Fitness
Is electrical muscle stimulation really a short-cut to getting buff?
In a 1993 film Dragon: The Bruce Lee Story there’s a scene where the main character sits at a typewriter wearing electrodes strapped across his chest and biceps.
The martial arts superstar is zapping his muscles so he bulks up without doing any exercise.
“Three minutes is like doing 200 push-ups,” he claims.
This technology, called electrical muscle stimulation or EMS, was explored by the Russians back in the 1960s to help athletes train, and it’s since been embraced by the likes of soccer star Cristiano Ronaldo and Olympic gold medallist Usain Bolt.
These days, EMS is promoted to people who want to get buff. You can even wear a whole-body EMS suit at the gym.
EMS proponents say that the technology, which sends electric impulses through skin and into muscle below to make them contract, “bypasses” the brain, triggering muscles to work and grow in a “smarter and more efficient way”.
Some ads say you can get your weekly whole-body workout in just 20 minutes — without lifting a single weight.
It sounds too good to be true, so what is the scientific evidence for these claims?
What’s the theory behind EMS?
Our muscles are made up of different “motor units”, each consisting of a nerve and the muscle fibres it activates.
One type of motor unit is smaller, contracts slowly and takes a while to get tired, while the other is larger, contracts rapidly and fatigues quickly.
The larger units use more energy but can generate more force. These are the ones that we use to build strength over time.
EMS is often used as a supplement to training. (Getty Images: Milan Markovic )
When we voluntarily activate our muscles — by lifting weights, for example — our brain activates the smaller slower motor units first before activating the larger faster ones, says Swarup Mukherjee, a sports and exercise physiologist at Nanyang Technological University of Singapore.
“What EMS does is it reverses this natural recruitment order.”
And it is thought that by stimulating the larger motor units first, EMS can speed up the process of building muscle mass — and strength.
From medicine to elite sport
Manufacturers of some EMS gadgets have landed in trouble for overstating their claims on late night infomercials.
While some gadget claims might not stack up, there is a scientific basis for using electricity to stimulate muscles. In fact, the idea has been around for centuries, and has developed into an important way to exercise muscles when someone has an illness or injury.
“For patients that are unable to physically exercise for whatever reason, electrical stimulation can replace exercise,” says Gordon Lynch, who studies the use of EMS with the Centre for Muscle Research at the University of Melbourne.
Loading…
“The evidence is really strong that we can get adaptations in muscle and recruit muscles in a way that that can be beneficial.”
But, Professor Lynch says, it is less clear whether EMS works as a general fitness tool.
“There’s no real consensus about how to optimise this form of training for otherwise healthy people.”
Still, there are no shortage of online testimonials from people who swear EMS workouts are the way to go.
But what does the evidence say?
Some research, such as this small 2016 randomised controlled trial of middle-aged men, supports using EMS to build strength and lose fat.
And the technology’s “time-efficiency” and “joint-friendliness” is seen by some researchers as attractive to those “unable or unmotivated” to do intense exercise.
A 2023 review by Dr Mukherjee of 10 other studies also found EMS increased the size of the muscles they stimulated in healthy adults.
And since muscle is one of the most energy-hungry tissues in the body, building them should also help burn fat, Dr Mukherjee says.
Retired sprinter Usain Bolt is among the high-profile athletes who have used EMS. (Getty Images: Ashley Feder/Stringer)
But, he cautions, building bigger muscles does not necessarily translate to the sort of strength that will make gym exercises or everyday activities easier.
In fact, none of the studies in his review found EMS improved such “functional” strength.
“There isn’t enough body of data to convince us that it is an equivalent of voluntary resistance training,” Dr Mukherjee says.
Other researchers who reviewed the evidence on whole-body EMS concluded active people won’t get any advantage from the technology, although older sedentary populations may benefit.
One limitation of EMS is that it contracts static muscles, but to do specific activities our brain orchestrates a combination of muscles in a special way, Dr Mukherjee explains.
During bicep curls, for example, our biceps contract, while our triceps must lengthen and relax.
This is why there is a preference among proponents to combine EMS with traditional muscle exercises, Dr Mukherjee says.
Getting the right ‘dose’
Everyone’s muscles respond differently to EMS, Professor Lynch says, adding that this makes giving the right dose of stimulation a challenge.
“If it’s not enough, then you’re not going to get any benefit at all. And if you over stimulate, then you can cause muscle damage.”
Sport scientist Nicola Maffiuletti of the Schulthess Clinic, an orthopaedic hospital in Switzerland, agrees.
Traditional muscle building involves progressively — and carefully — adding heavier weights to a training regimen over time as your muscles adapt and get stronger.
But Dr Maffiuletti says it’s harder to know how much current to use to get the right stimulation with EMS.
“When you inject current you don’t know how to properly dose on an individual basis.”
Possible risks of EMS
Dr Maffiuletti is particularly concerned about the dose of current delivered by whole-body EMS suits.
These are a wetsuit-type outfit with electrodes that stimulate a number of muscles across the body at the same time.
He says it’s like “giving a pill” when we don’t know how much drug the pill contains, or what it’ll do to the person taking it.
“It’s not a cautious way to exercise.”
While painful muscles are to be expected after a muscle workout of any kind, Dr Mukherjee warns people should not experience pain at the time of receiving EMS — discomfort yes, but not pain.
In 2016 Dr Maffiuletti co-authored a piece in the British Medical Journal calling for better regulation of whole-body EMS suits after seeing people’s muscles break down in a condition called rhabdomyolysis, which can lead to kidney damage.
While there are fewer reports of rhabdomyolysis from EMS these days, he remains concerned about how well people are screened before using whole-body suits at the gym.
Experts advise caution when using EMS. (Getty Images: Nevena1987 )
Even experts who support the use of whole-body EMS in general fitness warn of potential harms and the need for better oversight.
The US Food and Drug Administration has warned some consumer products have reportedly shocked, burned, bruised and irritated the skin of users, and interfered with critically important medical devices such as pacemakers.
If you are planning to fork out for EMS at the gym, Professor Lynch advises looking for a personalised approach with supervision by a professional like a physiotherapist who is trained in using the technology.
But he recommends making the most of more traditional forms of exercise and strength training first.
Finally, he adds, if weight loss is the goal you also really need to watch what you put in your mouth.
Delve into claims surrounding EMS in more detail on What’s that Rash? and subscribe to the podcast for more answers to more health questions.
Fitness
Surprising exercise secrets I learned from speaking to the fittest woman in history
Most people wouldn’t mind being a little bit fitter. But the fittest? That seems unreachable. However, many argue that all-conquering CrossFit athlete Tia-Clair Toomey is, by objective measures, the fittest woman in history.
Toomey, who is an ambassador for the fitness app Pliability, has won the CrossFit Games – an annual competition to find the fittest man and woman on earth – an unrivalled six times on the trot. In 2023, she paused to have her first child, then returned in 2024 and won the competition two more times.
In the midst of her winning streak, the 32-year-old also represented Australia in weightlifting at the 2016 Rio Olympics, won gold in the same event at the 2018 Commonwealth Games, qualified for the 2022 Winter Olympics in the two-woman bobsled and completed a Hyrox doubles race in a lightning-fast 54 minutes 24 seconds.
In short: Toomey is incredibly fit. The average person might not be able to emulate her superior fitness levels, and most don’t want to – they simply want to be fit and healthy enough to thrive in everyday life. You can, however, benefit from her insights about how to approach exercise.
Read more: Do these three things each week to be fitter than most Brits
1. Don’t let perfect be the enemy of good
“You can’t be perfect at everything all the time,” says Toomey. “Trying to juggle too many things at once is where many people come unstuck, because you’re stretching yourself too thin. So it’s important to find balance.”
The aim is not to do everything immaculately, but to identify the things that are truly valuable to you – these might be your workouts, work or supporting your family – and take pride in throwing the (cluttered) kitchen sink at them.
“Even if it’s just a simple workout, you can feel really fulfilled at the end of the day knowing you gave it your best,” Toomey says. “I think a workout is a perfect place to demonstrate this.”
Read more: Walking experts reveal the number of daily steps you need to boost health – and it’s not 10,000

2. Small changes make a big difference
Most people set themselves lofty fitness (and life) goals, then fall short of them. Just look at how many New Year’s resolutions have been discarded by the time February rolls around. Toomey suggests a more manageable approach.
“If you can get 1 per cent better every day, you can’t ask for any more than that,” she says. “It’s when you create excuses, stop challenging yourself and give up on pursuing your chosen goal that you stop progressing and plateau.”
She recommends making small tweaks to improve how you feel each day, rather than obsessing over a daunting target.
For example, you could head to bed 15 minutes earlier and keep your phone out of the bedroom, drink an extra glass of water, go for a walk after dinner or eat an extra portion of fruits and vegetables. Small changes soon accumulate to make a big difference over time.
“It takes a lot of pressure off people when they break their goals down like that,” Toomey says.
Read more: Study reveals the small changes to your diet, sleep and exercise that can add years to your life

3. Be open-minded
A lot of people use the phrase “exercise isn’t for me”. This is likely linked to a less-than-pleasant experience at some point in their past.
But exercise is a very broad umbrella, and Toomey urges people to remain open-minded when approaching it. This is something she learned firsthand.
“I enjoyed my first CrossFit session, but I didn’t really enjoy the coach, so I opted not to go back for two months,” she says. “Who knows where I would be now if I never went back because of that one interaction.”
Toomey ended up trying a different gym and finding a coach who was more passionate and encouraging. “Then I was hooked and fully committed,” she says.
For the everyday exerciser, this could mean changing the variables to make your workouts more fun. For example, if you don’t like how running feels, you could swap to a lower-impact activity like swimming or cycling. Or if you find solo strength training sessions boring, you might join an exercise class.
There is no need to suffer through a certain type of exercise just because someone told you it’s the best. Take a playful approach to your workouts and continue to experiment until you find something you enjoy. Because if your exercise plans are fun, you are far more likely to stick to them.
Read more: The easiest way to strengthen your entire body, according to this expert coach

4. Put your ego aside
If you have ever watched Toomey compete, it’s hard to imagine her struggling with anything exercise-related. But, she says, when she first started CrossFit training she found it difficult to hold a barbell overhead in a stable position.
This was exposed in a CrossFit workout named “Nancy” – five rounds of a 400-metre run and 15 overhead squats (squatting while holding a 30kg barbell overhead).
“I was a runner prior to CrossFit, so I would race ahead during the 400m runs, but then the overhead squats were very challenging for me,” Toomey says.
To learn the correct technique, she started by scaling back the overhead squats, using an empty barbell rather than one loaded up with weight. Then, as she improved, she gradually increased the load on the bar.
“It’s all about building confidence,” Toomey says. “Everyone wants to go from zero to 100, but you need to put your ego aside, take your time and put the work in to actually learn a movement. That is how people evolve.”
If Toomey is willing to scale back exercises to learn them properly, the rest of us should be too. That might mean starting with goblet squats rather than barbell squats, wall press-ups rather than full press-ups, or walking rather than running.
There are exercise options to suit all fitness levels – you just have to find the appropriate ones for you and gradually progress them over time.
Read more: Sitting all day wreaks havoc on your hips and spine – here’s how to stop that from happening

5. Variety is the spice of life
What is the one exercise Toomey wishes more people would do? She struggles to pick just one before prescribing variety.
“I just love seeing people active,” she says. “But constantly doing one thing will have a lot of impact on the body. I think it’s really important to have a variety of exercises. That way you’re constantly working different muscles, building broad fitness and stimulating the mind in different ways.”
This is good advice for any exerciser. The body works on a rough use-it-or-lose-it basis, so if you don’t use a joint or muscle to its full potential, it can weaken and tighten over time. Greasing the groove on a wide range of movement patterns is the best way to prevent this and stay mobile for decades to come.
Read more: After 50 you need to train smarter – the eight rules for strength training in midlife, according to experts

6. Commit to a plan
A one-off workout cannot transform your fitness, but a progressive exercise plan can. This is why Toomey recommends finding a structured programme to follow over a longer time period than just a single session.
“That is going to help you stay motivated, particularly if it’s linked to some sort of sports or fitness goal like your first 10K, triathlon or pull-up,” she says.
“It gives you something to aim for. Otherwise people think, ‘Oh, I’m just going to keep doing this forever,’ and it can feel quite overwhelming. Following a programme helps you build healthy habits that you integrate into your daily routine and actually stick to.”
Read more: I specialise in coaching people aged 40-plus – do these six things for immediate results

7. Look after yourself
Muscle isn’t built in the gym. What you do during your workouts triggers myriad positive physiological changes, but the actual adaptations happen while you are recovering.
For this reason, Toomey places a great emphasis on sleep and nutrition, prioritising quality fuel and recovery between her training sessions.
As part of this, she regularly uses a sauna, breathwork and completes a stretching and mobility protocol via the Pliability stretching app shortly after waking each day.
“I tend to wake up feeling a bit stiff and sore from the previous day,” she says. “But I want to walk into the gym feeling strong and confident. That stretching session acts as a form of meditation as well, helping with both mobility and mental clarity.”
Read more: Swap the gym for this trainer’s six-move kettlebell workout to build full-body strength at home
Fitness
Reviewers Share the Only Gear You Need for the Ultimate Home Gym Setup
Watch Next
Advertisement – Continue Reading Below
Advertisement – Continue Reading Below
Advertisement – Continue Reading Below
Fitness
How busy women can realistically hit 10 hours of exercise a week – and unlock the biggest health benefits
A huge new study published in the British Journal of Sports Medicine – which analysed the activity levels of more than 17,000 participants – suggests that to achieve a substantial (defined as greater than 30%) reduction in heart attack and stroke risk, adults should aim for 560–610 minutes of moderate-to-vigorous physical activity per week. That’s considerably more than the current 150-minute minimum guidelines for health benefits, so it’s perhaps unsurprising that only 12% of people in the study achieved it.
It’s not to say there wasn’t any reduction in risk for lower totals – just not what scientists class as ‘substantial’. And it’s also important to note that the study was observational, meaning it cannot prove any kind of direct link; just association. It could be the case, for instance, that participants were already healthier and fitter than the general population. Plus, neither sedentary time nor less vigorous exercise were measured.
When WH put the findings to personal trainers, they were very keen to stress that something is always better than nothing – and they also had some useful tips for giving it your best shot at getting those golden 10 hours in.
4 tips for adding more movement into your week
Olivia Horncastle is a personal trainer helping busy women and mums fit exercise into their schedules.
Habit stack
‘I get my busiest clients to habit stack movement – so every time they fill up a kettle, they might do some squats, when they brush their teeth, they might do a wall sit,’ says Horncastle. ‘Other small things like trying to take calls while walking, or stretching in front of the TV at night work well. It doesn’t need to always be adding a full workout – all small additions help.’
5-minute workouts matter
‘Even starting with a 5-minute bodyweight circuit and building that up over time starts a habit – something is always better than nothing.’
Set yourself daily or weekly challenges
That might be trying to do 50 squats throughout the day, increasing your steps by parking further away at the shops, or taking the stairs instead of the lift, says Horncastle.
Tie exercise into your social plans
‘Instead of drinks with friends, I might suggest we go for a walk and grab a drink at the end, or try a new Pilates class instead of brunch etc.’
What type of exercise should you prioritise?
Michael Baah is a strength coach and oncology exercise specialist working with busy professionals, athletes and people recovering from cancer. ‘All that protection for your heart works best if you maintain your muscle mass, too,’ he cautions. ‘If you walk a lot but never do any strength work, you actually lose muscle faster, and after age 30, women naturally lose about 1% of their muscle every year unless they use it.’
Baah recommends doing three 45-minute strength sessions a week, using simple, compound moves (think: squats and deadlifts) that work your whole body. ‘You should finish each exercise feeling like you could maybe do just one or two more reps – this is the safe and effective method we use in clinics.’
‘The rest of your target comes from walking,’ adds Baah. ‘Just 40-50 minutes of brisk walking every day gets you there easily. Add a swim, yoga or dance class once a week if you like, and you’re all set.’
But don’t forget to adequately fuel, notes Baah. ‘Once you’re moving regularly, food matters, too. You need enough protein every day to help your body get stronger – aim for 1.4-1.8g for every kg of bodyweight. Without this, you do the work but miss out on the best results.’
If you’re more deterred than motivated by the recent study results, Horncastle wants to leave you with a few words. ‘Start small and slow, whether that’s one workout a week and building up, or starting with a few small walks – that’s how you achieve long-term, consistent change.’
‘And don’t compare yourself – who cares if Susan does hot yoga five times a week? She isn’t living your life. You need to find what works for and benefits you, but is realistic, too.’
One of our most frequently asked questions here at Women’s Health? How to build muscle and burn fat at the same time. So, we asked superstar trainer Oyinda Okunowo exactly how to do it. In this 4-week plan – created exclusively for Women’s Health COLLECTIVE members – you’ll get the workouts and nutrition guidance needed to help you on your way to better body composition. Tap the link below to unlock 14 days of free access to Oyinda’s plan and start training today.
Get the plan
Hannah Bradfield is a Senior Health and Fitness Writer for Women’s Health UK. An NCTJ-accredited journalist, Hannah graduated from Loughborough University with a BA in English and Sport Science and an MA in Media and Cultural Analysis. She has been covering sports, health and fitness for the last five years and has created content for outlets including BBC Sport, BBC Sounds, Runner’s World and Stylist. She especially enjoys interviewing those working within the community to improve access to sport, exercise and wellness. Hannah is a 2024 John Schofield Trust Fellow and was also named a 2022 Rising Star in Journalism by The Printing Charity. A keen runner, Hannah was firmly a sprinter growing up (also dabbling in long jump) but has since transitioned to longer-distance running. While 10K is her favoured race distance, she loves running or volunteering at parkrun every Saturday, followed, of course, by pastries. She’s always looking for fun new runs and races to do and brunch spots to try.
-
Rhode Island3 minutes agoRhode Island high school yearbook printed with the word ‘school’ misspelled on its cover: ‘Shocking to see’
-
South-Carolina8 minutes agoSouth Carolina Democrats celebrate redistricting win as governor hopefuls clash
-
South Dakota15 minutes agoSouth Dakota’s annual History Conference returns to Fort Pierre
-
Tennessee18 minutes agoABC broadcast goes out during Tennessee softball vs Texas Tech in WCWS
-
Texas23 minutes agoLive Updates: Lady Vols Softball vs. Texas Tech in the Women’s College World Series
-
Utah30 minutes agoMan guilty of crash that killed Utah CEO and his daughter gets maximum sentence – East Idaho News
-
Vermont33 minutes agoFallen solar panels in Vermont prompt environmental concerns – Valley News
-
Virginia38 minutes agoManhunt underway for suspect in Virginia accused of killing sheriff’s deputy


















