Electrical Stimulation

What is electrical stimulation?

Electrical stimulation is a tool that can be used to improve strength, sensory input, range of motion and motor learning as well as decrease spasticity (muscle stiffness or rigidity), all while the child is participating in play and age appropriate tasks. Here at MPPT we utilize 2 specific types of electrical stimulation TASES and NISE-stim to help each child achieve their goals. 

TASES: What is it? 

Task specific electrical stimulation is an evidence-based technique that uses functional electric stimulation for children with cerebral palsy and other movement disorders as well as scoliosis. It was developed by Judy Carmick, M.A., PT who has over 40 years of pediatric experience. TASES activates muscles and provides sensory input, which improves movement patterns and function. It can improve joint range of motion, muscle function and strength, as well as decrease spasticity and assist with skill development. 

How does it work? 

During TASES treatment electrodes are placed over specific muscles and repetitive movement patterns are performed in proper alignment during age-appropriate tasks and play, to promote motor learning. TASES requires a skilled therapist to administer it properly, as deciding which muscles must be stimulated is essential. The repetition and specificity of TASES performed during motivating tasks, in combination with traditional therapy, can lead to better outcomes. This approach strengthens muscles and optimizes sensory input, enhancing active independent movement and activation with proper timing. TASES supports the need for muscles to be strengthened, not weakened, and for sensory information to be optimized for the child in order to enhance active independent movement and achieve their goals.

NISE: What is it? 

Non-Invasive Spinal electrical stimulation was developed in 2017 by Gerti Motavalli PT, MPT along with Dr. Gad Alon PT, Ph.D., an internationally recognized researcher in electrical stimulation. Spinal electrical stimulation is achieved through the use of an NMES muscle stimulator providing electrical current through electrodes attached directly over the spinal cord and to specific areas of the body to stimulate muscle movement and increase sensory input. Children with Spina Bifida and other motor problems have shown to benefit from spinal electrical stimulation. Progress has been observed in children ages 3 months to 18 years.

How does it work? 

Electrodes are placed over the spinal cord and other places on the body. The e-stim unit gives electrical impulses from the lower back to the legs, like nerves would do to activate muscles. The muscles will contract in response. During NISE-Stim treatment the child will participate in age appropriate tasks while playing, assisting with motor learning and development. NISE-stim requires a skilled therapist to administer it properly and ensure effectiveness.