Brain and Spine Rehab Cyprus

International Clients for Stroke and Traumatic Brain Injury rehabilitation 

Discover how the new GRASP repatterning protocol helps to relearn lost movement and improve connectivity between brain and body. Book one or two weeks of training and testing in one of our centers in the Netherlands or Cyprus! 

Meet Arjan, Linda, our physical therapists and trainers!

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limited places available!

Interested? App/text to following mobile-number +31-625522222 to schedule a free Face Time call with Arjan & Linda. You can also send an e-mail: [email protected] 

G.R.A.S.P repatterning protocol

Is based on:

Repatterning lost movement patterns between the brain and body.

Reconnecting the interplay between body, balance system, eyes and brain.

This unique training protocol is for stroke survivors and those dealing with the long term consequences of a concussion and/or whiplash associated disorder.

The techniques, sequences and training methods lean heavily on the 30 year plus clinical experience of Arjan and rehabilitation inventions and personal experience of Linda. 

In the GRASP repatterning training much emphasis is placed on basic movement patterns, neuro-orthopedic stabilisation techniques, movement pattern reactivation by rebuilding body maps and above all repetition as well as precise support by novel photobiomodulation (therapeutic laser) and EMS stimulation techniques.

Clients that have trained with us indicate accelerated recovery, (part)recovery of movements that were thought lost, decreased brain fog, increased concentration and body awareness, improved balance (see also our Trust Pilot reviews).

Cyprus

Feel like having a vacation and rehab at the same time?

Next availability:  31th October-12th November 2022 and in 2023: 24 of April-7th of May, 5-18 June, 11-24 September and 6-19 November. (please book well in advance, training spots are going rapidly since we only work with small groups!)

Facts about Cuprus: 

1. Cyprus is proud to hold the 5th place worldwide out of 106 countries that were analyzed during the research about the safest countries in the world!

2.  Cyprus became independent from the British in 1960, on August 16th. However, they celebrate their on the 1st of October every year.

3. Legend has it that the Greek goddess of love–Aphrodite–was born in Cyprus. The country is also known as the playground of the Gods. Aphrodite is said to have emerged from a rock at Latchi (now called Aphrodite’s beach) in Poli Crysochous. As the ocean waves crush over this rock, they form pillars of foam that resemble the goddess of love.

4. Cyprus enjoys around 320 days of sunshine a year. The Mediterranean island is famed for its sub-tropical climate, making it one of the best holiday destinations for topping up the vitamin D. Cyprus enjoys around eight months of sunny weather and even in the winter months the average maximum temperature is around 17–18 °C, particularly in January and February.

Netherlands

Available 6 months of the year

 

A two weeks schedule (might) look like this

Day 1. 
  • Intake, extensive testing: eye functionality with Right Eye and Videonystagmography, balance assessments with Proprio en CAPS machines, QEEG with Loreta software to get low resolution tomography images and standard QEEG analysis, Cambridge Cognitive Science tests, Timing and coordination testing with IM master equipment, Audiography and full functional neurological and neuroporthopedic examination, 
  • 2 hours of initial instruction and assessment of possibilities for training program
  • 30 minutes of oxygen therapy without pressure (HBOT)
  • 15 minutes Pulsed electromagnetic field therapy (PEMFT)
  • Report of Findings and discussion of program for next two weeks
Day 2-5
  • Short repetition explanation of program for next two weeks
  • Functional neurological treatment session Arjan
  • 4 hours of training with one of the PTs including Photobiomodulation (therapeutic laser PB), light therapy, Interactive metronome training 15-30 minutes), NeuroSage stimulation program 15 minutes). Balance therapy
  • 30 minutes of PEMF (pulsed elektromagnetic therapy)
  • 60 minutes of HBOT (hyperbaric chamber therapy)
  • Day end and assessment Arjan (physical treatment when appropriate
Day 6
  • Evaluation I: Functional neurological testing, QEEG, Right Eye, Proprio and CAPS, Cambridge Brain Science testing, IM
  • Short repetition of program for next two weeks
  • Functional neurological treatment session Arjan
  • 4 hours of training with one of the PTs including Photobiomodulation (therapeutic laser PB), light therapy, Interactive metronome training 15-30 minutes), NeuroSage stimulation program 15 minutes). Balance therapy, 
  • 30 minutes of PEMF (pulsed elektromagnetic therapy)
  • 60 minutes of HBOT (hyperbaric chamber therapy)
  • Discussion of testing results and progress of training program
Day 7-11
  • Starting the week session with Arjan
  • Functional neurological treatment session Arjan
  • 4 hours of training with one of the PTs including Photobiomodulation (therapeutic laser PB), light therapy, Interactive metronome training 15-30 minutes), NeuroSage stimulation program 15 minutes). Balance therapy
  • 30 minutes of PEMF (pulsed elektromagnetic therapy)
  • 60 minutes of HBOT (hyperbaric chamber therapy)
  • Day end and assessment Arjan (physical treatment when appropriate
Day 12
  • Evaluation II: Functional neurological testing, QEEG, Right Eye, Proprio and CAPS, Cambridge Brain Science testing, IM
  • Short repetition of program for next two weeks
  • Functional neurological treatment session Arjan
  • 4 hours of training with one of the PTs including Photobiomodulation (therapeutic laser PB), light therapy, Interactive metronome training 15-30 minutes), NeuroSage stimulation program 15 minutes). Balance therapy, 
  • 30 minutes of PEMF (pulsed elektromagnetic therapy)
  • 60 minutes of HBOT (hyperbaric chamber therapy)
  • Discussion of testing results and progress of training program
Day 13 (monday)
  • Evaluation of training program
  • Instructions for home program including Interactive metronome Home program
  • HBOT 60 minutes
  • PEMFT 30 minutes
  • Functional neurological treatment
  • Discussion of nutrition, supplements and additional testing for home use
  • Discussion of evaluation results
  • We want to educate you: that's why the rehabilitation week is for family members also. You will get awesome food as well at our 2 lectures (vegetables, meat, fish, nuts, and many sorts of fermented foods) *for Cyprus only
  • Home 
Costs for a package  persons for one week: 4900 euro, and for 2 weeks: 9700 euro. (We succeeded in keeping costs as low as possible; similar rehabilitation programs usually cost twice the price)
 .

 

What can you expect?

Here is in short how the program is designed:

 STEP 1: Preparation for training  

A vital first step. The basis for brain survival are oxygen, activation (in the form of movement), fuel (in the form of slowly released sugars), water and light (believe it or not, light is essential for your body and mind to thrive).

 

First of all, we advise to cut down on sugar (high carbohydrate content), dairy wheat and other foods which are proinflammatory and hinder recovery of function. Also increase hydration (crucial for overall health and recovery) in the form of at least one and a half liters of water, herb teas next to what you are already taking in (not fruit juices because they are very high in sugar) are ideal. Fact is that most of us are dehydrated. Next to this we will advise you to invest time in posture and breathing correction, one of the easiest ways to change your state no matter what shape you are in. 

Because circulation to the brain and nervous system often becomes compromised we also suggest to do at least some form of regular low grade exercise (like two or three small walks or sitting on a stationary bike for 5-10 minutes). Of course some of our clients may not be able to do this. If that is the case, then we adapt the program accordingly. No problem.

 

You can take this to a next level by taking an advanced DNA test which will give valuable additional insights into what types of food, exercise are best for you as well as which potential health weaknesses you should focus on. Ask for this test if you are interested. 

 

STEP 2: Brain testing 

This is where it all starts. Where do you stand? What is not functioning well? Why do you still have problems? This information will provide the insights on where to make the next step and which trainer to do this with. 

  

  • Advanced personal analysis based on the following activities:

  •  QEEG (brain activity measuring)

  • EyeQ (eye functionality measuring)

  • Saccadometry (targeted eye function and prefrontal cortex activity measuring) 

  • PROPRIO 5000 (active balance, body stability and reactive proprioceptive measurement)

  • Interactive metronome (timing and coordination).

  • Functional neurological research

  • Functional neuro-orthopedic research (FNOR, core stability, surfaced pain analysis)

  • CAPS, stability and falling chance measurement 

  • Audiogram 

  • Tilt table testing (POTS analysis) 

  • Cambridge Brain Sciences cognitive (at home) testing (45 minutes) 

 

STEP 3: Personal plan  

 Arjan makes a PERSONALISED RECOVERY PLAN based on your test results. Basically, through the testing we get confirmed where your weakest spots are and we train and strengthen those in order to recover its functions. 

 STEP 4: Training

Of course we adapt the program so it does not exceed your systems capacity to handle it. 

Sessions with our physical therapists:  

Why? 

Our physical therapists are trained to work with the Brain Rehab and GRASP repatterning programs, and know exactly which training to give or where to adapt training when necessary. 

Specialized treatment updates with one of our functional neurologists (Arjan):

Why? 

Because physical problems like neck instability, neck dysfunction or jaw problems often appear after brain injury it is important to spot the physical problems that cannot be helped by training alone. Only a highly trained functional neurologist/ chiropractor knows which problem areas to treat in a way that supports the recovery of your brain and improves interplay between balance, neck input and eye functionality. The functional neurologists will at the same time monitor how you are doing with training and can adapt the training program accordingly. 

Sessions with EMS  

Why?  

EMS (electro muscular stimulation) is an excellent (clinically seen) way to enhance functional capacity and prevent deterioration of muscle function. Although there are limited studies available on the validity of EMS for stroke, concussion/ whiplash, we do know that through graded electro-muscular stimulation we greatly enhance the feedback of the body to the brain, which is often a problem after whiplash associated disorders and brain injury in general.  

Sessions of HYPERBARIC OXYGEN THERAPY (HBO2) 

This is the safe medical use of oxygen in a pressurized environment. 

Principal mechanisms of HBO2 are based on intercellular and  generation of reactive species of oxygen and nitrogen. Reactive species and good forms of nitric oxide are recognized to play a central role in cell signaling which are vital for recovery after injury, enhanced cellular function and improved vascular health, resilience and oxygenation (all of which can become compromised after head injury). Systematic reviews and randomized clinical trials support clinical use of HBO2. 

Why? 

Clinical and mechanistic data support use of hyperbaric oxygen for a variety of disorders. Especially when you cannot bring exercise efforts up to a reasonable level because of your condition this becomes extra important. 

Great emphasis on basic, rhythmic and Crossed movement patterns.

These are techniques that use, among other things, subtle and varying movements with the intention of forming (re)new(ed) connections between the body, nervous system, and brain in order to improve physical, mental, and cognitive functioning.

Why?

Above all it helps raise awareness of movements and where movements are compromised. A well-known fact after stroke, whiplash or head trauma is that movement patterns become disturbed and disrupted. You often are physically limited in movement patterns or regress to more inefficient primitive movements which further halt optimal function and recovery of the brain. 

 

 

Sessions with electro magnetic field therapy

This is, literally, together with specific low level intensity red light laser, the cutting edge of treatments and stimulations when there is a brain injury. Nothing matches its accuracy and direct effectiveness of this stimulation where magnetic fields and photobiomodulation (low level laser therapy) are used to enhance brain function in areas where brain function is decreased. 

 Why? 

Pulsed Electro Magnetic Field therapy (PEMFT) utilizes electromagnetic waves to stabilize and strengthen neuron pools that have been weakened by for example a concussion or stroke, within the brain. 

Low level intensity red light laser (Photobiomodulation) 

Light therapy is rapidly gaining interest from the medical community, especially after many studies have shown its potential to dampen the so-called cytokine storms during active COVID. Red, infra and near infrared spectrum laser therapy is therapeutic and should never be confused with surgical or other applications of laser. Much research at this moment is focused on the efficacy of laser therapy after stroke and brain injury. Most studies indicate that the use of laser therapy with brain injury is a safe and very valuable adjunct to other therapies or can be used as stand alone therapy in case of acute or chronic brain injury.  

Why? 

We use low level intensity laser for all types of injuries (for brain & body) and recovery processes). The unique NEURO SOLUTIONS laser that we use in our clinics not only supports energy production at the cell level, and lowers inflammation (brain inflammation is often a very important factor why recovery does not take place) in short sessions, but also a multitude of other recovery processes.

Mindset coaching & meditation guidance  

Some of our physical therapists are very experienced in meditation techniques and will guide you in the practice of meditation and or mindfulness 

 Why? 

Meditation and mindfulness have been, without a doubt, proven to regulate and assist in recovery of brain injury. One of the biggest things with mindfulness and meditation is that, in contrast to popular belief, it is not hard to learn. Fact is that it only takes a minimum of three minutes a day (which means everyone can do it) and that there is no such thing as a perfect meditation. Since stress management is one of the fundamentals for real recovery (the stress system is often over and permanently activated after brain injury) We highly recommend the practice of some form of meditation or Yoga nindra. 

Home exercise program  

In order to have a continuous effect on your recovery and to keep costs for the training programs in check, you will receive instructions for further home training whenever you visit our clinic. 

Medical Massage

 

Nutrition and Guidance 

If you decide to do nutritional, immunological or metabolic testing with us, extra costs will be involved.

Scientific references

All our data is based on thorough scientific research and years of experience. Below you will find the corresponding scientific references.

 

We take pride in providing the best individual-based solutions far before regular healthcare can do so. We do not pretend to have a solution for everyone but see that many big opportunities are missed at present. 

Walking, shoulder, arm and hand  

Almost all stroke survivors deal with one or all of these issues.

Linda has recovered remarkably, by thinking “outside the box”. You can see where she came from, on this page https://www.brain.rehab/Linda-Radestad.

Arjan and Linda have set up a unique shoulder, arm and leg training program for stroke survivors (containing among other: static holds,  pre-crawling and neuro motor exercises, cross crawl, Neurosensorimotor Reflex Integration, muscle isolation exercises and the new G.R.A.S.P repatterning but also play-around & rolling-crawling in our mat-room to get more feeling, and to become more aware "get-to-know' your affected side again.

To make a long story short we are emphasizing and training the weakest muscle groups. Goal: to make them stronger, move accurately again without compensating! The brain and body are masters in compensating! Which is great in a way, that is how the humans evolved. But it is not so great if you want to walk properly or use your arm after a stroke. We take away the "compensation" and "force" you to learn it properly. A few of these exercises (in a later stadium) you can find below ( 5-6 years post stroke). 

In case you decide to come to us, Linda, Arjan (together with a physical therapist) will show you, where in your specific situation to start on these exercises. 

Building up my “drinking from a cup muscles” (without the elbow sticking out). 

As you can see in the left part of the video, I go from sitting down, having a weight in my hand and my elbow on a table, to standing without elbow support. The most important point of attention is the elbow, it wants to move out because the muscles are stronger if I move the elbow out. 

In this exercise I am isolating muscles (among which the brachialis, also called workhorse of elbow flexion) that flex the elbow while rotating the underarm, which is necessary for example to bring a cup to your mouth. 

The brace I use (the right video) is used to keep my finger straight and it gives some weight as well. I used an elastic band to keep my elbow in place during the exercises. I could go to 1/3 and 2/3 of the movement as you can see.

Why am I doing this?

To isolate my weakest muscles and train them so I can eventually  have my left arm move accurately again without compensating! The big gain through this exercise is that I have more control and stability during the movement and that my arm is not flaring out anymore!

The weight is important too. That gives me a “feeling that the arm is there” (gravity).

 

 

Building up my “raise my arm and bring something towards me”  

For a long time I was not able to lift my arm purposefully, let alone make any directed movement in that position, like raising my arm and drawing a clothing piece towards me. 

During this movement muscles like the mid and posterior deltoid, teres minor and infraspinatus, are used to lift the arm and together with the biceps and triceps make the drawing movement ( more muscles are involved in this process but I like to keep it simple by mentioning the important ones)

Why am I doing this?

To re-learn reach out and bring something towards me with an elevated arm.

 

 

Building up my “rotators muscles” from scratch  

In this video, I am able to isolate shoulder rotators like the teres minor, infraspinatus. 

In the left part of the video, I use a pillow to rest my arm on and make small movements. They have to be strong in that particular position to be able to do what I am doing in the right part of the video.

Why am I doing this?

In order to make movements where my arm is used, for example, to remove a stain from a window or to lift something out of a sink

 

 

Stability around the shoulder while fighting gravity   

The whole purpose of this exercise is to have the muscle strength, stamina and stability around the shoulder to keep the arm and shoulder in place while putting pressure on an object while fighting gravity.

 

 

Building up my "push  muscle"  

The same thing as in the video above. While pushing and moving an object.

 

Pure external rotation   

This is one of the most important isolated movements for the arm and shoulder. No elevation, just pure external rotation. The big gain with this exercise is to stabilize the upper arm without the arm flaring out when attempting to rotate the arm outwards. In this exercise you are using both muscles to keep the arm from flaring out ( such as the pectoralis and coracobrachialis muscles) as well as the rotator cuff muscles to make isolated external rotation possible

Why am I doing this?

This exercise will make reaching out to the side, in a purposeful way, much easier

 

 

Strengthening my grip and  improved wrist extension 

Wilfully extending my wrist has been very difficult. By using the upper body exerciser(UBE)on the affected side or bi-manually has not only strengthened my grip but also improved wrist extension a lot. The UBE has improved wrist stamina as well as forearm manipulation, especially extension strength.

 

Cross movement

I do this exercise to improve trunk and leg stability. In addition it trains my capacity to multitask while moving around. The crossed movement of the leg and arm combine with stepping up has an important neurological effect through cross cord and inter hemispheric activation. Thus strengthening normal movement patterns at cord, brain stem and brain level. This simulates day to day activities way better then just training in isolation thereby also reducing the risk of falls. The vibration plate that I do this on actually accentuates the muscle and Proprioceptive  feedback. It vibrates at 10Hz simulating normal muscle feedback (-:

 

 

 

Walking, getting up and going, walking stairs

I do this to further strengthen hip stability by doing squats and hip extension exercises. Note that I have a suit on that electrically amplifies my glutes and transverse abdominal muscle activity. Although these exercises are used a lot, do them only after you have trained these muscles enough in isolation. For example using so called iso clam exercises. Note that I am using the vibration plate to enhance the signal back to the spinal cord and brain. 

Why am I doing this?

These exercises will make walking, getting up and going, walking stairs and protecting your back from injury a lot easier.

 

 

Upper front leg

Here I am activating the whole anterior movement chain in my leg. From toes to hip. This exercise should only be done after you have accomplished a strong posture and have sufficient glute and deep abdominal strength ( iso clam exercises). I do this exercise to be able to have more ease in getting my leg out of a seated position, such as moving my leg out of a car. Note that I am sitting supported, which is important because it prevents back injury.

Why am I doing this?

These exercises will make walking, getting up and going, walking stairs and protecting your back from injury a lot easier.

 

 

Foot  

Here I have gone from training the foot extensors, which I was not able to do for 1 year post-stoke, since I had a foot drop and I was wearing a brace  (which I was told that I would wear for the rest of my life ) to using my weak foot in a position where I have an extended to neutral foot and training toe-off, which is important for propulsion strength and speed while walking. Having trained the foot extensors first makes this movement much more stable and robust.

Why am I doing this?

To be able to walk properly

 

 

after 6 years , I could finally make a side bridge 

Please notice that the EMS ( electro muscular stimulation, more on the weakest side of my body) suit helps the muscle activity required to do the side and supine bridges, which makes progression a lot quicker. Also without the suit! The side bridge and bridge exercise are hard ones to master. As with the other exercises do not even try before you have mastered hip shoulder and postural strength. Otherwise the exercise is unstable and will lead to injuries. These exercises will make getting up from a lying position in any way a lot easier and more safe. In addition it will train the hamstrings, which are very important for walking stability and strength in the posterior movement chain. In fact most people are quad dominant which leads to weakness of the hamstrings and glutes, thus making them more vulnerable to back and leg injury. 

 

Result:

walking February 2022

 

 

Result:

my fingers february 2022 

 

 

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