Electrical Stimulation Inservice PDF
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Electrical stimulation uses small electrical currents to stimulate nerves and muscles. It can be used to reduce pain, prevent muscle atrophy, and improve strength. In neurological rehabilitation, it is used for spasticity reduction, edema control, and functional electrical stimulation to improve gait. The Empi Continuum device has two channels and customizable settings to provide timed electrical stimulation sessions to targeted areas like the shoulder, wrist, quadriceps, and plantar flexors. Electrical stimulation must be applied carefully based on a person's needs and medical conditions.
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Functional Electrical Stimulation in Spinal Cord Injury rehabilitation
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Electrical stimulation
Electrical stimulation involves applying modified electric currents to excitable tissues like nerves and muscles to produce therapeutic benefits. Direct and alternating currents can be used to stimulate tissues. Faradic and interrupted galvanic currents of varying durations and frequencies are used for stimulation of normal and denervated muscles. Electrical stimulation modalities like TENS, NMES, FES and interferential therapy are used for pain management and rehabilitation by stimulating nerves and muscles. Precise electrode placement is important for effective stimulation.
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- It is consistently obtained by stimulating the tibial nerve below the knee and recording from the gastrocnemius-soleus muscle, but can also be recorded in the median nerve and femoral nerve.
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animated demonstration explain the correlation between the graphical segments and the electrical activities.
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3. EMG biofeedback is used to improve muscle control, reduce spasticity, and treat various conditions affecting movement and posture. Proper electrode placement and movement are important for effective biofeedback training.
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The Brunnstrom concept is a theoretical model of motor recovery following central nervous system injury developed by physical therapist Signe Brunnstrom. It is based on the hierarchical reflex theory and assumes that lower level reflexes get incorporated into purposeful movements through higher centers. Recovery proceeds from primitive reflexive movement to voluntary isolated movements. Treatment involves facilitating this progression using reflexes, associated reactions, proprioceptive and exteroceptive stimuli, and resistance. Motor and sensory function is evaluated using Brunnstrom's staging which characterizes recovery in a sequential progression.
Sensory Integration Therapy
Sensory integration is a neurological process that allows individuals to make sense of sensations from their body and environment. Sensory integration disorder occurs when this process is not functioning properly, making it difficult for individuals to respond appropriately. Sensory integration therapy aims to stimulate the senses through activities involving movement, touch, sound, and vision to help brains better process sensory information. Research suggests this therapy can help brains of children with sensory integration disorder change and develop through rich sensory experiences.
neurological examination ppt
A neurological examination assesses the functioning of the nervous system through physical examination and review of medical history. It involves evaluating levels of consciousness, cranial nerve function, motor skills, sensation, coordination, and reflexes. Abnormal findings may indicate neurological disorders requiring further investigation.
Sensory Processing Disorder Powerpoint
This document discusses sensory processing disorder and how it can lead to challenging behaviors in children. It defines sensory processing disorder as difficulty processing and responding to sensory information from the senses. Children with autism or developmental disabilities often have sensory issues. The causes are not fully known but may involve irregular brain function. The document describes how children can be either sensory seekers who crave stimulation or sensory avoiders who are overstimulated easily. It provides interventions for each type and tips for managing tantrums which may result from sensory overload.
Proprioceptive neuromuscular facilitation
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This document summarizes neuromuscular electrical stimulation (NMES). NMES involves sending electrical impulses to nerves via electrodes placed on the skin to cause muscle contraction. It is used to improve muscle strength and range of motion, reduce spasticity and spasms, and increase cardiovascular function. Proper electrode placement and stimulation parameters are described. Contraindications include pacemakers, infected skin, and pregnancy. NMES sessions should be 20-30 minutes, 3 times per week for strengthening effects.
How to use Electrical Stimulation for Faster Hand Recovery After Stroke? by M...
Electrical Stimulation (ES) has been proven to help in upper limb recovery after stroke. Its benefits include strengthening weak muscles, increasing range of motion, reducing spasticity, and etc.
However, its benefits are limited in actual application due to lack of knowledge and experience in many patients.
In this sharing session, Ms. Yvonne will share practical recommendations with the clinical support evidence that can help to translate into actual practice and application for hand recovery of stroke patients. It is suitable for stroke patients, caregivers, physiotherapists, occupational therapists, doctors, nurses, and etc.
Electrical Modalities
Electrical modalities use different forms of energy to penetrate tissues and provide relief from pain, swelling, and promote healing. Common modalities include TENS, which uses electrical stimulation to modulate pain, NMES which causes muscle contraction, and iontophoresis which delivers medication transdermally using low-level electrical currents. Occupational therapists are trained to appropriately apply modalities like these to address goals like pain management, increased range of motion, and wound or fracture healing as part of a client's occupational therapy program. Precautions and contraindications must be considered for safe application of each modality.
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Here are the answers to the tasks:
1. What does the application of an electrical impulse to the muscle achieve?
The application of an electrical impulse to the muscle through EMS achieves intensive exercise of the muscle which produces a firmer and more toned appearance.
2. What part of the muscle should a pad be placed?
The black negative pad should always be placed on the insertion of the muscle and the red positive pad should be placed on the origin of the muscle.
3. Give a brief description of a muscle contraction?
A muscle contraction occurs when an electrical impulse passes through the muscle causing it to contract and lift towards its origin.
4. Name two types of pulse sequence?
ZMPCZM017000.03.01
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ZMPCRM076000.12.01 Instruction Manual
This 3-sentence summary provides the high-level information about the CareTec IV Electrical Stimulator instruction manual:
The CareTec IV Electrical Stimulator instruction manual provides safety information and instructions for using the device, which features four therapeutic modes - TENS, EMS, Interferential, and Russian stimulation - to provide pain relief and muscle stimulation. The manual describes the device components, operating instructions, treatment indications, safety warnings and precautions for use. It also provides specifications for the device accessories, technical details, and parameters for each stimulation mode.
Zmpcrm076000.12.01
1
to 150 pulses per second, 1 pps/step
at i o n s fo r I nte rfe re nti a I
Stimulation (lF) mode
1) The CareTecrM lV is a portable electrotherapy device with four modes - TENS, EMS, lnterferential, and Russian stimulation - to provide pain relief and muscle stimulation. It sends adjustable electric currents to targeted areas via electrodes.
2) The document provides detailed explanations of each stimulation mode and their therapeutic effects. TENS is for pain control, EMS for muscle injuries, lnterferential for anti-inflammation, and Russian for muscle strengthening.
Zmpcrm076000.12.01 Instruction manual
1
to 150 pulses per second, 1 pps/step
at i o n s fo r I nte rfe re nti a I
Stimulation (lF) mode
1) The CareTecrM lV is a portable electrotherapy device with four modes - TENS, EMS, lnterferential, and Russian stimulation - to provide pain relief and muscle stimulation. It sends adjustable electric currents to targeted areas via electrodes.
2) The document provides detailed explanations of each stimulation mode and their therapeutic effects. TENS is for pain control, EMS for muscle injuries, lnterferential for anti-inflammation, and Russian for muscle strengthening.
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Post-intensive care syndrome is now recognised as a spectrum of physical, cognitive and emotional problems that can stem from even reletively shorts stays in critical care units.
Over 100,000 patients will be treated in critical care units each year in England and Wales alone. Most are discharged to home but a significant percentage will have persistent problems.
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Biofeedback is a technique that uses sensors to measure physiological processes and provides feedback to help train voluntary control. It can help re-educate muscles after injury by providing feedback on muscle activation levels. EMG biofeedback uses electrodes to measure electrical activity in muscles and provides auditory or visual feedback to help patients improve strength or relax muscles. Video feedback and mirrors are also used to improve movement mechanics by allowing patients to see themselves. Biofeedback aims to improve voluntary control through intrinsic and extrinsic feedback during movement tasks.
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Zmpcrm076000.12.01 Instruction manual
The document provides instructions for the CareTec lV electrical stimulator. It includes 3 main sections:
Display the channel 2
Display numbers of the output intensity for channel 2
(CH2); Display numbers of waveform pulse width or EMS
waveform of relaxation (resting) time in setting state.
Display the battery power
Display the lock symbol
Display the setting symbol
Display the waveform symbol
1) Safety information which describes the device's intended uses, contraindications, warnings, cautions and potential adverse reactions.
2) Presentation of the device including descriptions of the front and rear panels and LCD display.
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Electrical Stimulation Inservice PDF
- 1. Electrical Stimulation How it works and it's uses in Neurolgical Rehabilitation Cody Small SPT Husson university
- 2. Objectives What is electrical stimulation General uses of electrical stimulation in PT/OT Specific uses in neurological rehabilitation Different Placements Components of the Empi Continuum Instructional use of the Empi Continuum
- 3. What Is electrical Stimulation? Electrcial Stimulation is used in physical therapy by placing lead wires and electrodes on the skin over target areas of the body. When the electrical stimualtion device is activited a signal is transmitted down the lead to the electrode where it causes depolarization of sensory nerves or motor units to help reduce pain or to increase musclar strength of atrophied muscles, along with many other uses.
- 4. Terms To know Amplitude: Magntiude or the Intensity of the current. Ramp up/Ramp down: Time it takes for the amplitude at the on/off time to to rise to peak amplitude and time from peak amplitude to back to zero Pulse Frequency: The amount of energy being delivered to the body Pulse amplitude: The amount of energy being released to the body
- 5. Uses In Physical Therapy Pain management Neuromuscular re-education Hypertrophy of Muscle Edema Wound Care Spasms Iontophoresis Biofeedback
- 6. Electrical Stimulation in Neuro Rehab Neuromuscular Re-education Spasticity/tone Edema control Atrophy Functional Electrical Stimulation Shoulder Laxity Wound care
- 7. Contraindications For It's Use Patients with implanted cardiac pacemakers, defibrillators, and brain stimulators Application on throracic region for patients with CHF, arrythmias, MI Application over the carotid sinus Application on cancerous tissue Broken or irritated skin Lack of sensation Epilepsy Application over protruding metal
- 8. Set up for shoulder subluxation
- 10. Spasticity: Biceps/Plantar Flexors https://www.youtube.com/watch?v=bsaQWcnJYHk https://www.youtube.com/watch?v=3H4Gh5-sPQw
- 12. FES to Improve Ambulatory Function FES is a great option for patient who suffer from foot drop or plantar flexor spasticity after a stroke Placement is going to be on ther anterior tib --> refer to slide 9 to see placement Placement on the quads is also an option for patients who stuggle to extend the leg during swing phase of gait FES should be used in conjunction with conventional stroke rehab https://www.youtube.com/watch?v=PzUYDBWsmNE
- 13. Empi Continuum Soft Keys Soft Keys Home Key Power Key Ok Key
- 14. Features Two independent channels Allows for timed therapy sessions Continous stimulation or Cycled Stimulation Pre-programmed settings or customizable settings Adjustable ramp up and ramp down times
- 15. Components Electrical Stimulation Device Lead wires Red: positive Black: negative Electrodes
- 16. Tips before use Clean the skin around the area the electrodes will be placed Dry Skin before placing the electrodes on the area If the patient has lots of hair, you may want to shave the site
- 17. Instruction for set up Attach the electrodes to the desired location Attach the leads to the electrodes Turn on the Estim Device Select the desired treatment option Set the time Turn the channels up individually till you ge the results Press start Once the treatment is over turn the device off then remove the electrodes
- 30. References Linn, S. L., Granat, M. H., & Lees, K. R. (1999). Prevention of shoulder subluxation after stroke with electrical stimulation. Stroke, 30(5), 963-968. Sabut, S. K., Sikdar, C., Mondal, R., Kumar, R., & Mahadevappa, M. (2010). Restoration of gait and motor recovery by functional electrical stimulation therapy in persons with stroke. Disability and rehabilitation, 32(19), 1594-1603. Sabut, S. K., Sikdar, C., Kumar, R., & Mahadevappa, M. (2010). Functional electrical stimulation of dorsiflexor muscle: effects on dorsiflexor strength, plantarflexor spasticity, and motor recovery in stroke patients. NeuroRehabilitation, 29(4), 393-400.