NMES, Med freq, Russian, EMS

Question 1

NMES is for what type of muscle (innervated/deinnervated)?

Answer 1

innervated muscle

Question 2

What type of current does NMES use?

Answer 2

Biphasic PC (pulsed current)

Question 3

What is the pulse frequency/rate used for NMES muscle strengthening? Muscle reeducation, spasm reduction and edema reduction>

Answer 3

30-85 pps (pulses per second) for strengthening

For everything else, between 35-50 ops

Question 4

What is the pulse duration for NMES (all types)?

Answer 4

150-200 μs for small muscles, 200-350 for large muscles

Question 5

For muscle strengthening, what amplitude of NMES stimulation should you use in injured pts? Uninjured?

Answer 5

> 10% MVIC (max voluntary isometric contraction) for injured

>50% MVIC in uninjured

Question 6

What are the typical on:off time (surge) for NMES?

Answer 6

initially set at 1:5 for injured or weak its but can reduce time with repeated treatments/with stronger pt.

Question 7

What is the ramp time associated with NMES?

Answer 7

2 seconds

Question 8

How long should you do muscle strengthening NMES?

Answer 8

10-20 minutes to produce 10-20 reps

Question 9

How often should you do muscle strengthening NMES?

Answer 9

Every 2-3 hours when awake

Question 10

For NMES muscle spasm reduction and edema control, what amplitude should you use?

Answer 10

Enough to produce visible contraction

Question 11

For NMES muscle spasm reduction and edema control, what on:off time (surge) should you use?

Answer 11

1:1 (2-5 seconds on: 2-5 seconds off)

Question 12

For NMES muscle spasm reduction and edema control, how much ramp should you have?

Answer 12

at least 1 sec

Question 13

For NMES muscle spasm reduction how long and how many times a day should you treat?

Answer 13

10-30 minutes every 2-3 hours until spasms are reduced

Question 14

For NMES edema control, how many times a day should you treat?

Answer 14

30 minutes 2 x a day

Question 15

What is Medium Frequency e-stim used for?

Answer 15

Muscle strengthening

Question 16

What type of current is Medium frequency?

Answer 16

AC

Question 17

What is the pulse frequency (rate) for medium frequency e-stim?

Answer 17

1,000-10,000 pps

Question 18

What is the pulse duration for Medium frequency e-stim?

Answer 18

preset?

Question 19

What amplitude of stimulation do you use for Medium frequency e-stim?

Answer 19

Stimulate to visible contraction

Question 20

What on:off time do you use for Medium frequency estim?

Answer 20

no surge, continuous

Question 21

What is Russian protocol e-stim used for?

Answer 21

Muscle strengthening/spasm reduction

Question 22

What type of current does Russian protocol use?

Answer 22

Med. frequency Burst AC

Question 23

What frequency/rate does Russian protocol use?

Answer 23

2,500 pps in 50 bursts/second

Question 24

What is the pulse duration for Russian Protocol?

Answer 24

Preset on machine

Question 25

What amplitude current do you use for Russian Protocol?

Answer 25

produce a visible contraction

Question 26

What is the treatment time for Russian protocol?

Answer 26

if strengthening-10-20 min for 10-20 reps

If spasm-10-30 min for 10-30 reps

Question 27

What is EMS used for?

Answer 27

Used for direct stimulation of a muscle after peripheral nerve injury (denervated muscle)

Question 28

What type of current does EMS use?

Answer 28

Interrupted DC

Question 29

What amplitude do you use with EMS?

Answer 29

Produce maximum contraction with least discomfort

Question 30

What are the treatment parameters for EMS?

Answer 30

10-20 contractions 1-2 times a day