By the end of this chapter, the reader should be able to:
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Explain why home-based delivery is the primary model for denervated muscle ES and what makes it more effective than clinic-only treatment
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Apply the training science concept of adherence as the foundation of programme design and identify the conditions that support it
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Describe the structured pathway from supervised initiation to independent home use and identify when professional input is essential
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Recognise the safety considerations specific to home-based ES and explain how they are managed through training, technology, and review
Chapter 10 addressed the question of device specification based on what a patient needs and how to set its parameters over time. This chapter addresses an equally important question: how does the patient sustain the programme long enough for it to work?