CefarCompex Physio 5 Guia Practica página 10

PREVENTION OF DISUSE ATROPHY
When? After surgery or a bone fracture, a limb or a section thereof is
immobilized, the muscles of this part of the body suffer rapidly from
disuse atrophy.
Why? The rapid decrease of muscle volume is mainly due to a reflex inhibition
phenomenon or a total absence of any type of exercise. It's important
to note that this type of atrophy concentrates on the slow twitch muscle
fibres (Type I).
How?
In order to compensate, NMES could reproduce a series of contractions
comparable to the normal level of activity during a day. The treatment
time of this programme is relatively long and the programme uses
frequencies targeting the slow twitch muscle fibres.
Electrodes Electrodes positioned as indicated according to the stimulated muscle.
See suggested electrodes placements on the fold out cover.
Intensity
Maximum tolerable stimulation energy, which is one of the key factors
for the effectiveness of the treatment. The higher the stimulation
energy, the greater the number of muscular fibres (motor units) working.
Try to gradually increase the energy level during a treatment session.
Option 2+2 If the patient experiences discomfort and pain during stimulation, the
2+2 function allows this programme (ch 1+2) to be combined with a pain
relief programme (ch 3+4).
PREVENTION OF DISUSE ATROPHY, LEVEL 1 (54 MIN)
Warm-up
Frequency
Duration of ramp-up
Duration of phase
Duration of ramp-down
PREVENTION OF DISUSE ATROPHY, LEVEL 2 (47 MIN)
Warm-up
Frequency
Duration of ramp-up
Duration of phase
Duration of ramp-down
Contraction
6 Hz 30 Hz
1.5 s 3 s
2 min 5 s
2 s 1.5 s
Contraction
6 Hz 40 Hz
1.5 s 3 s
2 min 6 s
2 s 0.75 s
Active rest Final recovery
4 Hz 3 Hz
1.5 s 1.5 s
14 s 3 min
1.5 s 3 s
Active rest Final recovery
4 Hz 3 Hz
0.5 s 1.5 s
12 s 3 min
0.5 s 3 s
ENG
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