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Denervated Muscle Stimulation: Why Optimal Intensity Beats Maximum Intensity
When treating denervated muscles with electrical stimulation, a common assumption is that stronger is better—that maximum current intensity will produce the best results. However, clinical evidence tells a different story: optimal outcomes come from finding the minimum effective intensity, not the maximum tolerable one.
I generally advise clients at the beginning not to worry too much about the specific current level, but to increase the current intensity until they start to see a contraction, and then increase by about 10% over that. I would call that the minimum effective intensity.
Understanding the Cost of Care: Why Medical-Grade Stimulation Devices Outprice Consumer Units
In this article, I'm going to look at some of these reasons why electrical stimulation devices, that are regulated medical devices, cost what they do. The price disparity between consumer TENS units and medical-grade devices may seem vast, but it is grounded in real, tangible differences. By demanding higher standards for quality, efficacy, and patient outcomes, medical electrical stimulation devices play a critical role in modern healthcare. Next time you encounter the steep price of a medical device, ask yourself—what’s the price of safety, innovation, and a clinically proven outcome?
Pitfalls in measuring healthcare outcomes
This article discusses how to counter Goodhart's Law in healthcare, focusing on quality metrics and patient outcomes. You might not have heard of Goodhart's Law, but it describes an extremely common tendency that has almost certainly affected us all at some point.
The temptation with complex services such as healthcare, is to focus on some simple metric that might reflect overall performance. Unfortunately this often results in misrepresenting the true performance of the system.
This article offers strategies to balance care quality with quantitative measures, enhancing rehabilitation services.
Combatting Pressure Ulcers: Stop the Pressure Week is here
The STOP Pressure Week (13-17 Nov) initiative aims to combat pressure ulcers by emphasising the significance of 'Every Contact Counts'. In this article, we aim to raise awareness and take proactive measures to safeguard individuals at risk, with a specific focus on preventing heel pressure ulcers. Additionally, we will delve into the discussion of the PRAFO range of devices, which play a pivotal role in both prevention and treatment.
FES Cycling: How it elevates rehabilitation and fitness with 5 extraordinary benefits
Discover the revolutionary FES Cycling systems by Anatomical Concepts. Improve mobility and overall health post neurological condition with electrical muscle stimulation. Explore the top five benefits of FES bikes in this informative post.
Curious Facts About Dementia and Handgrip Strength
At Anatomical Concepts, we are getting to grips with the Carbonhand again, so we have been delving into the research literature and sorting through the significant, curious and sometimes serious, facts to do with grip strength and human function. We don’t often write about Dementia but it is one of the conditions that shortens lives and seriously affects healthspan so we certainly don’t doubt it’s importance as a topic.
In Dr Peter Attia's excellent book, "Outlive", he mentions a recent study (by Irene Esteban-Cornejo et al, 2022) looking at nearly half a million patients in the UK which found that grip strength, which is strongly correlated with overall strength and indeed lifespan, was inversely associated with the incidence of dementia. These are findings are from the UK Biobank prospective cohort study.
People with the weakest grip had a 72% higher incidence of dementia compared to those in the top quartile for grip strength (the strongest).
What do we make of this?