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Rehabilitation· 4 min read· 01/06/2025

Spasticity Management and Wearable Neuromodulation

What spasticity is, in which neurological conditions it occurs and how the wearable neuromodulation method helps manage muscle tightness.

Main topic: Return to mobility
Spasticity management and wearable neuromodulation: Supportive neuromodulation orthosis device

What is spasticity?

Spasticity is a movement disorder that results from muscles remaining contracted for a long time and in an abnormal way. It can be seen in association with cerebral palsy (CP), multiple sclerosis (MS), stroke, spinal cord injury and other neurological conditions. Excessive tightness in the muscles can make movement difficult, lead to pain and restrict daily activities.

Spasticity is a common problem encountered both in people who have recently been diagnosed and in conditions that have required management for a long time. Its management is usually multifaceted and may require physiotherapy, medication and other rehabilitation approaches to be considered together.

The wearable neuromodulation approach

Neuromodulation belongs to the same family as methods based on electrical stimulation, such as functional electrical stimulation (FES), and is a well-known technique that has been extensively researched in neuromuscular conditions. In this approach, gentle, low-frequency electrical pulses are sent simultaneously to multiple muscle groups by means of a garment worn on the body.

This whole-body stimulation triggers reciprocal inhibition, a natural neurological mechanism that helps spastic muscles relax. In this way, a reduction in muscle tightness can be supported without the use of medication.

How can it help?

Regularly applied sessions may contribute to the management of the following symptoms associated with spasticity:

  • Reducing muscle tightness and stiffness
  • Relieving pain related to spasticity
  • Improving range of motion and supporting daily activities
  • Supporting local blood circulation

The effect of the stimulation may continue for some time beyond the duration of the session. However, it should be kept in mind that the effect may vary from person to person.

Who is it suitable for?

Applications of this type are considered for people with spasticity associated with various neurological conditions and injuries, mostly alongside comprehensive programs such as lower limb rehabilitation. The method can be added to existing care plans and, with the specialist physician's approval, used together with physiotherapy and other treatments.

Whether the application is suitable should be assessed by a specialist physician depending on factors such as the person's age, diagnosis and general health status. Applications are carried out in line with the specialist physician's prescription and medical report, accompanied by trained healthcare personnel.

Safe use and points to consider

Wearable electrical stimulation devices may not be suitable in every situation. For example, their use together with electronic life-support equipment such as a pacemaker or certain medical devices is not recommended. For this reason, a physician must always decide in advance whether the device can be used.

With transcutaneous (on-the-skin) stimulation devices, skin irritation has been reported in the area where the electrodes make contact. To minimize the risk, the instructions for use and care should be followed, and in case of any irritation, the healthcare personnel carrying out the application should be consulted.

This content is for informational purposes; you should consult your physician for diagnosis and treatment.

This content is for information only and does not replace diagnosis or treatment. Applications are carried out in line with a specialist physician's prescription or medical report. Results may vary from person to person; you are advised to obtain a detailed opinion from your physician before the procedure. · Last updated: 01/06/2025