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Stack #26919
NMES
| Question | Answer |
|---|---|
| what does NMES stand for? | neuromuscular electrical stimulation |
| what is NMES also known as? | FES |
| what is FES? | functional electrical stimulation |
| when do you use NMES? | when some one can not do an active movement or a full contraction |
| why do we use NMES? | to help build the muscular strength so that the patient can actively do the movement of the muscle |
| how dos NMES work? | because it takes the place of the nerve and muscl root going to the brain. Then makes the muscle contract |
| What does NMES require? | it requires an intact or partially intack peripheral nerve. Also the person needs to have some type of movement. They can not have a 0/5 mmt grade. |
| Can you use nmes on a spinal cord patient with no movement? | no need an intact peripheral nerve |
| what are the contra indications for nmes? | pacemaker, metal, active bleeding, cancer, pvd, excessive edema, eyes, pregnancy, absent skin sensation |
| what are the waveforms for nmes? | bipasic, asymetrical & symmetrical |
| assymetrical waveform for nmes is for... | the selective recruitment of smaller muscle fibers allowing the pta to identify the anode and cathode. + to - |
| what is the symmetrical waveform for nmes? | the current flows hard and fast in both phases and allows both electrode to be concidered active. |
| what type of current is nmes? | alternating current |
| explain the nmes units | small & portable, can be used as a home program |
| how many channel/electrodes are used for nmes? | depending on the size of the muscle you can use 1 channel with 2 electrodes or you can do 2 channels with 4 electrodes |
| how many PPS are comfortable for nmes? | 80-150 pps will be the most comfortable |
| how do you determine the on off time for nmes? | for deconditioned muscle use 1:5, next use 1:3, then use 1:1 |
| what should the ramp up ramp down time be about for nmes? | about 2 sec ramp up and down |
| what is the treatment time for nmes? | about 15 minutes |
| what else can you do with nmes? | hot pack, stretching, warm up |
| what is the shakyness with nmes | the tetnea need to turn up the miliamps to get a full contraction |
| what are the indications for nmes? | rom, contracture management, muscle re ed, edema, spasticity, dis use atrophy, immobilization, orthotic assist, increase blood flow to area |
| who are poor canadates for nmes? | pathology of peripheral nerves, als pts, diabetic, cognitivly impaired, open wounds, sever obesity |
Created by:
JamieLynn
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