Neuromove
What is the NeuroMove?
NeuroMove?
It is an EMG Triggered
Neurological Relearning tool for
Stroke and Brain Injury Paralysi...
Where are you going to
sell the NeuroMove?
Stroke and TBI Rehabilitation Centers
Spinal Cord Rehabilitation Centers
Why do...
Opening Lines
What Neuro-rehabilitation devices do you use for
stroke patients?
Do you have a Neuro Re-learning Tool?

The...
Who Benefits from the NeuroMove?
NeuroMove?
Stroke Patients
The number One cause of treatable
paralysis
•Traumatic

Brain ...
Sales Tools:
Establish an invite to on our website
I will send it to your email address
All documents can be modified and ...
U.S. FDA
-For Stroke, TBI and SCI Rehabilitation
-Relaxation of Muscle Spasms & Muscle Re-education
Re-Prevention of Retar...
Evidenced Based Success
-Peer Reviewed Clinical Trials
Direct clinicians to
www.neuromove.com

-Patient Testimonials

-Reh...
Clinical Studies
Chronic Motor Dysfunction After
Stroke
Conclusion:
Conclusion: “Two lines of evidence clearly
support the...
Clinical Studies
“Progress often far exceeded that of
previous conventional therapy. Regarding
mechanisms, impaired propri...
NeuroMove
Prescribed by Leading Rehab Hospitals
Johns Hopkins, MD
Tawam Hospital, UAE
Cleveland Clinic
Kennedy Krieger Int...
What Hospitals Say
about the NeuroMove
“…treatments are focused on patients who have
had a recent stroke as well as those ...
85% of strokes are Ischemic
Restriction of Blood to the Brain

Hemorrhagic Stroke
Bleeding into the brain
13
What Happened
Loss of Brain Cells and the
functions they control
Causing Hemiplegia
14
Be aware of what is done in the
stroke rehab clinics
-Find lead Occupational Therapist
-Private and Gov’t programs

Treatm...
Treatment Application
Acute Rehab
Once stabilized

Out patient Rehab
Home Care Therapy
This is the goal
1
6
Re Train the Brain Tool

17
Neuroplasticity
Re-Mapping the brain pathways by driving the
Rehealthy neurons to take over for damaged
neurons thus regai...
What makes a Successful
Brain Relearning Tool?
Patient must be Cognitive
Engages the Brain
Intensive
Concentrated Effort
F...
The Re-learning Tool - NeuroMove
EMG detects targeted neurological
attempts to move the muscle
Utilizing Repetitive attemp...
Patients can experience
immediate results.
Gives Stroke patients real
hope and motivation
21
Contraindications/Precautions
Implanted electrical devices
Cardiologist approval for use with
pacemakers.
Epilepsy
Cancer ...
In the Kit

Electrode Placement Guide Book
Instructional CD
AC Cord for recharging
3-Packs of 3-Electrodes
Connecting lead...
Therapy
Session
Set-up
SetAttach electrodes muscle
group
Turn on Unit.
Set e-stim to visible yet
ecomfortable contraction
...
Start on
Any Group of Muscles
Wrist & Finger Extension - Flexion
Front & Back Elbow Flexion
Shoulder Subluxation/Abduction...
Ankle Dorsiflexion (Drop Foot)/Flexion

Shoulder Subluxation/Abduction
Red
Red

Red

Black

Black
Red

Knee Extension - Fr...
Therapy Session Overview

Cycle of Therapy
RELAX:
NM is Setting Threshold
READY:
Patient makes ATTEMPT
GOOD:
Stimulation o...
RELAX
The processor begins to detect EMG and set the
threshold

Threshold is adjusted up or down every 15
seconds Automati...
READY
Patient makes concentrated attempts
to make muscle exertion sensors
detect real attempts.

Encourage the patient to ...
Reward
Imagination or attempt “strikes”
the threshold and triggers
physical movement…the reward.

30
Cycle is Repeated

The threshold is re-set every cycle and
moves up or down to continually
challenge or encourage the pati...
NeuroMove Hands On!

32
Other Applications
Spinal Cord Injury
*Set SCI Mode

Other Relief
Erb’s Palsy
Bell’s Palsey
Cerebral Palsy
Multiple Sclero...
Trouble Shooting
Signals
“check electrodes”
electrodes”
clean skin and wet electrodes

“Poor or sporadic Signal on Screen”...
NeuroMove Patients
Post stroke and SCI treatment may begin:
Once stabilized
Out patient or home use
Must be cognitive
Up t...
Ancillary Benefits of NM
High Quality NMES
Programmable Parameters
Treatment of Muscle Atrophy
& Re-education
ReMuscle Spa...
Is this like regular biofeedback?
No - Regular EMG (electromyography) may also have a very sensitive
input, but for most o...
Why only one channel?
FES vs NeuroMove
It has one channel, patient must concentrate on one
movement at a time

Is it like ...
Is it complicated to set up?
No – Encourage Home-use.
Turn on the device and turn stimulation level up slowly for
a comfor...
Program Settings
Set threshold

to increase
or decrease challenge (can be set
during session)

Rest Period

(default – 15 ...
Program Settings

Change Parameters
o

Frequency and pulse width, ramp up/off time
stim period (default at 5 sec.)

o

Ran...
Email: info@painezee.com
Tel: +91- 65522402
040 9030022402
Web: www.painezee.com
www.junopharm.com

Hands on Therapy Sessi...
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ZMPCZM017000.10.02 Neuromove Training presentation.

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ZMPCZM017000.10.02 Neuromove Training presentation.

  1. 1. Neuromove
  2. 2. What is the NeuroMove? NeuroMove? It is an EMG Triggered Neurological Relearning tool for Stroke and Brain Injury Paralysis 2
  3. 3. Where are you going to sell the NeuroMove? Stroke and TBI Rehabilitation Centers Spinal Cord Rehabilitation Centers Why do Rehab Clinics need such a product? Shortens patients time spent in Rehab Motivates patients to work at their own therapy Works when there is total paralysis or no voluntary movement. 3
  4. 4. Opening Lines What Neuro-rehabilitation devices do you use for stroke patients? Do you have a Neuro Re-learning Tool? The NeuroMove retrains the brain to regain voluntary movement. 4
  5. 5. Who Benefits from the NeuroMove? NeuroMove? Stroke Patients The number One cause of treatable paralysis •Traumatic Brain Injury •Palsy and other congenital paralysis •Spinal Cord Injury 5
  6. 6. Sales Tools: Establish an invite to on our website I will send it to your email address All documents can be modified and saved. Power points Marketing items Clinical Studies Pictures 6
  7. 7. U.S. FDA -For Stroke, TBI and SCI Rehabilitation -Relaxation of Muscle Spasms & Muscle Re-education Re-Prevention of Retardation of disuse atrophy -Increase Local Blood Circulation -Maintaining or Increasing Range of Motion European Heath Standards Conformité Européene - CE -Approved for – Stroke Recovery -class II device Zynex is an ISO-13485 Company ISOThe NeuroMove is manufactured in the U.S. SFDA Pending 7
  8. 8. Evidenced Based Success -Peer Reviewed Clinical Trials Direct clinicians to www.neuromove.com -Patient Testimonials -Rehab Hospitals usage protocol Show hospital list 8
  9. 9. Clinical Studies Chronic Motor Dysfunction After Stroke Conclusion: Conclusion: “Two lines of evidence clearly support the use of EMG triggered NMES treatment to rehabilitate wrist and fingers extension movements of hemiparetic individuals > 1 year after stroke… Recovering Wrist and Finger Extension by EMG Triggere Neuromuscular stimulation. By James Caraugh, Ph.D Caraugh, See all clinical studies at www.neuromove.com 9
  10. 10. Clinical Studies “Progress often far exceeded that of previous conventional therapy. Regarding mechanisms, impaired proprioceptive feedback is considered central to strokestrokedisrupted sensorimotor control. EMGEMGtriggered EMS is intended to improve brain relearning by reinstating proprioceptive feedback time-locked to each attempted timemovement. Clinical results were consistent with this theory ” theory.” See all clinical studies at www.neuromove.com 10
  11. 11. NeuroMove Prescribed by Leading Rehab Hospitals Johns Hopkins, MD Tawam Hospital, UAE Cleveland Clinic Kennedy Krieger Intl. Spine Institute Rehab Institute of Chicago Mayo Clinic, MN Kessler, NJ Moss Magee Rehab, PA Queen Elizabeth, H.K. St. John’s Mercy, St. Louis Mt. Sinai, NY Marlton Rehab, NJ Montefiore, Bronx, NY Lutheran Hospital, Brooklyn, NY TIRR of Houston Mission Hospital, CA Lethbridge Hosp. Canada Tan Tok Seng, Singapore Seng, 11
  12. 12. What Hospitals Say about the NeuroMove “…treatments are focused on patients who have had a recent stroke as well as those who have suffered from stroke-related disabilities for years. strokeyears. Lutheran's "Re-train the Brain" stroke recovery "Reprogram many long-suffering patients can longregain long lost mobility and function.” function. R. Ahmad, OTR, Director Lutheran Rehab Network, Brooklyn, NY Talk to the lead therapist about adopting a Neuro Rehabilitation program. program. 12
  13. 13. 85% of strokes are Ischemic Restriction of Blood to the Brain Hemorrhagic Stroke Bleeding into the brain 13
  14. 14. What Happened Loss of Brain Cells and the functions they control Causing Hemiplegia 14
  15. 15. Be aware of what is done in the stroke rehab clinics -Find lead Occupational Therapist -Private and Gov’t programs Treatment of Stroke Paralysis Physical training including: Therapeutic exercises Movement modification Special equipment - FES Assistive devices Orthotics 15
  16. 16. Treatment Application Acute Rehab Once stabilized Out patient Rehab Home Care Therapy This is the goal 1 6
  17. 17. Re Train the Brain Tool 17
  18. 18. Neuroplasticity Re-Mapping the brain pathways by driving the Rehealthy neurons to take over for damaged neurons thus regaining voluntary contractions The NeuroMove: Not just FES! Patient imagines movement and is rewarded through stimulated muscle contraction… MOVEMENT! 18
  19. 19. What makes a Successful Brain Relearning Tool? Patient must be Cognitive Engages the Brain Intensive Concentrated Effort Frequency Focused Repetition 19
  20. 20. The Re-learning Tool - NeuroMove EMG detects targeted neurological attempts to move the muscle Utilizing Repetitive attempts and reward to stimulate Neural remapping 20
  21. 21. Patients can experience immediate results. Gives Stroke patients real hope and motivation 21
  22. 22. Contraindications/Precautions Implanted electrical devices Cardiologist approval for use with pacemakers. Epilepsy Cancer Lesions Use on Muscles only 2 2
  23. 23. In the Kit Electrode Placement Guide Book Instructional CD AC Cord for recharging 3-Packs of 3-Electrodes Connecting lead wire Program Manual 23
  24. 24. Therapy Session Set-up SetAttach electrodes muscle group Turn on Unit. Set e-stim to visible yet ecomfortable contraction 24
  25. 25. Start on Any Group of Muscles Wrist & Finger Extension - Flexion Front & Back Elbow Flexion Shoulder Subluxation/Abduction Ankle Dorsiflexion Knee Extension Starting points upper or lower extremities distally or proximally 25
  26. 26. Ankle Dorsiflexion (Drop Foot)/Flexion Shoulder Subluxation/Abduction Red Red Red Black Black Red Knee Extension - Front Black Red Refer to the Guide Red Flexible: Use on any Muscle Group 26
  27. 27. Therapy Session Overview Cycle of Therapy RELAX: NM is Setting Threshold READY: Patient makes ATTEMPT GOOD: Stimulation or Reward RELAX: Deliberate rest 27
  28. 28. RELAX The processor begins to detect EMG and set the threshold Threshold is adjusted up or down every 15 seconds Automatically 2 8
  29. 29. READY Patient makes concentrated attempts to make muscle exertion sensors detect real attempts. Encourage the patient to imagine or visualize movement, have them close their 2 9 eyes. Engage the brain!
  30. 30. Reward Imagination or attempt “strikes” the threshold and triggers physical movement…the reward. 30
  31. 31. Cycle is Repeated The threshold is re-set every cycle and moves up or down to continually challenge or encourage the patient. 31
  32. 32. NeuroMove Hands On! 32
  33. 33. Other Applications Spinal Cord Injury *Set SCI Mode Other Relief Erb’s Palsy Bell’s Palsey Cerebral Palsy Multiple Sclerosis 33
  34. 34. Trouble Shooting Signals “check electrodes” electrodes” clean skin and wet electrodes “Poor or sporadic Signal on Screen” Restart NM between muscle groups changes Make sure Full Battery Charge Set Default – See Program Guide Check for Broken lead wires EMG signal too low or too high Set Defaults and restart See Trouble Shooting Guide on dropbox 34
  35. 35. NeuroMove Patients Post stroke and SCI treatment may begin: Once stabilized Out patient or home use Must be cognitive Up to 30 years post stroke Treatment Time 15-60 Minutes each session 15Once a day building to 2 or 3 times a day Expect 4 months to a year treatment plan Can be used with: Botox – High Tone patients Baclofen Pump – Spinal Cord patients 35
  36. 36. Ancillary Benefits of NM High Quality NMES Programmable Parameters Treatment of Muscle Atrophy & Re-education ReMuscle Spasms Pain Relief 36
  37. 37. Is this like regular biofeedback? No - Regular EMG (electromyography) may also have a very sensitive input, but for most other applications the input signals are filtered and averaged. Some stroke survivors have no EMG activity or a strong muscle tone with high background “noise” - regular EMG/biofeedback will not stand a chance of detecting the changes that indicate a real attempt from the brain. The NeuroMove measures peak values in the EMG and has very fast input circuitry. Instead of averaging the input it does the opposite – it looks for a pattern in the small changes that indicate a real attempt. A very effective demonstration of this is when a non-patient actually triggers the NeuroMove just by thinking about it and imagining a movement 37
  38. 38. Why only one channel? FES vs NeuroMove It has one channel, patient must concentrate on one movement at a time Is it like FES – No, FES or an elaborate functional stimulation product does not engage the brain. The patient can be watching TV and doing FES, but the brain will not relearn new pathways 38
  39. 39. Is it complicated to set up? No – Encourage Home-use. Turn on the device and turn stimulation level up slowly for a comfortable contraction of the muscle Think very hard about moving the fingers, wrist, shoulder, foot and other muscles After relaxing, it returns to “Ready” and is ready for the next attempt, relaxing is as important as concentrating 39
  40. 40. Program Settings Set threshold to increase or decrease challenge (can be set during session) Rest Period (default – 15 sec. Set:60 seconds) Mode: Stroke & SCI Sesitivity Set Audio On or Off Compliance Data (number of sessions and total time used) 40
  41. 41. Program Settings Change Parameters o Frequency and pulse width, ramp up/off time stim period (default at 5 sec.) o Range: Range: o Can only be set when SCI Mode is selected SCI two sensitivity ranges: o 0.250.25-25 uV o 0.500.50-50 uV (use if signal is off screen w stroke patients) 41
  42. 42. Email: info@painezee.com Tel: +91- 65522402 040 9030022402 Web: www.painezee.com www.junopharm.com Hands on Therapy Session 42

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