E-stim

Question 1

What is the difference between NMES and FES?

Answer 1

NMES: more passive, used for hand injuries
FES: client is more active, client performs occupations

Question 2

If you are choosing to use E-stim what FOR/MOP would you use?

Answer 2

Biomechanical, motor learning

Question 3

When working with a patient when would you decide to use FES?

Answer 3

difficulty initiating movements, when they have little movement and want to get more, if a patient is post SCI has trace muscle contraction, mild-mod tone.

Question 4

Describe some benefits of FES?

Answer 4

increasing range, neuro re-ed, target muscle, sensory input, can be apart of a home program, increase reps

Question 5

What are some contraindications using FES

Answer 5

Pacemaker
impaired sensation
decreased cognition
cancer
pregnant
broken skin

Question 6

How would you use NMES on a patient with tone?

Answer 6

stimulate the antagonist’s muscle to create a slow stretch in agonist muscle.