11/05/2026
𝗦𝘂𝗿𝗴𝗲𝗿𝘆 𝗿𝗲𝗽𝗮𝗶𝗿𝗲𝗱 𝘁𝗵𝗲 𝘀𝗵𝗼𝘂𝗹𝗱𝗲𝗿. 𝗡𝗼𝗯𝗼𝗱𝘆 𝘁𝗼𝗹𝗱 𝘁𝗵𝗲 𝗺𝘂𝘀𝗰𝗹𝗲. 💪
After surgery I couldn’t move my shoulder the way I needed to. The joint was fixed. The signal to the muscles around it wasn’t. That’s a nervous-system problem, and no amount of waiting fixes it.
🔬 𝗪𝗵𝗮𝘁 𝘁𝗵𝗲 𝗿𝗲𝘀𝗲𝗮𝗿𝗰𝗵 𝘀𝗵𝗼𝘄𝘀:
⚡ 𝗦𝘁𝗶𝗺𝘂𝗹𝗮𝘁𝗶𝗼𝗻 𝗰𝗮𝗻 𝗴𝗲𝘁 𝘁𝗵𝗲 𝘀𝗶𝗴𝗻𝗮𝗹 𝗯𝗮𝗰𝗸.
Reinold and colleagues found that neuromuscular electrical stimulation of the infraspinatus after rotator cuff repair increased external rotation force production. Fitzgerald and colleagues showed the same principle at the knee after ACL reconstruction.
⚠️ 𝗕𝘂𝘁 𝘁𝗵𝗲 𝗽𝗮𝗿𝗮𝗺𝗲𝘁𝗲𝗿𝘀 𝗱𝗲𝗰𝗶𝗱𝗲 𝘁𝗵𝗲 𝗿𝗲𝘀𝘂𝗹𝘁, 𝗮𝗻𝗱 𝘁𝗵𝗲 𝗰𝗼𝗺𝗳𝗼𝗿𝘁.
Maffiuletti’s review names discomfort as the main limitation of NMES, and shows that frequency and pulse settings change both how much muscle you recruit and how tolerable it is. Gregory and Bickel showed that stimulation recruits motor units differently from voluntary contraction, which is why the settings can’t be an afterthought. -therapy
