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  • Jan. 16, 2026

    Sydney, Australia

  • Non-Invasive Spinal Electrical Stimulation 

    Advanced NISE-Stim 2 Certification

    by Gerti Motavalli, PT, MPT — Founder of NISE-Stim


    Deepen Your Skills in Tone Modulation & Postural Correction


    🔹 Be among the first to achieve Advanced NISE-Stim 2 Certification
    Join us for this comprehensive 8-hour, in-person training focused on advanced clinical strategies to improve posture, tone regulation, and functional outcomes in children with complex neuromotor challenges.


    💡 What You’ll Learn
    Advanced techniques for treating scoliosis, kyphosis, and lordosis
    In-depth methods to excite or dampen nerve activity to:
    • Increase muscle activation and strength in low-strength conditions (e.g., SMA, DMD) and severe hypotonia
    • Modulate high tone in spasticity, dystonia, and mixed tone presentations
    Clinical reasoning for targeted muscle activation and postural alignment

    🔌 Who Should Attend
    This course is exclusively for therapists who have completed NISE-Stim 1 (please request the online NISE-Stim 1 course if you haven't taken it yet) and want to expand their expertise in spinal stimulation for tone modulation and spinal alignment.


    🕐 Course Details
    Date: Friday, January 16, 2025
    Time: 8:00 a.m. – 5:00 p.m.
    Location: NAPA Sydney
    Ground Floor, 2 Lincoln Street, Lane Cove West, NSW 2066, Australia 
    Course Length: 8 hours, in-person


    💰 Tuition
    Early Bird: US$370
    Regular: US$390

    📧 Course Coordinator
    Paul Pozzobon, paul@napacentre.com.au


    🔗 Learn more at: spinalstim.net
    Follow on Instagram: @spinalstimgerti

     

    Biography:

    Gerti Motavalli is a pediatric physical therapist with over 40 years of clinical experience across Germany, India, and the United States. She is the co-developer of the NISE-Stim protocol (Non-Invasive Spinal Electrical Stimulation) designed specifically for children with neuromotor impairments such as Spina Bifida, cerebral palsy, spinal cord injury, and brachial plexus injury.

    In collaboration with Dr. Gad Alon, a world-renowned expert in electrical stimulation, Gerti developed the first surface spinal electrical stimulation protocol for children, published in Child Neurology Open and presented at major conferences including the Pediatric Physical Therapy Conference (CSM 2020), the Spina Bifida World Congress (2023), and the International Functional Electrical Stimulation Society (IFESS) Conference in the UK (2024).

    Gerti currently treats children both in person and virtually, and has trained hundreds of therapists worldwide in applying spinal stimulation safely and effectively. Her courses combine strong clinical reasoning with hands-on practice and real case demonstrations, making them highly practical and transformative for pediatric therapists.

    Program Objectives:

    By the end of this 8-hour training, participants will be able to:

    Adjust advanced NISE-Stim parameters for optimal clinical outcomes
    Apply targeted stimulation protocols for lordosis, kyphosis, and scoliosis
    Design treatment strategies for children with hypotonia (e.g., SMA, DMD)
    Manage spasticity and dystonia using tone modulation techniques
    Assess spinal alignment and trunk control to guide electrode placement
    Practice hands-on with children presenting postural and tone-related conditions
    Experience self-treatment to better understand patient response
    Receive expert feedback to refine technique and clinical decision-making


                                                            

     

  • Class Schedule (subject to change)— Advanced NISE-Stim 2 Certification

    8:00 AM – 9:45 AM:
    Lecture & Hands-On – Advanced E-Stim Adjustments
    An in-depth session on how to fine-tune stimulation parameters for specific clinical goals using NISE-Stim. Includes hands-on application.

    9:45 AM – 10:30 AM:
    Lecture & Hands-On – Lordosis
    Learn and practice targeted stimulation strategies for treating lordosis.

    10:30 AM – 10:45 AM:
    Break

    10:45 AM – 11:30 AM:
    Lecture & Hands-On – Kyphosis
    Explore treatment techniques to improve upper trunk extension and correct postural collapse.

    11:30 AM – 12:15 PM:
    Lecture & Hands-On – Scoliosis
    A comprehensive look at managing scoliosis with NISE-Stim, followed by hands-on training.

    12:15 PM – 12:45 PM:
    Lunch Break

    1:00 PM – 2:00 PM:
    Hands-On Trunk Alignment Practice
    Participants work directly with 4–6 children presenting with scoliosis, lordosis, or kyphosis to apply trunk-focused stimulation techniques.

    2:00 PM – 2:30 PM:
    Group Discussion of Treatments
    Case-based reflection and clinical reasoning review.

    2:30 PM – 3:00 PM:
    Lecture & Hands-On – SMA (Very Low Muscle Tone)
    Learn how to activate low tone in children with severe hypotonia, such as SMA or DMD.

    3:00 PM – 3:15 PM:
    Break

    3:15 PM – 4:30 PM:
    Lecture & Hands-On – Tone Modulation: Spasticity & Dystonia
    Strategies to dampen high tone and improve voluntary motor control. Includes hands-on work with 4–6 children with tone-related challenges.

    4:30 PM – 5:00 PM:
    Feedback & Q&A
    Final discussion with personalized guidance from Gerti Motavalli.

    Research:
    Motavalli, Gerti, Jan J. McElroy, and Gad Alon. "An exploratory electrical stimulation protocol in the management of an infant with spina bifida: a case report." Child Neurology Open 6 (2019): 2329048X19835656.

    Goutam Singh, PT, PhD; Anastasia Keller, PhD; et al.
    Safety and Feasibility of Cervical and Thoracic Transcutaneous Spinal Cord Stimulation to Improve Hand Motor Function in Children With Chronic Spinal Cord Injury. Neuromodulation 4/2023, https://doi.org/10.1016/j.neurom.2023.04.475

    Kristin Girshin 1,2, Rahul Sachdeva, et al. Spinal Cord Neuromodulation to treat Cerebral Palsy in Pediatrics: POUNCE Multiside Randomized Clinical Trial 6/2023 Frontiers in Neuroscience, 10.3389/fnins.2023.1221809

    James J. Laskin, Zeina Waheed,et al. Spinal Cord Stimulation Research in the Restoration of Motor, Sensory, and Autonomic Function for Individuals Living With Spinal Cord Injuries: A Scoping Review, Archives of Physical Medicine and Rehabilitation 2022;103: 1387-97, http://www.archives-pmr.org/

    Parag N. Gad, Evgeniy Kreydin, Non-invasive Neuromodulation of Spinal Cord Restores Lower Urinary Tract Function After Paralysis, Frontiers in Neuroscience, doi: 10.3389/fnins.2018.00432

    Samejima, S. Caskey, C. D. Inanici, F. Multisite Transcutaneous Spinal Stimulation for Walking and        Autonomic Recovery in Motor-Incomplete Tetraplegia: A Single-Subject Design. Phys Ther 2022;102: DOI10.1093/ptj/pzab228.

    Anastasia Keller1,2, Goutam Singh 1,2, et al. Noninvasive spinal stimulation safely enables upright posture in children with spinal cord injury NATURE COMMUNICATIONS https://doi.org/10.1038/s41467-021-26026-z

    Solopova IA, Sukhotina IA, Zhvansky DS, et al. Effects of spinal cord stimulation on motor functions in children with cerebral palsy. Neurosci Lett. 2017;639:192-198.

    Krucoff MO, Rahimpour S, Slutzky MW, Edgerton VR, Turner DA. Enhancing Nervous System Recovery through Neurobiologics, Neural Interface Training, and Neurorehabilitation. Front Neurosci. 2016;10:584.

    Gerasimenko Y, Gad P, Sayenko D, et al. Integration of sensory, spinal, and volitional descending inputs in regulation of human locomotion. J Neurophysiol. 2016;116(1):98-105.

    Lee NG, Andrews E, Rosoklija I, et al. The effect of spinal cord level on sexual function in the spina bifida population. J Pediatr Urol. 2015;11(3):142 e141-146.

    Sayenko DG, Atkinson DA, Floyd TC, et al. Effects of paired transcutaneous electrical stimulation delivered at single and dual sites over lumbosacral spinal cord. Neurosci Lett.2015;609:229-234.

    Shideler, B.L., et al., Toward a hybrid exoskeleton for crouch gait in children with cerebral palsy: neuromuscular electrical stimulation for improved knee extension. J Neuroeng Rehabil, 2020.

     

  • Registration


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  • Liability Waiver and Agreement

    1. Intellectual Property and Teaching Restrictions

    I acknowledge that all course materials, presentations, videos, documents, and recordings related to NISE-Stim are the intellectual property of Gerti Motavalli, LLC, protected by copyright law.
    I agree that I will not teach NISE-Stim courses, workshops, or training sessions to other therapists or professionals, nor will I reproduce, distribute, or modify any NISE-Stim materials for instructional, promotional, or commercial use.
    I may, however, educate families, caregivers, and other professionals about what NISE-Stim is, its purpose, and its general benefits—provided such communication does not constitute teaching or training in the NISE-Stim method.

    2. Purpose of Instruction

    I understand that the purpose of the Class is to provide professional education, demonstrations, and hands-on learning in Non-Invasive Spinal Electrical Stimulation (NISE-Stim).
    The Class is intended to expand professional knowledge and clinical skill and does not authorize participants to teach NISE-Stim.
    To receive full continuing education credit, I must attend the entire course as scheduled.

    3. Assumption of Risk and Safety

    I understand that participation in this Class involves the use of electrically powered therapeutic equipment. I agree to exercise appropriate care and caution in its use and acknowledge that I am responsible for my own safety and personal belongings at all times.
    I hereby release and hold harmless Gerti Motavalli, MSPT, LLC, and all affiliated instructional staff, assistants, contractors, and facilities from any and all liability for injury, loss, or damages incurred during my participation in the Class.

    4. Professional Responsibility

    I understand that the Sponsor and its affiliates are not responsible for my conduct or professional services as a licensed therapist, health professional, or provider of related services.
    I remain fully responsible for the care and safety of my own patients and for adhering to the laws and regulations governing my professional license.
    If I request mentorship from Gerti Motavalli regarding a specific patient, I acknowledge that I remain the licensed professional responsible for that patient’s care and clinical outcomes.

    5. Release of Liability

    I hereby release and hold harmless Gerti Motavalli, MSPT, LLC, its employees, contractors, assistants, and affiliates from any and all claims, damages, or causes of action arising out of or related to my participation in the Class or mentorship, including but not limited to injury, property loss, or professional disputes.

    6. Acknowledgment

    I have read and fully understood this Liability Waiver and Agreement. I voluntarily accept and agree to all terms and conditions set forth herein.

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          • Please note that in the event of unforeseen circumstances, such as sudden severe illness or canceled flights, that prevent me from attending the course, I will refund the course fee in full. However, I cannot be held responsible for any additional expenses that participants may incur, such as travel or accommodation costs.

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