How does the timing and intensity of stimulation in home-based FES (hbFES) affect the structural recovery of lower motor neurons and muscle fibres following a complete denervation injury?

Home-based functional electrical stimulation (hbFES) is revolutionizing the treatment of complete lower motor neuron denervation injuries. Once considered an inevitable path to muscle deterioration, new research and clinical evidence show that properly timed and calibrated electrical stimulation can not only preserve muscle tissue but actually promote structural recovery. At Anatomical Concepts, we work with the RISE Stimulator from Schuhfried Medizintechnik GmbH, enabling clients to take control of their rehabilitation journey from home. This innovative approach has demonstrated remarkable results, including significant increases in muscle cross-sectional area and force output, challenging long-held assumptions about the irreversibility of denervation effects.

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How effective is electrical stimulation in strengthening skeletal muscle? What stimulation parameters appear to be most effective?

Curious about the science behind neuromuscular electrical stimulation (NMES) in rehabilitation? In our latest article, we dive deep into how this established yet evolving technology effectively strengthens skeletal muscles.

From optimal stimulation parameters to clinical applications, discover why the "art" of electrical stimulation goes far beyond simply making muscles contract. Drawing from recent research and clinical evidence, we explore the mechanisms, effectiveness, and practical considerations for healthcare professionals working with neurological injuries and various rehabilitation scenarios.

Whether you're a clinician, researcher, or rehabilitation specialist, this comprehensive review offers valuable insights into maximizing NMES outcomes for patient care.

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Electrical Stimulation and improved outcomes for Brachial Plexus injuries

In this article, we step back and consider how brachial plexus injuries are treated and then look at how forms of electrical stimulation might contribute to achieving the best clinical outcome.

Brachial plexus injuries present a complex challenge in medical practice, with the potential to produce significant functional impairment and reduced quality of life. Effective treatment requires a meticulous, multifaceted approach, combining surgical and non-surgical interventions tailored to the patient's specific needs. This article explores current treatment strategies, focusing on the potential role of electrical stimulation as a complementary therapy. By examining its applications and efficacy, we aim to highlight how this innovative technique could enhance recovery and optimise clinical outcomes for individuals affected by these injuries.

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Are there any long-term studies on the safety of electrical stimulation for patients with metal implants?

All medical devices have indications and contraindications, and the manufacturer always states these clearly. However, not all electrical stimulation devices on the market are classified as medical devices, so the manufacturer may not clearly describe when they might be unsafe to use.

A very common situation we face when dealing with clients is the presence of metal implants such as joint replacements, fracture fixation plates and spinal instrumentation near where we wish to apply electrodes. The concern has been that the energy generated by electrical stimulation over metal implants would cause local, damaging heating within the tissues. We consider this below.

We must follow the manufacturer's recommendations. However, you might wonder about the real risks. Do the benefits of using electrical stimulation outweigh the risks? This article explores this topic.

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How FES Cycling systems are optimised for a user?

FES Cycling is a well-established technique that allows persons with lower limb paralysis, perhaps after a spinal cord injury, to exercise their leg muscles actively despite the paralysis. In this article, we ask how to enhance muscle mass and joint flexibility through targeted electrode placement and a progressive exercise regimen.

Optimising FES Cycling involves carefully considering several factors to enhance muscle development and improve joint flexibility. Here, we’ll touch on a few key aspects. If you’re interested in exploring the topic further, we’ve included a list of in-depth articles on FES Cycling below.

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Is 20 minutes of FES Cycling good enough for health gains?

Functional Electrical Stimulation cycling, also known as FES cycling or using an FES bike, is a rehabilitation technique that uses electrical stimulation to activate skeletal muscle in individuals with spinal cord injury or other types of neurological injury. This technique is well established in the homes of hundreds of people in the UK as well as in NHS and private facilities. In this article we address the topic of how often you should exercise with this technology. For example, is 20 minutes, three times per week really enough?

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