MEDISPA.PRO
Ministry of Health code: A19.30.012 Axis M4 · Musculoskeletal system and kinesiotherapy CEBM: Level B (Kinesiotherapy and neurorehabilitation)

Neuromuscular activation in suspension systems (Exarta / Redcord Neurac)

Neurac Suspension Kinesiotherapy (Redcord / Exarta)

Industry clinical and economic procedure passport. Full biological mechanism (MoA), patient preparation protocol, first-choice equipment fleet, integration into the resort's master treatment rooms and market price benchmarks.

To the procedure catalogue Equipment fleet Integration treatment rooms Rates and economics
Session duration
45 min
Turnover: ~60 min
Recommended course
10 sessions
2–3 times a week (6–10 sessions)
Throughput capacity
8 pts
per 8-hour shift
Median rate
9 108 ₽
7 438 ₽ – 10 779 ₽
Course cost
91 080 ₽
at market median
Publication volume
Level B
6 publ. in PubMed

Clinical profile

Therapeutic exercise in a sling system (Redcord/Neurac, "Exarta"): movements with partial body-weight support in slings. Meta-analyses show reduced pain and disability in chronic low back and neck pain and improved walking after stroke; study quality ranges from very low to moderate, and comparisons with other active exercises are still few.

Every statement links to a publication in the list below. This is a snapshot of published research, not a final assessment of the method: international practice and integrated protocols often run ahead of official publications. Draft based on published research; requires review by a physician. Revision: 2026-10-17.

Mechanism of action

  • Sling exercises increase activation, strength and thickness of the deep core muscles and speed up their engagement. [1]

Where studies show an effect

  • Chronic low back pain: reduced pain and disability. [1, 2]
  • Neck pain: reduced pain intensity (moderate- and low-level evidence). [4]
  • Gait impairment after stroke: greater walking speed and better functional measures than with conventional physiotherapy. [5]
  • Spinal cord injury: probable improvement in motor function, balance and daily activities. [6]

Open questions and study limitations

  • In low back pain, sling exercises are comparable with other active exercises; no clinically significant superiority was found. [3, 1]
  • In neck pain no definitive conclusion is possible owing to methodological limitations and high heterogeneity of studies. [4]
  • Stroke data come mainly from East Asia; the quality of studies in spinal cord injury is low. [5, 6]

Safety

  • The method allows pain-free exercise adjusted to the patient's baseline level. [1]
Contraindications. Contraindications are determined by the exercise therapy physician or rehabilitation specialist according to the patient's condition; they are not given in study abstracts.

Equipment fleet and fit-out

Certified first-choice medical equipment and compatible device systems

Equipment registry
Base configuration (Hero Device)
Exarta / Redcord Trainer suspension kinesitherapy system

Device platform with proven validation of the biological response. Includes built-in biofeedback sensor systems, patient protection protocols and precision dosing of exposure.

Certification: Russian Ministry of Health registration certificate / CE Medical Device Directive Class IIa/IIb.
Compatible platforms in the MEDISPA.PRO registry
Exarta suspension kinesitherapy rehabilitation system
Medical device, Roszdravnadzor registration certificate / CE
In the registry →

Architectural integration and treatment rooms

Resort rooms housing the treatment station (with SanPiN norms and MEP loads)

All treatment rooms →
1.2.1 25.0 m² · Class V

Functional diagnostics room

Diagnostic unit (functional, radiology, ultrasound diagnostics) · Equipment: 440 400 ₽

Treatment room passport →
1.2.2 20.0 m² · Class V

Ultrasound room

Diagnostic unit (functional, radiology, ultrasound diagnostics) · Equipment: 7 165 120 ₽

Treatment room passport →
1.1.15 25.0 m² · Class V

Kinesiologist's treatment room

Physicians' consulting and examination rooms · Equipment: 370 400 ₽

Treatment room passport →
2.3.2 75.0 m² · Class V

Exercise therapy hall / gym

Wellness, mindfulness and relaxation spaces · Equipment: 805 000 ₽

Treatment room passport →

Unit economics and resort price benchmarks

Market analysis based on a sample of premium sanatoriums, wellness hotels and preventive medicine clinics

Market price corridor
25th percentile (P25) 7 438 ₽
Market median 9 108 ₽
75th percentile (P75) 10 779 ₽

Median of prices in industry facilities' price lists, 2026

Basis of the price benchmark

Prices for this procedure appear in the price lists of 2 industry facilities; the median and interquartile range across facilities are shown (each facility counts once).

Evidence base

There are several meta-analyses of RCTs with a positive effect in back and neck pain and after stroke; the quality of evidence ranges from very low to moderate.

Publication level B · Some data
  1. 1.
    Sling Exercise in the Management of Chronic Low Back Pain: A Systematic Review and Meta-Analysis.
    J Strength Cond Res, 2024 · Systematic review and meta-analysis · PMID 34570056
    Chronic low back pain: less pain and disability, better core muscle function; evidence from very low to moderate.
  2. 2.
    Exercise intervention for patients with chronic low back pain: a systematic review and network meta-analysis.
    Front Public Health, 2023 · Network meta-analysis · PMID 38035307
    Sling exercises are among the methods that significantly reduce chronic low back pain compared with conventional rehabilitation.
  3. 3.
    Sling exercise for chronic low back pain: a systematic review and meta-analysis.
    PLoS One, 2014 · Systematic review and meta-analysis · PMID 24919119
    No clinically significant differences from other exercises were found; high-quality RCTs are needed.
  4. 4.
    Effects of Sling Exercise for Neck Pain: A Systematic Review and Meta-Analysis.
    Phys Ther, 2021 · Systematic review and meta-analysis · PMID 33929540
    Neck pain: reduced pain, but no definitive conclusion is possible.
  5. 5.
    Effects of sling exercise therapy on post-stroke walking impairment: a systematic review and meta-analysis.
    Int J Rehabil Res, 2022 · Systematic review and meta-analysis · PMID 34726197
    After stroke, walking improves more than with conventional physiotherapy.
  6. 6.
    Efficacy of suspension exercise training in spinal cord injury: a systematic review and meta-analysis.
    J Orthop Surg Res, 2025 · Systematic review and meta-analysis · PMID 40629468
    Spinal cord injury: probable improvement in movement, balance and daily activities; study quality is low.

Publications were found in PubMed; titles and journals are given verbatim, conclusions are a brief summary of the abstracts under the conditions of the specific studies. The level shows the volume of published data, not the value of the method: A — Plenty of data: consistent systematic reviews and meta-analyses of RCTs; B — Some data: reviews or several RCTs, results are heterogeneous; C — Little data: single RCTs or controlled studies; D — Scarce data: mainly reviews, observational and experimental studies. The passport is updated as new work is published and with regard to international practice.