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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WIRELESS PROFESSIONAL
14.11.2.1 Protocol
Spasticity: length of treatment to be adjusted depending on progress.
If the patient is experiencing associated pain symptoms, TENS stimulation can be performed in addition on
the other channels.
In this case, the specific practical rules for TENS (electrode placement, regulation of intensity) should be
followed for each channel used for this purpose.
14.11.2.2 treatment frequency
One or two 20 to 30-minute sessions per day.
14.11.2.3 electrode position
Place the electrodes on the muscle antagonist to the spastic muscle to be treated. The stimulation does
not act on the spastic muscle, but on its antagonist.
14.11.2.4 Patient position
The patient and body part being treated are positioned in such a way as to achieve the maximum range
of motion. In fact, unlike the conventional rules for using NMES, it is worthwhile for these treatments to
allow for isotonic contraction of the antagonist muscle, causing movement to the maximum range of
motion, thus causing maximum stretching of the spastic muscle.
lower limb:
leg:
patient seated
thigh:
prone position
Pelvic girdle:
supine position
Shoulder girdle:
patient seated, arm abducted at 30° to the body, elbow resting on an armrest
upper limb:
patient seated
triceps:
elbow in supination;
extensors of the fingers and wrist:
wrist in pronation