Redefining Neurorehab. Improve Function. Maximize Independence. Enhance Quality of Life.

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1 Redefining Neurorehab Improve Function. Maximize Independence. Enhance Quality of Life.

2 What is MyndMove? MyndMove is the first therapy to deliver significant lasting voluntary upper extremity function to maximize independence, and enhance quality of life. MyndMove Therapy is a non-invasive treatment focused on improving voluntary movement in patients with upper-limb paralysis following stroke or spinal cord injury (SCI). MyndMove is a dynamic therapy aimed at regaining purposeful patterns of movement in even severely paralyzed patients. Motor recovery is evoked by propriety stimulation protocols that recreate natural motion. MyndMove combines 3 elements to improve hand and arm function in patients: Patient actively attempts the desired movements Therapist guides the timing and quality of movements MyndMove device delivers Functional Electrical Stimulation

3 Who can benefit from MyndMove Therapy? Patients suffering from upper-limb paralysis resulting from stroke or SCI have the potential to benefit from MyndMove therapy. In order for patients to benefit from MyndMove, they must be medically stable, able to actively participate in and to communicate with the therapist during treatment. All types of stroke and C3-C7 SCI patients can be treated with MyndMove therapy. For contraindications, please review the MyndMove user manual. Who can deliver the Therapy? MyndMove Therapy is delivered by specially trained Physiotherapists and Occupational Therapists. These clinicians have been certified to safely and effectively deliver the therapy. For a current list of MyndMove Therapy centres, please contact us.

4 Why is MyndMove Therapy effective? MyndMove Therapy works by stimulating the neural pathways engaged when practicing and executing natural movements. Patients participate in a concentrated treatment regimen to realize meaningful results. The eight channel MyndMove device allows clinicians and patients to work through specific protocols to practice a range of complex and finely controlled movements. The MyndMove device delivers electrical stimulation to the muscles and the muscles send a signal through the afferent pathway to the brain. Patients attempting movement send a signal through the efferent pathway to the muscle. Based on the concept of neuroplasticity, a new pathway for the intended movement is established. Clinical studies demonstrate that over time, patients participating in MyndMove therapy are able to regain lasting voluntary motor control of a paralyzed limb. MyndMove received Health Canada Approval in 2014.

5 How is MyndMove Therapy delivered? MyndMove is a single system comprised of two parts: a Functional Electrical Stimulator, and its embedded protocols. The stimulator is an eight channel device with an intuitive user interface. Stimulation is delivered using single-use selfadhesive electrodes applied to the patient s skin. MyndMove Protocols A menu of Stimulation protocols specific to each patient enable various coordinated movements by targeting particular nerves and muscles. In one therapy session, the therapist and patient will work through multiple protocols. The goal with each protocol is to produce as many high quality repetitions as possible. Protocols can produce both proximal and distal activity in a single movement including fine motor control such as: Lateral Pinch Pinch Grasp Tripod Grasp Palmar Grasp Lumbrical Grasp During therapy sessions patients and therapists work with the MyndMove device to execute purposeful movements with the affected limb(s).

6 Clinical Evidence for MyndMove MyndMove is the culmination of over a decade of laboratory and clinical research led by Dr. Milos Popovic. Research studies where patients underwent 40 one-hour long sessions over a 8 12 week period, demonstrated significant and lasting recovery of voluntary upper extremity movement. Upper Extremity Fugl Meyer CONTROL 40 hours of conventional therapy Before After Control Group Patients 40 hours of MyndMove Therapy Before After MyndMove Therapy Patients Self Care/ FIM Range CONTROL (n=11) MyndMove (n=10) Before After Before After Thrasher T, Zivanovic V, Mcllroy W, Popvic M. Rehabilitation of Reaching and Grasping Fuction in Severe Hemiplegic Patients Using Fuctional Electrical Stimulation Therapy. Neurorehabil Neural Repair. 2008:22: Kapadia N, Zivanovic V, Furlan J, Craven B.C, McGillivray C, Popovic M. Functional Electrical Stiulation Therapy for Grasping in Traumatic Incomplete Spinal Cord Injury: Randomized Control Trial. Artif Organs. 2011:35(3): Kawashima N., Popvic M, Zivanovic V. Effect of Intensive FES Therapy on Upper-Limb Mtor Recovery After Stroke. Physiotherapy Canada. 2013:65(1): Argentia Road, Suite 307 Mississauga, ON L5N 2X MyndTec.com

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