NEUROLOGICAL PHYSIOTHERAPY

Technology

The Bioness Foot-drop System

One very sophisticated system and new to Ireland is The Ness L300 foot-drop system. This is a revolutionary medical device that can help improve walking pattern by lifting the foot allowing you to walk easily indoors and outdoors.  Using advanced technology this is a wireless system that senses when your foot is on or off the ground.  The device sends electrical impulses to the specific leg muscles, which helps to lift the foot and allows you to walk more easily.

Technology

It’s a comfortable device that can be worn under most clothing.  It can help people who suffer with a neurological condition where they have difficulty walking due to weakness or stiffness in the leg muscles.  The L300 foot-drop system is programmed by our clinicians to stimulate the appropriate muscles and nerves in the leg to provide a more natural walk.

Who would benefit from a Ness L300 foot drop system?

If you have:

  • Stroke
  • Acquired brain injury
  • Spinal cord injury
  • Multiple sclerosis
  • Other upper motor neurone conditions ie those that affect brain or spinal cord 

You can be assessed for suitability for this advice by one of our clinicians who have been specially trained in its use.

Bioness H200 Hand Device

The Ness H200 Hand rehabilitation system is an advanced electronic therapy device that activates the muscles of the forearm and hand enabling a person the use their hand in a functional manner eg reaching, grasping. It is light, wire-less and easily applied with one hand.

Who would benefit from a Bioness Hand device?

If you have

  • Stroke
  • Multiple sclerosis
  • Spinal cord injury
  • Acquired brain injury 

You can be assessed for suitability for this advice by one of our clinicians who have been specially trained in its use.

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EMG Biofeedback

Electromyography (EMG) is a technique for evaluating and recording the electrical activity produced by skeletal muscles.[1] EMG is performed using an instrument called an electromyograph, to produce a record called an electromyogram. An electromyograph detects the electrical potential generated by muscle cells when these cells are electrically or neurologically activated.

There are two kinds of EMG in widespread use: surface EMG and intramuscular (needle and fine-wire) EMG. To perform intramuscular EMG, a needle electrode or a needle containing two fine-wire electrodes is inserted through the skin into the muscle tissue.

We use surface EMG at Dublin Physiotherapy Clinic primarily as a form of Biofeedback – a way to give people information about activity levels in muscles. In some cases muscles become inhibited (switched-off) and various tricks of the trade are required to reactivate. The electrical activity in muscle can be converted into a bleeping sound of light indicator which helps improve muscle contraction.

Alternatively, some muscles can become chronically hyperactive and need to be switched off or at least turned down. EMG is a useful tool in assisting with this type of retraining.

We do not use EMG diagnostically as this is a different area of specialisation either involving a Neurologist or clinical neurophysiologist. This type of investigation is used to make a diagnosis of damaged nerve or neurological disease.

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