The Neurokinex-led Pathfinder2 Study, sponsored by Spinal Research and published in Neuromodulation: Technology at Neural Interface on February 25, 2025, represents a landmark investigation into the long-term efficacy of ONWARD Medicalʼs ARC-EX Therapy for spinal cord injury (SCI) rehabilitation. This one-year trial demonstrated sustained functional improvements in chronic SCI patients, challenging historical assumptions about recovery plateaus and redefining expectations for neurorehabilitation outcomes.

Transcutaneous spinal cord stimulation delivers electrical currents through surface electrodes positioned over the spinous processes, modulating spinal circuit excitability. Unlike invasive epidural stimulation, tSCS non-invasively targets dorsal roots and interneuronal networks, facilitating neuromodulation of both ascending sensory and descending motor pathways. The stimulation parameters (typically 30-50 Hz) are designed to enhance residual supraspinal connectivity while activating latent central pattern generators (CPGs) responsible for rhythmic motor outputs. Recent studies suggest that tSCS amplifies sensorimotor integration, enabling volitional movement by lowering activation thresholds for preserved neural pathways.

In the intricate world of rehabilitation, the challenges posed by human complexity exceed those found in high-performance systems like Formula 1 cars. This article explores the multifaceted nature of rehabilitation, emphasising the importance of systems thinking in addressing individual variability and interconnected factors that impact recovery. As we delve into how each person's unique biological and psychological makeup influences their path to recovery, we will uncover the critical need for tailored treatment approaches. By recognising the interrelationships among various components—be it physiological, psychological, or social—healthcare providers can optimise rehabilitation strategies and enhance patients' recovery outcomes.

Functional Electrical Stimulation cycling, also known as FES cycling or using an FES bike, is a rehabilitation technique that uses electrical stimulation to activate skeletal muscle in individuals with spinal cord injury or other types of neurological injury. This technique is well established in the homes of hundreds of people in the UK as well as in NHS and private facilities. In this article we address the topic of how often you should exercise with this technology. For example, is 20 minutes, three times per week really enough?

A heel ulcer, also known as a pressure ulcer or, in the past, as a pressure sore, is a wound that develops from prolonged pressure on the skin and underlying tissue. It is most common in the elderly who may be immobile and nutritionally challenged - and those with medical conditions such as diabetes, peripheral arterial disease, or spinal cord injury. Heel ulcers occur when pressure is applied to the heel for extended periods, cutting off blood flow to the localised tissue and causing skin and subcutaneous tissue damage.
Heel ulcers are not a new problem. They represent a massive cost to the NHS and of course an emotional and physical burden on those who experience them. In this article we describe the characteristics of heel ulcers and the role of the PRAFO range in their prevention or treatment.

The Tek RMD is a great use of robotic technology. The product allows persons with lower limb paralysis or weakness to get out of their wheelchair with very little effort, and then stand in a great posture whilst being able to move around. It’s not an alternative to a wheelchair or a replacement for a wheelchair but it does offer a unique complement to one. Sitting in a wheelchair all day is not great for health and standing is obviously desirable in many practical and social situations.

What is not so obvious at a glance is that each Tek RMD is capable of being adjusted to suit a wide range of statures. The cosmetic bodywork covers the means to adjust the product and we cant generally make major adjustments on site.

In this article we cover what measurements we use to adjust the Tek RMD to the individual user

At Anatomical Concepts, we specialise in treating denervation - a condition where muscles lose their nerve supply. This can result from peripheral nerve injuries or certain spinal cord injuries affecting lower motor neurons. Untreated denervation leads to muscle atrophy, weakening muscles, and reduced ability to contract. However, RISE Stimulator, a device we use, can effectively treat denervation. By transmitting electrical signals directly to the muscle fibers, it bypasses the damaged nerve, preventing atrophy and muscle structural changes. This treatment method can normalize muscle tissue and increase muscle bulk over time. It's best to start soon after injury but can also help those with long-term injuries.