NMES

History of NMES

1980 companies started manufacturing

Russian current

No North American scientist has been

abe to dupicate !ots"s caims of #0$
increase in force %s& %ountary
contractions and asting gains up to '0$
in heathy athetes
(
)reat amount of pain *as the current
ampitude +as increased to try to repicate a
%ountary musce contraction,
-hy NMES.

/sed on patients +ho cannot perform a

%ountary musce contraction
(
0eriphera ner%e inner%ation is intact1 yet musce
is too +ea2 to contract from atrophy1 pain1
immobii3ation1 etc&

0romotes eary AR4M in postsurgica and

immobii3ed imbs

5rea2 pain6spasm6pain cyce of musce

spasms
7on"t Repace Strength
8raining +ith NMES

NMES recruits fibers in the opposite

order than that of a %ountary contraction&
(
Machine 9 arge fibers foo+ed by sma
(
:ountary 9 sma fibers foo+ed by arge

0atient needs to mo%e on to more

traditiona +eight training ASA0&
NeuroMuscuar Eectrica Stimuation
indication
NMES is used for

Muscle re-education

Muscle pump contractions

Retardation of atrophy ( disuse atrophy )

Muscle strengthening

Increasing range of motion

Reducing Edema
Musce Re6Education

Primary indication = muscular

inhibition after surgery or injury

muscle contraction usually can be

forced by electrically stimulating the
muscle

Patient feels the muscle contract!

sees the muscle contract! and can
attempt to duplicate the muscle
contraction
Musce 0ump ;ontractions

"sed to duplicate #oluntary muscle

contractions that help stimulate
circulation
$
Pump %uid and blood through #enous
and lymphatic channels bac& to the
heart

'elps re-establish proper circulatory

pattern (hile protecting the injured
area
Retardation of Atrophy

Electrically induced muscle

contractions stimulate the physical
and chemical e#ents associated (ith
normal #oluntary muscle
contractions

"sed to)*
$
Maintain normal muscle function
$
Pre#ent or reduce atrophy
Musce Strengthening

Electrically induced muscle

contractions may be helpful in
treating athletes (ith muscle
(ea&ness or dener#ation of a muscle
group

More research is needed

<ncreasing Range of Motion

Electrically induced muscle

contractions pull joint through limited
range

+ontinued contraction of muscle

group o#er e,tended time results in
joint and muscle tissue modi-cation
and lengthening

May reduce muscle contractures

Reducing Edema

.heory /01 sensory le#el 2+ stimulation

may be used to mo#e interstitial plasma
protein ions in the direction of
oppositely charged electrode

.heory /31 microamp stimulation may

cause #asoconstriction and reduce
permeability of the capillary (all
$
4imits migration of plasma proteins into the
interstitial spaces

More research is needed

NMES ;ontraindications
;ontraindications
7o not use=
a& 4n a person +ith a pacema2er
b& 4%er the heart or brain
c& 4%er recent or non6union fractures
d& 4%er potentia maignancies
NMES Ad%antages > 7isad%antages
Ad%antages
;an be appied to
immobii3ed body
part
7isad%antages
Sometimes becomes
a panacea