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

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  • čas přidán 25. 02. 2018
  • 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

Komentáře • 52

  • @homeralbufera7068
    @homeralbufera7068 Před rokem +3

    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.

  • @josephnguyen3730
    @josephnguyen3730 Před 2 lety +2

    Where do I get the system?!

  • @rashmivishwanath5096
    @rashmivishwanath5096 Před 3 lety +1

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

  • @georgewilliams8409
    @georgewilliams8409 Před 3 měsíci

    should i use burst or normal mode for stroke recovery

  • @pwdsinglemomraketera
    @pwdsinglemomraketera Před rokem

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

  • @amalojeanlouis9711
    @amalojeanlouis9711 Před 4 lety +1

    Wi mersi bocou anpil

  • @RabiaKhan-qn6up
    @RabiaKhan-qn6up Před 7 měsíci

    How NMES spasticity after stroke?? Plese explain mechanism

  • @user-bd8zy2qh1o
    @user-bd8zy2qh1o Před 7 měsíci

    Where mechin parches

  • @adhu_n5893
    @adhu_n5893 Před 3 lety +2

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

    • @Kyutaa56
      @Kyutaa56 Před 11 měsíci

      Beurer ems machine is good

  • @josephnguyen3730
    @josephnguyen3730 Před 2 lety

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

  • @amnavahid3269
    @amnavahid3269 Před 4 lety +1

    Is it galvanic or faradic current plss reply

  • @mairajalam3377
    @mairajalam3377 Před 5 měsíci

    Physiotherapist not mentioned this machine

  • @keithg1502
    @keithg1502 Před 5 lety

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

  • @amalojeanlouis9711
    @amalojeanlouis9711 Před 4 lety

    Dan quel payi ou se trouve. Svp

  • @kalaivani2384
    @kalaivani2384 Před 5 lety +3

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

  • @sundprhythm
    @sundprhythm Před rokem

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

  • @emilyjirkovsky4834
    @emilyjirkovsky4834 Před 5 lety +3

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

    • @StrokeSciences
      @StrokeSciences  Před 5 lety +6

      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.

  • @azoozaltemani
    @azoozaltemani Před rokem

    Make comfortable position for client and therapist

  • @tonychhotaria5195
    @tonychhotaria5195 Před 3 lety

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

  • @LuisRivera-vv4qy
    @LuisRivera-vv4qy Před 11 měsíci

    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

  • @sanketgupta5271
    @sanketgupta5271 Před 3 lety

    Can spasticity be cured permanently with this device?

    • @strokeandthegarden9496
      @strokeandthegarden9496 Před rokem +1

      Baclofen muscle relaxers and Botox injections.

    • @gregzeng
      @gregzeng Před rokem

      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.

  • @fifthavenuegirl
    @fifthavenuegirl Před rokem

    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

  • @rajevbricksin
    @rajevbricksin Před rokem

    ugh, link hard to find.

  • @Noura-vx9kp
    @Noura-vx9kp Před 2 lety +5

    I’m tired of stroke side effects 💔

  • @RP-oj9cu
    @RP-oj9cu Před 5 lety +1

    which current type it is?elaborate

    • @StrokeSciences
      @StrokeSciences  Před 5 lety +1

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

    • @carlward9367
      @carlward9367 Před 4 lety

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

    • @StrokeSciences
      @StrokeSciences  Před 4 lety +1

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

    • @sathishchandrasekaran6020
      @sathishchandrasekaran6020 Před 2 lety

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

  • @prathamesh5252
    @prathamesh5252 Před 5 lety +1

    is she cured in one attempt

    • @StrokeSciences
      @StrokeSciences  Před 5 lety

      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
      @tomreynolds9078 Před 5 lety +1

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

    • @tomreynolds9078
      @tomreynolds9078 Před 5 lety

      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
      @strokeandthegarden9496 Před rokem

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

  • @hmme3682
    @hmme3682 Před 11 měsíci

    Prindavan yappari

  • @sauravmisraz
    @sauravmisraz Před 2 lety

    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
      @baldwin5510 Před 2 lety

      Me tooo

    • @strokeandthegarden9496
      @strokeandthegarden9496 Před rokem

      Botox will help you with the fingers to relax

    • @sauravmisraz
      @sauravmisraz Před rokem

      @@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
      @strokeandthegarden9496 Před rokem +1

      @@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
    @davidlo168888 Před 2 lety +1

    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 !