Restorative Neurology Clinic
Commonly Asked Questions
Inclusion: Who can benefit from participating in this program? Anyone with arm or hand weakness caused by a neurological illness or injury, particularly those whose progress has stalled or “hit a plateau”.
Exclusions: Who cannot participate in this program? Anyone with significant pain who cannot tolerate repetition movement in the shoulder, elbow, wrist or hand; Anyone with a fixed joint contracture at the shoulder, elbow or wrist; Anyone who cannot follow basic 1-2 step directions; Anyone who is blind. If you have any concerns about your ability to participate, please contact our Restorative Neurology professionals for a consultation.
Benefits: What benefits can I expect? Overall benefits include, but are not limited to the following: Increased Passive Range of Motion; Increased Active Range of Motion; Increased Muscle Strength; Increased Function; Pain Reduction, Tone/Stiffness Reduction, Subluxation/Dislocation Improvements; Visual/Perceptual Improvements; Increased Cognitive Attention; Increased Attention to the Affected/Weak Limb; Improved Language Development; and Improved Quality Of Life for Participants and Caregivers.
Research Findings: Do you have any research to back up the benefits of the program? Yes. This program’s foundation is based on many years of clinical research. We have worked collaboratively with medical professionals and prestigious medical institutions to create optimal benefits for neurological and motor recovery. On average, there is a 20% improvement in upper limb recovery regardless of severity of impairment or length of time since the onset of illness or injury. Please see the following link(s) to journal publications for more information.
Duration of Time: How long is the program? The intensive workshop is held for 6 weeks. Therapy sessions will be held 3 times a week with a day of rest between.
Length of session: How long is each therapy session? Treatment sessions usually take 1-1.5 hours depending on robot type and severity of arm impairment.
MD prescription: Do I need a doctor’s prescription to enroll? No, however we require a medical clearance form from your physician and encourage you to speak with your doctor as needed and disclose any pertinent medical conditions to the Restorative Neurology Clinic personnel prior to participating in a program with us.
Payments: Do I have to pay in full? If you wish to pay in full, you may pay by personal check or credit card prior to beginning the program. Installments are accepted if you cannot pay in full. We only accept credit cards for installment payments. Half is due before treatment begins. You may then pay the remainder of the balance in accordance with your payment structure agreement.
Discounts: Do you offer a discounts? We are not currently offering discounted rates.
Insurance Coverage: Is this program covered under Insurance? – We do not accept insurance, however it is possible that your insurance company will reimburse you and we will provide a bill/receipt that you can submit to your provider.
Transportation: Do you provide transportation? – No. We do not provide transportation, however there is a Westchester County Service called Para-Transit, which offers affordable transportation for Westchester Residents. You can download the application at westchester.gov or call your local office for the aging. For those living outside of Westchester County, we have relationships with local taxi and car services. Please see attached Transportation Service List.
Vacation: Can I go away during the participation of my workshop? Because we would like for you to get full benefits of the intensive therapy program, we discourage any missed treatment sessions, unless it is for medical reasons or unforeseen circumstances. We allow 2 absences with the ability to make up those treatment sessions, however anything more than 2 sessions missed will not be reimbursed.
Absences: What if I miss a therapy session? We will arrange up to 2 make up sessions accordingly within the 6 week time frame in the event of unforeseen circumstances such as illness, medical appointments, inclement weather and/or personal emergencies.
Other Therapy: Can I continue with my regular therapy (Occupational Therapy, Physical Therapy or Speech Therapy) while I am participating in the program? YES, we encourage that you continue with your regular exercise routine and any other therapeutic programs that will offer benefit to you.
Botox: Can I get Botox treatment during my participation? Unless you are part of a research study that has strict guidelines, you are allowed to get Botox during your participation. If you are unsure, please consult with our Restorative Neurology Clinic personnel and/or your botox practitioner.
Harmful Effects: Will I experience any harm from participating in this type of Therapy? Participants may experience sore muscles or aches similar to after effects of general exercise. Over the counter pain relievers or muscle relaxers usually alleviate the symptoms. However, feel free to consult with your physician regarding the possible effects and only follow your doctor’s recommendations as individual results may vary.
Lasting Effects: How long after therapy ceases will my improvements last? Our research has shown that robotic effects are long lasting for more than 6 months post completion of our program. Participants who are active and continue with regular exercise programs usually show more improvement in time.
Robotics vs Standard Therapy: Should I expect more, less or same improvements compared to participating in standard therapy? Repetition is imperative in motor recovery, which the robots deliver. It has been shown in prior research that robotic therapy benefits are comparable to standard therapy only if the standard therapy is intensive and repetitious for at least one hour per session.
Improvement Expectations: Are there specific functional improvement I can expect? Results vary between individuals secondary to many contributing factors such as type of injury/illness, severity of impairments, other medical conditions and/or medical complications that may impede function. All participants will receive an individual consultation with our Restorative Neurology professionals regarding your personal needs and expectations.
Maintenance: What do I do when the program ends? Our Restorative Neurology professionals will customize a home exercise program for you and recommend activities and/or resources in the community that will benefit your individual needs so that you maintain the benefits that you gain from the program. We will also inform you of eligibility to participate in any of our other programs.