Treating Post-Stroke Spasticity: Using electrical stimulation to reduce hypertonicity

Although NMES is used for muscle re-education, it is also an effective way to reduce spasticity prior to therapy or fitting a hand splint.
* Please do not replicate this approach unless you are a clinician with sufficient knowledge on this topic.
** Pay close attention to the contraindications of this approach. Must be avoided in patients with a history of cardiac dysrhythmia, and seizures or patients with implantable pacemaker and/or defibrillator.
StrokeSciences.Com

[@homeralbufera7068]

Extensor Carpi ulnaris is padded. Because the pad is too wide, the adjacent extensor digitorum muscle is also covered by the pad, so both moves at the same time. The problem of muscle adhesion cannot be addressed because the muscle moves at the same time. Based on my experience as a 4-year ischemic stroke survivor, I cut the TENS pad by 1.5 inches so that the target muscle can be isolated and it can glide over the adjoining fascia tissues or muscles.

[@amalojeanlouis9711]

Wi mersi bocou anpil

[@rashmivishwanath5096]

Hi PLz tell product name wr can i buy it in india

[@adhu_n5893]

Can you please mention which EMS machine is using ie product link or!

[@Kyutaa56]

Beurer ems machine is good

[@georgewilliams8409]

should i use burst or normal mode for stroke recovery

[@pwdsinglemomraketera]

I want that..my left arm still not moving after 2 yrs of 2x brainstroke

[@RabiaKhan-qn6up]

How NMES spasticity after stroke?? Plese explain mechanism

[@keithg1502]

It looks like the website strokescience.com no longer exists. Is that correct?

[@StrokeSciences]

You are missing an S... StrokeSciences.com

[@kalaivani2384]

Can I use dynamic hand split for avoid flexion of fingers and wrist joint?

[@hanumantharaothorlikonda5963]

Yes u can

[@josephnguyen3730]

Where can I buying the system for my left hand 🤚 ?!

[@strokeandthegarden9496]

Amazon has tens ems machine

[@emilyjirkovsky4834]

Shouldn't the cathode (black) be the more proximal one?

[@StrokeSciences]

Good observation. With the conventional electrode placement, the tonicity in index and thumb would increase. By placing the cathode more distally we could achieve a better range and less hypertonicity in the thumb and index would occur. I suspect, placing the cathode more distally could stimulate the deeper situated extensors (polilcis brevis/longus and the indicis). The main objective is to stimulate the nerve supplying the motor units (in this case the radial nerve) and the muscle groups using separate electrodes.

[@amnavahid3269]

Is it galvanic or faradic current plss reply

[@hanumantharaothorlikonda5963]

Faradic

[@tonychhotaria5195]

V.helpfull video sir plz send some more video plz sir

[@azoozaltemani]

Make comfortable position for client and therapist

[@mairajalam3377]

Physiotherapist not mentioned this machine

[@josephnguyen3730]

Where do I get the system?!

[@shaikhreajuddin9564]

3:46

[@user-bd8zy2qh1o]

Where mechin parches

[@sundprhythm]

what about placement of stent in artery? can we use nmes that time also

[@sanketgupta5271]

Can spasticity be cured permanently with this device?

[@strokeandthegarden9496]

Baclofen muscle relaxers and Botox injections.

[@gregzeng]

Botox (a few years) & Bacolofen (last several years). Does not work, in the long term. Severe Traumatic Brain Injury, car accident, 39 years ago, when my body was 34 years old. Alibaba is delivering EMS machine similar to the one in this video. Models can be as low as $20 USD. Video shows the older slide in adhesive pad. Since I have only my right hand working, my order is for the press-stud adhesive pad. These are lower cost, easier to store than the older slide in pads, which require two hands to attach.

[@amalojeanlouis9711]

Dan quel payi ou se trouve. Svp

[@Noura-vx9kp]

I’m tired of stroke side effects 💔

[@misbahashraf9485]

You will get better, don't give up.

[@strokeandthegarden9496]

It is a life long recovery.. takes 1000 moves to make progress . Just keep moving.

[@LuisRivera-vv4qy]

My mom has not been able to move her arm and hand for over 10yrs. Will this help her regain movement in her arm and hands? Please someone inform me about this

[@fifthavenuegirl]

supposedly the walk aide is contraindicated for someone with spasicity so does that mean someone with spasicity should not actually use e stim? the walk aide uses e stim on a higher level

[@RP-oj9cu]

which current type it is?elaborate

[@StrokeSciences]

Symmetric Biphasic at 50 Hz and and a pulse width of 300 micro second.

[@carlward9367]

@@StrokeSciences where can one get these type of treatment s

[@StrokeSciences]

At any stroke rehab clinic or at your rehab specialist's office.

[@sathishchandrasekaran6020]

@@StrokeSciences where i can get this machine in india sir

[@prathamesh5252]

is she cured in one attempt

[@StrokeSciences]

No she did not. Spasticity is a chronic and persistent issue after stroke, but using NMES can reduce contractures and atrophy, also could help with re-learning process.

[@tomreynolds9078]

Very doubtful she would be cured with a tens unit in one attempt after stroke.

[@tomreynolds9078]

most of the time there would also be muscle relaxants being utilized by the patients to help with the tight muscle tone in the affected limbs of patients such as baclofen or tinzanadine with mixed results being shown using pharmacology in treatment of limb spasticity!!

[@strokeandthegarden9496]

I take baclofen it work the best.. Botox injections are great too

[@rajevbricksin]

ugh, link hard to find.

[@hmme3682]

Prindavan yappari

[@sauravmisraz]

Exactly this is d problem am facing too... with stimulation when my wrist goes up, fingers gets tight like a claw. Due to spasticity. By d way am hemiplegic due to brain stroke

[@baldwin5510]

Me tooo

[@strokeandthegarden9496]

Botox will help you with the fingers to relax

[@sauravmisraz]

@@strokeandthegarden9496 it did not. Have gone for 2 sessions. Did not work at all. Botox is just waste of money, better to apply pressure, streach andgo for pnf

[@strokeandthegarden9496]

@@sauravmisraz yea.. I figured I try and give you hope. I've never had Botox injections.. I take baclofen muscle relaxers.. they work for me.Sometimes. at first docs had me on Flexeril and that did nothing.. I've seen in bad cases you can get the baclofen pump install.. it has done wonderful things for cerebral palsy .. but unfortunately spasticity is a life long curse we will grow od with and that's the part I don't look forward too.. because waking up everyday with stiff knees and shoulders don't sound like fun.. if I'm alive at 60 + I'll probably be bed ridden praying for death.. for now I've got 8 more years for my daughter to graduate.. and become a little more mentally stable in this fucked world..

[@davidlo168888]

If endogenous neural stem cells (NSCs) can't be triggered for regeneration, all physical rehabilitation seems to be of little help. Central nervous system definitely has enough endogenous adult stem cells for repair of damaged nerves and neurons. God's mercy nano-medication should be the last-ditch treatment for stroke and can cure stroke. All glory belongs to God !