Pams

Front 1

NMES for Inflammatory Stage of Wound Healing

Back 1

Alternate negative and positive polarities every three days
Pulse rate: 100-128 pps
Intensity: 100-150 volts
Treatment Period 60 minutes daily
Frequency 5-7 times per week

Front 2

NMES for Remodeling Phase

Back 2

Alternate negative and positive polarities every three days
pulse rate: 60-64 pps
Intensity: 100-150 volts
treatment period: 60 minutes daily
Frequency: 5-7 times per week

Front 3

NMES for inflammatory and proliferative phases

Back 3

Polarity: negative
Pulse rate: 30 pps
Intensity: 100-150 volts
Treatment period: 60 minutes daily
Frequency: 5-7 x’s per week
*if there is large amount of blood exudates while using DC the amplitude must be DECREASED
*if there is a large amount of serous drainage without blood while using DC the amplitude should be INCREASED

Front 4

Duty Cycle for muscle reeducation

Back 4

1:5

Front 5

Duty cycle for debilitated or deconditioned patients

Back 5

1:3

Front 6

Duty cycle for average musculature

Back 6

1:2

Front 7

Duty cycle for conditioned or athletic muscles

Back 7

1:1

Front 8

Maintain or increase AROM in patients with hemiplegia

Back 8

asymmetrical or symmetrical bipahsic waveforms
Pulse duration: 200-300 microseconds
frequency: 25-35 pps
intensity: visible muscle contraction
on/off ratio 1:3 or higher to allow muscle recovery
treatment time: 30 minutes BID to TID for 5-7 sessions per week for 3-4 weeks

Front 9

NMES for tendon excursion

Back 9

Asymmetrical or Symmetrical biphasic waveform
CHECK WITH PHYSICIAN
On/off ratio 1:3
pulse duration 200-300 microseconds
frequency 25-50 pps
*lower intensities can be used at teh beginning of treatment fro patient tolerance
*treatment time varies according to treatment protocol
30 minute sessions for 2-3 x's daily over a period of 3-5 days per week
*once patient reaches voluntary muscle contraction electrical stimulation is discontinued

Front 10

NMES for voluntary muscle control

Back 10

*patient attempts to contract muscle during electrostimulation
asymmetrical or symmetrical biphasic pulse
pulse duration: 200-300 microseconds
frequency: 25-50 pps
on/off ratio: 1:3
intensity could be increased to achive muscle contraction
treatment sessions: 30 miniutes 1-2 times per day for a period of 3-5 x's per week

Front 11

NMES for Relaxation of muscle spasm

Back 11

pulse duration: 250 microseconds
frequency: 30-60 pps
on/off ratio: 1:1
*to fatigue targeted muscle group the electrodes must be placed over the motor point

Front 12

NMES for strength improvement

Back 12

asymmetrical or symmetrical biphasic
pulse duration: 300 microseconds
frequency: 25-35 pps
10-20 repetitive contractions for 3-5 x's per week
Intensity: gradually increased
on/off ratio: 1:1 or 1:2 until voluntary maximal muscle contraction is achieved