Evidence To Excellence: News In Neuroplasticity and Rehab

Episode 34: Introduction to ARC-EX Therapy, Transcutaneous Electrical Spinal Cord Stimulation


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Host Polly Swingle is joined by Dr. TJ Hosa PT, DPT, and Mark Pedziwiatr MS, OTR/L, ATP, to discuss the ARC-EX by Onward Medical, the first system approved for non-invasive spinal cord stimulation for people with spinal cord injury (SCI). It is intended to deliver programmed, transcutaneous electrical spinal cord stimulation in conjunction with functional task practice in the clinic to improve hand sensation and strength in individuals between 18 and 75 years old that present with a chronic, non-progressive neurological deficit resulting from an incomplete spinal cord injury (C2-C8 inclusive). In 2024, the ARC-EX System was granted FDA clearance to market in the United States. You can learn more about this system for use in the clinical setting at www.onwd.com.


Dr. TJ Hosa PT, DPT, earned his Bachelors Degree in Exercise Science from Ohio State University (2011) and Doctorate in Physical Therapy from Ohio University (2015).  TJ has been a Physical Therapist at The Recovery Project for 10 years.  He is the lead of the spinal cord injury and vestibular programs and has additional training in functional electrical stimulation (FES).  TJ also specializes in the implementation of high intensity therapy for patients with neuro diagnoses.  He is also certified in dry needling and has used it to treat spasticity and a multitude of pain syndromes.

Mark Pedziwiatr MS, OTR/L, ATP, earned his Master's degree in Occupational Therapy from Midwestern University, where he conducted research on rehabilitation technology. As an occupational therapist, he brings experience across the continuum of care, including outpatient, inpatient, and acute-care settings. In his current role as a Therapy Consultant with Onward Medical, Mark leverages his clinical experience to support the integration and training of therapists in the use of ARC-EX within spinal cord injury (SCI) rehabilitation clinics across the Midwest.

Learn more about The Recovery Project!

  • View our website at www.therecoveryproject.net
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