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Functional Electrical Stimulation (FES): Aiding Mobility and Re-learning Functional Movements
Functional Electrical Stimulation (FES) represents an advanced application of electrotherapy, distinguished by its goal of creating a functional, purposeful movement. FES devices are specifically timed and coordinated to stimulate nerves and muscles to perform an action, such as lifting a foot during walking (foot drop correction) or grasping an object.
This is a life-changing technology for individuals with central nervous system damage, such as those recovering from a stroke, spinal cord injury, or those living with Multiple Sclerosis. FES bypasses the damaged neural pathways by using external electrical impulses to prompt the necessary muscle contractions in the correct sequence, thereby enabling or improving gait, hand function, and other essential daily activities.
The technology is often integrated into braces or orthotic devices, turning a passive support into an active one. Through repetition and practice, FES helps facilitate neuromuscular re-education, teaching the nervous system and muscles to coordinate the movement once again, thereby significantly increasing patient independence and quality of life in both specialized clinics and home healthcare, as highlighted in the Electrical Stimulation Technology Overview.
FAQ
Q: How is FES different from regular NMES? A: FES is a subcategory of NMES; FES is specifically controlled and timed to produce a functional movement (like walking), while general NMES aims for simple muscle strengthening or spasm reduction.
Q: Can FES help someone with foot drop walk more easily? A: Yes, FES is widely used to treat foot drop by stimulating the muscle responsible for lifting the foot at the precise moment it is needed during the swing phase of walking.
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