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Stack #26919

NMES

QuestionAnswer
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