The ARC Mollii Clinic Day was designed to bring together appropriate clients with a neurological condition and their ARC therapist with the opportunity to be assessed and trial the Mollii.
Just before Christmas, we facilitated the assessment and trial of the Mollii for four ARC clients and we would love to share our learnings! The session day went really well – being able to bring together the client, their therapist who knows them so well and Monique, who is a registered nurse and Mollii rep, enabled us as a team to really brainstorm the effects of wearing the suit.
Our first client pictured here is a long standing ARC client who has MS which mainly affects her legs and trunk in terms of weakness and spasticity and she also experiences spasticity associated pain. The reason for trialling the Mollii was to assess the impact on her spasticity with a hope to facilitating better upright posture and reduced effort of movement allowing her to walk further, more easily. We really put her through her paces with the Mollii on by conducting what would be her usual therapy session. Our physiotherapists completed before and after timed outcome measures which did not change with the suit on and off. She did report increased ease of sit to stand whilst wearing the suit and the next day reported to have been able to stand upright without leaning on the sink to wash up which was an improvement for her in terms of her having better posture and balance.
Our second client was a young gentleman with cerebral palsy. We wanted to look at how the Mollii could influence his posture and, in turn, his mobility. This client has problematic spasticity and he reported notable benefit whilst wearing the suit in terms of ease of walking, comfort and freedom of movement. We will be looking at facilitating a 3 month rental of wearing the suit at home and during therapy sessions.
Our third client has a complex presentation of spasticity and associated pain due to a brain tumour. There were no significant immediate reported or observed benefits however we are considering completing a second trial at ARC with the Mollii to further assess any gains he may make from wearing the suit.
We then assessed our last client, a lady with secondary progressive MS. One of her biggest problems is extensor spasticity, which gets worse with walking, leading to fatigue. Normally, her spasticity and fatigue affects her to a point where she is unable to lift her legs to step. Our physiotherapist conducted a rehab session with the Mollii on and completed some before and after measures of her function which remained unchanged. However, she reported that after 20 minutes of wearing the Mollii and immediately after it was removed including the following day, she felt she had more endurance and less fatigue. She reported that although she was tired, she was able to keep stepping her legs through and walk, where normally she would have to sit down and rest. The plan is to rent the suit for a 3 month period to further look at some of those immediate benefits she experienced.
It is difficult to see a visible difference in the first session with our final two clients though they both reported to feel some benefit. Given the principles of behind the Mollii, there may be some cumulative beneficial effect over time especially given the extent of their longstanding challenges. Both of these final clients are going to do a longer trial over at least a month with daily use of the suit to determine if there is a significant enough effect to improve function and quality of life.
Often, clinical outcome measures only tell us a part of the whole clinical picture. Self-reported improvements through valid questionnaires over a period of time can give us very valuable insight into the effectiveness of different treatments or technologies.
As a team, we felt that bringing the Mollii rep, physiotherapist, and client together to trial the device was incredibly effective in terms of analysing its effects and clinical decision making.
If you want to find out more about Mollii, visit their website on https://molliiaustralia.com.au/ or contact us on (02) 9906 7777.