Electrical stimulation is a popular and widely used approach for physical rehabilitation. When used for muscle strengthening, it is necessary to take into account the fact that electrical stimulation produces muscle contractions in a relatively inefficient way.

In this article, we take a brief look at muscle fibre types. Following a neurological insult, muscle fibre types undergo transformation, producing changes that affect the ability of muscles to do work. We examine the particular case of spinal cord injury and consider how this affects the effectiveness of electrical stimulation.

Approaches to combat fatigue are examined. Finally, we consider attempts being made to improve the performance of stimulators and produce consistent muscle contractions under all circumstances.

Neuropathic pain is a complex and debilitating condition that affects millions worldwide, disrupting daily life with sensations that defy typical pain narratives. For those living with chronic discomfort, the challenges often feel insurmountable. However, with an estimated 7–10% of the global population impacted, the demand for solutions has never been greater.

This article explores an exciting frontier in treatment—electrical stimulation. By directly engaging the nervous system, this innovative approach offers the possibility of relief where traditional methods have fallen short. What makes neuropathic pain so difficult to treat? And could electrical stimulation hold the key to improving quality of life for countless individuals?

Join us as we examine this cutting-edge therapy and its potential to reshape the future of pain management.

Functional Electrical Stimulation (FES) has been a widely used technology in rehabilitation for many decades. But did you recognise how FES can contribute to neuroplasticity. Varying the nature of the stimulation and how we apply it can have many effects and be an essential tool to facilitate constructive neuroplasticity when recovering from a stroke or other neurological condition. We know now that our nervous system remains "plastic" throughout our lives, and this fact has been a great source of hope for those recovering from a neurological insult. But what is neuroplasticity, and do we understand how to leverage it? In this article, we examine this topic and examine how FES can support neuroplasticity as part of physical rehabilitation that aims to recover function following a stroke or other neurological problem.

This article sheds light on the multifaceted nature of neuropathic pain associated with SCI, presenting an in-depth analysis of its prevalence, underlying mechanisms, and the array of current and future treatment options. Whether you're seeking insight into the latest therapeutic approaches, including nanomedicine and advanced pain management techniques, or exploring the biopsychosocial aspects of chronic pain management, our article thoroughly explores the state-of-the-art in neuropathic pain science.

The challenge of providing effective and affordable rehabilitation for stroke survivors in the UK, and indeed globally, is multifaceted. It involves the development, availability, and cost of safe and effective technology and services. We can't take the development of new medical technology for granted. The time and cost of taking an idea forward and creating a product are becoming increasingly significant. Developers of such technology need to imagine making a return on their investment, and this needs more than the assurance of a clinical need - it takes someone willing to pay.
Stroke is a significant global healthcare challenge affecting millions, but this alone will not drive technology development unless there is a likely path toward a return on investment. This article considers the challenge of supporting stroke survivors in their recovery journey when resources seem lacking. We point to some products we loved that never developed sustained sales and some that might.

The RehaMove FES Cycling system (sometimes known as an FES bike) is widely used by clients to allow them to exercise paralysed muscles actively. There are many benefits of doing this following a neurological condition such as a spinal cord injury.

This video may be of general interest, but will be particularly useful to existing users of our FES Cycling system who wish to get more from using the product. The video is around 15 minutes long and it addresses three commonly asked questions

• Why should I use an FES bike?

• When and why should I change the stimulation settings?

• How should I make these changes?

The video distinguishes between training for a goal and general exercise and looks at a useful structure to think about how to train, The effect of changing each of the stimulation parameters is considered. You might want to term on subtitles when viewing the video.