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
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