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I thank Ms Cech and Dr McEwen for their encouraging and uplifting comments on my two case reports as well as for their thoughtful ideas and suggestions.
Ms Cech expressed interest in my finding that stimulating the triceps surae muscle alone was more effective in improving plantigrade gait than stimulation of the tibialis anterior muscle. Dr McEwen also found this to be intriguing. The finding is in contrast to the traditional idea that the triceps surae muscle is overactive and contributes to toe-walking. The traditional viewpoint would cause one to stimulate the tibialis anterior muscle rather than the triceps surae muscle. Ms Cech mentions fatigue and strengthening of active muscle contraction as possible valid theories for the effectiveness of neuromuscular electrical stimulation (NMES).…
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