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WORKING WITH US - FAQs

Frequently asked questions about our method, working with us, who we are and what to expect. Don't see your question here? Drop us an email contact@apexneuro.co.uk



ABOUT APEX NEURO

HOW DOES APEX NEURO DIFFER FROM OTHER NEUROREHAB?

Technology | We use technology that is a one-of-a-kind in the UK. Our unique, multi-disciplinary method often produces results that defy the clinical outlook, particularly for degenerative conditions such as Motor Neurone Disease and Multiple Sclerosis.


Commitment | Unlike many neurorehab approaches, we do not expect clients to spend extended periods of time away from their homes and family. We instead offer shorter duration "intensives" (ranging from 3 to 20 days) compared to the 2-3 month commitment of other programmes. We find this helps to minimise stress, reduces barriers to entry, and allows for clients to continue progressing using at-home approaches to accelerate results between visits.


Outlook | A number of neurorehab clinics in the UK turn away complex conditions such as MND, MS and FND with the outlook that there is "nothing that can be done". We have a growing body of evidence demonstrating that this doesn't have to be the case. On a nearly daily basis, we see clients who have been told to "only expect decline" improve motor function, breathing, speech, balance, stability, dexterity, spasticity, pain, movement, gait and a host of other symptoms. For this reason, our outlook is different.



TO SOLVE HARD PROBLEMS, YOU HAVE TO THINK DIFFERENTLY.



WHAT TECHNOLOGY DO YOU USE?

We work primarily with two devices, the Neubie and non-thermal low level laser which have been FDA-cleared and CE marked (conforms with European health, safety and environmental protection standards). We find the US outlook and approach to rehab is more advanced than most of the UK, which is why we source our kit form the US. Presently, we are the UK's only clinic with a Neubie device. The devices are typically very well tolerated, but we cannot work with clients who have a history of, or present cancer, implanted devices such as a pacemaker, or are pregnant.


Our method differs substantially from most traditional UK approaches. Working with us will not be passive - in order to get the best outcomes, there has to be enough of a stimulus and repetition for adaptation. Each session is tailored to the individual. For an insight into what to expect, please see our instagram content.


WHO ARE ROB AND SARAH?

Sarah Steel founded APEX NEURO after her own rehab journey following a brain injury. She quickly realised that she would need to take control of her own recovery after being let down by traditional approaches, and this lead her to discover many of the approaches that formed the APEX NEURO method. Her academic background is in Neurophysiology and Psychology, including achieving BPS student of the year for research on cerebral glucose and brain function. She is a qualified personal trainer.


Rob Cartwright comes from an elite sports background, achieving a semi-pro American Football contract and being scouted for Team GB Windsurfing team. His academic background is in Sports Science. Rob suffered a career-ending double herniation, so knows how devastating injuries can be. Rob's sister was diagnosed with a brain tumour aged 9, and he was by her side throughout her fight, until she passed away at age 37. During this time, Kaz lost the ability to walk, her sight and suffered strokes and seizures. His first-hand experience as Kaz's carer fuels his passion for neurorehabilitation. Rob is also a qualified personal trainer.



EXPECTATIONS AND PROGRESS

HOW QUICKLY CAN I EXPECT TO PROGRESS?

Every person is unique. Numerous things impact the rate of progress, including condition/injury, if the condition is degenerative and how advanced it is, what you're doing to support rehab outside of the sessions. Adequate nutrition and hydration are very important to support recovery. For neurorehab, the latest research recommends 80hrs for conditions such as stroke and spinal cord injury. With these conditions, the event has taken place and there is no underlying condition that is progressive and degenerative in nature. Using advanced technologies, we are often able to exceed the standard rate of progress, but there must be enough exposure / intensity and time for changes to take place in the brain and nervous system (known as neuroplasticity).


In many cases, we see improvements week on week, but setbacks/relapses are normal for neurodegenerative conditions. We will adapt the sessions based on progress, changes in symptoms, fatigue etc. With MND, MS and neurodegenerative conditions our primary goal is to improve symptoms, independence and quality of life.


WHAT DO WE EXPECT FROM YOU?

This is a team effort. The devices we use can be incredible tools, but effort and commitment is essential. The metabolic and physiological demand of the stimulation requires extra fuel - in the forms of calories (your job) and our support using low level laser (increasing ATP availability in the cells). We expect that you come to sessions fuelled and hydrated. We recommend prioritising rest before and after sessions for best outcomes.


We treat everyone like an athlete, even if you don't come from an athletic background, we will be challenging you. The brain and body require enough of a stimulus to make change, so working with us is very different from standard therapeutic approaches.



TYPICAL FAQs

WHAT DO I WEAR FOR SESSIONS?

If it is your first session, shorts and vest to allow us to do the neurological map assessment. PLEASE BRING LAYERS. We are located in an old mill, and it can be cold on the gym floor. Sports clothes and trainers/barefoot shoes are ideal. PLEASE BRING WATER.


ACCESSIBILITY

We are located in an old mill, which has a flight of uneven stone stairs to the door. If you cannot use stairs, we have an alternative entrance and keep a wheelchair to avoid fatigue before the session. We will meet you outside if you require the accessible entrance (if you arrive early and it is bad weather, please either wait in your car or in the sheltered area in the main mill and use Sarah's contact to let us know you've arrived). There are toilets, including a disabled toilet, and changing rooms.


CANCELLATIONS & PAYMENT

We have a 48hr cancellation policy. Multiple cancellations mean you may lose the option to book sessions. No shows are charged at the full rate. All sessions are paid upfront. Unpaid sessions are not held. We working on partnerships with charities and other companies to support funding for the sessions, but currently all sessions are self-funded.


CAN I BRING SOMEONE WITH ME?

Yes. If you would feel more comfortable with a family member / friend, this is fine.  If your guest wants use the gym during your session they are welcome to, but they must complete a PAR-Q and buy a guest pass (£7) or a monthly membership from reception. If your speech is impaired, we will require someone to join you, at least initially. The process requires a lot of two-way communication and feedback.



DO YOU HAVE QUESTIONS THAT HAVEN'T BEEN ANSWERED HERE? FEEL FREE TO EMAIL US, OR DROP US A MESSAGE ON INSTAGRAM @APEXNEURO.


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