20
OMNIS
T
IM
®
500A USER M
A
NUAL
COPYRI
G
H
T
20
01 - 2007,
ACCE
LERATE
D
CAR
E PLUS C
O
RP.,
ALL R
IGHTS RE
SERVED
CON
F
IDEN
TIAL
AND PR
OPRIE
T
ARY
Medium Frequency Alternating Current (MFAC)
PROTOCOL / CLINICAL
INDICATION
STIMULATION PARAMETERS
MECHANISM OF ACTION
APPLICATION TECHNIQUE
OPERATIONAL SEQUENCE
NMES EDEMA-MUSCLE
PUMP
Increase circulation, venous and
lymphatic return through muscle
pump.
•
5000Hz - 35 BPS
•
4 Sec “ON” time and 12 Sec “OFF” time
•
Reciprocal (alternating) timing pattern
•
Ramps 2 Sec “ON/OFF”
•
Treatment time of 15 minutes
Activation of muscle causing contraction of
the agonist and antagonist to move the joint.
The muscle pump action compresses fluids
into the venous and lymphatic return, while
improving blood flow to the edematous
tissue.
Target tissue - superficial and deep muscle groups
and large joints. Bipolar set-up over agonist and
antagonist muscles for target joint. Set intensity to
elicit muscle contraction causing pain free joint
movement typically a grade 3-4 muscle
contraction. Reduce treatment time based on
muscle fatigue.
•
Press MFAC until screen reads "NMES EDEMA-MUSCLE PUMP"
•
Press START / STOP until screen reads " SET OUTPUT A"
•
Set Output A until the desired contraction of the Ch A muscle group is
obtained.
•
Press START / STOP until screen reads " SET OUTPUT B"
•
Set Output B until the desired contraction of the Ch B muscle group is
obtained.
•
Press START / STOP and T15 will display in upper right corner.
•
Adjust treatment time if necessary using the TIME/PARAMETER button
•
The treatment will end at the end of the preset time or if the patient safety
switch is pressed.
NMES - MUSCLE SPASM
Relaxation of muscle spasm.
•
5000 Hz - 80 BPS
•
10Sec “ON” time and 10Sec “OFF” time
•
Channels fire simultaneously
•
Ramps are set for 3 Sec “ON/OFF”
•
Treatment time of 15 minutes
Activation of muscle with electrical
stimulation with a 1:1 ratio of on/off times
causes muscle fatigue reducing muscle
spasm. Sensory stimulation of the muscles
also reduces pain and thus reflex muscle
spasm.
Target tissue - superficial and deep muscle
groups. Bipolar set-up over agonist and antagonist
muscles for target muscle. Set intensity to elicit a
grade 2-3 muscle contraction.
•
Press MFAC until screen reads "NMES - MUSCLE SPASM"
•
Press START / STOP until screen reads " SET OUTPUTS A-B"
•
Set Outputs A and B until the desired contraction level is obtained
•
Press START / STOP and T15 will display in upper right corner.
•
Adjust treatment time if necessary using the TIME/PARAMETER button
•
The treatment will end at the end of the preset time or if the patient safety
switch is pressed.
HI PERFORMANCE MFAC
RE-ED STRENGTH
Treatment of muscle disuse
atrophy for strength
development.
•
2500Hz – 75 BPS
•
10Sec “ON” time and 50Sec “OFF” time
•
Channels fire simultaneously
•
Ramps are set for 2 Sec “ON/OFF”
•
Treatment time of 10 minutes.
Activation of muscle with electrical
stimulation at a high intensity for a short time
with long on/off ramps reduces atrophy and
improves strength The patient should
participate to the extent possible by
contracting during the stimulation on time.
Target tissue - larger superficial and deep muscle
groups Bipolar set-up over agonist and antagonist
muscles for target muscle. Set intensity to elicit a
grade 3-5 muscle contraction. Reduce treatment
time based on muscle fatigue. Restrict joint
movement by holding manually, or using weights
or exercise bands.
•
Press MFAC until screen reads "HI PERFORMANCE MFAC RE-ED
STRENGTH"
•
Press START / STOP until screen reads " SET OUTPUTS A-B"
•
Set Outputs A and B until the desired contraction level is obtained
•
Press START / STOP and T10 will display in upper right corner.
•
Adjust treatment time if necessary using the TIME/PARAMETER button
•
The treatment will end at the end of the preset time or if the patient safety
switch is pressed.
HI PERFORMANCE MFAC
RE-ED POWER
Treatment of muscle disuse
atrophy for power development.
•
2500Hz - 70 BPS
•
10Sec “ON” time and 50Sec “OFF” time
•
Channels fire simultaneously
•
Ramps are set for .2 Sec “ON” and 1
Sec “OFF”
•
Treatment time of 10 minutes
Activation of muscle with electrical
stimulation at a high intensity for a short time
with short “ON/OFF” ramps reduces atrophy
and improves power. The patient should
participate to the extent possible by
contracting during the stimulation on time.
Target tissue - larger superficial and deep muscle
groups Bipolar set-up over agonist and antagonist
muscles for target muscle. Set intensity to elicit a
grade 3-5 muscle contraction. Reduce treatment
time based on muscle fatigue. Restrict joint
movement by holding manually, or using weights
or exercise bands.
•
Press MFAC until screen reads "HI PERFORMANCE MFAC RE-ED
POWER"
•
Press START / STOP until screen reads " SET OUTPUTS A-B"
•
Set Outputs A and B until the desired contraction level is obtained
•
Press START / STOP and T10 will display in upper right corner.
•
Adjust treatment time if necessary using the TIME/PARAMETER button
•
The treatment will end at the end of the preset time or if the patient safety
switch is pressed.
NMES - SEQ RE-ED
Activates muscles sequentially
to simulate functional movement
or firing patterns.
•
2500Hz - 70 BPS
•
10Sec “ON” time and 50Sec “OFF” time
•
Channels fire sequentially with a .2 Sec
delay
•
Ramps are set for 2 Sec “ON/OFF”
•
Treatment time of 15 minutes
Activation of muscle causing contraction of
the muscles in a sequential manner. May be
used to retrain functional activity and reduce
disuse atrophy in activities such as gait
training for activation of swing phase to heel
strike.
Target tissue - larger superficial and deep muscle
groups. Bipolar set-up over the muscles to be
sequentially stimulated. Ch A fires first followed by Ch
B. The delay and ramps may be adjusted using the set
parameter functions to simulate the desired functional
pattern. Set intensity to elicit a grade 3-5 muscle
contraction. Reduce treatment time based on muscle
fatigue. Restrict joint movement by holding manually,
or using weights or exercise bands.
•
Press MFAC until screen reads "NMES - SEQ RE-ED"
•
Press START / STOP until screen reads " SET OUTPUTS A-B"
•
Set Outputs A and B until the desired contraction level is obtained
•
Press START / STOP and T15 will display in upper right corner.
•
Adjust treatment time if necessary using the TIME/PARAMETER button
•
The treatment will end at the end of the preset time or if the patient safety
switch is pressed.
SPASTICITY REDUCTION
RECIPROCAL INHIBITION
Reduces muscle tone (Spasm)
of spastic muscle.
•
5000 Hz - 80 BPS
•
2500Hz - 50 BPS
•
12Sec “ON” time and 18Sec “OFF” time
•
Channels fire simultaneously
•
Ramps are set for 6 Sec “ON” and 2
Sec “OFF”
•
Treatment time of 20 minutes
Stimulation of the spastic muscle's
antagonists activates reciprocal inhibition of
the spastic muscle reducing tone. Slow
ramps decrease the potential to trigger
spasticity of the agonist. Duration of relief is
typically from 2-3 hours.
A single channel (A or B) is used over the spastic
muscle's antagonist. Set intensity to elicit a
grade2-3 muscle contraction. Ensure the intensity
is not too high to induce overflow activation of the
spastic muscle. Reduce treatment time based on
muscle fatigue and inhibition of spasticity.
•
Press MFAC until screen reads "SPASTICITY REDUCTION RECIPROCAL
INHIBITION "
•
Press START / STOP until screen reads " SET OUTPUTS A-B"
•
Set Outputs A and B until the desired contraction level is obtained
•
Press START / STOP and T20 will display in upper right corner.
•
Adjust treatment time if necessary using the TIME/PARAMETER button
•
The treatment will end at the end of the preset time or if the patient safety
switch is pressed.
