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information for medical professionals
Sanford Health ActiveArm and ActiveLeg program
Frequently asked questions
Who is eligible for H200 treatment?
- Anyone experiencing difficulty using their hand after a stroke, spinal cord injury or brain injury.
- People with cerebral palsy
- Anyone with a neurological injury affecting hand movement
Who is eligible for H300 treatment?
- Anyone with foot drop related to or caused by a stroke or brain injury
- Anyone with a neurological injury affecting leg movement
- People with multiple sclerosis and cerebral palsy
The Bioness L300 uses the latest in FES wireless technology designed to help you walk more naturally and increase your mobility. The Bioness L300 is a pioneering tchnology that offers:
What is the Bioness L300 unique?
- A wireless gait sensor that adjusts to real-time changes in walking patterns; this wireless sensor is the key difference in helping you walk on uneven surfaces, walk backwards, or walk on slopes
- A miniature hand-held control unit to conveniently turn on or off the stimulation which eliminates the need to roll up your slacks to access the system
- Wireless technology to eliminate cumbersome wires that get in the way or come undone
- Low-profile shape help assure accurate electrode placement for stimulation of the target muscles each time the leg cuff is applied.
Is there research to support the Bioness H200?
The Bioness devices are an evidence-based approac to stroke rehabilitation. Published clinical studies in peer reviewed journals have demonstrated efficacy throughout the continuum of care. Click here to see research.
When is it appropriate to begin using the Bioness H200?
- Barring any contraindications to electrotherapy in general (i.e. pacemakers, pregnancy), a patient can begin therapy as soon as they are medically stable.
- Training can be implemented/initiated throughout the continuum of care. Preferably, therapy begins during inpatient rehabilitation, with the ultimate goal for patients to use the device in a therapy-directed home program.
- Patients with chronic disabilities (six months or more post injury to the central nervous system) demonstrated improved hand active range of motion and function, reduced spasticity, improved passive range of motion and reduction of contractures.
How long will a patient benefit from the Bioness devices?
Many factors will affect clinical outcomes, i.e. severity of impairments, age, time since stroke, co-morbidities, pre-existing conditions, patient compliance and cognition. Treatment objectives will vary depending on whether the goals are to manage impairments versus improve functional outcomes.
Patients with chronic disabilities may use the devices fro the rest of their lives to manage their impairments.
Patients who begin therapy in the acute or sub-acute phase will continue to use the device as long as they are showing improvements in upper limb function. Depending on the extent of their central nervous system damage they may need continued use to manage impairments.
Is a physician's order needed for the Bioness H200?
Yes, a typical physician's order would be needed for occupational or physical therapy to evaluate and treat with the Bioness H200 or L300.
How do the Bioness H200 and L300 compare to traditional functional electrical stimulation devices?
- They are custom fit to the patient by their therapist
- The patient is able to indepenedtly re-apply the orthosis for accurate electrode placement.
- Therapeutic treatment programs and functional modes are pre-programmed into the H200 microprocessor, providing the clinician and patient control over the desired hand activation.
- Ergonomic design improves patient/caregiver compliance.
What is the role of the therapist in evaluation and therapy?
- Working from a physician's referral, the therapist evaluates the patient to determine that the patient is a suitable candidate
- Custom fit the orthosis to assure the electrodes are properly positioned over the desired motor points
- Set the parameters for proper stimulation intensity and duration.
- Train the patient to apply the orthosis and operate the control unit
- Suggest functional activities to perform while using the device to facilitate neuromuscular re-education (remapping of the brain)
- Monitor progress at regular intervals to assure desired patient outcomes are being achieved and revise the home program as needed
Once a patient begins a home therapy program, how often will they need to be seen by their therapist?
- Twice a week for one month, followed by
- Once a week for one month
- Then the need for periodic follow-up treatment is determined by the therapist based on the needs of the patient