01/30/2021
I recall that first year when we were getting trained on Neuromuscular Electrical Stimulation (NMES) with the Functional Electrical Stimulation (FES) cycle. The clinician was so precise and adamant about the placement of the electrodes. They had to be in a certain spot and away from spine. I wondered what would happen if there were too close to the spine, and they said it would be painful if it was on the bone where the spine was (ironic for someone that could not feel pain below their shoulders). So they went about training us on their strict protocol that had to be done that way because it is what was proven. Reading this article really makes me think we as a society like to "red tape" ourselves with protocols, when in actuality, all a protocol really means is something just hasn't been studied a different way. The research time just hasn't been invested to see if another way works. This article seems quite similar to the transcutaneous stim study Treyvon was in, and it certainly works. He has seen marked improvement in his back, arm/shoulder, and grip strength. We've switched his high back on his power chair to a lower back that is armpit level. He also doesn't face plant in the stander now and can activate his back muscles to hold himself up. He lifts and fills up his 64oz mug cup with ease now. His strength certainly has improved overall in his upper body. We can't trace that all directly to the TcStim trial, but I am certain it was a big catalyst. It is quite ironic to know that something that was believed to cause pain just a few years ago has actually instead demonstrated that it opens the communication pathway to get the messages through. I am quite thankful for the researchers that don't take no for an answer and that instead say let's try it.....let's try it in a clinical setting and see what happens. I am so thankful we live close to Frazier and are able to work with those "let's try it minds." My rebellious nature hates protocols and loves to adapt to what makes sense. So this year, we are going to continue to look beyond the protocols and see what new opportunities are out there. π
"Never be afraid to try something new, because life gets boring when you stay within the limits of what you already know." -Unknown
In a clinical trial, wearing a small stimulator on their necks helped people with quadriplegia build back movement they had lost years ago.