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EMS PROTOCOLS
Colles Fracture Wrist Extension
Pulse Rate On Ramp On Time Off Time Stimulation
20-60 pps 4 Sec. 10 Sec. 10 Sec. Reciprocating
Negative Electrode Over the proximal third of the dorsal surface of the patient's forearm.
Positive Electrode On dorsal surface just proximal to the wrist joint.

Colles Fracture - Wrist Flexion
Pulse Rate On Ramp On Time Off Time Stimulation
20-60 pps 4 Sec. 10 Sec. 10 Sec. Reciprocating
Negative Electrode Over the flexor tendors distally on the upper third of the volar forearm.
Positive Electrode Over the flexor tendors distally on the volar forearm.

Tenolysis Finger Extension
Pulse Rate On Ramp On Time Off Time Stimulation
20-60 pps 4 Sec. 10 Sec. 10 Sec. Cycled
Negative Electrode Placed on the proximal medial aspect of the volar forearm.
Positive Electrode On the volar distal forearm approximately 2" (5 cm) above proximal wrist crease.

Tenolysis - Finger Flexion
Pulse Rate On Ramp On Time Off Time Stimulation
20-60 pps 4 Sec. 10 Sec. 10 Sec. Cycled
Negative Electrode Placed over the posterior deltoid on the proximal third of the upper arm
Positive Electrode Is placed in the supraspinous fossa just above the spine of the scapula.

Shoulder Subluxation
Pulse Rate On Ramp On Time Off Time Stimulation
20 pps 4 Sec. 10 Sec. 15 Sec. Cycled
Negative Electrode Placed over the posterior deltoid on the proximal third of the upper arm
Positive Electrode Is placed in the supraspinous fossa just above the spine of the scapula.

Shoulder Dysfunction
Pulse Rate On Ramp On Time Off Time Stimulation
30-35 pps 2 Sec. 15 Sec. 30 Sec. Cycled
Negative Electrode Double-plugged into electrode over the motor point of the infraspinatus.
Positive Electrode Electrode from channel 1 is placed over the motor point of the supraspinatus. The electrode from channel 2 is placed over the motor point of the teres minor.

Low Back Pain
Pulse Rate On Ramp On Time Off Time Stimulation
20-30 pps 4 Sec. 25 Sec. 10 Sec. Cycled
Negative Electrode Placed bilaterally at L2-L4 levels over the erector spinae muscle bulk.
Positive Electrode Placed bilaterally at L2-L4 levels over the erector spinae muscle bulk.

Dorsiflexion Assist
Pulse Rate On Ramp On Time Off Time Stimulation
30 pps 2 Sec. 15 Sec. 20 Sec. Cycled
Negative Electrode Proximal and lateral on the lower leg over the muscle bellies of the anterior tibialis and peroneal muscle groups.
Positive Electrode Is placed distal on the lower leg and over the peroneal tendons.

Ankle Dorsiflexion
Pulse Rate On Ramp On Time Off Time Stimulation
25-35 pps 2 Sec. 10 Sec. 20 Sec. Cycled
Negative Electrode Proximal and lateral on the lower leg over the muscle bellies of the anterior tibialis and peroneal muscle groups.
Positive Electrode Is placed distal on the lower leg and over the peroneal tendons.

Ankle Plantar Flexion
Pulse Rate On Ramp On Time Off Time Stimulation
25-35 pps 2 Sec. 20 Sec. 20 Sec. Cycled
Negative Electrode Placed on the midline so that both heads of the gastrocnemius as well as the soleus are stimulated.
Positive Electrode Is placed in the midline well above the Achilles Tendon.

Knee Flexion
Pulse Rate On Ramp On Time Off Time Stimulation
25-35 pps 2 Sec. 20 Sec. 20 Sec. Cycled
Negative Electrode Place relativly low and laterally on the muscle bulk of the ham strings, keeping away from the adductors.
Positive Electrode Is placed distal to the active electrode or 2" (5 cm) proximal to the popliteal crease.

Knee Extension
Pulse Rate On Ramp On Time Off Time Stimulation
25-35 pps 2 Sec. 20 Sec. 20 Sec. Cycled
Negative Electrode Place over the lateral muscle bulk of the thigh, just distal to the greater trochanter.
Positive Electrode Is placed intermediately superior to the patella.

Hemiplegic Gait Assist
Pulse Rate On Ramp On Time Off Time Stimulation
30-50 pps 2 Sec. 15 Sec. 20 Sec. Cycled
Negative Electrode Proximal 1/3 of the medial thigh.
Positive Electrode Is placed over the distal 1/3 of the thigh.

Scissors Gait
Pulse Rate On Ramp On Time Off Time Stimulation
30-50 pps 2 Sec. 15 Sec. 20 Sec. Cycled
Negative Electrode Is placed over the motor point of the vastus medialis oblique.
Positive Electrode Is placed over the anterior tibialis and toe extensor musculature.


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