How we do it

Brain Plasticity

In the last 30 years, the understanding of brain plasticity (neuroplasticity) has grown substantially. We have more understanding on how neural activity shapes the brain and its connections, and use this knowledge to strengthen brain circuits and restore functions.

Research shows how developing brains and adult brains respond to neural injury, and how the preserved brain regions take over functions of injured ones. Some injuries are more severe than others, but as long as there are some residual connectivity networks we could strengthen these areas, and in addition reactivate those brain areas and networks that have been injured.

New scientific procedures to stimulate neural plasticity and improve function of brain injured animals and human adults have been developing in the recent years. Injured areas and its connections can be reactivated and rebuilt. The goal of our recovery program is to translate these new developments into therapies for both adults and children with brain injury and other neurological disorders.

A lot of the basic science shows that through High Intensity rehab training, both cognitive and movement therapies, the particular areas and its connections you use gets stronger. In addition, in the recent ten years till date, standalone Non-Invasive Brain Stimulation (NIBS) done in studies shows it could promote recovery of the damaged brain, its functions and its networks, even when applied long after injury.

Thus, conventional rehab program in most hospitals and rehab facilities adopts the former where High Intensity rehab training is only used. In other NIBS facilities, only NIBS is adopted as the only treatment modality. There is no integration of the two.

Integration

The combination of NIBS and rehab therapies have been substantiated in many past and ongoing studies and preliminary clinical trials. Results shows significant improvements with this integrative approach, rather than just standalone conventional rehab high intensity training or NIBS.

Here in NMLab, we translate these new findings into our treatment program. We differ from the other facilities as we are the pioneer rehab centre in the world to integrate NIBS with cognitive training and/or cutting edge motor rehab therapies for neurorehabilitation. We apply the concept of neuroplasticity to rebuild damaged areas and brain networks to help patients recover to his or her fullest potential. In addition, this approach is practical, safe, well tolerated by patients, and have shown the greatest benefits.

Difference

NMlab is recognised for our individualized programs and treatment plans. We differ from conventional hospitals and rehab centres that have a standardised rehab program for each different condition. The strategy of our programs is to identify brain areas and connections damaged by the injury, and those spared by injury. With such diagnosis, only then a customised rehab strategy can be made, and reduce that disability with targeted therapy and improve neurological outcome.

Future

As technology advances over time, so have the scientific approaches and the equipment implemented for neurorehabilitation. We keep in touch with the latest research approaches and technology to help patients from birth to adulthood recover from injuries or disorders that have hindered their growth and development in cognitive skills, emotional wellbeing, motor function and independence. Working together with other institutions, such as SYNAPZE Inc, we are pioneering and developing new novel neuro technologies and treatment protocols that will push beyond the traditional limits of rehabilitation and recovery.

Technology we use in NIBS:

Transcranial Direct Current Stimulation (tDCS)

Transcranial Alternating Current Stimulation (tACS)

Trigeminal Nerve Stimulation (TNS)

Transcutaneous Vagal Nerve Stimulation (tVNS)

Technology we use in motor and cognitive rehab:

  • Computerised cognitive tasks
  • Assistive technologies
  • Functional electrical stimulation equipment
  • Balance training
  • Body-weight support
  • Biofeedback devices for both upper- and lower-extremity movements
  • Foot drop systems