Neuromuscular Electrical Stimulation (NMES)
Neuromuscular electrical stimulation (NMES) uses a low-level electrical current that decreases swelling and allow muscle contraction and recruitment after an orthopedic or neurological injury.
- Pulse Duration
- On/Off Time
- Polarity of Electrodes
Usually, NMES is used on the point of origin for the condition and the belly, often for neurological dysfunctions.
Possible indications for use of NMES: neurological atrophy, muscle disuse atrophy, improper muscle firing sequences and joint effusion
Transcutaneous Electrical Neuromuscular Stimulation (TENS)
Transcutaneous electrical neuromuscular stimulation (TENS) provides a low-level electrical current to disrupt the normal pain perception pathways. It releases endorphins into the blood stream and cerebrospinal fluid to relieve pain and inflammation post-surgically or as an alternative to surgery.
- Pulse Rate
- Pulse Width
Possible indications for use of TENS: Intervertebral Disc Disease, paraspinal muscle spasm,Lumbosacral Disease, partial CCL tears, arthritis, and other elbow or knee pain.
TENS can also be used in stimulating acupuncture points in order to achieve a systemic response, in addition to a localized response. It is often effective when combined with laser therapy, magnetic field therapy, massage, traction, and/or stretching exercises.