Setting up VMS FR

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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