Documente Academic
Documente Profesional
Documente Cultură
January/February 2009
Yo u r M S m a g a z i n e o f c h o i c e Issue 53
From
Wheelchair
To Cycling
Super
Scuba
Multiple Sclerosis Resource Centre Tel: 01206 505444 or you can contact us by
email: info@msrc.co.uk Website: www.msrc.co.uk
The MS 24 Hour Telephone Counselling Service: 0800 783 0518 & press 1
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18 24 30 44
6-8. News & Snippets 22-23. More News 40-42. Social Networking
Parasite may hold clues for MS & Snippets On the Web
treatment; Chlamydia Varicella virus link with MS; Even if you’re stuck at home,
Pneumoniae – a possible cause Genetic flaw link to MS; Sex there are plenty of new friends
of MS? Stem cells may not heal hormone to treat MS; New pill out there just waiting to be
demyelinated spinal cord in MS; better than injections; Stem cell discovered. Ian Cook writes about
Does environment cause myelin repair more complex various social networking sites,
increase of MS among women? than thought; New MS stem cell some just for people with MS.
Britain in top 25% for treatment labs open.
of MS but lags behind in access 44-45. Short Story Writing
to disease-modifying drugs; 24-25. Detox When Ian Marshall found
Vaccine hope in virus link to MS; Kidney function and MS. Susie himself at home, he discovered
Sativex not linked to mental Cornell writes on how to a talent for writing he didn’t
problems; Personal rehab support your kidneys. know he had.
helpful for MS; Half of MS
patients don’t respond to beta- 26-27. The Ashton 46. Recipe
interferon treatment; Embry Column Spinach and orange stuffed
Monosodium glutamate and chicken breasts wrapped in
aspartame link to MS. On Terry Wahls MD. Ashton
thinks that combining what Terry Parma ham – for a special
10-12. Postbag – Your Letters Wahls does together with the occasion. By Andrew and Liz
Best Bet Diet is the way to go. Watson.
The real story about MS; Taboo
subject needs airing; So much 28. It Worked For Me 47-49. More News
vitality! Join my stay up late & Snippets
campaign – I don’t want to go to – The T-Roll
bed at 6.30pm! The wow factor Spasms and sleepless nights are Research into vaccine for coeliac
better than X Factor; MS Bristol a thing of the past since Charlie disease; Pill for MS being
and MS in the South West. Gee discovered the T-Roll. trialled; Ban on LDN imports but
patients not affected; Tysabri:
12. Money-Saving Tips 30-32. Complementary Useful in childhood MS; Take-up
Hints on how to save Therapies – Reflexology very low; New death reported;
££££££££££££££££’s LDN petition; New treatment for
Ian Cook writes about what secondary progressive MS.
reflexology is and how it can be
13. Cryptic Crossword of help in MS. 49. Cryptic Crossword Answers
By Charlie Gee. Clues.
34-37. Life Is For Living 50-51. Rights & Benefits
14-17. Terry Wahls’ Story – – Scuba Diving – “ I Can’t The Community Care Assessment
From Wheelchair To Riding Describe How Brilliant It Felt.” explained, by Emma Rowe.
A Bike On dry land, MS may affect your
Thanks to brain nutrients and balance and movement, but 52. MSRC
neuro-muscular stimulation. under water you can be Alastair Hignell, msrc’s Patron,
weightlessly graceful. By Charlotte writes about winning a BBC
18-20. MealSafe Mitchell and Louise Cabral. Sports Personality of the Year
Janet Orchard, a devotee of the Award.
Best Bet Diet, has made an 39. The Sing For Joy Choir
extensive list of all the foods Debbie Ensor discovers there 53. Competition
which are allowable, not really is joy singing with a choir. Win a Mend Your Health
allowable or should be used vibration trainer!
with caution. Christmas Prize Draw winner.
EDITOR: Judy Graham PRODUCTION EDITOR: Helen Yates DESIGN AND LAYOUT: www.tickledpinkdesign.co.uk
PRINTED BY: Direct Solutions. Tel: 01255 221322 PUBLISHED BY: The Multiple Sclerosis Resource Centre,
7 Peartree Business Centre, Peartree Road, Stanway, Colchester, Essex CO3 0JN. Tel: 01206 505444 Fax: 01206 505449
email: info@msrc.co.uk
New Pathways and its publishers do not guarantee the accuracy of statements made by contributors or advertisers or accept responsibility
for any statement which they express in this publication. Articles are considered on the basis that they are the author’s original work.
All rights reserved. No part of New Pathways may be reproduced or restored in a retrieval system or transmitted in any way without prior
Charity no 1033731 permission of the Editor.
philosophy. As to Carers, we
Glasgow (200 mile round trip)
often cover these issues as News
every seventy days to refill the
or Snippets in New Pathways. But
baclofen pump and her local
if anyone would like to write
doctor and physiotherapist are a
about the carer’s issues that
great help.
affect them, I would be pleased New Drug
Another point which never A Miracle
to receive them.
comes up in the magazine that I
am aware of is the meanness of
the “caring government” which
will take away my carer’s Taboo Subject Needs Airing
allowance if I take my state Dear New Pathways
pension. I get about £60 a week Re article in issues 52 “Nobody The Joy
Of Skiing
carer’s allowance (we have a child warned us about this everyone Multiple Sclerosis Resource Centre Tel: 01206 505444 or you can contact us by
email: info@msrc.co.uk Website: www.msrc.co.uk
seems to run a mile”. Can I first The MS 24 Hour Telephone Counselling Service: 0800 783 0518 & press 1
7 8
10 11
12 13
14 15 16
17 18
19 20 21 22
23 24
25 26
Across Down
7. Expression of praise for dual pit organisation? (7) 1. Against the law in Scotland although
8. On your own in the outskirts of Botany Bay, still egalitarian. (7)
it's nonsense! (6) 2. Usually a translation that is underwritten. (8)
10. Give an honour to in the best owner tradition. (6) 3. Large toupee for someone of importance. (6)
11. Rain came about for somebody on the other side 4. Is it a damp place to sleep? (8)
of the pond. (8) 5. Many an atom gets medicated liquid. (6)
12. The ultimate in shoes. (4) 6. To decorate again in a palindromic way. (7)
13. He found the benefits of a cold dip in the 9. Hirsute madcap idea. (4-7)
last issue. (4,6) 15. Sort deal out for something worn by dancers. (8)
14. A path often used. (4-7) 16. Ovoid nutted intellectuals. (8)
19. Chris, he wrote a book about what can happen 17. Mother man a colour. (7)
when life is interrupted by serious disease in the 18. Run away over churches and charges
last issue. (10) exorbitantly. (7)
22. Girl a swimming contest. (4) 20. Holidays are set about this time. (6)
23. Eases cap broadcast painting. (8) 21. Want the French to get the point. (6)
24. The Spanish not odd football team. (6)
25. A motorcycle race finishes and is present. (7)
26. Baits opposing batsmen and they help to get
through the snow! (7)
This Woman
Went From
A Wheelchair
To Riding
Dr Terry Wahls five years ago A Bike Dr Terry Wahls today
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such as blueberries,
strawberries, peppers,
squash.
The daily diet she
now eats includes 4
to 5 cups of kale,
collards or cabbage, 4
cloves of garlic, 3
Eat brightly coloured fruit and veg cups of intensely
like blueberries
coloured vegetable or
fruit, 3 cups of other
vegetables or fruits.
She also has
mushrooms every
other day.
She starts her
mornings with a
smoothie made of
Fish oil supplements green tea, cinnamon,
cocoa, creatine, nutritional yeast, banana and hemp
milk and eats fish or shell fish twice a week and organ
meat once a week.
MealSafe
By Janet Orchard Janet Orchard
Janet Orchard, 57, who has Primary Progressive MS diagnosed in 1995, worked
as a human resources professional in many different countries, took early
retirement in 2002 and with her husband, Dave, came to live in Catalonia,
North Spain where she finds the climate gentler and better for MS, the culture
more vibrant, and the Mediterranean diet more in keeping with the BBD.
After a painstaking study of literally thousands of foodstuffs, Janet has come up with an
exhaustive list of more than 5000 foods which comply with the Best Bet Diet. She also warns of
over 2000 which are not allowed, or questionable.
Janet calls this list MealSafe, and it is available on a spreadsheet directly from her. (See Info
Box). It is very strict, for those who want to stick rigidly to the Best Bet Diet, and does not allow
certain things which some people eat such as gluten-free flour, oats, or tomatoes.
This article is a taster of what is in the spreadsheet, not the whole spreadsheet, which runs to
several hundred pages.
he Best Bet Diet (BBD) is
T increasingly used in helping to
manage MS. It is similar to the
Paleolithic Diet and excludes all dairy, all
modern gluten grains (wheat, barley, oats*
and rye and all products containing them),
legumes, tomatoes and refined sugar.
The disallowed grains are replaced in the
diet with rice, corn, quinoa and a range of
other gluten-free grains and flours.
The reasoning behind this can be found on
the MSRC’s website at www.msrc.co.uk under
Best Bet Diet.
What Foods Are Safe?
Starting the BBD can be daunting. What is
allowable? What is off-limits? The lesser-known
foods remain a mystery. What is a legume?
When is a bean not a bean? Surely coffee and
vanilla must be out of bounds as they are from
beans? What is lurking in E-numbers? What
dishes can safely be eaten? What is the
nightshade family? What’s included in dairy?
Is spelt bread OK?
MealSafe is a comprehensive spreadsheet
that helps the Best Bet Dieter to plan meals
safely, enabling easy searches on over 7000
foods. The spreadsheet is about the raw
ingredients that make up the meals.
A Segment of the MealSafe Spreadsheet
Boulderstone
T E C H N I Q U E
It works
www.boulderstonetechnique.co.uk
Phone: 01892 863958 (from UK) • +44 1892 863958 (international) • 08456 443626 (local rate)
Cloisters, Barden Road, Speldhurst, Tunbridge Wells, Kent TN3 0LE, UK
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Email: jboulderstone@gmail.com
A
few years ago, I wrote 25 kilometres. Her very informative applications of the science and an
a column on the three webcast can be viewed at www.int- unswerving dedication to devised
stages of MS with med.uiowa.edu/Media/Wahls10-6- therapies. Finally, her work also
secondary progressive MS (SPMS) 08/Wahls10-6-08.html and I provides some new insight into the
being the final and most strongly recommend that everyone disease processes involved in SPMS.
debilitating stage. The MS research reading this column takes 45 Dr Wahls was diagnosed with
community does not understand minutes to watch it. MS eight years ago when she was
the adverse biochemical reactions in her mid 40s and soon
which are driving SPMS. Currently, The Roger MacDougall progressed to SPMS. For four years,
neurological degeneration, Of This Generation Dr Wahls used standard drug
characterised by the death therapies but gained little relief
of nerve axons, is the most To me, her story is the Roger
MacDougall story of this from them. By 2007 she was using
common view. a scooter to get around and had
The nutritional strategies which generation. There are a number of
parallels between them with both substantial fatigue. She was slowly
are recommended by Direct-MS and steadily declining.
and the Best-Bet Diet Group were being very intelligent,
accomplished professionals, both She devised three main
designed to counter inflammation therapies to help her battle SPMS:
caused by autoimmune reactions, being diagnosed with MS in their
early 40s, both soon progressing to 1) neuromuscular electrical
the primary disease process in MS. stimulation (NEMS), 2) specialised
However, inflammation does not SPMS, both realising that they had
to do something more than follow nutritional supplements and 3)
seem to be a major part of SPMS exercise. Dr Wahls works with
and lesion activity is very low in “doctors’ orders” to stop their
brain-injured veterans and thus
this phase of MS. Thus, I would not closely associates with doctors and
expect the recommended therapists who help to rehabilitate
nutritional strategies to have a persons who have neurological
major effect on SPMS although it damage and loss of muscular
seems some with SPMS have function. She noticed that
experienced noticeable neuromuscular electrical
improvement with the strategies. stimulation helped those with
In November of last year, Dr spinal cord injuries and simply
Terry Wahls, the assistant chief of asked if such a therapy would be
staff at the Veterans Administration of value for MS.
T-Roll
Spasms and sleepless nights are a thing of the
past since Charlie Gee discovered the T-Roll.
By Charlie Gee
s my legs have got
A worse the biggest
problem I have found is
being unable to sleep because
they spasm so violently. My legs
would cross above the knee and
it would be almost impossible
to uncross them again, making
sleeping a definite no-no!
Reflexology
By Ian Cook
What Is Reflexology? they can treat illnesses in the body.
Reflexology is based on the It is believed that the toes
principle that parts of the body are correspond to the head and the
represented or “reflected” in the neck, with lower parts of the feet
feet. Reflexologists use their hands (moving down towards the heels)
to apply gentle pressure to specific corresponding to lower parts of
areas of the feet - what they call the body.
reflex points or “reflexes”. By Some parts of the body such as
working on these parts of the feet the lungs are mapped on both
Scuba Diving
“I Can’t Describe How Brilliant It Felt”
By Charlotte Mitchell
Charlotte Mitchell, 55, was diagnosed with MS in 1974, aged 21. She is mar-
ried to Paul and has two grown-up children. She is Vice President of the Soil
Association and a trustee of Knockando Wool Mill and lives in Edinburgh.
hen I discovered I had MS in my final The more exercise, of what ever kind, you can do will
W year at art college I set out to be as
healthy as I could, eating healthy food,
supplementing with vitamins, and being fit.
make your life easier, maintaining fitness, decreasing
discomfort and minimising the risk of future problems
with balance, aches and pains and bad circulation.
I found that exercise is a bit like a drug, and all However, I have missed being able to go swimming
those sports I did made me feel more energetic and regularly, which was fantastic exercise for the whole
positive. Endorphins released by exercise improve your body and improved my circulation, keeping me warm
mood, and it’s certainly true that I cheer up every time for the day. I am one of those unlucky people who
I’ve been to my Pilates class. have to live with cold feet and chilblains, but by taking
One valuable thing I have learnt from doing Pilates ginkgo biloba and swimming I kept them at bay. I live
every week is that it reduces the amount of in sheepskin boots from the Celtic sheepskin Company,
neuropathic pain and discomfort I experience with MS. far cheaper than Ugg boots.
Debbie Ensor was diagnosed with MS 35 years ago. She lives in north
London and teaches yoga. She was an active member of the Yoga for
Health Foundation at Ickwell Bury, helping with the MS intensive courses.
have never had a loud teacher Carol Grimes, with Dorian So Much Fun
I voice, but after so many
years with MS it is not
as loud or clear as it once was.
Ford at the piano. They really make
the Choir. Carol has been working
with Elina Tripoliti, a speech
Amazingly, soon after I joined
them I took part in the Xmas
Concert at Westminster Cathedral.
This had become a problem for therapist from the National And it was SO good to be part of
me when teaching yoga and Hospital who I and other choir this year’s Cabaret night in July,
was also difficult on the phone. members had been to see. We start with 250-300 people attending.
So how wonderful it would be if our sessions with Carol working on My friends commented on how
I could improve my voice breathing and clever warm-up happy I looked, like I was having so
through singing. exercises for our voices. much fun. Everyone who came
I first heard about the Sing for Joy The songs we sing are pretty agreed it was a lovely evening!
Choir about four years ago from a varied and open to the choir We’ve had a couple of
member of my yoga class. It had members to put forward, with workshops at the National Hospital
been started by Nina Temple after Carol`s great ideas on how we can - I went to the last one and it was
she was diagnosed with Parkinson`s get the most out of them, both well attended and fun. We want to
Disease as a way of managing the musically and therapeutically. Our get charitable status to promote
condition and many of the choir song list includes: ‘I Can See singing as part of the treatment
members are affected by Parkinson`s. Clearly Now’, ‘Dirty Old Town’ and ‘ of long term chronic conditions
But fortunately for me, it soon I Walk The Line.’ and to support the setting up of
became possible for people with We meet at a hall in north other groups. Possibly one will be
other neurological conditions to join London on Tuesday evenings at at the National.
too. There are now 24 of us in the 6pm, starting with a warm-up and These days, I also find myself
choir, two with MS, with a waiting simple songs before Dorian joins us singing at home, something I
list of people who want to join. at 7.00. We have to be out of the haven’t done since I was a teenager.
I’d seen the choir when I went hall at 8.00 – such a short time for Since joining the choir, SO many
to a couple of their annual cabaret singing! So before concerts we people have commented on the
nights in central London. After have extra time fitted in and also strength and quality of my voice
some thought, I decided to give it practise with CDs at home. when talking.
a go and joined the Sing For Joy There really is joy in being part
Choir last September, with no idea of the choir!
what to expect.
Everyone who joins says they Info Box
can’t sing. I just make very strange Sing For Joy Choir
sounds. But they say that as long as Email: singforjoychoir@aol.com
you can open your mouth, you can Look at singforjoychoir on
sing with the Sing For Joy Choir – www.myspace.com
Tel Nina on 020 7687 2685 or Monica
you won’t have to sing alone. on 020 7682 0010
We are led by jazz singer and Joy and fun with the choir
“It’s a good way to find other people you can relate to who may have
similar issues in their lives.”
sites catering for both these anything off-topic. It’s less formal
options and some other sites that and a great place to share the
mix the two. It’s a big world out human stories behind the illness.
there in cyberspace. The MSRC site also has
chatrooms - online places where
www.msrc.co.uk you can go simply to chat to
The first site to check out is others. Information is posted live
undoubtedly the MSRC’s own and you can get into a real-time
website www.msrc.co.uk Behind conversation with others and make
the site’s excellent and frequently new friends.
updated news pages there is an Chatroom content is moderated
Aladdin’s cave of fascinating, during arranged chat sessions –
informative and anecdotal stories someone checks over the content
Ian Cook posted by people who have MS to make sure it isn’t libellous or
and who doubtless face many of insulting. John Habkirk (online
W
e all need friends. The
problem with MS is the same problems as you. name Squiffy2), who moderates
that it’s not always The MSRC site has a number of the MSRC’s website, says:
possible to get out to find new messageboards – places where “The message boards, and also
ones. As a result you can too people leave messages – which are the chat room, are much more
easily find yourself spending an definitely worth looking at. “All than just a ‘meeting place’ for
increasing amount of time about MS” covers things like the MSers. Many people who might
friendless and on your own. clinical, financial and personal have been desperate have been
But for every problem they say effects of MS. helped by a friendly, very
there is a solution. And when it “Over the Garden fence” covers supportive group of people who
comes to finding new friends the lighter side of MS allowing you frequent both message boards and
without getting tired out or having to introduce yourself, catch up with chatrooms. There is a real sense
to think about access the solution other “message boarders” and post of ‘family’.
is simple - go online.
A few years ago cyberspace
seemed a bit geeky, just a place for
spotty adolescent boys. But these
days there are thousands of people
with MS online – men and women
- chatting, advising, meeting and
dating others with MS. If you
haven’t yet been there perhaps it’s
time to take a look.
The first question to ask yourself
is whether or not you are looking
to make friends with other people
who have MS. Some MSers go
online specifically for this purpose.
Others, however, may want to
leave the world of MS behind and
meet a broader mix of people
online including those who don’t
have MS. Fortunately there are The MSRC’s (www.msrc.co.uk) home page
Tysabri...
Tysabri Useful In Childhood MS parliamentary answer it was revealed that between
100 and 300 people were getting Tysabri in March
A German study has found that Tysabri is a
this year, out of a possible 2,000 who could benefit
promising second-line treatment for MS in children.
from it. It is believed that some delays may be due to
The Tysabri treatment, carried out at the Centre for
the need to give the drug as an hour-long intravenous
MS in Childhood and Adolescents in Göttingen, went
infusion, which means there must be a suitable
on for between 15 months and two years, during
place available.
which time no relapses occurred in three young
Source: guardian.co.uk 16/12/08
patients, who had failed to respond to other disease
modifying drugs. All three said there had been Tysabri – New Death Reported.
significant improvement in their quality of life.
An American MS patient who developed a severe
Follow-up MRI scans showed no new lesions.
brain infection after taking Tysabri has died. The
Source: Arch Neurol.
patient received 14 Tysabri infusions before being
2008;65(12):1655-1658. (09/12/08)
diagnosed with the brain illness progressive multifocal
Tysabri Take-Up leukoencephalopathy or PML. The new death is the
first among four cases of the brain illness reported
Very Low since the drug was re-introduced in the U.S. in 2006.
Only around one in 10 MS PML is included in Tysabri’s prescribing information as
patients eligible for Tysabri is a possible side effect in 1 of every 1,000 patients
receiving the drug, according to taking the drug.
government statistics. In a Source: Bloomberg.com 19/12/08
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I
1
S B
2
W
3 4 5
L R
6
Across cont.
22. Girl a swimming contest. (4) girl = GAL + A
7 8
P L A UD I T B A L 9
ON E Y
10
L B G H T 11
T P 23. Eases cap broadcast painting. (8) ANAGRAM
B E S T OW A M E R I CAN 24. The Spanish not odd football team. (6)
12
G I I I R 13
O P Spanish for the =EL + EVEN
L A S T GA R Y BO NN E R 25. A motorcycle race finishes and is present. (7)
L L B E R
14 15 16
A + TT + ENDS = ELEVEN
WE L L T RODD E N
M
17
E A G F
18
26. Baits opposing batsmen and they help to get
19 20 21 22
A T T E ND S S L E
26
DGE S Down
A R S E S S 1. Against the law in Scotland although
st (ill egal) itarian. (7)
Across 5. Many an atom gets medicated liquid. (6) LOT + ION
7. Expression of praise for dual pit organisation? (7)
15. Sort deal out for something worn by dancers. (8)
ANAGRAM
ANAGRAM
8. On your own in the outskirts of Botany Bay,
17. Mother man a colour. (7) MA + GENT + A
it's nonsense! (6) on your own= ALONE inside
18. Run away over churches and charges
BY = BALONEY
exorbitantly. (7) FLEE +CES
10. Give an honour to in the (best ow) ner tradition. (6)
20. Holidays are set about this time. (6) ANAGRAM
11. Rain came about for somebody on the other side
21. Want the French to get the point. (6)
of the pond. (8) ANAGRAM
LDN Petition
Readers are urged to take the time to sign the petition for LDN to be found at
http://petitions.number10.gov.uk/LowDNaltrexone/
Getting A Community
Care Assessment
By Emma Rowe, the MSRC’s Welfare Rights Adviser
f you have a disability mean you would do them.
I such as MS which
affects daily living you
are entitled by law under the
Is your present housing suitable
for you? Could it be made better if
you had special equipment or
Community Care Act 1990 to adaptations? Do you qualify for
have a formal assessment of accessible social housing? How
your care needs. Your local safe are you? Or are you in any
authority’s social services way at risk?
department has a legal duty to
do this, so don’t feel guilty Eligibility Criteria
asking for one. They should also Once your local authority has
give an assessment to any carer collected all the data on your
who looks after you. “presenting needs”, they then will
The aim of an assessment is to look at which of these meet the
find out what needs you have in “eligibility criteria”. These vary from
order to live independently in your Emma Rowe council to council, but they all
own home. Each local authority at least mental list under each of have to follow guidance and work
has its own procedure for these categories. The idea behind within the four main criteria:
assessments. They may have a Community Care is to devise ways critical, substantial, moderate, and
leaflet explaining this. to enable you to live as low – representing how serious a
Depending on the extent of independently as possible; it’s risk it would be to a person’s
your needs and the criteria used by about supporting your needs. independence if problems and
your local authority, you may be The first thing is to look at what issues are not addressed.
entitled to individually tailored help you need in your home to live
care services. These range from safely and independently. Do you
domestic help to personal care (e.g. need help with domestic things
help with washing and dressing). like changing the bed linen or
You may also get aids and preparing a meal? Do you need
adaptations to make your home help getting washed, dressed and
more suitable, and assistance with going to the toilet?
transport. Your social situation is also
looked at. Do you go out? Do you
What Are Your Needs? see friends? Do friends and family
An assessment must consider all come to you? Or are you getting
of the following needs: increasingly isolated? Critical: When
• Personal An assessment also looks at • Life is threatened and/or
• Social things like hobbies, education and • Significant health problems have
• Health cultural needs. Do you want to go developed or will develop and/or
• Accommodation to college or adult education • There is, or will be, little or no
• Finance classes? What do you want to do choice and control over vital
• Leisure in your free time? Do you want to aspects of the immediate
• Transport, mobility and access do sport, go to a club, go to the environment and/or
• Psychological pub, watch television, do cookery, • There is, or will be, an inability to
• Emotional pottery, painting etc? carry out vital personal care or
• Cultural These are an idea of the kind of domestic routines and/or
Before an assessment it’s a good things you may wish to do if • Vital involvement or work or
idea for you to make a written or having someone help you would education cannot or will not be
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