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Muscle Re-Education
PROTOCOL / CLINICAL
INDICATION
STIMULATION PARAMETERS
MECHANISM OF ACTION
APPLICATION TECHNIQUE
OPERATIONAL SEQUENCE
MFAC SURFACE DEEP
MUSCLE
Treatment of muscle disuse
atrophy for strength development
2500Hz - 75 BPS
10 Sec “ON” time and 50 Sec “OFF” time
Channels fire simultaneously
Ramps are 2Sec “ON/OFF”
Treatment time 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 - superficial and deep muscle groups.
Bipolar set-up over agonist and antagonist muscles
for target muscle. Set intensity to elicit a grade 2-4
muscle contraction. Reduce treatment time based
on muscle fatigue. Restrict joint movement by
holding manually, or using weights or exercise
bands.
Press MUSCLE RE-ED button until screen reads "MFAC SURFACE
DEEP MUSCLE".
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.
LVPC SURFACE MUSCLE
Treatment of muscle disuse
atrophy for strength development
50 Hz - 70 uSec PD
10Sec “ON” time and 50Sec “OFF” time
Channels fire simultaneously
Ramps are 2Sec “ON/OFF”
Treatment time 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 - smaller superficial muscle groups.
Bipolar set-up over agonist and antagonist muscles
for target muscle. Set intensity to elicit a grade 2-4
muscle contraction. Reduce treatment time based
on muscle fatigue. Restrict joint movement by
holding manually, or using weights or exercise
bands.
Press MUSCLE RE-ED button until screen reads "LVPC SURFACE
MUSCLE".
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.
Functional Re-Education
Functional Re-Ed Assisted
PROTOCOL / CLINICAL
INDICATION
STIMULATION PARAMETERS
MECHANISM OF ACTION
APPLICATION TECHNIQUE
OPERATIONAL SEQUENCE
MFAC HAND CONTROL
Active assisted treatment to
develop functional movement of
superficial and deep muscle.
2500Hz - 50 BPS
Channels fire simultaneously
Treatment time 15 minutes
Activation of muscle with electrical stimulation
during functional movement. The patient should
participate to the extent possible with the functional
movement by contracting during the stimulation
“ON” time.
Target tissue - 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. The patient should participate in
active functional movement.
Press FUNCTIONAL RE-ED ASSIST button until screen reads "MFAC
HAND CONTROL".
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.
LVPC HAND CONTROL
Active assisted treatment to
develop functional movement of
superficial and deep muscle.
50 Hz - 70 uSec PD
Channels fire simultaneously
Treatment time 15 minutes
Activation of muscle with electrical stimulation
during functional movement. The patient should
participate to the extent possible with the functional
movement by contracting during the stimulation
“ON” time.
Target tissue - smaller superficial muscle groups.
Bipolar set-up over agonist and antagonist muscles.
Set intensity to elicit a grade 3-5 muscle contraction.
Reduce treatment time based on muscle fatigue.
The patient should participate in active functional
movement.
Press FUNCTIONAL RE-ED ASSIST button until screen reads "LVPC
HAND CONTROL".
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.
PROTOCOL / CLINICAL
INDICATION
STIMULATION PARAMETERS
MECHANISM OF ACTION
APPLICATION TECHNIQUE
OPERATIONAL SEQUENCE
SLOW CYCLE
70 µS PD
EMG based cycle pattern
42 or 60 RPM
Treatment time 15 minutes
Functional re-education of synchronized
muscle movement for simulating cycling.
This program simulates cycling and can be used
to retrain reciprocal movement of the L.E. with or
without resistance. Electrodes are applied to
both quads while sitting with hips and knees
flexed. Use a lower extremity ergometer or pedal
exerciser in combination with stimulation at mild
to moderate contraction intensity for closed
chain functional training. Increase resistance as
the patient progresses in the rehab program.
Press FUNCTIONAL RE-ED button until screen reads "SLOW CYCLE”
or “FAST CYCLE".
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.
FAST CYCLE
SLOW WALK
70 µS PD
EMG based walk pattern
42, 60 or 88 strides/min
Treatment time 15 minutes
Functional re-education of synchronized
muscle movement for simulating walking.
This program simulates walking at a speed of 1-
1.5 strides/sec. The program is used to re-
educate gait function. Electrodes are applied to
both quads while sitting with hips and knees
flexed. A light resistance using weight cuffs or
exercise band can be applied. The stimulation
should cause a light to moderate contraction.
Transition to standing, with weight shifting
activities then to walking in place in later rehab.
Press FUNCTIONAL RE-ED button until screen reads "SLOW WALK”
or “MEDIUM WALK” or “FAST WALK".
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.
MEDIUM WALK
FAST WALK