Electrical stimulation L4: Neuromuscular Electrical Stimulation NMES, FES, EMS and Faradic current

This is the fourth Electrotherapy lecture in the Electrotherapy II course targeting second year students, spring semester in the Faculty of Physical Therapy, Benha University, Egypt.
A. Electrical stimulation to induce muscle contraction: (Physiological effects - Indications - Contraindications - Clinical application)
1. Neuromuscular Electrical Stimulation (NMES)
2. Functional electrical stimulation (FES)
3. Electrical muscle stimulation (EMS)
4. Faradic current
B. Faradism under pressure
C. Faradic foot bath
D. Faradic under tension
E. Case studies
Good Luck

[@mohamedsoliman-te2we]

انا بالفعل هذا ليس تخصصي ولكني لم اقابل شرح بهذه الطريقه الصحيحه والسلسه بحس اني في ورشة من ورش العمل اللي انا يحضرها في تخصصي ربنا يوفقك يا دكتوره فاطمه استمري على هذا النهج الصحيح وفقك الله

[@drfatmaalfeky7372]

ربنا يكرمك ويسعدك يارب

[@drfatmaalfeky7372]

2. Complete the following sentence:
To reduce chronic edema by NMES, duty cycle used is ………………………….. and the treatment duration is …………………………………………

[@AsmaaEmad-gc9yl]

1:1
10-20 minutes

[@mohamedkhaled77713]

1:1 duty and for 10 to 20 minutes

[@marwaibrahim2081]

1:1
10: 20 minutes

[@arwayassermohammed5085]

1:1
10 to 20 min

[@mariumelhet4061]

1:1
10_20 minutes

[@ayash3aban]

One is placed proximally and laterally on femoral nerve and vastus lateralis.
One is placed distally and medially on vastus medialis and rectus femoris

[@drfatmaalfeky7372]

1. Complete the following sentence:
To improve quadriceps strength in NMES, electrodes are placed on ……………………………………..

[@ghadaahmedzainelabdeen1869]

Proximal lateral
The other is distal madial

[@mohamedkhaled77713]

On the proximal lateral and distal medial surfaces

[@shahedmohamed6454]

Femoral nerve, vataus medils , vastus lateralis, rectus femoris

[@arwayassermohammed5085]

Proximal on the lateral side on femoral nerve or vastus lateralis and rectus femoris and distal medially on rectus femoris and vastus medialis

[@hossamaboatia5136]

One proximal &lateral
One distal&medial
حسام السيد محمد عطيه

[@drfatmaalfeky7372]

5. Complete the following sentence:
Frequency of Faradic current is ………………………………….

[@olamohamed1141]

30 to 100 Hz

[@abdullahammar6947]

30 to100 hz
عبدالله محمد فتحي ابوالمعاطي

[@alaaadel2552]

30 :100hz

[@mohamedkhaled77713]

30 / 100 Hertez

[@fatmaelzaharaahusseinaliel3255]

30 to 100 hz

[@ayash3aban]

Is lower frequency to avoid or deley fatigue of activitied muscle

[@jalalmajdi5682]

أفضل شرح على الإطلاق
ممكن ال powerpoint slide؛؟

[@drfatmaalfeky7372]

ربنا يكرمك

[@drfatmaalfeky7372]

3. Complete the following sentence:
Frequency of FES is …………………………. to …………………..

[@saramourad3796]

30 to 100

[@mariumelhet4061]

30 to 100 Hz

[@mohamedkhaled77713]

30 .... 100 hz

[@omarmoured3230]

30
100

[@user-dn9eo1is4l]

30-100

[@drfatmaalfeky7372]

4. Complete the following sentence:
In EMS, Pulse durations of ………………………………. is required.

[@shahedmohamed6454]

1:1

[@mohamedkhaled77713]

1:1

[@maryamkamel5460]

1:1

[@mariumelhet4061]

1.1

[@yousefelmarab3612]

1:1

[@drfatmaalfeky7372]

2. Complete the following sentence:
Considerations in NMES for Endurance are …………………………………..

[@a7med27abdullah]

To increase endurance, prolonged stimulation with lower force contractions should be used. High
repetition and short off times (a total of 30 to 60 minutes of stimulated contraction per day in
treatment intervention sessions five to seven times per week for 2 to 10 weeks
• Higher frequency will train the muscle for endurance : 60 to 80 pps
• Amplitude: Maximally tolerated contractions are not necessary
أحمد عبدالله حسين

[@habibagalal5393]

To increase indurance use prolonged stimulation of low force contraction,high repetition and short off time with high frequency and max amplitude is not necessary

[@mostafasaeed04]

Prolonged stimulation with lower force
High repetition and short off time
مصطفى سعيد

[@hemafiqi1418]

prolonged stimulation with lower force contractions should be used with high repetition and high frequency and short off time
ابراهيم احمد الفقي

[@nehalelkholy4569]

To increase endurance , prolonged stimulation with lower force contractions should be used
نهال محمد الخولى

[@etcfh]

On Proximal latral & distal medial surfaces

[@ayash3aban]

1:450 ms

[@user-pt2rr2vj6k]

شكرا

[@preciousemola2242]

Thanks for your videos.
Can I get the PowerPoint?

[@drfatmaalfeky7372]

you are welcome 🌹

[@preciousemola2242]

@@drfatmaalfeky7372 can I send you my email address? I mean for the power point

[@sce371]

Faradic current 42:00

[@Esraamostafa-fe5ex]

❤❤❤❤❤❤❤

[@weirdmindss]

❤❤❤❤❤❤❤❤❤❤

[@drfatmaalfeky7372]

1. Complete the following sentence:
Intensity of FES is ………………….

[@habibagalal5393]

Enough to meet the demand of specific functional task

[@zyadhany2004]

enough to acheive theraputic effect
زياد هاني مرسي طرابيه

[@eimohany7597]

Enough to reach to the needed function
ايمان هانئ ضوه

[@ShahdAdaros]

Enough to meet the demand of specific functional task

[@ShimaaElmokadem-ci4fq]

Enough to achieve therapeutic effect
شيماء علي ممدوح

[@ayash3aban]

1:1
10:20minute

[@abdalkreemkanaan3405]

دكتورة فاطمه - الله يجزاك الخير يارب - ممكن الايميل لحضرتك من اجل استشارة اذا تكرمت

[@ayash3aban]

30:100 Hz

[@drfatmaalfeky7372]

2. Enumerate common uses of FES.

[@d.a607]

Wrist of hand
Dorsiflexor of Ankle during swing phase
Cycling
أماني الدسوقي

[@mahmoudelsayed5400]

Improve hand function
Assist dorsiflextion of ankle
Fes for cycling

[@menamohamed1978]

cycling
dorsiflexion of the ankle
hand function

[@Amirawaleed.44112]

Cycling
Improve hand function

[@ibrahimeweed6288]

Assist in dorsiflexion of ankle
Using in cycling
And hand functional

[@marinfoad1316]

طريقة واو جداا 👍

[@drfatmaalfeky7372]

حبيبتي ❤

[@drfatmaalfeky7372]

1. Complete the following:
Intensity in NMES is ………………………………….

[@d.a607]

Slow raising in intensity
أماني الدسوقي

[@Mo-sayed_mo-22]

Slow raising [50%_70% MCV]

[@amrkhater3458]

slow raising in intensity
عمرو السيد خاطر

[@menamohamed1978]

Slowly then it increases until the patient responds

[@ahmedsalama2046]

Slow raising
احمد محمد توفيق سلامة

[@ayash3aban]

One is placed proximally and laterally on femoral nerve and vastus lateralis.
One is placed distally and medially on vastus medialis and rectus femoris