1. FDA Cleared • CE Marked #0470
• Chronic Motor Dysfunction After Stroke
Recovering Wrist and Finger Extension by Electromyography
Triggered Neuromuscular Stimulation.
James Caraugh, PhD; Kathye Light, PhD; Sangburn Kim, MS;
Mary Thigpen, PT, MHS; Andrea Behrman, PhD, PT
Conclusion: “Two lines of evidence clearly support the use
of electromyography-triggered neuromuscular electrical
stimulation treatment to rehabilitate wrist and finger
extension movements of hemiparetic individuals > 1 year
after stroke. The treatment program decreased motor
dysfunction and improved the motor capabilities in this
group of post stroke individuals.” (Stroke, 2000)
• Two Coupled Motor Recovery Protocols Are Better
Than One
Electromyogram-Triggered Neuromuscular Stimulation and
Bilateral Movements
James H. Caraugh, PhD; Sangbum Kim, MS
Conclusion: “This new evidence is convincing in that
subjects in the coupled protocol group were able to
demonstrate enhanced voluntary motor control across 3
categories of tasks. Chronic hemiparesis decreased
considerably in the wrist and fingers as CVA patients
expanded their motor repertoire.” ( Stroke, 2000)
• Electrical Stimulation Driving Functional Improvements
and Cortical Changes in Subjects with Stroke
Teresa J. Kimberley, Scott M. Lewis, Edward J. Auerbach, Lisa
L. Dorsey, Jeanne M. Lojovich, James R. Carey
Conclusion: “the novel findings of this study were that
NMES could be effectively self-administered by stroke
patients in a home-use environment in an intensive
manner.” (University of Minnesota, 2003)
The studies show effectiveness of the technique compared to
control groups using regular therapy, electrical stimulation or no
treatment. Most of the studies included patients between 6 mos. &
14 yrs. post-stroke, subjects were motivated, cognitively intact the
findings were:
• The time since the stroke did not impact effectiveness
• Results were independent of age, side & nature of stroke
• Improvements were maintained long-term
• Improvements were in form of improved strength, range of motion,
reduced spasticity & tone, flexibility, and motor capability in
general. Regular therapy and electrical stimulation were less than
half as effective.
See Complete Peer-reviewed Studies @
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NeuroMove Specifications
Safety:
- All functions are checked for errors before any treatment
begins.
- Sensor alarm and auto off.
Modes:
- Stroke Rehab, Spinal Cord Injury or Manual.
Display:
- Audio and displayed prompts.
- 60 seconds of EMG attempts.
- Base EMG
- Threshold
Memory:
- Internal memory records statistics which allow the
physician to review the session history.
Specifications:
EMG Sensitivity:
Output Current:
Pulse Width:
Frequency:
Time On:
Time Off:
Ramp Up & Down:
Waveform:
Size:
Weight:
Accessories:
Contraindications
Regain Movement From
Stroke Paralysis
NEUROPLASTICITY
0.2-200 uVpeak 00-100mA into 1K ohm
100-400 usec
10-100 Hz
2-20 Sec.
2-50 Sec.
0.5-10 Sec.
Biphasic
1.5” x 6.5” x 5” (38mm x 166mm x 126mm)
17oz.
Sensor/Electrode Pack
AC Charger
• Check with a Cardiologist before using
with pacemaker
• Children must be supervised
Electrotherapy Products• Pain Management
• Incontinence
•Muscle Re-training
RETRAINS THE BRAIN
EMG TRIGGERED
STROKE REHABILITATION DEVICE
PATIENT-INTERACTIVE
SIMPLE ENOUGH
FOR HOME USE
SOPHISTICATED
ENOUGH
FOR PROFESSIONALS
Multi-Wave
TENS
NMES
IFC
IFC
RESULTS IN PEER EVALUATED
CLINICAL STUDYS
SUCCESSFUL WITH STROKE
SPINAL CORD
TRAUMATIC BRAIN INJURY
Manufactured in the U.S.A. by -
9990 Park Meadows Drive
Lone Tree, CO. 80124
U.S.A.
.
.

2. Frequently asked Questions
I had a stroke 2 years ago, will it still work? Yes, Clinical research shows
that there is no relationship between the results and the time since the
stroke
Does it work for drop foot? Yes, it can help the patient to pick up the foot
when taking a step, which significantly improves walking and mobility.
Patients can see up to 60% improvement with their gaits which can greatly
reduce the chance of tripping and falling, common problems with drop
foot sufferers.
What should I expect from this? Statistically 90% of patients will see a
significant improvement. This can be anywhere from slight improvement
to full functionality. This is if they use the NM as recommended at least two
times daily for 20-30 minutes each session.
What would be a situation where the NM would not work? If a patient is
not motivated or cannot perceive or process information. The patient needs
to be cognitive and able to understand what is being asked of them to
properly go through this therapy. Severe brain injuries, dementia and other
conditions that cause lack of clear understanding will greatly affect the
results of the device.
How long does it take to see improvements? 2-3 months, each person is
different. On average about 10% of the patients will show no sign of
improvement due to lack of motivation. Depression and lack of motivation
are the two biggest enemies of any therapy regimen. Studies show that
most improvements occur within 6 months of the start of this therapy.
How the NeuroMove Works.
The NeuroMove is easy-to-use & easy to set up.
Once the three sensor/electrodes are in place, they detect
electrical signals sent from the brain to the nerves inside
the muscle. This electrical activity registers on the
NeuroMove display screen.
By making attempts to move a muscle, a person raises the
electrical activity present in that muscle and the computer
in the NeuroMove sets the threshold.
When the patient achieves the threshold, he or she is
rewarded with a muscle contraction or movement.
Over time, NeuroMove therapy success is measured in the
actual movement of paralyzed extremities giving the
patient greater functionality.
Does it work for Spinal Cord Injury? Yes, it works the same way as it does
for stroke rehab but the setting for spinal cord injury is 5 times more
sensitive, so it picks up the patient’s attempts to move even before it does
in the stroke rehab mode of operation. This is important due to the fact
that spinal cord injury patients have a different signal situation occurring
than a stroke patient and the ability to pick up the signals from the brain
have to be even more sensitive.
I have a TENS Unit, is it the same thing? No, TENS units are for pain
management and do not have the same electrotherapy abilities as the
NeuroMove.
NeuroMove Therapy Session
1. Place two red electrodes, 1 inch apart over the
muscle to be exercised. Black electrode can be
placed anywhere - NOT touching red.
2. Turn unit ON.
3. Increase stimulation to a visible, yet comfortable
contraction. (Minimum 12mA)
4. RELAX - until NeuroMove prompts “READY”
.
5. CONCENTRATE and imagine actually moving
those muscles. Watch the bars in the graphic display
increase towards the threshold. Initiate as much
movement as possible.
6. The threshold will automatically adjust to a level
that is not too difficult to reach.
7. Once the attempt is strong enough to reach the
threshold, a muscle contraction will be the REWARD!
8. RELAX and repeat steps 4-7 for 15-30 minutes.
(do not exceed 30 minutes per session).
To Order NeuroMove
Contact your local Distributor
or call - +1 303.703.4906
fax- +1 303.867.3927
international@zynexmed.com
I have a Muscle Stim unit, is it the same thing? No, the NeuroMove is
EMG triggered so you have to think about moving, reach the goal set by
the machine and then you are rewarded with a stimulation as a result of
reaching your goal. With a Muscle Stimulation unit the person should be
sitting or lying down quietly, then the unit has a set stimulation setting
that it delivers to that portion of your body without any movements or
attempts by the person. The muscle stim is not triggered by your brain
attempting to move and can not sense this, it just operates on it’s preset
program regardless of what you are doing.