Electrical Stimulation for quadriceps Muscle/hamstring Muscle/Physiotherapy Treatment

Electrical Stimulation for quadriceps Muscle/hamstring Muscle/Physiotherapy Treatment
Strength of muscle contraction: In individuals 1-6 months post-stroke, FES was shown to strengthen muscle contractions.
Walking: In patients1-6 months post-stroke , FES showed some improvement in walking. However, FES is more useful in people more than 6 months post-stroke.
Perceived health status: Studies showed that FES for the lower extremities was not effective in improving the perceived health of patients more than 6 months post-stroke.
Spasticity (stiffness): Research showed that when combined with other therapy, FES caused a reduction in spasticity when used for patients more than 6 months post-stroke.
Range of motion (movement of joints): FES was shown to be moderately effective in improving range of motion for individuals more than 6 months post-stroke, when combined with other therapy.
Functional Ambulation (mobility): There was some evidence that FES improved the ability of patients more than 6 months post-stroke to move around more easily.
Lower extremity coordination: There was improvement in knee coordination in patients more than 6 months post stroke, however coordination of the legs and feet in general did not show improvement.
Activity level: Studies did not show improvement in level of activity of patients more than 6 months post-stroke after using FES.
Balance: Research showed some evidence that FES did not improve the balance of individuals more than 6 months post stroke.
What can I expect?
Small square stickers (electrodes) are placed over the centre of the bulk of the muscle to be stimulated. Wires connect the electrodes to a stimulator, a small machine that produces the electrical current. The stimulation is usually started at a very low level, causing a tingling “pins and needles” feeling on the skin. The current will then slowly be increased after each stimulation until it is strong enough to make the muscle contract. This level (the smallest current necessary to make the muscle contract) will be used for the FES treatment.



Although some people find the treatment uncomfortable, it is usually well tolerated. FES may give some discomfort, but it is virtually painless. Treatment times may vary, however, the time is usually divided into a number of daily sessions. FES treatments are usually done for 30 – 45 minutes, but once you are set up, you can typically perform the treatments on your own or with a family member.

Are there any side effects/risks?
There are few risks that come with the use of functional electrical stimulation. The electrodes can irritate the skin they contact, but this is uncommon. Using non-latex hypoallergenic
electrodes can often solve this problem. Some people may find that certain types of electrical stimulations are irritating, but this can be easily fixed by changing the level of the current. After the treatment, there may be pink marks left on the skin where the electrodes were placed, but these usually fade within an hour. Although very rare, this type of therapy can increase spasticity (muscle tightness).

NOTE: People with epilepsy, poor skin condition, hypersensitivity to the electrical stimulation, cancer, and cardiac pacemakers should not receive FES treatment.
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