Using Electrical Muscular Stimulation (EMS) for CVA patient

[ramywhite]

Hello sdkashif,
Thank you for these valuable information. But I'd like to know if the current is pulsed or continues and where to put the negative electrode and where the positive one. what is the proper intenisty.
But the main problem to me is how we can prevent that current from spreading to the antagonist group specially when we deal with small muscle group.
Many thanks!

[sdkashif]

Procedure used has the following settings.

1-Parameter Setting:

a-Waveform: Symmetrical Biphasic preferred, but monophasic or polyphasic can also be used.

b-Phase duration: depends upon the type of current used.

c-Pulse rate: 100 to 350 Hz

d-Polarity: Makes no difference

e-Amplitude: Motor Nerve Stimulation

2-Current Modulation Mode: Continuous Pulses

3-Electrode Placement: Bipolar over target muscles

4-Treatment Time: No clinical data to suggest the treatment time.

[shinydan]

its mainly used in the flaccid stage to produce the onset of spasticity. it initiates the motor reactions too when it is applied on the weaker group of muscles. it should be applied on the appropriate position to derive the opitimum result.....
fr eg: to stimulate the dorsiflexors to reduce the foot drop..you have to apply the anode on the head of the fibula and the cathode on the motor point or the bulk of the dorsiflexors....ie, the tibialis anterior...
the electrical stim also used as functional,ie gait training...i
EMS used in pulsed mode...