
Advanced Muscle Stimulators
3255 Brighton Henrietta Townline Road Suite 102
Rochester, NY 14623
Sales@advancedmusclestimulators.com
Copyright © 2010 Advanced Muscle Stimulators LLC. All Rights Reserved.

Phone: (585) 427-
Toll-
Fax: (585) 427-

Advanced Muscle Stimulators, LLC
How does TES fit in with other types of therapy?
Threshold Electrical Stimulation (TES) is a treatment that is intended to be used along with regular physical and/or occupational therapy. TES does not replace but adds to therapy effectiveness. Therapists, physicians and parents measure this by an improved rate of skill acquisition. The TES program uses standardized protocols and is administered by trained practitioners.
Where can a TES unit be purchased?
Advanced Muscle Stimulators, LLC is the only place where a TES unit can be purchased.
Who can administer TES?
According to US Federal Law only physicians and other practitioners who are licensed by the state in which they practice can order or administer TES.
It is important that TES is used correctly, which is why Dr. Pape has developed protocols for use. Across the world there are many therapists and doctors who are trained to use TES. If your therapist is not trained in TES, training can easily occur through a home study course, which can be accessed by contacting AMS.
Further Readings
Pape, K.E., Chipman, M.L.: Electrotherapy in Rehabilitation. Physical Medicine and Rehabilitation: Principles and Practice, J.A. Delisa, B.M. Gans, N.E. Walsh, et al Eds. Lippincott, Williams & Wilkins, Baltimore, MD. 2004.
For More Information (click here)
Kerr, C., McDowell, B., McDonough, S.: Electric stimulation in cerebral palsy: a
review of effects on strength and motor function. Developmental medicine and child
neurology 2004, 46:205-
For More Information (click here)
Gould, M., Nathaniel., et al., Transcutaneous Muscle Stimulation as a Method to Retard
Disuses Atrophy. Clinical Orthopaedics and Related Research, 1982. 164: p. 215-
Gibson, J.N.A., M.J. Rennie, and K. Smith, Prevention of Disuse Muscle Atrophy by
means of Electrical Stimulation: Maintenance of Protein Synthesis. Department of
Orthopedic Surgery, University of Edinburgh and Department of Physiology, University
of Dundee, 1988: p. 767-
Dubowitz, L., et al., Improvement of muscle performance by chronic electrical stimulation
in children with cerebral palsy. Lancet, 1988. 1: p. 587-
Hazlewood, M.E., et al., The Use of Therapeutic Electrical Stimulation in the Treatment
of Hemiplegic Cerebral Palsy. Developmental Medicine and Child Neurology, 1994. 36:
p. 661-
Pape, K.E., et al., Neuromuscular Approach to the Motor Deficits of Cerebral Palsy:
A Pilot Study. Journal of Pediatric Orthopaedics, 1993. 13: p. 628-
Pape, K.E., Therapeutic Electrical Stimulation (TES) for the Treatment of Disuse
Muscle Atrophy in Cerebral Palsy. Pediatric Physical Therapy, 1997. 9: p. 110-
Steinbok, P., A. Reiner, and J.R.W. Kestle, Therapeutic electrical stimulation following
selective posterior rhizotomy in children with spastic diplegic cerebral palsy: a
randomized clinical trial. Developmental Medicine and Child Neurology, 1997. 39:
p. 515-
Sommerfelt, K., et al., Therapeutic Electrical Stimulation in Cerebral Palsy: a Randomized,
Controlled, Crossover Trial. Developmental Medicine and Child Neurology, 2001. 43(9):
p. 609-
Beck, S., Clincal Perspective -
Balcom, A.H., et al., Initial experience with home therapeutic electrical stimulation
for continence in the myelomeningocele population. The Journal of Urology, 1997.
158: p. 1272-
Balcom AH and Biefeld T, Lessons learned from four years of therapeutic electrical
stimulation for continence. Dialogues in Pediatric Urology, 1998;21: p. 6-
Dali, C., et al., Threshold electrical stimulation (TES) in ambulant children with
CP: a randomized double-
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