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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
218 EN WIRELESS PROFESSIONAL
14.4.5 associated exercises
For the first two weeks:
On each contraction induced by the stimulation, the patient must:
• Breathe out slowly
• Pull in the stomach
• Elongate the body along its axis
The patient then returns to the starting position during the rest phase and slowly breathes in.
For the following two weeks:
The basis of the exercises stays the same: combine an electrically-induced contraction with breathing out,
pulling in the stomach and elongating the body.
Depending on the patient’s progress, the following can gradually be added to the exercises:
• Additional movement of an upper limb: lifting up an arm
• Additional movement of a lower limb: taking one foot off the floor
• Quick movements of two upper limbs: throwing and catching a ball
• etc.
14.4.6 Stimulation energy
In NMES, the stimulation energy is directly responsible for spatial recruitment: the higher the 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.