Neuromuscular electrical stimulation, an activity-based therapy, provides high frequency, wide pulse width, task specific stimulation to generate a motor output while increasing the central state of excitability in the spinal cord. Neuromuscular electrical stimulation is provided via the Restorative Therapies Incorporated Sage unit with Xcite software and use of lead wires to 12 different muscle groups based on the targeted item from the Neuromuscular Recovery Scale. Tasks are performed with and without stimulation to transfer the improved neuromuscular capacity into the home and community environment.

Approach: Online, Self-paced/self-study

Target Audience: Neurorecovery Network members to include physical therapists, physical therapy assistants, occupational therapists, exercise physiologists and rehab technicians.

Credits: 6 contact hours

Prerequisite: Activity-based Therapy (ABT) Coursemust complete the ABT course prior to taking any of the NMES coursework.


  1. Palpate appropriate anatomical landmark to determine electrode size and placement for targeted muscle based on patient, client and participant presentation.
  2. Determine the degree of electrode integrity in order to maintain patient, client and participant safety during neuromuscular electrical stimulation.
  3. Modify electrode size and placement to promote appropriate kinematics and optimize neuromuscular recruitment during NRS task completion.
  4. Discuss clinical decision-making for utilization of NMES and establishment of NMES parameters to achieve optimal neuromuscular activation.
  5. Identify the 3 lagging items on the Neuromuscular Recovery Scale and appropriately select the muscles to be stimulated based on degree of neuromuscular activity.
  6. Understand the primary movement goal of each task and incorporate activity-based interventions during overground assessment and community integration.


If you are in need of a disability-related accommodation, please contact We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner. For more information please see the Accommodation Procedures for Disabled Participants page.