Olivia and Emilee were my two, awesome inpatient OTs a couple years ago, and we stayed in touch after I left the hospital.
One day, Olivia told
me about the amazing new $40K rehab bike they just got. They were getting great
results with patients. It's too bad my stroke didn't happen a year later.
The new device was the RT300. It combines therapy, eStim, and data with exercise to help patients improve their core, their leg use, their arm use, or all three at once.
So Olivia put me in touch with Restorative therapies.
sStim
The brain controls
the muscles and makes us move by sending electrical signals through our nerves
with various chemical processes. After stroke the brain may no longer be able
to do that to certain muscles. That's how we get paralysis, hemiparesis, and all
sorts of similar issues.
That also means that
we can bypass the brain and move those muscles by sending an electrical signal
directly to the nerves at the muscle to stimulate them to make them move. This
is great because movement is important to both health and recovery.
And that's what
eStim does.
The most popular
eStim for Stroke survivors is TENS. This is the type I used in the hospital and
later at home. I attach a couple electrodes to my affected arm, and for 30
minutes, my hand will open and close. Or my wrist will go up and down. Or I'll
do something with my shoulder.
Combining eStim with
exercise is great therapy and promotes recovery.
And the units cost about $40 on Amazon.
FES is the type of eStim you'll find in the Bioness products and the WalkAide. These devices use eStim to prevent foot drop and replace an AFO. The user wears it strapped below the knee as they walk, and it stimulates the muscle that lifts your foot as you walk.
I tried them both
and had some good results with the WalkAide. At $5,000, though, it didn't make
enough of a change in my life to justify buying it.
IFES is the
technology Restorative Therapies uses in their RT300 bike and Xcite treatment
device. The use eStim on up to 12 muscles at once in a specific, timed pattern
to accomplish a task. It's complex, but it can help the brain relearn to do
these things in the future.
Restorative
Therapies Team
Jim Janicki is the President and CEO of Restorative Therapies. Jim has an extensive management background in sales, R&D, and operations in the chemical, medical, diagnostic, pharmaceutical, and biotech industries. He joined Restorative Therapies in 2018.
Wendy Warfield is the Clinical Education Manager. She makes sure that patients, therapists, physicians, and researchers understand how to most effectively use the Restorative Therapies devices. Wendy is well-suited for this role . She began working at an Occupational Therapist in 2003, and bring that survivor focused perspective to the work that she does.
Me and the xCite
Some weeks back, I
got to try the xCite. I got to work with the reps Stephanie and Michael when
they visited the Seattle areas.
Unlike the bike, the
Xcite is only for clinical use. It features a series of preprogrammed
activities like reaching for a water bottle or brushing your hair. It fires the
nerves in sequence so the muscles do what they need to do for me to complete
the act.
Here are some
pictures and a video from my experience.
Main menu on the Xcite highlighting different exercises loaded into the unit.
Detailed menu on the Xcite allowing a therapist to enable or disable stimulation to specific muscles.
Just a few of the electrodes on my arm.
Stroke Stories
On another note, Stroke Stories, a UK podcast focused on, well, stroke survivor stories, featured my story on episode 50. You can listen to it here:
The show mostly
features UK survivors, but more recently has been including folks from other
parts of the worlds. I enjoy listening for the wide range of folks the bring on
the show.
It's also different
from other podcasts in that it features a narrator rather than a host and a
guest. Basically, the person who interviewed me does not appear in the show.
His job was to help me tell my story and get out of the way. In that respect,
it's more like a radio show.
Definitely check it
out and add it to the list of podcasts you regularly listen to.
Hack of the Week
Wendy's hack for us
is to keep moving. Movement is important to recovery. It keeps the muscles and
tendons healthy and flexible. It's important for cardio vascular exercise.
Getting the
appropriate exercise helps with heart health, blood pressure, and can reduce
the risk of another stroke.
Even if we have
physical limitations today, moving as much as possible makes future recovery
more realistic.
While some exercises
may be better than others, you don't have to get caught up in details. The
important thing is to just keep moving.
Links
| Restorative Therapies on the web | |
| Restorative Therapies on Twitter | |
| Restorative Therapies on Instagram | |
| Restorative Therapies on YouTube | |
| Restorative Therapies on LinkedIn | |
| Restorative Therapies on Facebook | |
| Kennedy Krieger Institute | |
| RT300 | |
| Xcite | |
| TENS on Amazon | |
| Emilee on Strokecast | |
| Lana Malovana on Strokecast | |
| Dr. Shah and Sentinel Healthcare | |
| Lauren Sheehan on Strokecast | |
| Bioness | |
| WalkAide | |
| Jim janicki on LinkedIn | |
| Wendy Warfield on LinkedIn | |
| Stroke Stories Podcast | https://www.stroke.org.uk/life-after-stroke/stroke-stories-podcast |
| Bill on Stroke Stories | https://play.acast.com/s/strokestories/strokestoriesepisode50-billmonroe |
Where do we go from
here?
- To learn more about the RT300 bike, the Xcite device, or Restorative Therapies, check out their website at https://restorative-therapies.com/.
- Ask your PT or OT about their thoughts on IFES.
- Share this episode with someone in your life by giving them the link http://Strokecast.com/RSI
- Subscribe to Strokecast and Stroke Stories in your favorite podcast app so you never miss an episode
- Don't get best…get better.
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