Rehabologym

Making New Connections

REHABOLOGYM is a Neuro-Robotic Rehabilitation Center utilizing State of the Art Technologies and comprehensive methodologies for Neurological Occupational Therapy and Physical Therapy.

Rehabologym is now offering TeleRehabilitation!

Specialized, custom programs created for:
Neuro – Occupational TeleTherapy Neuro – Occupational TeleTherapy Neuro – Occupational TeleTherapy
Neuro – Occupational TeleTherapy COVID- 19 Recovery: Pulmonary & Re-conditioning TeleTherapy Neuro – Occupational TeleTherapy





Who Can Benefit Services Driver Rehab Program Our Story Research

REHABOLOGYM utilizes Robotics & state of the art “cutting edge” technologies that deliver engaging, intensive, repetitious movements, which are key principles to movement recovery, cognitive stimulation, health maintenance, and improved function.

REHABOLOGYM’S methodology is targeted to increase function & independence with daily activities that are important and meaningful.

REHABOLOGYM is specifically targeted to individuals with chronic illness or injury as a result of a neurological condition that has caused weakness (paresis or paralysis) in the body and limbs, which may have affected one’s ability to perform activities of daily living. Specialized and Custom Programs Designed for:

  • STROKE (CVA)
  • TRAUMATIC BRAIN INJURY (TBI)
  • SPINAL CORD INJURY (SCI)
  • NEURODEGENERATIVE DISEASES AND MORE

REHABOLOGYM is a specialized center designed to offer a safe and supervised exercise environment for individuals to maximize strength, endurance, health maintenance and to improve overall quality of life for its members & their caregivers.

Our REHABOLOGISTS are medically trained professionals who will supervise and assist our members with customized exercise regimens using state of the art technologies.

REHABOLOGYM utilizes research proven methods as standard practice in all programs.


Who Can Benefit

REHABOLOGYM is specifically targeted to individuals with chronic illness or injury as a result of a neurological condition that has caused weakness (paresis or paralysis) in the body and limbs, which may have affected one’s ability to perform activities of daily living.

REHABOLOGYM specializes in habilitation, rehabilitation and maintenance for the following conditions, including but not limited to:

  • Stroke
  • Traumatic Brain Injury (TBI)
  • Spinal Cord Injury

Neurodegenerative Diseases :

  • Parkinson’s Disease
  • Atypical Parkinson’s Disease
  • Huntington’s (Chorea) Disease (HD)
  • Multiple System Atrophy
  • Corticobasal Degeneration
  • Friedreich’s Ataxia
  • Movement Disorders
  • Progressive Supranuclear Palsy (PSP)
  • Multiple Sclerosis (MS)
  • Amyotrophic Lateral Sclerosis (ALS) “Lou Gehrig’s Disease”

Various forms of Dementia including:

  • Lewy Bodies
  • Vascular Dementia
  • Frontotemporal Dementia
  • Alzheimer’s Disease (AD)

Other Conditions:

  • Cerebral Palsy
  • Peripheral Nerve Injuries
  • Brachial Plexus Injuries
  • Cardiac Disease
  • Pulmonary Dysfunction including those recovering from COVID-19
  • Orthopedic Ailments

Neuro Rehab Services

REHABOLOGYM is a specialized center designed to offer a safe and supervised exercise environment for individuals to maximize strength, endurance, health maintenance and to improve overall quality of life for its members & their caregivers.

REHABOLOGYM is a nurturing atmosphere to support our members & caregivers to the highest level of quality.

Our REHABOLOGISTS are medically trained professionals who will supervise and assist our members with customized exercise regimens using state of the art technologies.

REHABOLOGYM offers:

  • Complimentary Consultations
  • Comprehensive Evaluations
  • Cutting Edge NEURObotic Technologies for Intensive Upper Limb & Lower Limb Training
  • CombObotics Functional Task Training using cutting edge technologies
  • Physical Therapy / EKSOskeletal  walking program 
  • 1:1 Occupational Therapy Services with medical prescription
  • Functional Ambulatory Mobility & Balance Training with seasoned Physical Therapists
  • IontoDC Non-Invasive Brain Stimulation
  • Open Gym supervised by Rehabologists
  • Customized Home Exercise Programs
  • Group Classes for members & caregivers with focus on balance, breathing, endurance, upper extremity management, home safety / fall prevention, language /communication, nutrition, coping strategies, grieving, life skills, leisure interests and more!
  • 1:1 Psycho-social Counseling for members and caregivers
  • Diagnostic Specific Wellness Packages(Cardiologym, Pulmonologym, Orthologym)
  • Return to Driver Training Program & Driver Safety Screening Assessments
  • Custom Tele-Rehab Sessions
  • Specialized life maintenance, re-conditioning and pulmonary treatment programs for individuals recovering from COVID 19

REHABOLOGYM utilizes research proven methods as standard practice in all programs.

  • Upper Limb Robotics is highly recommended by the American Heart Association and Department of Defense to improve function for individuals with arm weakness after a stroke. Lo AC, et al. “Robot-assisted therapy for long-term upper-limb impairment after stroke”N Engl J Med. 2010 May13;362(19):1772-83. Wagner, T. H. et al. An economic analysis of robot-assisted therapy for long-term upper-limb impairment after stroke.Stroke 42, 2630–2632 (2011)
  • Based on Research Findings, our NEURObotics and CombObotics programs will typically run for 6-12 weeks (3x per week), as this is the frequency that has been shown to yield clinically meaningful differences in the improvement of function.Edwards D. J. et al. Clinical improvement with intensive robot-assisted arm training in chronic stroke is unchanged by supplementary tDCS. Restor Neurol Neurosci. 2019;37(2):167-180.Doi: 10.3233/RNN-180869Wuennemann MJ, Mackenzie SW, Lane HP, Peltz AR, Ma X, Gerber LM, Edwards DJ, Kitago T. Dose and staffing comparison study of upper limb device-assisted therapy. NeuroRehabilitation. 2020 Mar 30. doi: 10.3233/NRE-192993. [Epub ahead of print]

Driver Rehab Program

Are you or your loved ones concerned about your ability to drive after suffering a stroke or neurological injury?

Are you getting older and feel your driving skills are not as sharp as they once were?

Does your doctor recommend that you see a driving specialist before returning to driving?

Driver Training & Driver Safety Assessments

Driving is a complex activity that demands multiple cognitive, sensory and motor skills to safely handle a vehicle on the road. A variety of medical conditions, illnesses and the natural aging process can impair these skills, affecting one’s ability to obtain or retain a driver’s license. The OT driver assessments can determine “fitness to drive” for individuals with functional impairments as a result of a medical condition. (Pallant, J., Russell, K. J., & Odell, M. (2011). Ot-Dora: driver off-road assessment battery. Bethesda, MD: AOTA Press.)

REHABOLOGYM’s Preparatory Driver Assessment & Driver Training will assess and address skills needed for driving, identify potential limitations or risks, and provide customized interventions to each individual to maximize success and safety behind the wheel. • 

A registered Occupational Therapist at REHABOLOGYM will administer a standardized battery of screening assessments to determine whether this patient is “fit to drive”. If deemed competent and safe, the patient will be referred for a comprehensive off-road clinical evaluation at a certified driver evaluation center, who will then determine whether he/she will be deemed competent and safe for an on-road driver evaluation at an independent driving school. Recommendations will be provided for continued driver training if necessary.

The Rehabologym’s Driver Assessment is designed to determine a person’s potential to drive safely through clinical assessments of skills in the following areas:

  • Motor Functions –  power, coordination, sensation and reaction time
  • Visual Skills – acuity, scanning, visual fields and color sensitivity
  • Perceptual Skills – depth perception, right and left discrimination, spatial relations, figure ground, and motor planning
  • Cognitive Abilities – judgment, memory, visual attention, logical-reasoning, sequencing, following directions, and safety

The Occupational Therapists at Rehabologym’s Driver Training Program will utilize state of the art technologies and clinical expertise to assess, identify and address deficit areas needed for driving.

Rehabologym offers 4, 8 and 12-week Driver Training Programs to maximize motor, visual, perceptual, and cognitive skills needed for driving.

Upon completion of the program, you will be referred for a comprehensive evaluation at a certified driver’s evaluation center as appropriate and will be provided with customized recommendations.


The Rehabologym Story

This nurturing, unique rehabilitation clinic was founded under personal and tragic circumstances within our own family over 25 years ago. This personal crisis is why we, the founders, are extremely dedicated to the optimal care and rehabilitation of others in a state-of-the-art facility with seasoned neurological professionals that have our exact nurturing and caring attitude with skills that are necessary in every intense process of neuro-rehabilitation.

Co-founder, Avrielle Rykman Peltz became an Occupational Therapist with a strong focus in neurological recovery after her own father, Ricky, suffered a massive brain hemorrhage at the age of 47 years old. She has devoted over 25 years of her personal life as a caregiver to a stroke/TBI survivor & use of professional experiences to offer “the best of the best” services for individuals with neurological impairments.

Avrielle and her family, also cofounders of REHABOLOGYM had a very difficult time navigating the unpredictable journey from “hospital to home” with little to no support regarding the rehabilitation continuum of care. After leaving the hospital, they hit barriers every step of the way, whether it was fighting insurance companies to get into the appropriate rehabilitation facility or fighting to get more therapy after being told their loved one has “plateaued” and “there was nothing more they could do”. Families and caregivers are often left with the same questions of: What do you do and where do you go to next? What options do we have and how effective are they?

Because of their firsthand experience providing care and looking for solutions with extremely limited options, the co-founders of REHABOLOGYM strive to offer nurturing, supportive and client-centered services for individuals with neurological impairments.

All the co-founders of REHABOLOGYM strongly believe that individuals with neurological conditions and their families “deserve the highest quality of care and support throughout their lifelong journey to maximize health & overall well-being.”

At Rehabologym you are not a statistic. You will never be turned away regardless of severity or duration of illness or injury because we believe everyone has the capacity to change. Our clinicians are dedicated to providing the highest quality of care and individualized treatment backed by scientific research reviewed by the leading experts in the field. WE DO NOT BELIEVE IN PLATEAU!

When you walk through the doors at Rehabologym, you are met with civility, humor and compassion. Your goals become our goals and we will work diligently to support your rehabilitation aims. When you are ready to learn more we are here to help every step of the way!

Co-Founder & Chief Rehabologist: Avrielle Rykman Peltz

Avrielle Rykman Peltz, is the Co-Founder & Chief Rehabologist of REHABOLOGYM, which is a Neuro-Robotic Rehabilitation Center utilizing State of the Art Technologies and comprehensive methodologies for Neurological Occupational Therapy and functional mobility training. She is an Occupational Therapist who is an expert in neurological upper & lower limb recovery using cutting-edge robotic technology and standardized upper extremity assessments. Avrielle has over 20 years comprehensive experience, a BA in Psychology from SUNY Purchase and an MA Occupational Therapy from New York University.

Avrielle has been specializing in stroke/cerebral vascular accidents, spinal cord injury, brain injury, complicated neurological conditions and cardio-pulmonary dysfunction for over 2 decades. She is an exceptional recruiter and has spear-headed multiple national and international research studies funded by the National Institutes of Health, in collaboration with Burke Rehabilitation Hospital, Burke Neurological Institute (formerly Burke Medical Research Institute), Weill Cornell Medical College, Massachusetts Institute of Technology (MIT), Harvard University, The Veterans’ Administration(VA) and private funding sources. Avrielle was the Co-Founder and Chief Operating Officer of the Restorative Neurology Clinic (RNC)at the Burke Neurological Institute, which was a specialized rehabilitation clinic for treating people with neurological injuries and illnesses using cutting edge technologies. Avrielle worked as a field Occupational Therapist for Visiting Nurse Services of Westchester, Rockland and Putnam (VNSW) for over 15 years in the home-care setting. In May 2018, Avrielle was the recipient of the prestigious Dr. Fletcher McDowell Award at Burke Neurological Institute, honored for her outstanding patient care, compassion & important contributions in the field of Neurology & Robotic Rehabilitation. In addition to being appointed in 2018 as a Research Associate at Weill Cornell Medical College, Avrielle was also acknowledged at the 20th Anniversary celebration of the “WISDOM” dual diagnosis program she co-founded and created at NY Presbyterian-Westchester psychiatric hospital, which is still in existence today. Avrielle is a skilled evaluator and a seasoned expert in therapeutically treating patients with multiple diagnoses. Avrielle has conducted numerous experiments administering tDCS Brain Stimulation in neurological patients and also has been a professional clinical consultant on many published studies involving upper limb recovery and robotics. She has travelled nationally and internationally to train other medical professionals in the field of neurological recovery and the use of robotics.

Avrielle has a BA in Psychology from SUNY Purchase and an MA Occupational Therapy from New York University

On a personal note:

Avrielle became an Occupational Therapist with a strong focus in neurological recovery after her own father suffered a massive brain hemorrhage at the age of 47 years old in early 1996. Avrielle has devoted over 20 years of her personal life as a caregiver to a stroke/TBI survivor & use of professional experiences to offer “the best of the best” services for individuals with neurological impairments. Her motto is “clients come first”. Avrielle, along with all the Co-Founders of REHABOLOGYM strongly believe that individuals with neurological conditions and their families “deserve the highest quality of care and support throughout their lifelong journey to maximize health & overall well-being


Research

Edwards DJ, Cortes M, Rykman-Peltz A, Chang J, Elder J, Thickbroom G, Mariman JJ, Gerber LM, Oromendia C, Krebs HI, Fregni F, Volpe BT, Pascual-Leone A. Clinical improvement with intensive robot-assisted arm training in chronic stroke is unchanged by supplementary tDCS. Restor Neurol Neurosci. 2019;37(2):167-180. doi: 10.3233/RNN-180869.​ https://pubmed.ncbi.nlm.nih.gov/30932903/

Wuennemann MJ, Mackenzie SW, Lane HP, Peltz AR, Ma X, Gerber LM, Edwards DJ, Kitago T. Dose and staffing comparison study of upper limb device-assisted therapy. NeuroRehabilitation. 2020 Mar 30. doi: 10.3233/NRE-192993. [Epub ahead of print]​ https://pubmed.ncbi.nlm.nih.gov/32250331/

Edwards DJ, Cortes M, Rykman-Peltz A, Chang J, Elder J, Thickbroom G, Mariman JJ, Gerber LM, Oromendia C, Krebs HI, Fregni F, Volpe BT, Pascual-Leone A. Clinical improvement with intensive robot-assisted arm training in chronic stroke is unchanged by supplementary tDCS.​ Restor Neurol Neurosci. 2019;37(2):167-180. doi: 10.3233/RNN-180869.​ ​https://pubmed.ncbi.nlm.nih.gov/30932903/

Adam Buchwald, Carolyn Falconer, Avrielle Rykman-Peltz, Mar Cortes, Alvaro Pascual-Leone, Gary W. Thickbroom, Hermano Igo Krebs, Felipe Fregni, Linda M. Gerber, Clara Oromendia, Johanna Chang, Bruce T. Volpe and Dylan J. Edwards Robotic Arm Rehabilitation in Chronic Stroke Patients With Aphasia May Promote Speech and Language Recovery (but Effect Is Not Enhanced by Supplementary tDCS) Front Neurol. 2018 Oct 22;9:853. doi: 10.3389/fneur.2018.00853. eCollection 2018.​ ​https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207995/  

Putrino D, Zanders H, Hamilton T, Rykman A, Lee P, Edwards DJ. Patient Engagement Is Related to Impairment Reduction During Digital Game-Based Therapy in Stroke. Games Health J. 2017 Oct;6(5):295-302. doi: 10.1089/g4h.2016.0108. Epub 2017 Sep 14.​ ​https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911704/

Cortes M, Thickbroom GW, Elder J, Rykman A, Valls-Sole J, Pascual-Leone A, Edwards DJ. The corticomotor projection to liminally-contractable forearm muscles in chronic spinal cord injury: a transcranial magnetic stimulation study. Spinal Cord. 2017 Apr;55(4):362-366. doi: 10.1038/sc.2016.161. Epub 2016 Dec 20.​ ​https://www.nature.com/articles/sc2016161

Thickbroom GW, Cortes M, Rykman A, Volpe BT, Fregni F, Krebs HI, Pascual-Leone A, Edwards DJ. Stroke subtype and motor impairment influence contralesional excitability. Neurology. 2015 Aug 11;85(6):517-20. doi: 10.1212/WNL.0000000000001828.​ ​https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540249/

Mar Cortes, MD, Gary W. Thickbroom, PhD, Avrielle Rykman, OT, Alvaro Pascual-Leone, MD, PhD, Dylan J. Edwards, PhD. Physiologic mapping and modeling of motor targets for neuromodulation in spinal cord injury. 1st International Brain Stimulation Conference; 2015 March; , Singapore. Elsevier; c2015.​ ​https://www.brainstimjrnl.com/article/S1935-861X(15)00800-1/fulltext

Edwards DJ, Cortes M, Thickbroom GW, Rykman A, Pascual-Leone A, Volpe BT. Reply: evidence against volume conduction to explain normal MEPs in muscles with low motor power in SCI. Spinal Cord. 2014 Sep;52(9):718. doi: 10.1038/sc.2014.117. No abstract available.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5575983/

Krebs HI, Krams M, Agrafiotis DK, DiBernardo A, Chavez JC, Littman GS, Yang E, Byttebier G, Dipietro L, Rykman A, McArthur K, Hajjar K, Lees KR, Volpe BT. Robotic measurement of arm movements after stroke establishes biomarkers of motor recovery. Stroke. 2014 Jan;45(1):200-4. doi: 10.1161/STROKEAHA.113.002296. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4689592/pdf/nihms744804.pdf

Falconer C, Buchwald A, Edwards D, Cortes M, Rykman A, et al.  Speech-language neurorehabilitation: Preliminary results of tDCS and robotic arm training in single left ischemic stroke NYC Neuromodulation Conference; 2013 November; New York, New York, United States. Elsevier Inc.; c2014. https://www.sciencedirect.com/science/article/pii/S1935861X14000291

Elder J, Cortes M, Rykman A, Hill J, Karuppagounder S, Edwards D, Ratan RR. The epigenetics of stroke recovery and rehabilitation: from polycomb to histone deacetylases. Neurotherapeutics. 2013 Oct;10(4):808-16. doi: 10.1007/s13311-013-0224-3. Review. •https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3805866/pdf/13311_2013_Article_224.pdf • •Boratyn D, Ruffini G, Cortes M, Rykman A, Medeiros A, Pascual-Leone A, Edwards DJ. Focal tDCS in Chronic Stroke patients: A pilot study of physiological effects using TMS and concurrent EEG 5th International Conference on Non-Invasive Brain Stimulation; 2013 March; Leipzig, Saxony, Germany. Elsevier; c2013.

Cortes M, Elder J, Rykman A, Murray L, Avedissian M, Stampas A, Thickbroom GW, Pascual-Leone A, Krebs HI, Valls-Sole J, Edwards DJ. Improved motor performance in chronic spinal cord injury following upper-limb robotic training. NeuroRehabilitation. 2013;33(1):57-65. doi: 10.3233/NRE-130928. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4519228/pdf/nihms666977.pdf

Giacobbe V, Krebs HI, Volpe BT, Pascual-Leone A, Rykman A, Zeiarati G, Fregni F, Dipietro L, Thickbroom GW, Edwards DJ. Transcranial direct current stimulation (tDCS) and robotic practice in chronic stroke: the dimension of timing. NeuroRehabilitation. 2013;33(1):49-56. doi: 10.3233/NRE-130927. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4515138/pdf/nihms666998.pdf

Edwards DJ, Cortes M, Thickbroom GW, Rykman A, Pascual-Leone A, Volpe BT. Preserved corticospinal conduction without voluntary movement after spinal cord injury. Spinal Cord. 2013 Oct;51(10):765-7. doi: 10.1038/sc.2013.74. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4514766/pdf/nihms605750.pdf

Volpe BT, Huerta PT, Zipse JL, Rykman A, Edwards D, Dipietro L, Hogan N, Krebs HI. Robotic devices as therapeutic and diagnostic tools for stroke recovery. Arch Neurol. 2009 Sep;66(9):1086-90. doi: 10.1001/archneurol.2009.182. Review. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5576183/pdf/nihms900193.pdf

Edwards DJ, Krebs HI, Rykman A, Zipse J, Thickbroom GW, Mastaglia FL, Pascual-Leone A, Volpe BT. Raised corticomotor excitability of M1 forearm area following anodal tDCS is sustained during robotic wrist therapy in chronic stroke. Restor Neurol Neurosci. 2009;27(3):199-207. doi: 10.3233/RNN-2009-0470. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4510929/pdf/nihms670025.pdf


Please contact us to find out more information by phone or email info@rehabologym.com

90 N. Broadway, Irvington NY 10533