I have not specifically seen the Bioness used with MS. My experience is with both TBI and CVA. Ron. There is a small but significant body of literature looking at the use of Estim with getting return in the hand and arm after stroke (functional return) and also with preventing subluxation and reducing tone. I think it is very appropriate for OTs to use it in their repetoire of skills that focus on regaining functional use of the upper extremity. There are many ways to use all modalities that truly loose the OT perspective, including the use of cones etc. My exprience with the Bioness has been positive. I have seen it successful reduce tone and edema, and also facilitate functional movement. It is just one more tool that is very useful in an overall OT intervention program that also addresses the functional use of the upper extremity. There is also some literature (studies) to support its use. The current status of thinking on the return after stroke is that multiple repetitions of functional movements that are task oriented and approximated to approach normal movement do make changes in the brain even 20 years after (we have the evidence available now with both PET and fMRI scans). If any one is interested in a more detailed review and some places to get further information I will provide at a later date. (I have a textbook chapter deadline today but could not resist a brief reply) Sue > Date: Thu, 28 Aug 2008 18:14:18 -0700> From: [EMAIL PROTECTED]> To: [email protected]> Subject: Re: [OTlist] bioness> > Hi,> > My first time replying! I attended the OT modality certification course. I was very pleased with it, as it was taught from an OT perspective. It gave me confidence in and the physiology behind what modalities do. I would recommend it to entry level or advanced practitioners.> > Audra Ray, OTR/L> > --- On Wed, 8/27/08, L Sloan <[EMAIL PROTECTED]> wrote:> > From: L Sloan <[EMAIL PROTECTED]>> Subject: Re: [OTlist] bioness> To: [email protected]> Date: Wednesday, August 27, 2008, 6:05 PM> > I totally agree...I am skeptical about attending the modality certification> courses and hope that one day this is not considered a requirement to> practice. I believe in manual therapy...hands on....I was talking with a PT> who is in school to get his doctorate. He said that there is no evidence to> prove that modalities actually work better or make a diffence....just thought> I'd add that...maybe others have found it differently from their> research.......I have used modalities but I find that what is going to happen> generally happens with time...We can help strengthen and facilitate this> process....that's my thoughts! Ron...I appreciate this list! (first time i> have responded!)> > > > ----- Original Message ----> From: Ron Carson <[EMAIL PROTECTED]>> To: Bill Maloney <[email protected]>> Sent: Sunday, August 24, 2008 7:34:11 AM> Subject: Re: [OTlist] bioness> > I am skeptical of e-stim devices for the hand. In my experience, there> is little a therapist or device can do to restore permanent and> meaning ability to a hand affected by a CVA. Of course, I've seen> patient's recover hand function s/p CVA, but this normally occurred> spontaneously and rather quickly after the CVA.> > When someone is 1 year or more out from their stroke, and hand> function is not meaningful, I do not feel that meaningful use will> return.> > Others' opinion??> > ----- Original Message -----> From: Bill Maloney <[EMAIL PROTECTED]>> Sent: Saturday, August 23, 2008> To: [email protected] <[email protected]>> Subj: [OTlist] bioness> > BM> I am relieved to see the OTlist responding to the recent "CPR"> it received.> BM> I hope it never dies.> > BM> Does anyone out there have any specific experience with the Bioness> device> BM> for treatment of the hands for patients diagnosed with multiple> sclerosis?> BM> (FYI http://www.bioness.com/bioness_hand_main.php). I appreciate any> BM> feedback.> > BM> Bill Maloney, OTR> BM> www.embracelifewell.com> > > -- > Options?> www.otnow.com/mailman/options/otlist_otnow.com> > Archive?> www.mail-archive.com/[email protected]> > > > > -- > Options?> www.otnow.com/mailman/options/otlist_otnow.com> > Archive?> www.mail-archive.com/[email protected]> > > > > -- > Options?> www.otnow.com/mailman/options/otlist_otnow.com> > Archive?> www.mail-archive.com/[email protected] -- Options? www.otnow.com/mailman/options/otlist_otnow.com
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