Enraf-Nonius
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14.1.2 Indications
•
Neuromuscular
facilitation
•
Maintaining and increasing range of motion
•
Circulation
increase
•
Prevent
atrophy/hypotrophy
•
Reduction of spasticity
•
Peroneal nerve stimulation
•
Incontinence
treatment
•
Pain
relief
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14.1.3
Placement of electrodes
The placement of the electrodes is significant for the best results. Select the electrode size
according to the muscle group to be treated. We suggest placing two larger or four smaller
electrodes over the motor point i.e. the area on the skin, which requires the least amount of
current to activate the underlying muscle.
Try various placements for the best possible muscle contraction. The distance between the
electrodes must be at least 3 cm and no more than 30 cm. Each program has a diagram with
suggested placements of two or more electrodes.
14.1.4 Stimulation
The aim of the treatment is to create muscle contractions. Increase the amplitude above the
somatosensory threshold until a motor response occurs. The contraction must not be painful.
Often the patient needs to get used to the stimulation, so the treatments do not reach therapeutic
intensity right away; you have to increase the amplitude during the course of the treatment.
Intense muscle contractions created by electric current sometimes cause muscle aches, just like
voluntary training. Stretching after an NMES treatment can be a good idea.
