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NMES (Alternating current (змінний струм) :star: (In present therapeutic…
NMES
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Parameters Of NMES
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Waveform/Current Type
the burst-modulated alternating current stimulators can produce the most force, particularly when applied to large, proximal muscle groups
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low stimulus intensities, particularly to more distal musculature, the twin-spiked monophasic pulsed current might be the most comfortable.
Current Amplitude
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Currents with shorter pulse or phase durations require a greater current amplitude to produce a particular muscular force
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Pulse Duration
Because of the strength-duration relationship of electrical stimulation to motor and pain nerve fibres, pulses wider than 60 ~sec increase the likelihood of recruiting pain fibres
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Stimulus Frequency
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stimulation of skeletal muscle at frequencies as low as 20 pulses per second can greatly reduce muscle fatigue
if the frequency of the electrical stimulation of muscle is gradually reduced during the stimulation period a high force can be maintained throughout the stimulation period.
(!) no commercially available clinical stimulator can be automatically programmed to reduce the stimulation frequency
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Neuromuscular Electrical Stimulation (NMES) -- AC, pulsed DC (Type of Current) -- stimulation of innervated muscle to restore function including muscle strength, reduction of spasm/spasticity, prevention of atrophy, increase ROM, and muscle reeducation