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Neuromuscular electrical stimulation used in this manner is commonly known as functional electrical stimulation (FES).

The Parastep I System, a transcutaneous non-invasive and micro-computerized electrical stimulation system built into a battery-powered unit, is controlled by finger-touch buttons located on a walker's hand-bars for manual selection of stimulation menus.

One method of categorizing the degree of injury is by a neurological examination that explores the segments of the cord which are still functional.

The most caudal segment of the cord with normal sensory and motor functions is denoted as the neurological level of injury.

Exclusion Criteria: Functional electrical stimulation for walking (Parastep I System) is spectifically contraindicated and has no proven value for members with SCI with any of the following: Note: Aetna considers the FES exercise devices such as the FES Power Trainer, ERGYS, REGYS, Neuro EDUCATOR, STim Master Galaxy, RT200 Elliptical, RT300 FES Cycle Ergometer (also referred to as a FES bicycle), RT600 Step and Stand Rehabilitation Therapy System, and Spectra STIM to be exercise equipment.

Most Aetna plans exclude coverage of exercise equipment; please check benefit plan descriptions for details.

Subjects with thoracic (T4 to T11) motor-complete SCI, mean age of 28.8 years, and mean duration post-injury of 3.8 years underwent 32 functional neuromuscular stimulation ambulation training sessions using the Parastep I System.: The American Spinal Injury Association (ASIA) Impairment Scale is described in the background section below.Spinal cord injury can (SCI) cause various degrees of neurological impairment depending on the location and severity of the injury.The American Spinal Injury Association (ASIA) Impairment Scale is a classification system used to describe the extent of SCI.The ASIA Impairment Scale: Another factor that influences the severity of impairment is the neurological extent of injury, namely the degree of tissue trauma to the spinal cord at the level of injury.

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