APEX NEURO, Manchester (2026)

27/02/2026

Functional Neurological Disorder: regaining control over voluntary movements

One of Ellie’s most persistent FND symptoms is aggressive involuntary muscle responses (ie kicking out uncontrollably, which in the past has left her with some injuries) primarily in her lower body, which makes standings and walking independently incredibly hard and often unsafe.

Ellie and Luke have worked extensively to understand some of the patterns and triggers that underlie Ellie’s FND. One of the key triggers appears to be when Ellie’s toes are lifted (and sometimes when they make contact with the floor) which leads her body into aggressive jerks, kicking and stamping. The power behind these movements is beyond what Ellie can create voluntarily.
It is vital for Ellies’ body not to respond in this way for her to walk. The brain receives a lot of information from the feet when they touch the ground, without this it’s hard for her to know where she is in space, where to place her feet, if she’s landing correctly etc.

Luke and Ellie start to work on changing these patterns - at first seated, then when this is repeatable they can move to standing. Previously this would cause Ellie to have a seizure. You can see during this process her body automatically ‘fights back’ but they work together to gain control over this response. Watching the short clips in this video makes it look simple — this is a lot of work, investigation and practice (including work from previous intensives and at home)!

A day later Ellie is able to stand with full control, and even move onto walking!

Functional Neurological Disorder, FND, FND therapy, tremors, FND tremors, apex neuro, apex neuro manchester, neubie, neubie therapy uk, electrical stimulation therapy, international rehabilitation intensive programmes, UK leading FND rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

25/02/2026

What’s possible in just 5 days of Multiple Sclerosis rehab?

• Improving foot drop: increasing control and ability to lift the foot and toes to make clearing the ground much easier!

• Improved gait and balance: as communication between the brain and body improves, stability follows
Increased muscle contraction and control - key for walking

• Reducing spasticity - important to improving range of motion and reducing discomfort

• A lot of coaching and learning - we want clients to take away as much knowledge as possible so they can continue the work

All of this progress with a condition that rarely is believed to be able to improve?! We disagree. A very successful 5 days at APEX NEURO.��Gillian will continue the work via our Remote Programme and is already off to a great start.

Multiple Sclerosis, MS, walking rehabilitation, Multiple Sclerosis therapy, spasticity, HSCT, MS spasticity, hands, dexterity, spasms, Multiple Sclerosis intensive therapy, neubie, neubie uk therapy, electrical stimulation therapy, international rehabilitation intensive programmes, MS gym, MS training, UK leading MS rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK, intensive therapy

24/02/2026

Julia travelled to work with the APEX NEURO team after a lack of resolution for FND symptoms (dystonia, tremors, seizures and loss of motor function/muscle control) which started after hitting her head.

Luke quickly determines Julia struggles to feel and control her lower limbs, as though there is a lack of connection to her leg muscles. Over the course of the week, they start to identify specific patterns in her responses which change her ability to feel and control the muscles, her eye movements, reducing the guarding and protective mechanisms and dystonia symptoms.

Julia will re-visit the clinic soon to keep working on the patterns and responses they started to ‘unlock’ during her first intensive.

Functional Neurological Disorder, FND, FND therapy, FND freezing, FND dystonia tremors, FND tremors, apex neuro, apex neuro manchester, neubie, neubie therapy uk, electrical stimulation therapy, international rehabilitation intensive programmes, UK leading FND rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

19/02/2026

Multiple Sclerosis: improving dexterity in the hands and fingers 👋🏼

Kosta has found it harder to use a keyboard - changes in dexterity and slowing in the fluidity of his movement in his fingers making it harder to type and do fine motor movements. The muscles often spasms and make it hard to control the hands/fingers.

Rob and Kosta work on improving the communication with the muscles involved in fine motor skills and dexterity so Kosta can open and close his hands with more control. They work on straightening his fingers so it is easier to type. By the final clip you can see Kosta is able to open and control his hands far faster and much more smoothly.

Multiple Sclerosis, MS, walking rehabilitation, Multiple Sclerosis therapy, spasticity, HSCT, MS spasticity, hands, dexterity, spasms, Multiple Sclerosis intensive therapy, neubie, neubie uk therapy, electrical stimulation therapy, international rehabilitation intensive programmes, MS gym, MS training, UK leading MS rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK, France, MS france

18/02/2026

Hereditary Spastic Paraplegia - training for the ‘real world’ (carrying shopping bags)

Ricky (HSP) has found that carrying shopping bags has been challenging as they throw him off balance and increases his risk of falling (balance is affected in most of the conditions we work with).

Luke and Ricky work on training (simulating carrying heavy shopping bags) with correct foot position and ensuring he lifts the feet to clear the ground (they’ve done foundational work with the electrical stimulation to strengthen his connection and strength in the muscles responsible for lifting the feet).

This part is done all without electricity, using coaching to help reinforce the correct patterns. We want to work towards being able to do all the movements (especially complex movements like walking and carrying unsteady items) WITHOUT electricity as our clients won’t be wired up when they go into ASDA! They are over-exaggerating this movement during the learning process.

Hereditary Spastic Paraplegia, HSP, Hereditary Spastic Paraplegia rehab, HSP UK, spasticity, drop foot, drop foot therapy, neubie, neubie uk therapy, electrical stimulation therapy, international rehabilitation intensive programmes, APEX NEURO, APEX NEURO Manchester UK

17/02/2026

Mic’d up APEX: Laura and Nicole

Motor Neurone Disease, MND, ALS, MND therapy, balance, stability MND intensive therapy, MND bulbar, bulbar palsy, neubie, neubie uk therapy, international rehabilitation intensive programmes, UK leading MND rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

16/02/2026

Multiple Sclerosis walking rehab TAKEAWAYS:

Breathing: This is usually one of the first things people forget when they are learning to walk again, usually due a combination of the fear of falling and the concentration it takes using muscles that have been inactive for a long time. Notice that Rob reminds Nat to breathe - something we do often - this sends a signal to the nervous system that it is ‘safe’ (not always easy when you’re being electrocuted!)

Squeezing: most MS clients will have one side of their body that is more effected - reminders to contract the less dominant side helps Nat to remember she is now able to use the side that has been weaker. Rob and Nat did a lot of foundational work to increase the voluntary control over this side before they started to implement this into walking rehab. At one point, the side that had been weaker previously started to overtake her stronger side (the side less effected by MS) so they needed to find a good middle ground to keep her balanced. This is why we are often walking slowly during these first stages - there is a LOT to think about.

Unpicking old patterns: this will take time. The brain is an efficiency machine - it has allowed Nat to move in the most efficient way possible, especially as the MS has progressed. But now, we are working on correct mechanics, which in the long run will benefit her walking, stability and gait. It takes a lot of active effort (and mental effort) to change patterns that have been present for a long time.

Multiple Sclerosis, MS, walking rehabilitation, Multiple Sclerosis therapy, spasticity, HSCT, MS spasticity, drop foot, drop foot therapy, Multiple Sclerosis intensive therapy, neubie, neubie uk therapy, electrical stimulation therapy, international rehabilitation intensive programmes, MS gym, MS training, UK leading MS rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

12/02/2026

Walking progress with Multiple Sclerosis
Amy first came to us last year with the goal of improving her walking after progressive decline in her balance, gait and strength. She made incredible progress across her first visit, reaching the goal of walking without a crutch.

During her second visit, Laura and Amy work on the foundations for stronger and more confident walking, including using the stairs. They work together improving the communication between the brain and body, particularly on the glutes which are important to power and stability (and very often an area of weakness in MS). “I was walking with a crutch, now I’m not. I was using the wrong muscles to walk, now I’m not. I was in pain, now I’m not. I could go on. My neurologist was gobsmacked when he asked me how I was and I said I’m better than I have been in 10 years. He said at this stage, we would be looking to progress me onto having secondary progressive. However, looking at me and doing the standard tests, he said I’m nowhere near that and have almost reversed parts of my MS. If you want real talk, real work and real results, visit APEX NEURO. You will not be disappointed. They have changed my life and I will forever be so thankful.”

Multiple Sclerosis, MS, walking rehabilitation, Multiple Sclerosis therapy, spasticity, HSCT, MS spasticity, drop foot, drop foot therapy, Multiple Sclerosis intensive therapy, neubie, neubie uk therapy, electrical stimulation therapy, international rehabilitation intensive programmes, MS gym, MS training, UK leading MS rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

11/02/2026

Uncontrollable shaking in the muscles has been a persistent symptom for Sam, who developed FND following a serious car accident. Using a device at home, he managed to make incredible progress to walk independently, but needed some deeper investigation to start to understand the patterns and triggers linking with the involuntary muscle responses.

When contracting his quad muscles, Sam’s legs would shake uncontrollably. Rob and Sam work together to start to ‘re-train’ this response, working with Sam’s nervous system until they regain control. A day later, he is able to do the same movement in the gym without the shaking.

Functional Neurological Disorder, FND, FND therapy, tremors, FND tremors, apex neuro, apex neuro manchester, neubie, neubie therapy uk, electrical stimulation therapy, international rehabilitation intensive programmes, UK leading FND rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

10/02/2026

Multiple Sclerosis: “I wouldn’t have been able to go back to running without coming here” - changing the narrative for MS! Bec reached out for help with her walking after noticing changes in her gait, foot drop and balance issues. In just a few sessions, Luke helped Bec progress not just in her walking, but to getting back to being able to run. For those who know about MS - this kind of progress is looked on by traditional views as ‘impossible’.

Luke and Bec have also worked with her grip which had felt weaker, and her vision (she had an amazing response to our low level laser therapy). Bec has now taken over her progress using the gym to rebuild her strength and get her one step closer to her Olympic dreams.

Multiple Sclerosis, MS, walking rehabilitation, Multiple Sclerosis therapy, spasticity, HSCT, MS spasticity, drop foot, drop foot therapy, Multiple Sclerosis intensive therapy, neubie, neubie uk therapy, electrical stimulation therapy, international rehabilitation intensive programmes, MS gym, MS training, UK leading MS rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

09/02/2026

Functional Neurological Disorder: learning to use the stairs

Rachel has shared some of her FND journey including walking with a crutch to climbing rocks on the beach unaided with her children 🫶🏼   One of the most common things we work on after building improved walking ability is learning to safely and confidently use the stairs again.

Notice all of this work is without any support from the electrical devices, this is all Rachel. Our goal for FND clients is to progress to no reliance on the machines, but to create changes in the brain, body and through coaching to help them achieve controlled movement, balance and stability without any support.

Functional Neurological Disorder, FND, FND therapy, tremors, FND tremors, apex neuro, apex neuro manchester, neubie, neubie therapy uk, electrical stimulation therapy, international rehabilitation intensive programmes, UK leading FND rehab, neurorehab UK leading, APEX NEURO, APEX NEURO clinic UK

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