Clone of Online NISE-Stim Tone Modulation Level 2 B Feb 15, 2026

  • Online NISE-Stim® Tone Modulation - Level 2B - November 15, 2026

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  • NISE-Stim for Tone Modulation from Hypotonia to Spasticity and Dystonia

    NISE-Stim 2B Certification

     

    Deepen Your Skills in Tone Modulation
    🔹 Be among the first to achieve Advanced NISE-Stim 2B Certification
    Join me for this intensive 4-hour advanced training designed to expand your clinical expertise in tone regulation for children with complex neuromotor challenges.


    💡 What You’ll Learn
    Practical, evidence-based strategies to excite or dampen nerve activity for individualized outcomes:

    Hypotonia & Weakness – Increase muscle activation and strength in severe hypotonia.
    Spasticity & Dystonia – Modulate high tone and address mixed tone presentations with precision.
    Postural Alignment – Apply advanced clinical reasoning for targeted muscle activation to support improved postural control and functional performance.

    🔌 Who Should Attend
    This advanced course is exclusively for therapists who have completed NISE-Stim 1. You may choose to take level 2A NISE-Stim for the trunk first or after this course.
    👉 If you haven’t yet taken NISE-Stim 1, you may request access to the online course before registering.

    Perfect for therapists seeking to expand their skills in tone modulation and spinal alignment using NISE-Stim.


    Course Format
    📌 Recorded online course (private YouTube access)
    📌 Downloadable videos – Lifetime access
    📌 Self-paced learning
    📌 Detailed PDF handouts
    📌 Written & recorded programming instructions


    Course Fee
    💲 $250

    Requirements
    Stimulator, covered models:

    Chattanooga Continuum
    Empi Continuum
    Cefar Rehab X2
    Richmar Twin Stim IV
    Beurer EM49
    Other units must support symmetric biphasic waveform and manual programming.

    Electrodes
    Two packs of 2 × 3.5 in (5 × 8 or 5 × 10 cm)
    Attire
    Comfortable exercise clothing
    ⚠ Please avoid lotion before practice sessions.


    Hands-On Learning
    This is an hands-on course.
    Participants practice on their own body to build confidence and clinical skill.


    You Will Receive
    ✔ Full course recording
    ✔ PDF presentation & handouts
    ✔ Certificate of Completion


    Instructor
    Gerti Motavalli, MPT
    Pediatric Physical Therapist | Developer of NISE-Stim®

    ✔ 40+ years of clinical experience as pediatric physical therapist
    ✔ International lecturer & educator
    ✔ Published researcher in Child Neurology Open
    ✔ Trained hundreds of therapists worldwide


    Continuing Education
    🕒 4 Contact Hours

    ✔ Approved by Redefine Health Education (CA)
    ✔ Accepted in most U.S. states
    ✔ CEBroker Provider #: 20-1284654

    Check with your state board for acceptance.

    📧 CE Questions: info@redefinehealthed.com

     

     

  • For PTs, PTAs and OTs who completed NISE-Stim/spinal stimulation Certification 1

    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:

    Sunday, November 15, 2026
    10AM-2:15PM EST 

    10:00AM - 11:00AM:
    Spasticity reduction: Lecture and Hands-On Practice

    11:00AM-12:00PM EST
    Dystonia modulation: Lecture and Hands-On Practice

    12:00PM-12:15PM EST
    Break

    12:15PM -1:15PM EST
    Hypotonia: Lecture and Hands-On Practice

    1:15PM - 2:15PM EST
    Treatment of demonstration children

    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:
    Upon completion of this advanced training, participants will be able to:

    • Apply advanced stimulation techniques to reduce spasticity, modulate dystonia, and support improved postural control.
    • Develop and implement individualized protocols for children with hypotonia to enhance motor unit recruitment, trunk stability, and functional strength.
    • Integrate clinical reasoning with electrode placement skills to optimize tone modulation and postural alignment across complex neuromotor presentations.
    • Demonstrate competency in clinical practice by observing and participating in treatment of children with spasticity, dystonia, and hypotonia.

     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, PT3Ø  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.

     

    Transcutaneous spinal cord stimulation (tSCS) is emerging as a promising non-invasive intervention for reducing spasticity in children, particularly those with cerebral palsy (CP) and spinal cord injury (SCI). Recent studies demonstrate both neuromodulatory benefits and improvements in motor control, making it a viable option for pediatric neurorehabilitation.

    A 2023 pilot study by Shrivastav et al. (Transcutaneous Spinal Stimulation and Short-burst Interval Treadmill Training in Children with Cerebral Palsy: A Pilot Study, IEEE Transactions on Biomedical Engineering doi: 10.1109/TBME.2024.3522317) investigated the combination of tSCS with short-burst interval treadmill training in children with CP. The results showed sustained reductions in spasticity for up to 8 weeks post-intervention. These improvements were accompanied by enhancements in walking function, suggesting a dual benefit of the intervention.
     

    Building on this, a 2024 study by the same group Shrivastav et al. Transcutaneous Spinal Stimulation and Short-Burst Interval Treadmill Training in Children With Cerebral Palsy: A Pilot Study, IEEE Transactions on Biomedic... >Volume: 72 Issue: 5 reinforced these findings. In this multi-session protocol, improvements in spasticity were consistently observed, further supporting the feasibility of integrating tSCS into pediatric therapy regimens.

    An earlier controlled study by Solopova et al. (2017) Effects of spinal cord stimulation on motor functions in children with cerebral palsy, Neuroscience Letters, Volume 639, 3 February 2017, Pages 192-198 provided foundational evidence for spinal cord stimulation in children with spastic diplegic CP, reporting motor function improvements after stimulation at two spinal levels. EMG data confirmed decreased spastic responses post-stimulation.

    In a broader review of tSCS application across age groups, Singh et al. (2023) Transcutaneous Spinal Stimulation From Adults to Children: A Review, Top Spinal Cord Inj Rehabil (2023) 29 (1): 16–32. https://doi.org/10.46292/sci21-00084 discuss how neuromodulatory principles effective in adults appear to translate well into pediatric populations, with similar reductions in spasticity and potential for motor recovery.

    Although tSCS studies in pediatric SCI populations are still sparse, preliminary research
    like Singh et al. (2024) Safety and Feasibility of Cervical and Thoracic Transcutaneous Spinal Cord Stimulation to Improve Hand Motor Function in Children With Chronic Spinal Cord Injury, Neuromodulation: Technology at the Neural Interface, Volume 27, Issue 4, June 2024, Pages 661-671 has confirmed its safety and feasibility in children with chronic SCI, laying groundwork for future clinical use.
     

    Together, these studies signal a growing consensus: tSCS can safely reduce spasticity and enhance function in children, especially when combined with gait training or neurodevelopmental therapies.

     


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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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