Repetitive Peripheral Somatosensory Therapy

, Repetitive Peripheral Somatosensory Stimulation (RPSS) is an amazing cutting edge tool that can help a wide range of populations!

The RPSS therapy is unlike the “dumby” TENS which applies alternating current while the RPSS Technique applies a direct current eliciting changes in cortical excitability. 

The RPSS Technique enhances excitability of the motor cortex and improves upper and lower limb strength eg. stroke, CP. The aim is to provide controlled enhancement of sensory input via the nerves.

RPSS Technique can be paired with other rehab techniques.

RPSS Technique can be paired with Proprioceptive Neuromuscular Facilitation (PNF) stretch for stroke, Hypoxic & Cerebral Palsy patients to increase range of motion and decrease spasticity.

Movement disorders, Functional and Essential tremor, Tardive populations can pair RPSS Technique to decrease tremor.

Pairing RPSS Technique with primitive inhibitory reflexes for Cerebral Palsy patients to improve their crawling, posture, range of motion etc.

Patient with right MCA stroke receiving Repetitive Peripheral Somatosensory Stimulation (RPSS) to the ulnar nerve while performing a wrist extension paired with PNF stretch

Patient with severe ataxia, receiving Repetitive Peripheral Somatosensory Simulation (RPSS) at the median nerve while therapist is performing a smooth figure 8. This is giving the brain some feedback to smooth out his movements

2 year old patient with Cerebral Palsy receiving RPSS to the peroneal nerve and is paired with dorsi/plantar flexion.

 

Hishinuma AK, Gulati T, Burish MJ, Ganguly K.Large-scale changes in cortical dynamics triggered by repetitive somatosensory electrical stimulation. J Neuroeng Rehabil. 2019 May 24;16(1):59.

Sasaki R, Tsuiki S, Miyaguchi S, Kojima S, Saito K, Inukai Y, Otsuru N, Onishi H. Repetitive Passive Finger Movement Modulates Primary Somatosensory Cortex Excitability. Front Hum Neurosci. 2018 Aug 20;12:332.

Conforto B, Dos Anjos S, Bernardo W, da Silva A, Conti J, Machado A, Cohen L. Repetitive Peripheral Sensory Stimulation and Upper Limb Performance in Stroke: A systematic Review and Meta-analysis. Neurorehabil Neural Repair. 2018 Oct; 32(10): 863-871.