Rehabilitation / Clinical research

NOCI is proud to have collaborative relationships with Key Opinion Leaders in the clinical and research realms.

Regulation Compliance

We are able to execute assigned scope of work and help clients maintain HIPAA & FDA compliance.


Providing an opportunity for integration, convergence, and collaboration across borders by respecting and conserving the richness of diversity.



Leading the future of improved delivery and management of healthcare to affect a positive change in neurological, musculoskeletal and oncological science.

What’s New

September 2022

Check out the KITE Gamechangers and their approach to balancing clinical and research work to provide optimum treatment with novel approaches like the KITE-made innovation MyndMove. KITE connects innovative, expert developed treatments to individuals that need access to them the most. Read more Here


July 2022

Can Egocentric video change the way health care professionals monitor hand function in those with tetraplegia?

Read about this new study

December 2021

#Braincomputerinterfaces is here!.  Authored by doctors Naaz Desai, Cesar Marquez Chin, and Sukhvinder Kalsi-Ryan, ‘Brain Computer-Interfaces’ focuses on Neurorehabilitation of Voluntary Movement after Stroke and Spinal Cord Injury. You can pick up your copy today and receive 20% off by entering the code: authorcoll.

October 2021

With 10,000 listens in its first 2 months, AO SPINE is proving that  podcasts are an educational opportunity in the #research field.  They are back with a new 5 part podcast series called Research Top Tips. Listen to the podcasts here.

September 2021

“What we’ve done is unique…We opened this little window for clinicians and scientists to see that there are opportunities, but you have to be the boss of your own opportunities.” – Dr. Kalsi-Ryan

Click Here to Read how KITE’s research scientists and our CSO, Dr. Sukhvinder Kalsi-Ryan, are bringing rehabilitation research to the masses.

May 2021

NOCI is supporting the use of the GRASSP test in Onward’s Up-LIFT trial, which began its first patient enrollment this year.  Up-LIFT is the first large-scale trial of non-invasive spinal cord stimulation technology.  Read more about this groundbreaking trial here.

April 2021

Excellence and Innovation in Clinical Science

Neural Outcomes is proud to showcase and highlight our exclusive training and education partnership with Nor Consult, LLC. Nor Consult, LLC is an industry-leading contract research organization (CRO) that has extensive experience in managing global multi-center trials for industry, academia, and non-profit sponsors.  Focused on providing clients with an exceptional level of services, Nor Consult specializes in designing, managing, and analyzing clinical research studies relating to the spine, spinal cord, and orthopedics. Nor Consult offers a range of services that fit the needs of any clinical study; they are excellent at customizing and providing services tailored for individual needs.

By partnering with NOCI, Nor Consult LLC. is able to provide expert guidance on Investigational New Drug (IND) study applications for Phase 1 clinical trials, training and education opportunities for clinicians and study staff, development and validation of new outcome measures, and resources for Medical Science Liaisons (MSL).

We look forward to sharing with our network some of our joint ventures with Nor Consult, LLC. as we optimize your needs.


March 2021

This 11th season of the Dr. Albin T. Jousse Lecture Series presented by the SCRP Best Practice Forum features none other than our esteemed CSO, Dr. Kalsi-Ryan.  On March 25th Dr. Kalsi-Ryan joins Drs. Jenna Dengler, Larry Robinson, and Cathy Craven to discuss  Augmenting our Reach in 2021: Planned Implementation of an Interprofessional Peripheral Nerve Transfer Clinic. 

The Lecture Series provides a venue for students, consumers, physicians, scientists, and clinicians working in rehab settings to collaborate and share their findings to review the program of nerve transfers, discuss surgical considerations, classify and distinguish therapy for non-time-sensitive/time-sensitive patients, and answer questions from guests.  This event is sponsored by the Rehabilitation Engineering Laboratory, The Spinal Cord Rehab Program, The Neural Engineering and Therapeutics Team, and Toronto Rehab.  For more information and registration details visit


February 2021

NOCI is now the exclusive manufacturing and distributing e-commerce supplier of the Toronto Rehab Institute Hand Function Test (TRI-HFT).  This collaborative commercial partnership with the KITE Research Institute -UHN,  makes the TRI-HFT available for both clinical and industry use.  The TRI-HFT is designed to assess upper extremity performance after a stroke or spinal cord injury that has been treated with neuromodulation or tendon/peripheral nerve transfer.  Visit the NOCI eStore for purchase and product licensing,

“We designed and developed the TRI Hand Function Test because we discovered that there are no standardized assessment tools available for researchers and clinicians to measure gains in upper extremity function, especially in individuals with spinal cord injury. This is the only tool available on the market that can consistently and reliably measure the change in arm-hand function and is quick to administer and requires no formal training.”

-Naaz Kapadia Desai, The Kite Research Institute at UHN

January 2021

In alignment with NOCI’s mission of  Partnering with the Spinal Cord Injury (SCI) community to foster, drive, and implement clinical discovery”, Neural Outcomes has entered this new year with an exclusive training and education partnership with the Loewenstein Hospital Rehabilitation Center (LHRC).  The agreement provides non-exclusive rights to Neural Outcomes to govern the license of certain intellectual property by LHRC, Prof. Amiram Catz, and Ms. Malka Itzkovich for distribution, delivery, transfer, education, and sales.  Read more about our newest partner, LHRC, here.

November 2020

#4 on the Top 10 Research Priorities from AO Spine on the official #MyelopathyMatters Podcast, is finally here!

This episode features NOCI’s CSO, Dr. Kalsi-Ryan, DCM patient, Paige Howard, and Spine Surgeon, Dr. Koljonen.  They delve into #DCM, and Dr. Kalsi-Ryan shares which functional tool provides an objective assesment for patients with degenerative cervical myelopathy.


July 2020

The Neural Outcomes e-Learning Platform has officially launched! This platform provides health care professionals with the necessary training needed to become Standardized Range of Motion Assessors, for the DSI PL3397-A-303 study protocol branded as the ASIA Enliven Study.



GRASSP Version 2
The Graded Redefined Assessment
of Strength, Sensibility
and Prehension

Purchase Now ›

Meet Our Team

Dr. Sukhvinder Kalsi-Ryan

University of Toronto,
Department of Physical Therapy
Toronto Rehabilitation Institute-LC, University Health Network


Didar Khokhar

Business Development and IT Manager. He brings over 20 years of experience in Business Enhancement, Project Management, IT Development and Social Services Sector to NOCI.

Jean Brown

BSc. in Physical Therapy from the School of Rehabilitation Therapy at Queen’s University and her Diploma in Massage Therapy from Sutherland-Chan School and Teaching Clinic

Miranda Hong

Physical Therapist with the College of Physiotherapists
of Ontario with a BSc.PT from McGill University,


Assessment of the Hand
in Tetraplegia Using the
Graded Redefined
Assessment of Strength
Sensibility and

Download Pdf

Development of the
Graded Redefined
Assessment of Strength,
Sensibility and

Download Pdf

Outcome Measures for
Acute Subacute Cervical
Sensorimotor Complete
Spinal Cord Injury
During a Phase 2 Clinical

Download Pdf

The Graded Redefined
Assessment of Strength
Sensibility and
and validity

Download Pdf

Upper Extremity
Function in Persons with
Tetraplegia Relationships
Between Strength,
Capacity and the Spinal
Cord Independence

Download Pdf


CSCIRA 9th Annual Conference “Innovations in Care”

November 16th-18, 2021 is the 9th Annual CSCIRA…

Dr. Albin T. Jousse Lecture Series

"Augmenting our Reach” in 2021: Planned Implementation of…

Now Introducing the NOCI e-Learning Platform!

The Neural Outcomes e-Learning Platform has officially launched! This online…

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If there are any difficulties with the website, please contact us directly at

timryan@neuraloutcomes.com or skr@neuraloutcomes.com.