Nerve Lesions; Muscle Stimulation (Faradism); Muscle Stimulation (Tens); Muscle Stimulation: Phasic Fibres (Initial Stage) (Tens) - Enraf Nonius Sonopuls 492 Manual De Instrucciones

5.1.

MUSCLE STIMULATION (FARADISM)

1. General:
2. Indication:
3. Treatment time:
4. Remarks:
5: Programme:
6. Sensation:
7. Intensity level:
5.2.

MUSCLE STIMULATION (TENS)

1. General:
2. Indication:
3. Treatment time:
4. Remarks:
5. Programme:
6. Sensation:
7. Intensity level:
5.3.

MUSCLE STIMULATION: PHASIC FIBRES (INITIAL STAGE) (TENS)

1. General:
2. Indication:
3. Treatment time:
4. Remarks:
5. Programme:
6. Sensation:
7. Intensity level:
5.4.

MUSCLE STIMULATION: PHASIC FIBRES (FINAL STAGE) (MF)

1. General:
2. Indication:
3. Treatment time:
4. Remarks:
5. Programme:
6. Sensation:
7. Intensity level:
32
Classic protocol to evoke a tetanic contraction by means of multiple electrical pulses.
First stage of therapeutic stimulation of striated muscles after reinnervation.
15 minutes.
It is recommended to evaluate the state of innervation by means of S-D curves. Faradic
current is a Direct Current. At higher current densities DC may cause tissue damage.
Intensity should not exceed 0.2 mA/cm
thick pads/sponges (min. 1 cm).
Faradic current: pulse time 1 ms, pause time 20 ms, contraction rhythm of 1/1/1/6, 15
min.
Moderate to fast contractions (fast ramp-up and ramp-down) followed by relatively
long intervals.
Adjust intensity level until a tetanic contraction occurs. Do not increase intensity dur-
ing operation. Discontinue treatment if contraction strength weakens.
Programme to evoke a comfortable interrupted tetanic contraction.
First stage of rehabilitation of striated muscles.
12 minutes
No DC component, the risk for electrochemical damage (chemical burn) is minimal.
BF.SYM., 200 µs, 35 Hz, contraction rhythm 3/2/1/6, 12 min.
Contraction pattern characterised by a slow ramp-up and a fast ramp-down followed
by intervals.
Adjust intensity level until a smooth tetanic contraction occurs. Do not increase inten-
sity during operation. Discontinue treatment if contraction strength weakens.
Programme to evoke a comfortable interrupted tetanic contraction by means of TENS
current.
First stage of rehabilitation of striated muscles with the objective to influence the twitch
speed of fast-twitch (= phasic) fibres.
10 minutes
No DC component, the risk for electrochemical damage (chemical burn) is minimal.
BF.SYM., 100 µs, 50 Hz, contraction rhythm 1/4/1/12, 10 min.
Comfortable muscle contractions in an on/off ratio of 1:3. Fast ramp-up and ramp-
down followed by long intervals.
Adjust intensity level until a smooth tetanic contraction occurs. Do not increase inten-
sity during operation. Discontinue treatment if contraction strength weakens.
Programme to evoke a comfortable interrupted tetanic contraction by means of
interferential current. This programme can be regarded as a continuation of programme
5.3.
Advanced stage of rehabilitation of striated muscles with the objective to influence the
twitch speed of fast-twitch (= phasic) fibres.
15 minutes
No DC component, the risk for electrochemical damage (chemical burn) is minimal.
IF, 2,5 kHz, AMF 80 Hz, contraction rhythm 2/2/1/12, 15 min.
Gradually increasing stimulation (slow ramp-up and fast ramp-down) followed by a
long interval.
Adjust intensity level until a smooth tetanic contraction occurs. Do not increase inten-
sity during operation. Discontinue treatment if contraction strength weakens.
2
of effective treatment area. Preferably use

5. NERVE LESIONS