Online NISE-Stim for the Trunk, Level 2A Logo

  • NISE-Stim Course for the Trunk

    2A Certification

    I'm thrilled to announce the live online advanced NISE-Stim course focusing on the trunk.

    This 4-hour hands-on course is an exclusive opportunity for previous NISE-Stim participants to deepen their knowledge and skills. Together, we’ll explore the latest developments in NISE-Stim and apply innovative treatments for:

    Kyphosis
    Scoliosis
    Lordosis
    Spinal Muscular Atrophy

    I'm thrilled to announce the live online advanced NISE-Stim course focusing on the trunk.

    This 4-hour hands-on course is an exclusive opportunity for previous NISE-Stim participants to deepen their knowledge and skills. Together, we’ll explore the latest developments in NISE-Stim and apply innovative treatments for:

    Kyphosis
    Scoliosis
    Lordosis
    Spinal Muscular Atrophy


    Course Details:
    📅 Date: February 14, 2026
    ⏰ Time: 10:00 a.m. – 2:15 p.m. EST (New York)
    • UK (London): 3:00 – 7:15 p.m.
    • Berlin: 4:00 – 8:15 p.m.
    • Mumbai: 8:30 p.m. – 12:45 a.m.
    • Sydney: 2:00 – 6:15 a.m. (next day) 
    💻 Format: Live Online via Zoom
    💲 Cost: $250

    Continuing Education Hours: 4 hours 

    The Florida ceBroker number is 20-1284654, for 5 CEH's.

    This course has been approved for 4 contact hours by the following entities: Redefine Health Education, a recognized approval agency of the Physical Therapy Board of California. Courses approved by other state boards are likely to be accepted for licensure credit in other jurisdictions based on the regulations noted in the left side of this certificate. Please reach out to your state licensing board to confirm. If you have a specific question about your course or certificate, please direct your inquiry to info@redefinehealthed.com.

    California: This course is approved for 4 hours by Redefine Health Education, a recognized approval agency of the Physical Therapy Board of California.

    Courses approved by other state boards in the following jurisdictions are likely accepted for licensure credit based on the state regulation:

    AL | AK | AR | CO | CT | DE | GA | HI | ID | IN | IA | KS | KY | ME | MA | MI | MO | MT | NE | NH | NC | ND | OR | PA | RI | SC | SD | TN | UT | VT | VA | VI | WA | WI | WY

    Please reach out to your state licensing board to confirm the currency and accuracy of this information. If you have a specific question about CEU approval for this course in your state, please direct your inquiry to info@redefinehealthed.com.

    The following states are not pre-approved: AZ, DC, FL, LA, IL, MD, MN, MS, NM, NV, NY, NJ, OH, OK, TX, WV

    Participants licensed in states not pre-approved may file for individual approval using the instructions on this document: https://docs.google.com/document/d/1uINVSr-O7xE95OLRA5FjLYeAB3BjwxfS/edit

    Requirements:

    Stimulators: Covered models include Chattanooga Continuum, Empi Continuum, Cefar Rehab x2, Richmar Twin Stim IV, or Beurer EM49. If you have another stimulator, please make sure it has symmetric bi-phasic waveform and know how to program it.


    Electrodes: Two packs of 2x3.5" (5x8 or 5x10 cm) electrodes are required.
    Attire: Wear exercise clothes suitable for hands-on practice.


    Other Notes: Please avoid wearing lotion, as it may interfere with electrode adhesion.


    Special Notes:
    This is an interactive, hands-on course. Your video will be on for personalized guidance, and you’ll have the chance to explore the impact of various treatments on your own body during the session.

    Don’t wait—register now! Space is limited for this advanced training. Secure your spot today and join us for an in-depth journey into NISE-Stim trunk techniques.

    For questions contact me directly. Let’s keep advancing together!

    You Will Get:

    Zoom Link

    PDF of the presentation

    Certificate of completion

     

    Biography:
    Gerti Motavalli, MPT has worked for 40 years as a pediatric PT in Germany, India, and the USA. Together with Dr Gad Alon, PhD. PT, a world renowned researcher in the field of electrical stimulation, she developed the first surface spinal electrical stimulation protocol for children with Spina Bifida. The findings have been published in the research journal, Child Neurology Open and presented as a poster at the Pediatric Physical Therapy Conference (CSM) in the USA. Gerti Motavalli will be presenting a poster at the Spina Bifida World Conference in March, 2023 in Tucson, AZ, and presented at international conferences in Berlin Germany and Bath, UK in 2024. She now is treating children with Spina Bifida and other impairments in person and via online platforms across the world. Many of her previous course participants are successfully expanding the use of spinal electrical stimulation for patients with various central and peripheral impairments.

     

  • For PTs, PTAs and OTs who took level one NISE-Stim/spinal stimulation

    The Spinal Stimulation Webinar is designed for physical therapists and other medical clinicians. IT IS NOT INTENDED FOR LAY PERSONS. Clinical knowledge is needed to safely implement electrical stimulation treatment. Please discuss the appropriateness of this treatment with the patient's healthcare provider before starting the treatment.

  • Schedule:


    10:00 AM – 10:30 AM
    Review & Newest Developments in NISE-Stim

    Overview of NISE-Stim principles
    Discussion of recent advancements in techniques and applications

    10:30 AM – 11:15 AM
    Topic: Kyphosis

    Lecture (15 minutes): Anatomy and mechanics of kyphosis, treatment goals, and considerations
    Hands-On (30 minutes): Guided electrode placement and stimulation techniques

    11:15 AM – 12:00 PM
    Topic: Lordosis

    Lecture (15 minutes): Understanding lordosis patterns, challenges, and treatment approaches
    Hands-On (30 minutes): Practice with tailored NISE-Stim applications for lordosis

    12:00 PM – 12:15 PM
    Break (15 minutes)


    12:15 PM – 1:00 PM
    Topic: Scoliosis

    Lecture (15 minutes): Exploring scoliosis types, spinal curves, and treatment customization
    Hands-On (30 minutes): Applying techniques for scoliosis-specific stimulation

    1:00 PM – 1:45 PM
    Topic: Hypotonia (SMA)

    Lecture (15 minutes): Understanding hypotonia and its impact on posture and movement
    Hands-On (30 minutes): Practical application of stimulation to address muscle activation

    1:45 PM – 2:15 PM
    Q&A Session


    This schedule provides a comprehensive learning experience, allowing time for in-depth lectures, extended hands-on practice, and a dedicated Q&A session to address any remaining questions.

    Program Objectives:

    • Understand Advanced NISE-Stim Concepts: Deepen knowledge of spinal electrical stimulation principles and the latest developments in NISE-Stim techniques.
    • Address Specific Spinal Conditions: Learn targeted treatment approaches for kyphosis, scoliosis, lordosis, and hypotonia (SMA).
    • Master Practical Application: Gain hands-on experience in electrode placement and stimulation techniques for trunk-specific conditions.
    • Enhance Assessment Skills: Identify and assess structural and functional issues in the trunk to tailor NISE-Stim treatments effectively.
    • Improve Postural and Functional Outcomes: Apply NISE-Stim techniques to improve alignment, stability, and motor function.
    • Build Confidence in Self-Treatment: Explore the impact of treatments on your own body and develop a deeper understanding of patient experiences.  

     

    Articles about electrical stimulation in pediatrics:

    Published specifically about this surface spinal electrical stimulation treatment Gerti Motavalli developed together with Dr. Alon

    An Exploratory Electrical Stimulation Protocol in the Management of an Infant With Spina Bifida: A Case Report Gerti Motavalli, MPT1 , Jan J. McElroy, PT, PhD, PCS2 , and Gad Alon, PhD, PT3

    Child Neurology Open Volume 6: 1-6 ª The Author(s) 2019 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/2329048X19835656 journals.sagepub.com/home/cno

    Ø  Search: Child Neurology Open Sage Pub Electrical Stimulation https://journals.sagepub.com/doi/pdf/10.1177/2329048X19835656

    The application of functional electrical stimulation and noninvasive spinal cord electrical stimulation (transcutaneous spinal cord stimulation) protocols to a 6-month old infant with myelomeningocele has not been previously reported in the medical literature. The observed gradual development of previously absent sensory and motor responses in this infant was novel, surprising, and encouraging. Functional electrical stimulation and spinal cord electrical stimulation are well tolerated and have minimal, transient adverse events when applied to infants with spina bifida. The initial positive outcomes and safety of the novel application of electrical stimulation for this case infant provide a basis for further research into a new intervention approach which could enhance development for infants born with spina bifida.

    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.

     

     


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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.


    Signed and agreed on:

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