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Painezee Zynex Neuromove

Brand: Zynex Medical USA
Product Code: ZMPCZM017000
Availability: In Stock

The NEUROMOVE is a neurological re-learning tool, a therapy device, which has been proven to help stroke and other patients recover lost movement. Once a stroke has occurred, the brain loses neurons which cause limb weakness or paralysis. The NeuroMove can train healthy neurons to assume functions lost by damaged brain cells; a concept known as Neuroplasticity. This rehabilitation tool can be used even when there is no muscle movement available. It is sophisticated enough to use in the clinic, yet simple enough for patients to use at home. Thirty minutes a day in four to five months can provide dramatic results.

Made in USA, US FDA Approved, CE Marked.

Neuroplasticity

·         Retrains the brain

·         EMG Triggered

Stroke Rehabilitation Device

·         Simple enough even for home use

Patient-Interactive

·         Simple enough even for home use

·         Sophisticated Enough for professionals

Successful with -

·         Stroke

·         Spinal Cord

·         Traumatic Brain Injury

HOW THE NEUROMOVE™ WORKS

NeuroMove™ works by detecting the attempts to move a muscle group sent from the brain. These attempts are shown in the display as significant increases in the signal over regular muscle activity. The built-in microprocessor intelligently distinguishes between regular muscle activity, muscle tone, noise and real attempts in the EMG. When a real attempt is detected, the unit “rewards” the patient with a few seconds of muscle contraction, where the visual and sensory feedback serves as an important element in relearning the movement. This is similar to the well known learning technique of “Pavlov’s Dog”.


NeuroMove™ also prompts the patient to relax just as often, and experience has shown that this element is significant in learning to control a muscle group. Better relaxation of a muscle group can sometimes be noticed as few as ten minutes into the first treatment session.

NeuroMove™ detects attempts even below where trace movements are visible. Several patients have found this capability to be very motivating, as they saw they could make a difference, where previously, they had no indication of their attempts.

How the NeuroMove™ is Used 

Usage: NeuroMove™ can be used in the clinic 3-5 times per week no longer than 30 minute intervals. Longer intervals are not common, since concentration and focus is the key to achieving better control of motor functions.

NeuroMove™ adjusts automatically to the levels produced by each patient and to each new session. This makes NeuroMove™ effective both for patients with spasticity/muscle tone as well as patients with flaccid extremities. No programming is necessary – just attach three electrodes, turn the unit on and set the muscle contraction (reward) – and go!

You can use NeuroMove™ with as many patients as you need. It automatically adjusts to each patient’s ability as you are providing them this therapy. No modifications are necessary, the NeuroMove does it all for you.

NEUROMOVE™ FEATURES

Safety features: Electrode alarm, electronic timer lock of stimulation level and all functions are checked for errors before commencing any treatment.

·         Built-in battery which needs to be recharged once a week. Battery requires 80% or higher charge

ZMPCZM017000.07.01 Neuromove Training Video

ZMPCZM017000.07.02 Stroke recovery at Neuromove

ZMPCZM017000.07.03 Neuromove - Setup Clip

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1. How does it work?

A. The NIM teaches the healthy part of the brain not affected by stroke to assure movement lost as a result of the stroke. It picks up the tiny attempts to move even before you can actually see movement. This motivates and encourages the patient to concentrate and think about moving from the first session, eventually the relearning will mean a strong attempt (signal) is being sent to the muscles and will show as movement and better control.

2. How does Neuromove help us in Re-learning?

A. The re-learning is called "neuroplasticity" - the brain's ability to rewire itself. By using the NeuroMove the patient is prompted to try very hard to move muscles to a target that is higher than the current level of movement. It works even below the level of a visible muscle contraction as the increase in activity can be seen on the display when the patient tries the best to contract a muscle. Once the patient exceed the threshold twice, the threshold is increased so that the patient needs to try even higher to trigger the stimulation (=reward). The patient is rewarded for trying hard to contract the muscle and that starts a re-learning process and the improvements are maintained long term.

3. I had a stroke 2 years ago, will it still work?

A. Yes, clinical research shows that there is no relationship between the results and the time since the stroke.

4. Does it works for drop foot?

A. Yes, it can help the patient to pick up the foot when taking a step, which significally improves walking and mobility. Patients can see up to 60% improvement with their gaits which can greatly reduce the chance of tripping and falling, a common problem with drop foot suffers.

5. What should I expect?

A. Statistically 90% of patients will see a significant improvement after 4 months to a year of treatment. 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.

6. I have a pacemaker, is that a problem?

A. We recommended an EKG and exam by a cardiologist, for determination of use.

7. What would be a situation where the NM would not work?

A. If a patient is not motivated or cannot perceive or process information. The patient must 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 this device. Full concentration is the key, sessions on the NM should never be done in a noisy environment, (T.V, or distractive chatter), the patients full concentration is very important to the success of the session.

8. How long does it take to see improvements?

A. 2-3 months, each person is different. On average about 10% of the patients will no sign of improvement due to lack of motivation. Depression and lack of motivation are the two biggest enemies of any therapy regime. Studies show that most improvement occur within 6 months of the start of this therapy.

9. Does it work for spinal cord Injury?

A. Yes, it works the same 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 stroke rehab of operation. This is important due to the fact that spinal cord injury patients have a weaker signal than a stroke patient.

10. I have a muscle stim unit, is it the same thing?

A. No, the NM is EMG triggered so you have to think about moving, reach the goal set by the machine and then you are rewarded with stimulation as a result of reaching your goal. With a muscle stimulation unit the person should be string or lying down quietly, then the unit has a set stimulation setting that it delivers to that portion of your body without any movement or attempts by the person. It is not triggered by your brain attempting to move and cannot sense this, it just operates on its present program regardless of what you are doing.

11. Who can and on which body part can Neuromove be used?

A. Neuromove is a best fit for patients suffering from stroke and spinal cord injuries. And the device can be used on Hand, Fingers, Elbow, Leg, Knee, Shoulder and Back where movements can be made. (Please Refer Electrode placement chart Reference Number: ZMPCZM017000.12.03 under Manuals Tab)

12. When can we see a visible improvement on the patients?

A. Depends on the treatment Severity & duration a minimum of 1 treatment or a max of month’s treatment.

13. Is there any time limit for the treatment?

A. Usually the time limit is for 30 Minutes. But, the patient has to focus on two instructions Ready & Relax.

14. Situations where Neuromove doesn’t work?

A. There are certain situations when:

·         The patient is too confused on the operations

·         Cannot follow the instructions properly

·         When the patient denies or doesn’t get motivated to continue with the operations.

15. Any Safety related issues?

A.  Perfectly safe with no side effects.

16. Something unique about Neuromove?

A. Neuromove comes with Neuroplasticty + Sensitivity which is the first commercial product in the world.

17. Frequent Problems which customers may face while using Neuromove and Nexwave (Devices)?

A. Common Problems would be:

·         Electrodes: Where the device displays a message for Check Electrodes (have to be moist) before starting the treatment.

·         Broken lead wires because of the wear and tear.

·         If Channel connectors are not connected properly the device displays check alert.

·         It should run on battery and not on AC.

·         If the unit is good problem would definitely be with the lead wires in that case send a new lead wire.

·         If the fuse inside the device blows off- Replace the fuse.

·         Problem with the mosfets would be rear we can take the case of  1 in a 10000.

18. Charging for Neuromove?

A.  Neuromove works for 60 hours during a treatment and hospitals can recharge it overnight once a week. Neuromove doesn’t work while charging the device it only works on Battery.

19. Can Neuromove with-stand the power fluctuations (India)?

A. AC adapter can get damaged due to the power fluctuations and fuses may get blown.

20. Any cases where Neuromove went blank?

A. Haven’t seen any cases yet.

21. Can the same electrodes be used on multiple patients?

A. Electrodes can be used more than ten times if water is added to them after treatment and then placed back on the plastic overnight - that does not make it practical for multiple patients to use the same electrodes on the same day. 

22. Can I take a print out of readings from Neuromove?

A. While the patient is using the NeuroMove, they can view the strength of their attempt, by watching the threshold data on the screen. The NeuroMove does not have computer printout capability at this time.

23. What kind of effect does Neuromove has on Bells Palsy?

A. Doctors  have worked with many patients for Bells Palsy but they do not have any specific research articles about it. We suggest that the doctor tries it for a month or two on a specific patient to see the results.

24.  Can Neuromove be used even when there is no muscle movement available?

A.  Yes, the NeuroMove is combining both EMG and electrical stimulation, so the muscles will be activated. Even when there is no muscle movement available. The NeuroMove is different in its EMG sensing technology than other EMG devices in that it does not filter out faster moving signals, such as the short twists/bursts from the brain attempting to move a muscle fiber, but not yet strong enough to elicit a visible contraction. The NeuroMove will trigger a few seconds of stimulation as a result of barely attempting to move a muscle and therefore start the re-learning process for the patient (neuroplasticity). The patient will eventually be able to send a strong/coordinated signal to the muscle fibers to show a visible contraction and treatment can continue with more traditional physical therapy added. (Please refer  Dr.Page Study Reference Number:  ZMPCZM017000.11.12 for More Details).

25. Why does the Threshold display a dotted line while increasing the Intensity?

A.During stimulation and while the patient is prompted to RELAX, the line is dotted. (note: It is very important for the results that the patient relaxes as much as possible during RELAX to not trigger stimulation un-intended when READY).

26. In which cases we may not hear the Audio prompts?

A.  Remember  to always set stimulation above 10mA (the NeuroMove will not trigger below that level). Due to which you may not hear the audio prompts.

27. What will be the Neuromove Battery life span???

A.  Battery life is typically more than 50 hours. We recommend charging the NeuroMove battery once per week.

28. How does NeuroMove compare to other devices? 

A. NMES devices: They are stimulation only and do not retain the brain to control the body part. They only exercise muscles. 
BioNess Handmaster: Muscle stimulation only and does not retrain the brain to control the body part. 
EMG/biofeedback devices: Cannot detect the small and fast moving signals from the brain trying to move the muscle. Only good for strong signals (e.g. sports rehab). 
Nerve Conduction / Velocity Equipments: NC devices send a small current through the nerve and measures the “quality” of the nerve. It is diagnosis, not a treatment. Whereas the NeuroMove reads the signals above/in the muscles and rewards the patient with a movement (stimulation). It is a treatment. 

29. In what kind of Strokes, Neuromove can be used?

A. Yes, Infact Brain Stroke is Ischemic Stroke. It works for all those patients. Only patients it does not work for are:

a) Not motivated.

b) Not cognitively intact (confused, can not understand “Ready” and “Relax”, etc.)

Yes, both hand and leg mobility can be improved.

OK if patient cannot speak. Must understand when unit says “Relax” and when unit says “Ready” to attempt a movement. Must also be motivated to improve.

Breathing issues not a problem.

Speech issues not a problem (vocal cords).

Bed ridden not a problem. The muscles are probably very weak so therapist should consider good electrode placement. Per our experience it might take many treatment sessions to see improvement. Make sure patient is 100% focused on “Ready” and “Relax” ONLY !!!!! Do not allow people around the patient to talk especially doctors and therapists and confuse the patient during treatment. Sometimes 15 min treatment with no interruption is better than 30 min and the patient loses focus.

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