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.

Are you dealing with a neurological condition that requires rehabilitation? You may have heard about electrical stimulation, sometimes known as FES (Functional Electrical Stimulation) or electrotherapy, before. If so, you might be wondering why it is often used in rehabilitation and whether it is right for your specific situation.

In this article, we are going to explore the concept of electrical stimulation and what its use in physical therapy offers in particular for individuals recovering from neurological conditions. Read on to learn more about how electrical stimulation works and how it can help speed up recovery and improve function after an injury or neurological condition.

The short answer to the question is yes it can. Although there is a lot of research literature on the topic, it is reasonable to suggest that the application of electrical stimulation to help resolve chronic wounds is not that well understood or widely practised yet.

There are a variety of different approaches and there is perhaps no optimal approach that has yet been identified. As a consequence, the evidence supporting electrical stimulation for wound healing is always muted due to the variety of protocols that have been used.

Perhaps the approach with the longest use is High Voltage Pulsed Current (HVPC) which dates back to the 1940s. In this article, we will take a look at the nature of wounds, the rationale behind electrical stimulation for wound healing and look at some of the approaches that have been taken.

We are finding there is a growing interest in using electrotherapy to treat denervated muscle. There are many clinical benefits of doing this and given equipment like the Stimulator RISE, it is very easy to do. Clients can do this safely at home given guidance and support.
Denervated muscle refers to a muscle that has lost its nerve supply or connection to the nervous system. Nerves play a crucial role in controlling muscle movement and function by sending electrical impulses to the muscle fibers. When a muscle becomes denervated, it loses this connection, which can lead to muscle weakness, atrophy (shrinkage), and even loss of muscle function over time. The article features a video from Anatomical Concepts DIrector, Derek Jones, who describes the rationale and process of using the RISE Stimulator in some detail. You can review the video and the transcript is shown

We should shortly see the emergence of new spinal cord stimulation products that can assist rehabilitation, as the first examples are approaching commercialisation. Although not a cure for spinal cord injury, these devices have been shown to assist in the recovery of function in situations where this seemed lost for ever.

Spinal cord stimulation (SCS) has a rich history that dates back to the 1960s, when it was first introduced as a potential treatment for chronic pain management. Pioneered by Dr. Norman Shealy (1967) this innovative method was initially developed to alleviate intractable pain by delivering mild electrical pulse trains to the spinal cord via implantation of electrodes.

Over the years, the field of SCS has witnessed significant advancements in both technology and research, broadening its potential applications to include functional recovery following spinal cord injury (SCI).

This article looks briefly at the state of the art.

How to we test for denervated muscle? As we will see in this article, a number of conditions can lead to denervation. Sometimes the extent of this denervation is hard to establish with equipment commonly available to the therapist. Perhaps the therapist tried “conventional” neuromuscular electrical stimulation (NMES) and could not produce a muscle contraction even with quite high intensity settings. Hence denervation was suspected, but without really being able to determine it’s extent.
The RISE stimulator provides a handy protocol that allows the presence and extent of denervation to be established and monitored over time. This article describes the process. First lets review some information on what exactly causes denervation, it’s consequences and the benefits of electrotherapy. We can then describe how the RISE unit can give is a denervation “benchmark”.