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IN HAND VOLUME 2 ISSUE 1 2018
MyndMove: Advances in Treatment of Hemiplegic and Paretic Upper Limbs
Sylvia Haycock- Occupational Therapist Complex Injury Rehab Pickering, ON
Over a decade worth of laboratory and clinical research by Dr. Milos Popovic, Institute Director – Research, Toronto Rehabilitation Institute – University Health Network and Tenured Professor,
University of Toronto, has led to the development of an advanced Functional Electrical Stimulation (FES) therapy for the treatment of individuals with upper limb paralysis in stroke and spinal cord injury patients called MyndMove Therapy. Client studies in a broad spectrum of patients with moderate to severe upper limb motor deficits support the efficacy of this therapy.
MyndMove FES therapy combines non-invasive, low-level electrical stimulation, interactive occupational therapy or physiotherapy and active participation of the patient to promote voluntary motor recovery in individuals with hemiplegic and paretic upper limbs. The therapy is designed to enable coordinated activation and retraining of targeted neuromuscular pathways for the whole arm. MyndMove Therapy includes over 30 different preprogrammed stimulation protocols allowing therapists to cater the FES therapy to each patient’s needs and goals. Each stimulation protocol is a targeted for a different functional movement including reaching, grasping, reach and grasping, and bilateral movements.
Using a therapeutic approach that incorporates neurodevelopment treatment (NDT) and relative motion and dynamic splinting, MyndMove therapy can be used as a supplement to traditional occupational therapy and physiotherapy practices to promote neurorecovery and progress functional abilities following spinal cord, stroke, traumatic brain, and brachial plexus injuries.
Figure 1: Client participating in OT using 8 channels MyndMove Therapy for reaching across midline and opening hands and fingers in to extension. Goal: to hand a toy to her family pet/best friend
Figure 2: Previously a competitive dancer, using the forward reach protocol and active assistance to simulate ballet “Position 1” for the first time since her injury
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