Case Studies

Learning to activate core muscles all the way around the spine has helped several of Dr. Jeff’s paraplegic patients to get out of their wheelchairs and walk again. Imagine what it can do for you!  Within a month of use, you will improve your posture, stand taller and move without pain in your back and other joints. Enjoy the feeling of being able to do more things with confidence again.

Case Studies:  Video

L.H. – October 2010 LH fell 15 feet breaking his back, and later went through 2 spinal surgeries. After his second surgery, LH went through extensive rehab prior to his release from the hospital in preparation for a life in a wheelchair.  March 2011 LH came to Dr. Jeff’s office for consultation and exam where it was determined that a rehab program would be implemented.

Examination: He was found to have slight motor impulses in the left upper thigh and struggled to extend leg with no resistance for 1 incomplete ROM rep. He had no sensory input from the knee down bilateral. No motor control below the knee.  No hamstring contraction; gluteal and hamstring atrophy.  Slight gluteal impulse, but cannot extend or externally rotate a leg.  However, he can stand with support if stabilized and held into position.

Plan: rehab with the main focus on spinal stabilization through core training. Main tool: the Core Activator. Goal: to lose body fat and strengthen the core and overall muscles to allow easier mobility with his wheelchair.

Field Trial 1 – I took my left hand above LH’s head and had him push with both hands.  With my right hand, I had LH abdominally brace as described by Dr. Stuart McGill.  He was then instructed to extend his leg.  He did 3 full complete repetitions with the right leg and a full repetition with left leg.

He had very limited movement and endurance, but he had movement!  A core link to increased power in his lower extremity was established.  Abdominal bracing increased his power by increasing neurological recruitment and firing patterns.  He was thrilled and so was I . . . time to train his core. 

He had significant strength and power gains of 1400% or more in some areas in 8 weeks of training, 3x a week.  Workout time averaged 1 hour and 15 minutes to 1 hour and 30 minutes.  He then progressed to advanced moves on the Core Activator.

January 2013; he took several steps unaided in the weight room!  LH is now able to walk gingerly, but unaided for approximately 5 yards. Placed a Core Activator at his house 18 months ago. It was not the only tool he used, but this training through the use of repetition, neuroplasticity, and core training has helped LH progress. He has worked extremely hard to get to the functioning level he currently finds himself. 2016 – LH now walks unaided and continues to use the Core Activator.

Case Summary No. 2 – D.M.

D.M. is another patient who was in a wheelchair for 10 years.  This patient had a severe head injury that induced a stroke as a passenger in a motor vehicle accident.  One week before his 30th birthday, he sustained head trauma that induced hemimorphic bleed (stroke) into the left hemisphere (left side of the brain).  He lost complete function of right side of his body.  Hip and femur fractures added to the severity of his condition.

He asked me if he would ever walk again.  I said that there is limited function, but I once again explained the concept of neuroplasticity. He worked on exercises to the point he could hold his whole body weight on his right foot.  We have been doing core exercises as the foundation of his training.  He has diligently performed those exercises and has progressed from wheelchair to walker, canes, and then orthopedic shoe.  On April 4, 2013, this young man had hip reconstruction and hamstring lengthening surgery.  God willing he will walk again with two normal shoes. Neuroplasticity training and core training including the Core Activator were pathways utilized.

Case Summary No. 3 – L.M.

LM broke his back from a tornado.  The house he was in was picked up by the tornado and tossed several hundred feet, crushing it to rubble. His wife and children were thrown out of the house into separate fields, but LM had the worst injuries and was paralyzed with a badly broken back.  To speed the clock about 1 plus years later, I first met him at his home after he had several surgeries and was discharged with a negative prognosis.  He had no feeling in his legs including the thighs, but on an exam, LM was able to twitch his big left toe.  That motor pathway was still intact.  I explained the concept of neuroplasticity and working pathways over and over again. If you give that pathway fuel and activation, it will get stronger.  Several years later and many falls, cuts, bumps, and bruises, he was able to progress from wheelchair to walker, to 2 hand canes, to 1 cane.  Today he is now able to walk without cane or aid.


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