Estim / NMES Flashcards
NMES wave form frequency pulse duration polarity
pulsed biphase a/symmetric un/balanced
1-100hz
200mcs fixed or variable
no
TENS NMES difference
NMES has on n off to prevent fatigue
voluntary motor recruitment
hennemans size principle
precise
asynchronous
estim motor recruitment
type 2
force generation
synchronous
voluntary / e stim which results in more mm injury
same
better to have longer or shorter pulse duration
longer pulse duration then longer duration of stimulation cus fatigue
physiological effects of NMES
pain, edema, strength, spasticity
NMES contraindications
recent fracture / osteoporosis
ELECTRIC implant
NMES precautions
impaired cognition
is metal implant contraindicated in NMES
no
Clinical application NMES
monopolar
bipolar
consider size n distance
where to place NMES electrode
anode over trunk n cathode over motor point
mm belly mm belly
mm belly motor point
NMES anode over __
nerve trunk