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NEUROMUSCULAR ELECTRICAL STIMULATION (NMES)

By: Christi Keller

Physiological Effects
  1. Recruitment of fast twitch muscle fibers.
  2. Recruitment of muscle fibers synchronously.
  3. Deactivates the golgi tendon organs, ( the protective mechanism isinactive which might pose a potential injury).
  4. Increase metabolic efficiency after immobilization.
Indications
  1. Prevent disuse atrophy.
  2. Minimize atrophy.
  3. Muscle re-education.
  4. Increase joint mobility.
  5. Increase muscle strength.
  6. Decrease muscle spasm.
  7. Prevent adhesion formation.
  8. Substitution for orthosis and transient paralysis.
  9. Improve blood flow to help muscle recruitment, vascular supply, andlymphatic drainage.
Contraindications
  1. Patients with pacemakers.
  2. Patients who are obese.
  3. Patients who are pregnant.
  4. Over the front of the throat.
  5. Acute muscle strains.
  6. With denervated muscles.
Preparation of Athlete
  1. Clean area of application with alcohol.
  2. Place athlete in a comfortable position.
  3. Apply gel to the athlete or the pads of the NMES.
  4. Place the active or negative electrode on the motor point.
  5. Place the inactive (usually red) electrode distally along the muscle.
Treatment Set-Up and Initiation
  1. Tell athlete what they will be experiencing.
  2. Set the duty cycle and intensity.
  3. Show the athlete the synchronous and alternating knob.
  4. Start on synchronous and turn up the intensity knob until the athletetells you that they feel it.
  5. Set the duty cycle for 10 seconds on and 30 seconds off.


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