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What is Muscle Stimulation? It is using small electrical impulses to activate paralysed muscles and so produce useful movement. The electrical impulses work by exciting the nerves leading to the muscles. Self adhesive patches (electrodes) are usually placed on the skin close to the nerve supplying the muscle; this is often over the centre of the muscle. Leads connect the electrodes to a stimulator that produces the impulses. Who may benefit from using muscle stimulation? People who have difficulty moving due to damage to their brain or spinal cord such as from a stroke, suffer from multiple sclerosis (MS) or have had an incomplete spinal cord injury (T12 or above). It can sometimes be used with children who have cerebral palsy and people who have had a head injury. To be effective it is important that the nerve fibres between the spinal cord and the muscles are not damaged. The impulses need to travel along the nerves to reach the muscles. How stimulation can be used to improve muscle and movement function • Stimulation may be given as a type of exercise to strengthen weak muscles or to relax tight ones. This type of stimulation is used as part of physiotherapy. It can be used to improve hand and arm function. People who benefit from this usually have some movement of the arm and hand. It can also be used on the leg and ankle to improve standing and walking. Are there any tests involved? Tests are usually performed measure walking speed and effort, or quality of movement. Patients who are using stimulation to improve arm, hand and leg function may be asked to perform a simple function test. Tests take about one hour and are repeated at regular intervals to measure progress and to find out whether treatment needs to be changed. Are there any risks or side effects? • Stimulation causes a tingling “pins and needles" sensation to the skin, although most people do not find it uncomfortable, a few do and for this reason do not use it. • Sometimes, even though patients are carefully assessed, it's found that treatment has not helped them or that they are unable to use the stimulator effectively. Stimulation will therefore be stopped. • Very occasionally, patients find electrodes irritate their skin. Using hypoallergenic electrodes or changing the type of stimulation used, can often help. • Very rarely stimulation has been found to increase muscle tightness and in these cases treatment will be stopped. The benefits of muscle stimulation • Muscle tightness may be reduced. Improve circulation to the area. Improve sensation to the area Makes muscles move in a bigger range. Sometimes patients have found that after using the stimulator for a few months their leg and arm movements are improved. How do patients get muscle stimulation treatment? Your physiotherapist will consider its use in your treatment programme. Where appropriate, they will teach you how to apply and use the stimulator between your treatment sessions. Your named physiotherapist is: ------------------------------------------------Your personal programme is: If you have any concerns whilst using the muscle stimulator, stop it immediately and contact your physiotherapist. Comments, compliments or complaints We welcome any suggestions you have about the quality of our care and our services. Contact us: Freephone: 0800 1613997 Phone: 01625 661449 Textphone: 01625 663723 Customer Care, Reception, Macclesfield District General Hospital, Victoria Road, SK10 3BL For large print, audio, Braille version or translation contact the Communications and Engagement Team on 0800 195 494. Admission information The trust accepts no responsibility for the loss of, or damage to, personal property of any kind, in whatever way the loss or damage may occur, unless deposited for safe custody. Please leave valuables at home. If you need to bring personal items that are expensive, for example micro hearing aids, please be aware that you do so at your own risk NHS Direct (part of NHS Choices) is a 24 hr phone advice service providing confidential health advice and information. Phone: 0845 4647 (Textphone 0845 606 46 47)www.nhs.uk East Cheshire NHS Trust is committed to ensuring that patients and staff will always be treated with dignity and respect. There will be no age, disability, gender, race, sexual orientation or religious discrimination. Therapeutic electrical muscle stimulation (TES) Physiotherapy Inpatient / Outpatient Neurological and Rehabilitation Service Phone: 01625 661883 / 1481 Macclesfield District General Hospital www.eastcheshire.nhs.uk @eastcheshirenhs Ref:11232 Review: 5/2016