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Non-Invasive Spinal Electrical Stimulation
The non-invasive spinal electrical stimulation (NISE-Stim) program was developed in 2017 by Gerti Motavalli PT, MPT along with Dr. Gad Alon PT, Ph.D., an internationally recognized researcher in electrical stimulation. Spinal electrical stimulation is achieved through the use of an NMES muscle stimulator providing electrical current through electrodes attached directly over the spinal cord and to specific areas of the body to stimulate muscle movement.
Who can benefit from NISE-Stim?
Children with Spina Bifida and other motor problems have shown to benefit from spinal electrical stimulation. Progress has been observed in children ages 3 months to 18 years. So far no upper age limit has been established and children have benefited from at least 1 of the following:
• Increased circulation, warmer feet, better healing of skin break down. • Increased sensation all children get tested with electrical stimulation at the beginning of spinal stim for muscle response and sensation. This is an easy non-painful way to gain valuable information. At re-testing after 2 months of spinal stim, many show sensory or muscle response to lower electricity documenting new nerve growth. Children have reported to feeling parts of their body they were unaware of before. • Increased movements, new muscles get activated, for example, ankle or toe movement never seen before appearing initially during spinal stimulation and later spontaneous outside of stimulation and hopefully eventually voluntary. • Increased strength in weakened trunk and/or leg muscles, resulting, for example, in better walking • Urinary continence a few kids have been able to gain bladder control, some have gotten off the need for catherization as recommended by their urologist. A protocol for a one-month continence trial has been developed with a pediatric urologist and can be shared with your child’s urologist. • Less constipation many parents of children who are not on a bowel program have reported less or no more constipation. Some children who had fecal smearing have developed the strength to hold their stool.
What happens during spinal stimulation?
• Electrodes are placed over the spinal cord and other places on the body.
• The e-stim unit gives electrical impulses from the lower back to the legs, like nerves would do to activate muscles. The muscles will contract in response.
• The family is instructed in how to use the stimulation at home, initially 20 minutes and later up to 1-3 times 30 minutes daily.
• During NISE-Stim the child can sit, play or lie around and read books, watch TV, or stand in the stander.
• Parental supervision is needed but besides placing the electrodes and starting the unit there is no other work needed from the parent.