Lab Practical B (NMES)

Question 1

What are 4 indications for NMES?

Answer 1

Muscle re-education
Retard atrophy
Muscle strengthening
Decrease muscle spasm through fatigue

Question 2

What are the first 6 contraindications for NMES?

Answer 2

Anterior cervical area
Through the chest
Through the head
Pacemakers and ICD's
Abdominopelvic area of pregnant 
Metal implants

Question 3

What are the second 6 contraindications for NMES?

Answer 3

Epilepsy
Areas of hemorrhage
Cancer
Confused/unreliable patients
Damaged skin
Unknown etiology

Question 4

What are 2 clinical goals of the treatment for NMES?

Answer 4

Muscle spasms

Muscle re-education

Question 5

What is the treatment frequency for trying to fatigue a single muscle?

Answer 5

10/10 for 10 minutes

Question 6

What is the treatment frequency for trying to reeducate a single muscle?

Answer 6

10/50 for 10 minutes

Question 7

What is the treatment frequency for trying to fatigue bilateral muscle groups?

Answer 7

10/10 co-contract for 10 minutes

Question 8

What is the treatment frequency for trying to reeducate agonist/antagonist muscle pairs?

Answer 8

10/50 reciprocal for 10 minutes

Question 9

What does a treatment frequency of 10/10 mean?

Answer 9

10 seconds of contraction followed by 10 seconds of relaxation

Question 10

What does a treatment frequency of 10/50 mean?

Answer 10

10 seconds of contraction followed by 50 seconds of relaxation

Question 11

What EPA would be used and setup if trying to fatigue a single muscle spasm?

Answer 11

Russian current 10/10; 2 electrodes 1 near origin and insertion

Question 12

What EPA would be used and setup if trying to reeducate a single muscle spasm?

Answer 12

Russian 10/50; 2 electrodes 1 near origin and insertion

Question 13

What EPA would be used and setup if trying to fatigue a bilateral muscle groups?

Answer 13

Rusian 10/10; 4 electrodes (1 ch on one side, 2nd ch on other side)

Question 14

What EPA would be used and setup if trying to reeducate antagonist-agonist muscles?

Answer 14

Russian 10/50; 4 electrodes (1 ch on 1 muscle, 2nd ch on reciprocal muscle)

Question 15

What EPA would be used for a patient recovering from knee (scope) surgery?

Answer 15

Russian 10/50; 2 electrodes (1 near origin, 1 near insertion)

Question 16

What EPA would be used for patients having muscle spasms in low back from L2-L4?

Answer 16

Russian 10/10; 4 electrodes (1st Chanel on left side; 2nd Chanel on right side)

Question 17

What is the intensity and Ramp time for NMES?

Answer 17

• -Patient tolerance

- -0.5-2 seconds

Question 18

List the different on/off ratios utilized w/ Russian Current and the clinical indications for the used of each ratio?

Answer 18

• -Single muscle (fatigue) 10/10 for 10 min
• -Single muscle (Re-ed) 10/50 for 10 min
• -Bilateral muscle (fatigue) 10/10 for 10 min
• -Bilateral muscle (Re-ed) 10/50 for 10 min

Question 19

Which polarity setting should be used to control acute inflammation when using hivolt stimulation?

Answer 19

(+) Polarity

Question 20

Describe the difference between normal, co-contract, and reciprocal as these terms apply to Russian Current?

Answer 20

• -Co-contract is used for bilateral muscles

- -Reciprocal is used for agonist/antagonist muscles

Question 21

What should be your guide in determining the appropriate intensity setting during Russian Stim? What about high volt therapy?

Answer 21

• -Russian: diff b/w muscle spasm or Re-ed

- -HiVolt: stage of healing (acute/chronic)