CustomKYnetics is a research and development company focused on the development of rehabilitation engineering products. The firmâs products typically utilize neuromuscular electrical stimulation (NMES) intended for use in muscle strengthening or motor reeducation. The products are designed to be used by individuals undergoing orthopedic rehabilitation or those with neuromotor disorders secondary to spinal cord injury or stroke. CustomKYnetics' core competencies include control and delivery of NMES, instrumentation, and embedded systems. Many of the firmsâ devices utilize patent pending KaiSTIM adaptive stimulation control technology, which autonomously learns outcome-based stimulation profiles. Stimulation profiles are iteratively adjusted based on measurements of the stimulation's effect. The goal of KaiSTIM technology is that stimulation provides a consistent effect in our devices despite person-to-person or day-to-day differences in the muscles' responses to the stimulation. CustomKYnetics applies KaiSTIM technology in order to use NMES in complex biomechanical applications. These applications typically require more complex stimulation profiles than a traditional ramp-and-hold pattern. Still, such applications are of interest because they may provide enhanced exercise opportunities due to clinically relevant loading of the muscles, bones, and join