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The Origins of Transcutaneous Spinal Cord Stimulation (tSCS)
Transcutaneous spinal cord stimulation (TSCS) is an emerging technique gaining interest in neurorehabilitation, but its origins go back further than many people realise. This article explores how TSCS developed, the early ideas and research that helped shape it, and why it has become an important area of focus today. A helpful overview for anyone looking to understand where TSCS came from and how it has evolved into the approach being explored in modern clinical practice.
Transcutaneous Spinal Cord Stimulation (tSCS) - An Introduction for Non-Clinicians
This article provides an overview of transcutaneous spinal cord stimulation (tSCS), a non-invasive spinal stimulation therapy used in neurorehabilitation to support spasticity reduction, neuropathic pain management, and rehabilitation alongside therapy. It explains how tSCS works, reviews current research evidence, outlines safety considerations, and explores the growing availability of commercial tSCS devices for clinical and home-based use.
Transcutaneous Spinal Cord Stimulation: What Patients Need to Know
This article explains transcutaneous spinal cord stimulation (tSCS), a non-surgical approach that is generating significant interest in the spinal cord injury community. We'll explore what it is, how it differs from implanted stimulation, what the current research shows - including applications for pain and spasticity management - and what questions you might want to discuss with your clinical team.
Stop Muscle Atrophy Before It Starts with Proactive FES
Muscle loss doesn’t wait and neither should prevention. This article explains how proactive FES can support early muscle activation, helping reduce atrophy during periods of limited mobility. Learn why starting sooner can make a difference, who it may be suitable for, and how FES fits into a broader rehabilitation plan.
Stim2Go and Support for Transcutaneous Spinal Cord Stimulation
Transcutaneous spinal cord stimulation (TSCS) is an exciting and evolving area of neurorehabilitation, and having the right support is essential to get the most from it. This article introduces Stim2Go and explains how it can be used to support TSCS programmes in practice. It outlines the importance of correct set-up, guidance, and ongoing input to help clinicians and services implement TSCS safely and effectively. A helpful overview for anyone exploring TSCS delivery and the practical considerations around support and use.
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.