Along with the rest of the world, we hope for a cure for paralysis in our lifetime. Regardless of whether the cure comes in 5 or 50 years, we believe that individuals with spinal cord and other neurological injuries should pursue increased physical functionality, fitness, and wellness.

Our mission is to improve the lives and functionality of individuals with these injuries by providing an environment in which to rehabilitate, recover, stay fit, and return to being as independant as possible.

We will devote our expertise, dedication and passion to assist our clients in the pursuit of their goals.

Our Mission

The FES Specialty Center at Livonia TRP offers highly specialized state of the art Functional Electrical Stimulation equip-ment, evidence based treatment approaches, experienced staff, and a motivating, positive and caring environment. Scientific evidence supports the benefits

of functional electrical stimulation (FES) to aid in motor recovery of many Central Nervous System disorders. Functional electrical stimulation is a well-established treatment technique that uses pulses of electrical current to stimulate peripheral nerves that evoke muscle contractions and patterned muscle activity. FES enables people with weak or para-

lyzed muscles to perform functional activ-ities and obtain the health related benefits

of exercise. Both children and adults with Cerebral Palsy, Brain injury, Spinal Cord injury, Multiple Sclerosis, Transverse Myelitis, CVA and other CNS disorders can benefit from FES in order to:• Increase circulation to improve

healing• Increase bone density• Improve cardiovascular health • Maintain Range Of Motion and

prevent joint contractures• Decrease spasticity• Reverse muscle atrophy• Improve functional activities of

daily living• Improve gait• Improve swallowing

The FES Specialty Center at TRP-Livonia has the following state of the art FES equipment:• RT 300 leg and arm cycle• RT 300 leg cycle• RT 600 Stepper• RTI SAGE• Rehab Move 2• Bioness H200• Bioness L300 clinic• Vital stimulation for dysphagia and

dysarthriaRTI SAGE and Rehab Move 2 give our

clinicians the opportunity to be creative in assisting our patients to return to their functional independence. Our therapists can treat specific muscle groups moving

in specific functional patterns to return patients to their independence.Examples of the functional activities

in which the SAGE and Rehab Move2 are used are: sit to stands, self-feeding, grooming, bed mobility skills, and improvement of sitting and/or standing posture. TRP continues to use evidence based science to provided treatment for neurologically impaired patients.At TRP, we strive to offer our

patients every opportunity to maximize their neurological recovery and overall health. We want every patient to return to a life as independent and productive as possible with a positive outlook. The FES Specialty Center provides the tools to optimize recovery.

For more info call: 734-953-1745.

FES Specialty Center at TRP-Livonia

Published Quarterly February 2017 Volume 5 Issue 1

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The Recovery Project has a High Intensity Spinal Cord Injury (SCI) program for both acute and chronic SCI patients. The program is designed to aggressively rehabilitate patients so that they can maximize neurological recovery. It is designed to return every patient to a life of independence and quality. The program involves an inter-disciplinary and individualized approach and includes the following 11 evidence-based categories so the patient can aim to achieve their goals:1) Functional Electrical Stimulation2) Load-Bearing Activities3) Power/Strength Conditioning4) Balance/Proprioception Training

5) Core and Stability/Mobility Exercises6) Effort Based Conditioning7) Gait Training8) Respiratory and Rib Mobility9) Stretching10) Mat work (bed mobility/transfer training)11) ADL (Activities of daily living) specific trainingThe program is headed by T.J. Hosa, DPT, Jordyn Funk, OT,

Marie Miller, OT and Dan Pratt, Lead Trainer. The team ensures our program is up to date to reflect the latest research and is tailored to each individual so they not only can improve but also can return to the life they desire.

Kevin Dalley was a 24 year-old college student when he suffered an incom-plete cervical spinal cord injury diving into a lake in the summer of 2015. At the time of the accident, Kevin had limited insur-ance. At the beginning of 2016, Kevin applied for a grant through The Mary and Charles A. Parkhill Foundation For Spinal Cord Rehabilitation. The Foun-dation offers those without sufficient funding/insurance the opportunity to receive the necessary therapy to return to their previous way

of living. At the beginning of this year, Kevin was approved for the grant. When he started at The Recovery Project, Kevin needed physical assistance to walk at slow speeds over short distances. After nine months of participating in the high intensity spinal

cord injury program, Kevin is now walking 1.5 mph on the treadmill using a body weight support system and is walking 360 feet over-ground with a platform walker without physical assistance. The upper extremity, trunk and lower extremity strength he has gained has also allowed Kevin to become more independent with transfers, bed mobility and activities of daily living. Kevin is also in the process of getting adaptive controls for driving a car and planning a return to school or work. We at TRP are so proud of Kevin and are looking forward to

where his hard work takes him. We look forward to helping others like Kevin as everyone deserves a chance at regaining a life of quality and independence. For more information on the Foundation, visit Parkhillfoundation.com.

Cl i e n t Pr o f i l e- Ke v i n Da l l e y

Spinal Cord injury program

The Recovery Project is proud to say we are only one of a few clinics in the state with the RT600 Stepper. The RT600 is a form of FES (functional electrical stimulation) that allows patients

to retrain their back and lower extremity muscles in a gait-like pattern using a body weight support system. This piece of equipment has been used on patients with SCI, TBI, stroke and MS. Evidence has shown the RT600 improves lower extremity bone density, ROM/

strength, circulation, decreases tone/spasticity and skin breakdown. Patients have also reported an immediate carryover to functional activities like stand-

ing and walking after using the RT600.

The RT600 Stepper

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The Occupational Therapists at The Recovery Project frequently treat patients with dysphagia. Dysphagia is an umbrella term for difficulty with eating and swallowing. Some examples of dysphagia include difficulty swallow-ing pills, coughing after eating, frequent drooling, and decreased ability to eat certain types of food.Dysphagia affects as many as 15 million Americans.

Dysphagia is a common cormorbidity to traumatic inju-ries (spinal cord injuries, traumatic brain injuries, cerebral vascular accidents), progressive neuromuscular disorders (Parkinson’s Disease, Multiple Sclerosis, Muscular Dystrophy, and ALS), and even normal aging.At TRP, we have seen very promising results with the

VitalStim. Not only are our patients improving their ability to eat and drink, but we are noticing that voices are getting louder. New research indicates that VitalStim therapy can indeed improve vocal volume which has been an added bonus to our dysphagia treatment. If you know someone who has difficulty swallowing,

coughs or drools frequently, please provide them with our company information. Our OTs would be happy to contact them about this protocol.More information can be found at this website: http://international.chattgroup.com/products/vitalstim-plus-electrotherapy-and-semg-biofeedback-system.

VitalStim Therapy to Improve Swallowing

Molly Racklin, OT, with her patient.

The NESS H200 Hand Rehabilitation System is an advanced functional electrical stimulation system that is intended to provide patients with a mechanism to regain function and use of an upper limb that has been limited by an upper motor neuron (UMN) injury to the central nervous system. The NESS H200 allows the precise

delivery of patterned functional electrical stimulation to the muscles through a portable, single wrist in a normal functional position to allow the fingers and thumb to flex and move efficiently for gripping and manipulation. Five surface electrodes, embedded in the functional stimulation support, stimulate selected muscles in the hand and forearm to facilitate functional hand movements.

The H200 is intended to provide hand active range of motion and hand function for patients suffering from hemiplegia due to stroke, or from upper limb paralysis due to C5 spinal cord injury. The H200 may also reduce muscle spasm, prevent or retard disuse of the upper limb the abilty to grasp and release in order to perform ordinary and instrumental activities of daily living. The L300 is an advanced wireless,

software-driven system designed for individuals with foot drop, following an upper motor neuron injury/disease, who are seeking to improve their ability to walk more normally. The L300 uses technology based on functional electrical stimulation. The L300 uses the technology based on functional electrical stimulation (FES)

to provide low-level stimulation to the common peroneal nerve (which controls certain movements of the foot). This stimulation is delivered in a precise sequence to provide dorsiflexion of the foot, by activating the anterior tibialis muscle to lift the foot and toes during the swing phase of ambulation, and the therapy improving an individual’s gait. The wireless Intelli-Sense ™ Gait

Sensor detects “heel on” and “heel off” positions through concurrent adaptive gait recognition and communicates with the microprocessor controlled radio frequency stimulation unit to adjust the stimulation to accommodate the user in navigating uneven surfaces and changes in elevation.

The NESS H200 Hand Rehabilitation System

Do you need to schedule a Tune Up appointment? Whether you are a past or new client to TRP, call 734-953-1745 to schedule an appointment. All therapy programs are evidence-based in state of the art facilities. We have new FES (functional electrical stimulation) equipment, as well as new Wellness programs. Our Wellness programs include group classes for those with Parkinson’s Disease, along with adaptive yoga, individual train-ing and Supported Fitness ses-sions.

Time For A Tune Up?

WEST20000 Victor Parkway

Suite 100Livonia, MI 48152

EAST15500 19 Mile Rd., #330

Clinton Township, MI 48038

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