Functional Electrical Stimulation (FES)

Functional Electrical Stimulation (FES)

What is Functional Electrical Stimulation (FES) and how does it work?

Functional Electrical Stimulation (FES) is a therapeutic technique that uses electrical currents to stimulate nerves and muscles in order to restore or improve their function. It works by delivering small electrical pulses to specific muscles or nerves, which causes them to contract and produce movement. This can help individuals with neurological conditions or injuries regain control over their muscles and improve their ability to perform daily activities.

FES can be used to treat a variety of medical conditions and injuries. It is commonly used in the rehabilitation of individuals with spinal cord injuries, stroke, multiple sclerosis, and cerebral palsy. FES can also be beneficial for individuals with foot drop, a condition where the muscles that lift the front part of the foot are weak or paralyzed. Additionally, FES can be used to manage pain and improve muscle strength in individuals with conditions such as osteoarthritis and fibromyalgia.

Untold Physio Stories - Do You Train Recovery?

Erson shares a recent case - young female distance runner, at the top of her age group with severe knee pain. After 50% improvement with traditional strengthening, ankle and hip mobility training, modifying strike, getting new footwear, the patient discovered something else that made her able to run pain free. Untold Physio Stories is part of the PT Podcast Network, find more amazing podcasts and new favorites here! Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog

Untold Physio Stories - Do You Train Recovery?

Posted by on 2023-10-05

Untold Physio Stories - Don't Bring Your A Game to the Pre Game

We're joined by Dr. Chris Garcia from Chris Garcia Academy. He works with pro athletes and also teaches PTs to be at the top of their game when it comes to treating this unique population. His story is a cautionary tale about working with high level athletes prior to competition.  Untold Physio Stories is sponsored by⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com⁠Autodoc⁠ - Leave Autodoc running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT23 to save 50% off your first month. Free trial available at sign up!Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog

Untold Physio Stories - Don't Bring Your A Game to the Pre Game

Posted by on 2023-09-26

Untold Physio Stories - Growing and Scaling Yourself and Your Business

In this episode, Dr. Adam Robin of the PT Owners club talks about wanting to become the best clinician to owning a business, to scaling his clinic to multiple clinicians and multiple clinics. His mentor and he now are helping similar PT Clinic Owners with the PT Owners Club. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog

Untold Physio Stories - Growing and Scaling Yourself and Your Business

Posted by on 2023-09-19

Untold Physio Stories - Hollywood From a PT’s Perspective

We're joined again by Dr. Adrian Miranda of the web series Gross Anatomy on youtube. He was supposed to tell a story of working for a high volume clinic coming off of an esteemed residency program. But our geek mode took over and we ended up recoding an episode all about our love of movies, Tom Cruise, his crazy running gait, and how PTs should think when they view a great action scene. Have you ever thought of these things as a clinician when you watch your favorite movies or shows? Untold Physio Stories is sponsored by⁠The Eclectic Approach Network⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠EDGE Mobility System⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com⁠Curv Health⁠ - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! ⁠Click to join Dr. E's new Virtual Clinic Collective⁠ to help promote best online practices.  Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog

Untold Physio Stories - Hollywood From a PT’s Perspective

Posted by on 2023-09-06

How does FES help in the rehabilitation process for individuals with neurological disorders?

FES plays a crucial role in the rehabilitation process for individuals with neurological disorders. By stimulating the nerves and muscles, FES can help improve muscle strength, coordination, and control. It can also help individuals regain functional movements and improve their ability to perform activities of daily living. FES can be used in combination with other therapies, such as physical and occupational therapy, to enhance the overall rehabilitation outcomes for individuals with neurological disorders.

How does FES help in the rehabilitation process for individuals with neurological disorders?

Are there any potential risks or side effects associated with using FES?

While FES is generally considered safe, there are potential risks and side effects associated with its use. These can include skin irritation or redness at the site of electrode placement, muscle soreness or fatigue, and discomfort during the stimulation. In rare cases, FES may cause muscle spasms or contractions that are too strong, which can be uncomfortable or painful. It is important for individuals using FES to be closely monitored by a healthcare professional to ensure proper electrode placement and stimulation parameters to minimize the risk of adverse effects.

Can FES be used as a standalone treatment or is it typically used in conjunction with other therapies?

FES can be used as a standalone treatment or in conjunction with other therapies, depending on the individual's specific needs and goals. In some cases, FES may be used as the primary treatment modality, especially for individuals with specific muscle weakness or paralysis. However, it is often used as part of a comprehensive rehabilitation program that includes other therapies such as physical and occupational therapy. The combination of FES with other therapies can provide a more holistic approach to rehabilitation and maximize the benefits for individuals with neurological disorders.

Scar Tissue Management

Can FES be used as a standalone treatment or is it typically used in conjunction with other therapies?
What are the different types of FES devices available in the market?

There are different types of FES devices available in the market. These devices can vary in terms of their design, features, and functionality. Some FES devices are designed specifically for lower limb rehabilitation, targeting muscles in the legs and feet. Others may be designed for upper limb rehabilitation, targeting muscles in the arms and hands. There are also portable FES devices that can be worn during daily activities, allowing individuals to receive stimulation throughout the day. The choice of FES device depends on the individual's specific needs and the recommendations of their healthcare professional.

California Physiotherapy Clinics

Are there any limitations or contraindications for using FES?

While FES can be beneficial for many individuals, there are certain limitations and contraindications to its use. FES may not be suitable for individuals with certain medical conditions, such as pacemakers or other implanted electronic devices, epilepsy, or certain types of skin conditions. Additionally, FES may not be effective for individuals with severe muscle weakness or complete paralysis. It is important for individuals considering FES to consult with their healthcare professional to determine if it is a suitable treatment option for their specific condition and to ensure proper safety precautions are followed.

Are there any limitations or contraindications for using FES?

Frequently Asked Questions

Hydrotherapy, also known as aquatic therapy, offers several specific benefits for patients with spinal cord injuries. Firstly, the buoyancy provided by the water reduces the weight-bearing load on the spine, allowing individuals with limited mobility to move more freely and perform exercises that may be challenging on land. This can help improve muscle strength, flexibility, and range of motion. Additionally, the hydrostatic pressure exerted by the water can enhance circulation and reduce swelling, promoting healing and reducing pain. The warm water used in hydrotherapy also helps to relax muscles and alleviate muscle spasms, which are common in individuals with spinal cord injuries. Moreover, the water's resistance provides a gentle yet effective form of resistance training, helping to build muscle strength without putting excessive strain on the joints. Overall, hydrotherapy can play a crucial role in the rehabilitation process for patients with spinal cord injuries, facilitating physical improvements and enhancing their overall well-being.

Aquatic therapy has shown promising results in improving social interaction and communication skills in children with autism. Research studies have indicated that engaging in water-based activities can enhance social engagement, promote sensory integration, and facilitate communication in children with autism spectrum disorder (ASD). The buoyancy and resistance provided by water create a unique sensory environment that can help children with ASD feel more comfortable and confident in social interactions. Additionally, the rhythmic movements and sensory stimulation experienced during aquatic therapy can improve body awareness, coordination, and motor skills, which are essential for effective communication. The therapeutic nature of aquatic therapy, combined with the use of specialized techniques and interventions, can significantly contribute to the development of social and communication skills in children with autism.

Virtual reality has shown great potential in stroke rehabilitation, offering a range of benefits that can enhance the recovery process. Firstly, the immersive nature of virtual reality allows stroke patients to engage in realistic and interactive environments, promoting active participation and motivation during therapy sessions. This can lead to increased adherence to rehabilitation programs and ultimately better outcomes. Additionally, virtual reality can provide a safe and controlled environment for practicing various motor skills, such as reaching, grasping, and walking, allowing patients to gradually regain their functional abilities. The use of virtual reality can also provide real-time feedback and performance monitoring, enabling therapists to track progress and tailor interventions accordingly. Moreover, virtual reality can offer a personalized and customizable approach to rehabilitation, adapting to the specific needs and abilities of each individual. Overall, the integration of virtual reality in stroke rehabilitation has the potential to revolutionize traditional therapy methods and improve the overall quality of care for stroke survivors.

Neurodevelopmental treatment (NDT) is a therapeutic approach that aims to promote motor recovery in stroke patients by focusing on the retraining of movement patterns and facilitating the development of new neural pathways. This treatment method utilizes a combination of hands-on techniques, exercises, and functional activities to improve motor control, coordination, and balance. By incorporating principles of motor learning and neuroplasticity, NDT aims to optimize the brain's ability to reorganize and adapt following a stroke. Through the use of specific therapeutic techniques such as facilitation, inhibition, and guided movement, NDT helps stroke patients regain functional movement and improve their overall quality of life. Additionally, NDT emphasizes the importance of task-specific training and functional activities to promote the transfer of skills learned in therapy to real-life situations. Overall, NDT provides a comprehensive and individualized approach to motor recovery in stroke patients, addressing their unique impairments and facilitating their journey towards improved motor function.

Therapists employ a variety of techniques to effectively address muscle imbalances in dancers and mitigate the risk of injuries. They conduct thorough assessments to identify specific areas of weakness or tightness, utilizing specialized knowledge of dance anatomy and biomechanics. Therapists then design personalized treatment plans that incorporate targeted exercises and stretches to rebalance the muscles and improve overall alignment. These plans often include strengthening exercises to address weak muscles, flexibility exercises to alleviate tightness, and proprioceptive training to enhance body awareness and control. Additionally, therapists may employ manual therapy techniques such as massage or myofascial release to release tension and restore optimal muscle function. By addressing muscle imbalances through these comprehensive approaches, therapists play a crucial role in preventing injuries and promoting the long-term health and performance of dancers.

Therapists employ a comprehensive approach to assess and treat thoracic outlet syndrome (TOS). To assess the condition, therapists may conduct a thorough physical examination, evaluating the patient's posture, range of motion, and muscle strength. They may also utilize diagnostic tests such as electromyography (EMG) and nerve conduction studies (NCS) to assess nerve function. Treatment for TOS typically involves a combination of manual therapy techniques, such as soft tissue mobilization and joint mobilization, to address musculoskeletal imbalances and reduce compression on the affected nerves and blood vessels. Therapists may also prescribe specific exercises to improve posture, strengthen weak muscles, and enhance overall flexibility. Additionally, they may provide education on ergonomics and lifestyle modifications to prevent further aggravation of symptoms. In some cases, therapists may collaborate with other healthcare professionals, such as physicians or surgeons, to ensure a comprehensive and multidisciplinary approach to managing TOS.

When implementing ergonomic interventions in manual handling tasks, there are several considerations that need to be taken into account. Firstly, it is important to assess the specific task and identify any potential risk factors or hazards that may contribute to musculoskeletal disorders. This includes evaluating the weight and size of the objects being handled, the frequency and duration of the task, and the posture and movements required. Secondly, the physical environment should be evaluated to ensure that it is conducive to safe and efficient manual handling. This may involve modifying the layout of the workspace, providing appropriate equipment and tools, and ensuring adequate lighting and ventilation. Additionally, training and education should be provided to workers to increase their awareness and understanding of proper lifting techniques, body mechanics, and the importance of taking regular breaks and using assistive devices when necessary. Regular monitoring and evaluation of the ergonomic interventions should also be conducted to assess their effectiveness and make any necessary adjustments. Overall, implementing ergonomic interventions in manual handling tasks requires a comprehensive and systematic approach that takes into consideration the specific needs and requirements of the task and the workers involved.