Presentation Transcript
VMS FR: VMS FR Setting up parameters
What is VMS FR?: What is VMS FR? Waveform delivered concurrently through 2 channels, placed on agonistic and antagonistic muscle groups
Stimulation mimics natural recruitment patterns
General guidelines: General guidelines
Slide4: Select electrotherapy
Slide5: Select VMS / VMS Burst
Slide6: Select VMS FR
Slide7: Edit parameters for tonic protocol
Slide8: Edit phase duration
Slide9: Increase phase duration to 300 μsec
Slide10: Edit frequency
Slide11: Change frequency to 30 pps
Slide12: Change burst duration to 1500 msec
Slide13: Tonic protocol
Slide14: Edit parameters for phasic protocol
Slide15: Change phase duration to 140 μsec
Slide16: Change frequency to 80 pps
Slide17: Change burst duration to 2000 msec
Slide18: Change On/Off ratio to 1:5
Slide19: Phasic protocol
VMS FR: VMS FR Treatment ideas
Slide21: Spastic upper extremity
Protocol: Tonic
Channel 1 on triceps
Channel 2 on biceps
Slide22: Spastic upper extremity
Step 1: inhibit tone for 10 mins (min-mod intensity)
Step 2: do functional task (reach, push, pull) in sync with Burst Duration and On/Off ratio
Slide23: Weak extensors forearm
Protocol: Phasic
Channel 1 on extensors
Channel 2 on flexors
Slide24: Weak extensors forearm
Step 1: increase extensor tone for 10 mins (min-mod intensity)
Step 2: do functional task (reach, grasp) in sync with Burst Duration and On/Off ratio
Increase intensity as needed
Slide25: Weak dorsiflexors/evertors
Protocol: Phasic
Channel 1 on dorsiflexors/evertors
Channel 2 on flexors
Slide26: Weak dorsiflexors/evertors
Step 1: increase extensor tone for 10 mins (min-mod intensity)
Step 2: do functional task (step through, etc) in sync with Burst Duration and On/Off ratio
Increase intensity as needed