NMES/Muscle stimulation

NMES – NEUROMUSCULAR ELECTRICAL STIMULATION


Electrode placements

Here are some examples of electrode placements for common indications. It makes no difference where you place the electrodes with the red and black pins in NMES.

Shoulder – subluxation and impaired abduction?

Indication: 1. Subluxated shoulder after an event such as a stroke. 2. Reduced muscular function in the shoulder after a fracture, luxation, etc.

Placement of electrodes: Place one electrode over the middle of the deltoid and one over the supraspinatus muscle. The position of the electrodes and the stimulation may vary depending on how the subluxation looks.

Upper arm – impaired function in the brachial triceps?

Indication: 1. Reduced function in the brachial triceps, for example after a stroke. 2. Elbow fracture.

Placement of electrodes: Place one pair of electrodes over the brachial triceps..

Torso, lower back – awareness training of spinal extensors?

Indication: Pain/insufficiency in lower back

Placement of electrodes: Place two pairs of electrodes paravertebrally in the lumbar region, along the spinal erector muscles on both sides.

Torso – awareness training of abdominal muscles?

Indication: Reduced function in the abdominal erector muscles.

Placement of electrodes: Place two pairs of electrodes over the abdominal muscles bilaterally.

Lower arm – impaired strength/hypotrophy in the hand extensors?

Indication: 1. Reduced wrist extension and/or flexion spasticity after stroke, etc. 2. Reduced wrist extension after fracture, etc.

Placement of electrodes: Place a pair of electrodes over the hand extensor muscles.

Knee instability?

Indication: 1. Postoperative after ACL/knee operation. 2. Extension defect.
Placement of electrodes: Place one pair of electrodes over the quadriceps.

Knee – muscular imbalance?

Indication: Muscular imbalance in the medial vastus in relation to the lateral vastus.

Placement of electrodes: Place one pair of electrodes over the medial vastus.

Hip – Positive Trendelenburg sign?

Indication: 1. Positive Trendelenburg sign. 2. Reduced function in hip abductors after an event such as a stroke.

Placement of electrodes: Place one pair of electrodes over the hip abductor and flexor.

Lower leg – Achilles-related problems?

Indication: Achilles-related problems.

Placement of electrodes: Place one pair of electrodes over the gastrocnemius.

Lower leg – reduced strength in the dorsal flexors of the foot?

Indication: Reduced dorsal flexion, spasticity.

Placement of electrodes: Alt. 1. One electrode over the peroneus nerve’s exit just under the head of the fibula and one over the anterior tibia. Alt. 2. Both electrodes over the anterior tibia.
Alt. 1.     Alt. 2.

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