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NMES - Coggle Diagram
NMES
Cellular effects
Low level electrical current
Motor points
Non-painful contraction
Mimics natural muscular contraction
Nerve fibre recruitment is different to natural
Largest diameter fibres recruited first and then smaller ones
More repetitions than normal exercise
Higher current intensity = higher force of contraction
Inhibits sympathetic vasoconstriction
Relaxes arterial tissue
Blood circulation
Longer duration pulses activate motor units
Contraindications
Undiagnosed pain
Desensitised skin
Animals who will not tolerate
Skin conditions
Cardiac conditions
Sepsis
Tumours
Pregnancy
Target tissue
Post surgical neuromuscular conditions
Address atrophy
Increasing muscle strength
Maintaining and improving ROM
Recovery of motor function
Improving blood supply
Warm up prior to exercise
Practical application and settings
Application
Same muscle belly
Motor units
Large pads as possible for comfort
Settings
Mode: Synchronous
On/Off: 5 seconds on, 5-45 seconds off
Ramp: UP -> 3-5 seconds DOWN -> 1-2 seconds
Pulse rate: 2-120Hz
Pulse width: 50-300us
Duration: MAX 1 hour
Induction phase
10-60 minutes
Severe atrophy - 5 minutes
3-7 times a week
Transition phase
10-60 minutes
1-3 times a week
Maintenance phase
10-60 minutes
As and when necessary