Frequently
Asked Questions
Q: Does Insurance pay for AutoMove
Therapy?
A: YES. Most Insurance companies pay. Please contact us
for details.
Q: Do I need a prescription?
A: YES. This is a FDA requirement. Send us a copy of a
physicians prescription.
It should say AutoMove and not Muscle-stim or Bio
feed-back.
Q: Can the AutoMove be used at home?
A: YES. The AutoMove is especially suited for home use. The device is
self-adjusting,
so there should be no adjustments necessary. In some cases
a longer rest-period is
desirable to allow for a longer time to relax.
Q: My physician/therapist tells me that I have reached a
"plateau" and that I
should not expect more improvement.
A: All patients in the clinical studies were more than six months
post-stroke. One clinical
study concludes that there is no relationship between the
results and the time since the
stroke.
Q: My stroke was several years ago. Will the AutoMove work for me?
A: Clinical research shows that there is no relationship between the
time since the stroke
and results.
Q: Is this like a Tens unit?
A: NO. TENS (Transcutaneous Electrical Nerve Stimulation)
is only electrical stimulation
used for pain relief. TENS has no effect what so ever on
stroke recovery.
Q: Is this like regular muscle stimulation?
A: NO, the stimulation is only applied WHEN the patient comes up
with a REAL attempt
to move the muscle and only then, the stimulation is
applied for typically five seconds.
There is no muscle training involved with this little
stimulation applied during 30 minutes,
as it is merely a replacement for any other reward such as
giving the patient a piece of
candy or a sound, etc.
It is found to be the most effective feedback, since the
patient can see that he/she can
actually make a difference and move the muscle - just by
thinking about it. Some patients
also benefit from the sensory feedback in addition to the
visual.
F.Y.I. - AM800 contains the most advanced and safest muscle
stimulator worldwide.
Q: Is this like regular biofeedback?
A: NO, regular EMG (electromyography) may in some cases also have
a very sensitive
input, but for most other applications the input signals
are filtered and averaged (RMS)
so that the small changes do not affect a steady and clear
reading for monitoring. For
stroke survivors - some have nearly no EMG activity or a
lot of muscle tone with high
background "noise" - regular EMG/biofeedback will
not stand a chance of detecting the
changes that indicate a real attempt from the brain. The
AutoMove measures peak values
in the EMG and has a very fast input circuitry. Instead of
averaging the input it does the
opposite -looks for a pattern in the small changes that
indicate a real attempt. A very
effective demonstration of this is when a non-patient
actually triggers the AutoMove
just by thinking about it and imagining a movement.
Q: I have a lot of muscle tone. Will it help?
A: AutoMove therapy often reduces the muscle tone or spasms, mainly
due to the muscle
stimulation that is applied 20-50 times during the half
hour session. You may call this a
"side-effect".
Q: When does AutoMove therapy not work?
A: When a patient is not cognitively intact, confused, not able to
concentrate on simple tasks
or is simply not motivated (Note: sometimes other family
members or friends more than
the patient) - Since it is "brain exercise" it
does not work without motivation and concentration.
Q: Is it complicated to set up?
A: No. The procedure for each 30-minutes session is:
- Put the three self-adhesive electrodes over the muscle (position not significant, as
input is
automatically adjusted continuously).
- Turn on the device and turn stimulation level up slowly for a comfortable contraction of
the muscle.
- Think very hard about moving the fingers, wrist, shoulder, foot or whichever muscle is
being worked on. Only when there is a real attemtp, will the muscle move for 5 seconds,
and the
display tells the patient to relax for 12 seconds (changeable). After relaxing, it returns
to
"Ready" and it is ready for the next attempt (relaxing is just as important as
concentrating).
This is how the entire 30 minutes are spent!
Q: Are the electrodes attached to the head?
A: NO. AutoMove therapy is teaching healthy parts of the brain to
relearn the lost functionality.
The signals are picked up on the skin over the muscles that
are being attempted to move.
E.g. on the lower forarm to increase wrist extension.
Q: How often do I need to replace batteries?
A: Four AA-batteries every 2-3 weeks at normal usage.
Q: How often do I need to replace the electrodes?
A: The electrodes that come with the unit are reusable, often 20-40
times. This kind of electrodes
are best treated by adding 10-50 drops of tap water after
each treatment and then being placed
on the plastic pad.
Q: What does the FDA say?
A: The AutoMove was approved in 1997 and is the only device that has
"Stroke Rehab" as an
Indication for Use.
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