Electrical Stimulation Therapy has established itself as a substantial tool in physical therapy. Applications such as Transcutaneous Electrical Nerve Stimulation (TENS) units and Electrical Muscle Stimulation (EMS) devices have demonstrated substantial effectiveness in improving overall function.
However, the application of electrical stimulation requires stringent safety measures. Assessing patient history, establishing clear treatment objectives, verifying equipment certification, and checking for any contraindications are essential steps to ensure safe and effective treatment. The presence of conditions such as pregnancy, wounds or scars in the electrode area, metal or active implants, and skin diseases may require careful evaluation before proceeding.
Proper patient education on equipment use, along with professional supervision, helps to maximise the benefits while minimising potential risks. Overall, when applied correctly and tailored to individual needs, electrical stimulation can significantly contribute to enhancing rehabilitation outcomes.

In this article, we have outlined the implications of equinus contracture, a condition that often affects stroke patients and can cause significant physical disability. We've addressed the limitations of commonly used orthotic solutions and introduced the 654SKG DDA Orthosis, a dynamic device designed to prevent and even reverse heel contractures.

This orthosis ensures tissue health and corrects biomechanics, making it a valuable tool for various clinical applications. The article also provides guidelines for its proper use and stresses the importance of consulting with healthcare professionals before starting to use any device for the treatment or prevention of equinus contracture.