Chattanooga Wireless Professional, Руководство пользователя, Страница: 212 / 283

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
211 EN WIRELESS PROFESSIONAL
14.2 disuse atrophy rehabilitation (standard protocol)
example: disuse atrophy of the quadriceps
Traumas of the locomotive system can be extremely diverse (fractures, sprains, dislocations, etc.) and have
varied functional repercussions.
Despite immense progress in orthopaedic medicine, it is still common practice to have a period of
immobilisation of the area concerned, which can be total or partial.
The result is always a significant reduction, in the normal activity of the muscles in the traumatised region.
The rapid disuse atrophy which occurs (reduction in the muscle volume and the muscle tissue’s ability to
contract) can sometimes compromise the functional future of the patient.
The physiological mechanisms involved in the alteration of the different muscle fibres under such
circumstances are well-known, and therefore extremely specific treatments can be proposed, which can
produce optimum benefits on their own.
This standard protocol is recommended for the majority of cases of functional disuse atrophy. However,
this protocol can be adapted depending on the pathology, the treatment objectives and the speed of the
patient’s recovery.
14.2.1 Protocol
Weeks 1 – 2: disuse atrophy level 1
During the first two weeks of treatment, the following 3 objectives must be worked towards and
achieved:
• Eliminate muscle wastage.
• Familiarise the patient with the NMES technique so that the patient can work with high levels of
stimulation energy.
• Obtain the first signs of regain of trophicity (slight increase in volume, improvement in tone).
Weeks 3 – 6: disuse atrophy level 2
The objective is the restoration of near-normal muscle volume.
Weeks 7 – 8: reinforcement level 1
The objective is to develop the maximum strength the muscle or muscle group can produce.
14.2.2 treatment frequency
One to two sessions every day (if two sessions are carried out every day, enough time must be given to
rest between the two sessions).
Minimum: three sessions per week.