06-09: NMES Flashcards

1
Q

NMES = FES

A
  • Neuromuscular Electrical Stimulation

- Functional Electrical Stimulation

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2
Q

What is NMES

A
  • Innervated: E-Stim of peripheral nerve causes stimulation of skeletal muscle
  • Denervated: Attempt to maintain muscle (little research support)
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3
Q

Continuous Delivery

A
  • Used for spasticity to achieve muscle fatigue

- High tone, trying to relax muscle to function

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4
Q

Co-Contraction Delivery

A
  • Used to stabilize joint while performing functional activity or in order to be able to perform functional activity
  • Can also use single channel for bipolar application and re-education
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5
Q

Reciprocating Delivery

A
  • During functional activities such as gait, when one muscle group contracts, then another
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6
Q

Primary indication

A
  • Facilitate return of controlled functional muscle activity
  • Maintain postural alignment until recovery occurs
  • Re-education of muscles
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7
Q

NMES Parameters

A
  • Frequency: 35-50 pps
  • On Time: 6-10 sec
  • Off Time: 50-60 sec (prevents muscle fatigue)
  • Pulse Width: 200-600 microsec
  • Rx Time: 15-20 minutes, several times/wk
  • Ramp-up Time: 2 sec, 5 sec
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8
Q

Other attachment/devices

A
  • Used at intensity only strong enough to facilitate desired activity in function
  • Foot switch (foot drop for toe clearance with walking)
  • Bioness (UE/LE FES splint) or Walk Aide
  • Parastep
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