Faster Quad Activation.
The NS1 uses direct current to lower the activation threshold of inhibited muscles, helping your patients regain quad function faster than traditional PT alone.
How We Work Together
We don’t replace you. We complement you.
Elite ACL is designed to work alongside your existing ACL rehab programs, not replace them. While you handle manual therapy, gait training, and return-to-sport testing in your clinic, we provide:
Neuromuscular re-education using the NS1 (Neuro System 1), an FDA-cleared Class II direct current stimulation device
One-on-one virtual sessions 2-3x per week to speed up quad activation and ROM
Progress tracking with objective measurements shared with your practice
Ongoing communication to ensure programs align with your treatment plan
Think of us as an extension of your team, providing advanced technology and specialized training between your in-person sessions.
Benefits for Your Patients
Earlier ROM Gains.
When training with the NS1 system, many of Evan’s clients experience noticeable improvements in range of motion from session to session, often progressing toward full flexion and extension earlier than expected.
Improved Strength Gains.
By combining the NS1 with functional exercises, Evan’s clients build strength efficiently and often reach mid-recovery benchmarks ahead of schedule.
Better Compliance.
Our virtual training keeps your patients engaged and accountable between your sessions, ensuring they stay on track with their home exercise programs.
Neuromuscular Re-Education.
The NS1 trains the system in two ways: actively and passively. When used during movement, it helps promote more effective neuromuscular engagement, teaching the body how to coordinate and fire under load again. When used passively, in between Elite ACL and PT sessions, the device is indicated to support muscle re-education, reduce muscle spasm, and increase local blood circulation, helping the body prepare for better range, comfort, and readiness in upcoming sessions.
Objective Data.
We track range of motion, neuromuscular inhibition, sensory deficits, compensatory strategies, and functional ability throughout your patient’s Elite ACL training program. By identifying which sensory inputs your patient’s brain perceives as most threatening, and where inhibition or compensation is occurring, we can adjust their sessions with precision and support consistent progress.
The Science Behind the NS1
The NS1 is an FDA-cleared Class II direct current stimulation device. The NS1 delivers pulsed direct current (DC), allowing for a deeper, more targeted neuromuscular response.
This DC waveform is uniquely suited for muscle re-education, increasing local blood circulation, reducing muscle spasm, and helping maintain or increase range of motion.
Because DC can be used both actively (during movement) and passively (in static positions), the NS1 supports more precise neuromuscular engagement during training while also preparing tissues for better mobility, coordination, and readiness.
- Lower the activation threshold of inhibited muscles
- Re-educate neuromuscular pathways during functional movement
- Improve local circulation to reduce swelling and deliver nutrients
- Maintain or improve range of motion without causing muscle fatigue
Cleared indications
- Relaxation of muscle spasm
- Prevention or retardation of disuse atrophy
- Increasing local blood circulation
- Muscle re-education
- Maintaining or increasing range of motion
- Immediate post-surgical stimulation of calf muscles to prevent venous thrombosis
- Management of chronic or intractable pain
- Post-traumatic acute pain
- Post-surgical acute pain
Key Research Findings
A 2019 RCT (Wright et al., Hawaii J Health Soc Welf) found 3:1 greater thigh circumference gains in patients using direct-current stimulation combined with isometric rehab vs isometric rehab alone (p<0.001, n=25). Research also supports improved muscle activation in post-surgical patients and enhanced tissue healing through improved circulation.
This research covers electrical stimulation as a category, not the NS1 specifically.
Evan’s neuromuscular training system has been used by NFL, NBA, MLB, PGA, and Olympic teams for over a decade. It’s not experimental: it’s proven. See how Saquon Barkley, Grady Jarrett, and other athletes Evan has worked with recovered.
How to Refer a Patient
If you have a patient who would benefit from a faster ACL recovery, the referral process is simple:
Have your patient apply through Work with us at eliteacl.com
We’ll contact you to discuss their surgery details, current status, and your treatment plan
We coordinate our one-on-one virtual sessions around your in-person PT schedule
We share progress data with you every 2 weeks
We’re here to support your work, not complicate it.