Chattanooga Wireless Professional, User Manual, Page: 171 / 283

1 3 . aV a i l a B l e t H e r a P y P r O G r a M S
170 EN WIRELESS PROFESSIONAL
cateGOry NeurOlOGical
PrOGraM HeMiPleGic SHOulder
WHeN?
The shortage of suspensory muscles in the humeral head combined with spasticity
of the pectoralis major can often be a cause of a lower subluxation of the shoulder in
hemiplegic patients. This is always painful and often develops into a complex regional
pain syndrome.
WHy?
To reduce shoulder pain and to treat or prevent subluxations of the shoulder.
HOW?
Stimulating the deltoid and the supraspinatus facilitates a reduction of spasticity in
the pectoralis major by reciprocal inhibition reflex. This programme has a very gradual
rate of tensioning and does not use low frequencies in order to avoid myotatic reflex
stretching (monosynaptic stretch reflex) of the spastic muscle.
PulSe WidtH
To make it as comfortable as possible for the patient, use pulse widths equivalent to the
chronaxies of the motor nerves of the abdominal and lumbar muscles. The mi-SCAN
function can be used to determine the pulse widths suitable for the patient’s muscles.
electrOdeS
Electrodes positioned according to the specific indication.
iNteNSity
Use the necessary energy to effect strong contractions of the deltoid and the
supraspinatus to elevate the shoulder stump whilst ensuring that this electrically
induced activation does not spread to the adductor and depressor muscles of the
shoulder.
+teNS
OPtiON
Yes.
- A minimum of 1 channel with muscular work imposed by the Disuse atrophy
programme.
- A maximum of 3 channels with the TENS programme.
• Electrodes positioned on the painful area.
• Sufficient stimulation energy to produce a clear tingling sensation.
Once the +TENS combination has been activated, the message “TENS” appears on the
screen with respect to the channel or channels where the treatment is active. The mi
functions – apart from the mi-SCAN – are also no longer accessible.
Take care to properly observe the correct order for switching on the modules, the order
of switching on that corresponds to the numbering of the channels.