Neuromuscular electrical stimulation (NMES) which causes a muscular contraction, along with transcutaneous electrical nerve stimulation (TENS) which numbs a region, have been established protocols in PT for many decades. As a TES Instructor, Dr. Susan Leger advances the use of Dr. Karen Pape’s work on threshold electrical stimulation (TES) for the sensory development, physiologic electrical stimulation (PES) for enhancing circulation and wound healing, and other forms of micro-current for muscle growth in adults and children with muscle weakness.  First Step Physical Therapy is the only known program to utilize TES with spinal cord injured (SCI) persons and pudenal micro-current for bowel and bladder control.   Optimal electrical stimulation, respective to the patient’s current Phase of Symptom Recovery, speeds his/her progress.