Twin stim/NMES/FES Parameters

when is twin stim device used?

Chronic edema due to lack of contraction

Muscle strengthening = disuse atrophy (post-surgical)

Muscle re-education (FES)

Tone = muscle guarding, spasticity

Function = Subluxing shoulder, foot drop

Functional electrical stimulation (FES) is…

a type of NMES that’s used to assist patients in performing functional tasks.

contraindication or precaution for NMES: fusion

contraindication

contraindication or precaution for NMES: Unfixated fracture

contraindication

contraindication or precaution for NMES: Recently repaired nerves or tendons

contraindication

electrode placement for NMES can be…?

monopolar/unipolar OR bipolar

NMES targets what two main things?

muscle strengthening & muscle endurance

NMES muscle strengthening pulse frequency?

35-80 pps

NMES muscle strengthening duty cycle (on:off ratio)?

1:5 → 20 seconds on, 10 seconds off

what is the ramp up & down set to?

5

For small muscles, set the “width” setting to which appropriate duration?

150-200

For large muscles, set the “width” setting to which appropriate duration?

200-350

Set the “rate” setting to which appropriate frequency?

40-50 hz