NMES and FES demonstration; also use of a movable electrode to find motor points

[@TheSchmandarinOrange]

I'm an OT student and very happy to have found this channel!

[@Dr.B_OT]

I'm glad you found it too! Share with your friends and colleagues!

[@yasmeenb9742]

The moving electrode is genius. Thank you so much for that tip!

[@Dr.B_OT]

Glad you found it helpful!

[@jayspringer8152]

I have radial nerve damage as well as the other nerves from a humerus fracture i was in a near fatal accident. I have a occupational therapist who has looked into this and we started using this treatment as well as others. However, my wrist hadn't moved in any position. It does the opposite a few months into therapy. I've been slowly regaining the use.

[@tichyzabijak]

have you figerd out how to move it ? I have the same exact question as you

[@LindyK]

I’m so glad I found this. I‘ve had chronically tight lumbar muscles for years. Will this work to release them? If so what’s the general range? Thank you. I need help desperately as I have such limited range of motion.

[@randiharms3471]

Hello I was trained to not use alcohol wipes as it can dehydrate the skin and obstruct the electrical flow. If you could clarify this I would love to hear your opinion :) Thanks! I do love your video lol

[@Dr.B_OT]

Hi Randi - Thanks for the feedback! I agree that some texts say to avoid alcohol wipes and use soap and water instead, though I've never seen a citation for research to back that up. Bottom line - it may be better to wash the skin with soap and water than use an alcohol wipe before applying disposable self-adhering electrodes; however, an alcohol wipe is probably better than no cleaning at all. Most iontophoresis electrode kits come with an alcohol wipe for cleaning the skin. Again, thanks for the feedback!

[@ar.a5001]

Excellent, very informative

[@Dr.B_OT]

Thanks!

[@PBandJ8]

Do you have a video on Empi Select older model I cannot get it strong enough for my lower back pain… highest it goes is 60, usually works, not tonight.

[@beckham4ever2005]

What is pulse width in this machine ? I am looking 1ms. I need mode where frequency is a range(70-100-70),

[@niloufarch8469]

You have greate and useful videos! Could you please make a video of using NMES and FES for rotator cuff muscles as well?

[@Dr.B_OT]

That is a great suggestion! I'll put it on the to-do list, but that list is long already, just to let you know!

[@87nandininavadiya56]

Very informative video

[@Dr.B_OT]

Glad it was helpful!

[@brahimphilo]

Please how to switch to the ch2 ? Alternative option??

[@redsnap3545]

Pulse width setting?

[@jovanstrezovski8167]

After watching your video i bought this device,but unfortunately i can get correct contractions.Also i tried on dorsal flexion the results are the same.Why? Iwas trying different pads position ,different settings ...

[@jovanstrezovski8167]

Is it possible person that should excercise dorsal flexion and CAN make on his own dorsal flexion through the FES/NMES to get excessive eversion or inversion all the time?We try all possible solution,all settings,spots,and all sizes of electrodes.What can be the problem?

[@Dr.B_OT]

It sounds like you are hitting something that is giving you the unwanted motion. I'm not an expert in ankle NMES; but for ankle dorsiflexion you want to hit tibialis anterior, and possibly extensor digitorum longus and extensor hallucis longus. Tibialis anterior is probably going to be the easiest one to target, and it will be *just* lateral to the anterior border (ridge) of the tibia, just distal to the patellar ligament. It would be pretty easy to go too far lateral and hit some everters as well.

[@kanna1016]

Very informative! I would like to help my father recover from a stroke. Where can I buy this Empi machine?

[@Dr.B_OT]

Unfortunately Empi went out of business, but MediStim bought their remaining stock and is selling it online. There are other NMES units on the market, but very few that can be switch-activated for FES.

[@sathishchandrasekaran6020]

@@Dr.B_OT hi sir can we find trigger points through this machine

[@pravinasolanki209]

My relative has all the movements but has no sensation at all. Can this device be used to get the sensation back? If so what settings and where should o e place the electrodes. Also her ring finger and small finger are curled inwards, can you use this device to deal with this issue?

[@hummiebubs6967]

Your relative should see a certified hand therapist.

[@Dr.B_OT]

I can't comment on any particular case, but I agree that your relative should see a hand surgeon and a certified hand therapist. www.htcc.org www.assh.org

[@BrokenStrings1605]

Do these devices us galvanic current?

[@Dr.B_OT]

No; these use a pulsed biphasic waveform.

[@nadayacross1613]

Hello, I work for Texas Woman's University in the Disability Services for Students office. One of our professors is using the following video as a part of their curriculum. Can you either upload accurate captions to this video to make them accessible to Deaf and Hard of Hearing people viewing the video, or will you give me permission to caption the video so that we can get this video captioned as quickly as possible? We are not able to use the auto-generated captions as they are not ADA-compliant. I am more than happy to share the caption file with you if permission is granted.

[@Dr.B_OT]

Please feel free to caption the video and I would be grateful if you would share the cation file!

[@kyahrah9035]

What is the recommended/evidence base regarding sets and reps? Thanks.

[@Dr.B_OT]

I didn't go into all that - this is just a visual of the application. I'd suggest you get a good current modalities book for that information, if you don't have one already.

[@jersonsoriano3706]

how many hours max?3x a day?

[@Dr.B_OT]

The duration and frequency of the intervention will depend on the diagnosis and the parameters. You need to be careful to not over-fatigue the muscles. I'd suggest you get a good modalities book, if you don't have one.

[@pravinasolanki209]

what is the difference between NMES and FES

[@ranjandish]

They are used interchangeably. FES is using NMES to bring the functions of a part of body back for example after a stroke, etc.

[@Dr.B_OT]

FES is when NMES is used during functional activity, usually with an external switch.

[@rahilarora3792]

What’s the name of device ?!

[@Dr.B_OT]

This is an EMPI continuum. Now Chattanooga distributes it. chattmed.com/shop/product/continuum/