Neuromuscular Electrical Stimulation

     Neuromuscular electrical stimulation (NMES), also known as therapeutic (or threshold) electrical stimulation (TES), is a form of electrical stimulation that attempts to strengthen muscles weakened by dis-use. TES uses sub-contraction stimulus to promote muscle growth. In a pet with disuse atrophy, contracting muscles use the strongest fibers; therefore weakened muscles do not respond and deteriorate further. NMES increases blood flow to the muscles in which fibers are atrophied. NMES can also be used to treat muscle atrophy and joint mobility problems, such as contractures; circulation inadequacies; disuse atrophy; spasticity (tone abnormalities) and gait abnormalities. NMES has also been used for orthopedic rehabilitation for pets that have musculoskeletal dysfunction (e.g., disuse weakness, joint restrictions, edema, and spasms). This therapy is used to strengthen muscle tone and improve functional abilities.  Neuromuscular electrical stimulation (NMES) for the prevention and/or treatment of disuse muscle atrophy following immobilization, injury, or surgery is considered medically necessary if the medical appropriateness criteria are met. 


for a video of neuromuscular electrical stimulation