FES WRITTEN CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ agonist.
Answer: spastic muscle "the overactive muscle"- Trying to reduce this
◍ FES specificallyROM.
Answer: Due to spasticity or soft tissue?Ex: Is the muscle hyperactive and
preventing joints from moving through ROM? (can change c estim) OR is it
because their calf is tight? (cannot actually change c estim)
◍ post-inspection and education.
Answer: When you take them off, ensure again the integrity of their skin is
maintained and what they might experience afterwards- They might expect
DOMS: especially if they have not contracted the muscle in a long time-
Always educate them up front, before, during, after
◍ What is FES commonly used for?.
Answer: Shoulder subluxation, upper extremity function, foot drop, gait
training
◍ sensory level example.
Answer: For an individual that is highly sensitive to sensory input which
triggers tone and spasticity"Not actually trying to achieve necessarily an
activation of the muscle: sub motor sensory level stimulus; but it has
potentially functional benefit"
◍ Where do you place electrodes for a shoulder subluxation?.
Answer: On posterior deltoid & supraspinatus
◍ Studies show that there are improvements in subluxation, but NO changes in
function.
Answer: Not necessarily changes in function, especially in the more chronic
, phase of their rehabTry these interventions as early as possible, because that
is when they can get the most out of them due to neural plasticity
◍ Considerations for FES: SUMMARY.
Answer: External control of an INNERVATED muscle enhance functional
controlMultiple components to assess besides normal e-stim considerations
◍ FES foot drop & gait treatment time.
Answer: determined by muscle fatigue
◍ What is the goal for using FES for shoulder subluxation?.
Answer: To elevate humeral head without abduction
◍ FES.
Answer: electrical stimulus to restore or enable mobility and function
◍ indications for NMES.
Answer: 1. Strengthening2. Edema/swelling
◍ FES foot drop & gait pulse duration.
Answer: 200-350 microseconds
◍ application for ROM.
Answer: Apply electrodes set up for antagonist activation → facilitates
strengthElectrodes should be appropriate for muscleDecrease fatigue by
decreasing frequency and increasing amplitude
◍ FES Pulse rate for upper extrem..
Answer: 10-60 or 30-50 pps
◍ When do you use FES for upper extremity function?.
Answer: stroke, TBI, CP, SCI
◍ FES biking.
Answer: Tone modulation (agonist/antagonist)Cardiovascular exercise for
general health
◍ Depending on the strength of the contraction,....
Answer: 1b fibers in the golgi tendon organs would be activated as well
QUESTIONS WITH SOLUTIONS GRADED A+
◍ agonist.
Answer: spastic muscle "the overactive muscle"- Trying to reduce this
◍ FES specificallyROM.
Answer: Due to spasticity or soft tissue?Ex: Is the muscle hyperactive and
preventing joints from moving through ROM? (can change c estim) OR is it
because their calf is tight? (cannot actually change c estim)
◍ post-inspection and education.
Answer: When you take them off, ensure again the integrity of their skin is
maintained and what they might experience afterwards- They might expect
DOMS: especially if they have not contracted the muscle in a long time-
Always educate them up front, before, during, after
◍ What is FES commonly used for?.
Answer: Shoulder subluxation, upper extremity function, foot drop, gait
training
◍ sensory level example.
Answer: For an individual that is highly sensitive to sensory input which
triggers tone and spasticity"Not actually trying to achieve necessarily an
activation of the muscle: sub motor sensory level stimulus; but it has
potentially functional benefit"
◍ Where do you place electrodes for a shoulder subluxation?.
Answer: On posterior deltoid & supraspinatus
◍ Studies show that there are improvements in subluxation, but NO changes in
function.
Answer: Not necessarily changes in function, especially in the more chronic
, phase of their rehabTry these interventions as early as possible, because that
is when they can get the most out of them due to neural plasticity
◍ Considerations for FES: SUMMARY.
Answer: External control of an INNERVATED muscle enhance functional
controlMultiple components to assess besides normal e-stim considerations
◍ FES foot drop & gait treatment time.
Answer: determined by muscle fatigue
◍ What is the goal for using FES for shoulder subluxation?.
Answer: To elevate humeral head without abduction
◍ FES.
Answer: electrical stimulus to restore or enable mobility and function
◍ indications for NMES.
Answer: 1. Strengthening2. Edema/swelling
◍ FES foot drop & gait pulse duration.
Answer: 200-350 microseconds
◍ application for ROM.
Answer: Apply electrodes set up for antagonist activation → facilitates
strengthElectrodes should be appropriate for muscleDecrease fatigue by
decreasing frequency and increasing amplitude
◍ FES Pulse rate for upper extrem..
Answer: 10-60 or 30-50 pps
◍ When do you use FES for upper extremity function?.
Answer: stroke, TBI, CP, SCI
◍ FES biking.
Answer: Tone modulation (agonist/antagonist)Cardiovascular exercise for
general health
◍ Depending on the strength of the contraction,....
Answer: 1b fibers in the golgi tendon organs would be activated as well
