1 4 . H O W T O U S E T H E W I R E L E S S P R O F E S S I O N A L O N S P E C I F I C
I N D I C AT I O N S
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EN
WIRELESS PROFESSIONAL
14.3.3 electrode position
A single channel is enough for the stimulation of the peroneus muscles.
A small electrode is placed under the head of the fibula, at the passage of the Common Peroneal nerve.
The large electrode is placed mid-way up the external lateral side of the leg.
For optimum effectiveness, the positive electrode should preferably be positioned on the motor point.
14.3.4 Patient position
First of all, the patient is seated on the rehabilitation table, barefoot and without touching the floor.
In this position, the therapist gradually increases the stimulation energy until a motor response is
manifested by an eversion of the foot.
As soon as this response is obtained (most often after 2 or 3 contractions), the barefoot patient is put into
standing position.
This position is particularly useful because it requires an associated proprioceptive effort, which can be of
increasing difficulty (two feet, one foot, balance board, etc.)
14.3.5 Stimulation energy
In NMES, the stimulation energy is directly responsible for spatial recruitment: the higher then stimulation
energy, the higher the percentage of motor units recruited and the greater the impact of the progress.
The general rule is to always try to increase the energy to the maximum level tolerated by the patient.
The therapist plays a fundamental role by encouraging and reassuring the patient, who can then tolerate
levels of energy that produce powerful contractions.
The levels of energy reached must increase throughout the session, and also from session to session,
because the patients quickly get used to the technique.