair, was able to stand unaided for 6 minutes 👏 (followed by some happy tears!)

This time, Erin is focusing on building improved engagement and control in the muscles that are important for standing and walking. The hip flexors (which are very often affected is Multiple Sclerosis), initially had limited movement and minimal control. After working through spasticity (which was limiting the range of motion and ability to engage the muscle voluntarily) and some coaching on movement, Jo begins to regain a connection to the muscle. With practice, she can begin engaging the hips to move the leg up, holding the leg in place, and carefully lowering it down. When it comes to movements like walking or using stairs, this kind of control is key.

Jo now has the tools to be able to do these movements at home - we want our clients to be improving in and out of the clinic, so having taught Jo what she should be doing and what feeling she should be looking for, she can continue to build up strength, connection and 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

Mic’ed Up at APEX NEURO - Sep 2026

The moments we loved that were too good to leave behind!

Multiple Sclerosis, MS, MS UK, RRMS, PPMS, Multiple Sclerosis rehab, MND, Motor Neurone Disease, ALS, Motor Neurone Disease UK, Transverse Myelitis, TM, transverse myelitis rehab, transverse myelitis rehabilitation, transverse myelitis UK, TM UK, degenerative conditions, intensive therapy, neubie, neubie therapy, neubie therapy, neubietherapy, neubie therapy uk, intensive rehab, neurorehab, UK, neurorehab UK, laser therapy, electrical stimulation therapy, Functional Neurological Disorder, FND, FND therapy, tremors, FND tremors, MND, Motor Neurone Disease, ALS, Motor Neurone Disease UK, amyotrophic lateral sclerosis, upper limb onset, bulbar, degenerative conditions, Transverse Myelitis, TM, transverse myelitis rehab, transverse myelitis rehabilitation, transverse myelitis UK, TM UK, This is TM, ThisIsTM, Hereditary Spastic Paraplegia, HSP, Hereditary Spastic Paraplegia rehab, HSP UK, spasticity, drop foot, drop foot therapy

Multiple Sclerosis - Improving Dexterity, Grip & Finger Control

A lot of our content shows how we work with MS on the lower body - however we also work with MS clients whose upper body has been impacted, which primarily presents in changes in the hands/finger function, and limited range of motion in the upper body.

During his intensive with APEX NEURO, Rob and Frank split their focus between lower body, and dexterity in the hands and fingers, which impacts Frank’s fine motor skills and grip. Frank has found it difficult to get a flat, open palm, which helps grip larger objects, as well as release objects. This movement is important to every day life.

As you can see, Frank’s fingers are very responsive to the e-stim. Using a combination of the electrical current, and specific coaching, Frank is able to use his hands more efficiently achieving better dexterity, finger control and open-close of the grip.

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 - The difference in standing in the space of an hour.

After a lot of work with the electrical stimulation working on improvement muscle engagement and control, Luke and Lynlie are ready to turn their attention to standing. This is the next step in our goal to help Lynlie, who is usually dependent on a wheelchair, towards standing and walking.
Initially, Luke is helping Lynlie more as she gets used to the movements, improving the muscle engagement which helps her drive up, and stabilise when stood. As they practice he is slowly able to reduce the amount he helps, and Lynlie is able to generate more power - including bringing her body into an upright position.

As Luke can see Lynlie is starting to get tired (this is hard work!) they have a simple fix: rest, then try again.

After a break and some work using the e-stim, just 30mins later Lynlie is much more fluid and powerful in the movement. This is exactly the kind of progress we love to see!

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 - Sit-to-Stand and Standing

Multiple Sclerosis progression has impacted Deny’s mobility, including her ability to go from sit-to-stand, and to stay standing. In her first attempt, the effort is clear, but the form is holding her back, she is having to twist her body and put the emphasis on pushing through her arm, which is a really difficult way to stand. Laura has spent hundreds of hours with clients working on this movement, so it’s easy for her to spot the adjustments needed to get a quick improvement (this is WITHOUT any help from the electrical stimulation). With some coaching and practice, Denys progresses not just in more fluid and stable standing, but into a solid stand for nearly 2 minutes - a great step towards more independence and 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

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LEADERS IN NEUROREHABILITATION

SETTING A NEW STANDARD OF NEUROREHABILITATION FOR COMPLEX CONDITIONS, INCLUDING MULTIPLE SCLEROSIS, TRANSVERSE MYELITIS, HEREDITARY SPASTIC PARAPLEGIA AND STROKE. OUR RESULTS ARE DEFYING TYPICAL CONVENTIONAL & OUTDATED OUTLOOKS.

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