06-09: NMES

Question 1

NMES = FES

Answer 1

• Neuromuscular Electrical Stimulation

- Functional Electrical Stimulation

Question 2

What is NMES

Answer 2

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

Question 3

Continuous Delivery

Answer 3

• Used for spasticity to achieve muscle fatigue

- High tone, trying to relax muscle to function

Question 4

Co-Contraction Delivery

Answer 4

• 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

Question 5

Reciprocating Delivery

Answer 5

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

Question 6

Primary indication

Answer 6

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

Question 7

NMES Parameters

Answer 7

• 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

Question 8

Other attachment/devices

Answer 8

• 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