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Treating Post-Stroke Spasticity: Using electrical stimulation to reduce hypertonicity 

StrokeSciences
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Although NMES is used for muscle re-education, it is also an effective way to reduce spasticity prior to therapy or fitting a hand splint.
* Please do not replicate this approach unless you are a clinician with sufficient knowledge on this topic.
** Pay close attention to the contraindications of this approach. Must be avoided in patients with a history of cardiac dysrhythmia, and seizures or patients with implantable pacemaker and/or defibrillator.
StrokeSciences.Com

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25 фев 2018

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Комментарии : 53   
@homeralbufera7068
@homeralbufera7068 Год назад
Extensor Carpi ulnaris is padded. Because the pad is too wide, the adjacent extensor digitorum muscle is also covered by the pad, so both moves at the same time. The problem of muscle adhesion cannot be addressed because the muscle moves at the same time. Based on my experience as a 4-year ischemic stroke survivor, I cut the TENS pad by 1.5 inches so that the target muscle can be isolated and it can glide over the adjoining fascia tissues or muscles.
@amalojeanlouis9711
@amalojeanlouis9711 4 года назад
Wi mersi bocou anpil
@rashmivishwanath5096
@rashmivishwanath5096 3 года назад
Hi PLz tell product name wr can i buy it in india
@pwdsinglemomraketera
@pwdsinglemomraketera Год назад
I want that..my left arm still not moving after 2 yrs of 2x brainstroke
@georgewilliams8409
@georgewilliams8409 4 месяца назад
should i use burst or normal mode for stroke recovery
@RabiaKhan-qn6up
@RabiaKhan-qn6up 8 месяцев назад
How NMES spasticity after stroke?? Plese explain mechanism
@keithg1502
@keithg1502 5 лет назад
It looks like the website strokescience.com no longer exists. Is that correct?
@StrokeSciences
@StrokeSciences 5 лет назад
You are missing an S... StrokeSciences.com
@adhu_n5893
@adhu_n5893 3 года назад
Can you please mention which EMS machine is using ie product link or!
@Kyutaa56
@Kyutaa56 11 месяцев назад
Beurer ems machine is good
@user-bd8zy2qh1o
@user-bd8zy2qh1o 8 месяцев назад
Where mechin parches
@kalaivani2384
@kalaivani2384 5 лет назад
Can I use dynamic hand split for avoid flexion of fingers and wrist joint?
@hanumantharaothorlikonda5963
@hanumantharaothorlikonda5963 4 года назад
Yes u can
@josephnguyen3730
@josephnguyen3730 2 года назад
Where can I buying the system for my left hand 🤚 ?!
@strokeandthegarden9496
@strokeandthegarden9496 Год назад
Amazon has tens ems machine
@mairajalam3377
@mairajalam3377 5 месяцев назад
Physiotherapist not mentioned this machine
@amnavahid3269
@amnavahid3269 4 года назад
Is it galvanic or faradic current plss reply
@hanumantharaothorlikonda5963
@hanumantharaothorlikonda5963 4 года назад
Faradic
@emilyjirkovsky4834
@emilyjirkovsky4834 5 лет назад
Shouldn't the cathode (black) be the more proximal one?
@StrokeSciences
@StrokeSciences 5 лет назад
Good observation. With the conventional electrode placement, the tonicity in index and thumb would increase. By placing the cathode more distally we could achieve a better range and less hypertonicity in the thumb and index would occur. I suspect, placing the cathode more distally could stimulate the deeper situated extensors (polilcis brevis/longus and the indicis). The main objective is to stimulate the nerve supplying the motor units (in this case the radial nerve) and the muscle groups using separate electrodes.
@josephnguyen3730
@josephnguyen3730 2 года назад
Where do I get the system?!
@shaikhreajuddin9564
@shaikhreajuddin9564 15 дней назад
3:46
@sundprhythm
@sundprhythm Год назад
what about placement of stent in artery? can we use nmes that time also
@amalojeanlouis9711
@amalojeanlouis9711 4 года назад
Dan quel payi ou se trouve. Svp
@tonychhotaria5195
@tonychhotaria5195 3 года назад
V.helpfull video sir plz send some more video plz sir
@azoozaltemani
@azoozaltemani Год назад
Make comfortable position for client and therapist
@sanketgupta5271
@sanketgupta5271 3 года назад
Can spasticity be cured permanently with this device?
@strokeandthegarden9496
@strokeandthegarden9496 Год назад
Baclofen muscle relaxers and Botox injections.
@gregzeng
@gregzeng Год назад
Botox (a few years) & Bacolofen (last several years). Does not work, in the long term. Severe Traumatic Brain Injury, car accident, 39 years ago, when my body was 34 years old. Alibaba is delivering EMS machine similar to the one in this video. Models can be as low as $20 USD. Video shows the older slide in adhesive pad. Since I have only my right hand working, my order is for the press-stud adhesive pad. These are lower cost, easier to store than the older slide in pads, which require two hands to attach.
@Noura-vx9kp
@Noura-vx9kp 2 года назад
I’m tired of stroke side effects 💔
@misbahashraf9485
@misbahashraf9485 2 года назад
You will get better, don't give up.
@strokeandthegarden9496
@strokeandthegarden9496 Год назад
It is a life long recovery.. takes 1000 moves to make progress . Just keep moving.
@LuisRivera-vv4qy
@LuisRivera-vv4qy 11 месяцев назад
My mom has not been able to move her arm and hand for over 10yrs. Will this help her regain movement in her arm and hands? Please someone inform me about this
@fifthavenuegirl
@fifthavenuegirl Год назад
supposedly the walk aide is contraindicated for someone with spasicity so does that mean someone with spasicity should not actually use e stim? the walk aide uses e stim on a higher level
@rajevbricksin
@rajevbricksin Год назад
ugh, link hard to find.
@RP-oj9cu
@RP-oj9cu 5 лет назад
which current type it is?elaborate
@StrokeSciences
@StrokeSciences 5 лет назад
Symmetric Biphasic at 50 Hz and and a pulse width of 300 micro second.
@carlward9367
@carlward9367 4 года назад
@@StrokeSciences where can one get these type of treatment s
@StrokeSciences
@StrokeSciences 4 года назад
At any stroke rehab clinic or at your rehab specialist's office.
@sathishchandrasekaran6020
@sathishchandrasekaran6020 2 года назад
@@StrokeSciences where i can get this machine in india sir
@prathamesh5252
@prathamesh5252 5 лет назад
is she cured in one attempt
@StrokeSciences
@StrokeSciences 5 лет назад
No she did not. Spasticity is a chronic and persistent issue after stroke, but using NMES can reduce contractures and atrophy, also could help with re-learning process.
@tomreynolds9078
@tomreynolds9078 5 лет назад
Very doubtful she would be cured with a tens unit in one attempt after stroke.
@tomreynolds9078
@tomreynolds9078 5 лет назад
most of the time there would also be muscle relaxants being utilized by the patients to help with the tight muscle tone in the affected limbs of patients such as baclofen or tinzanadine with mixed results being shown using pharmacology in treatment of limb spasticity!!
@strokeandthegarden9496
@strokeandthegarden9496 Год назад
I take baclofen it work the best.. Botox injections are great too
@sauravmisraz
@sauravmisraz 2 года назад
Exactly this is d problem am facing too... with stimulation when my wrist goes up, fingers gets tight like a claw. Due to spasticity. By d way am hemiplegic due to brain stroke
@baldwin5510
@baldwin5510 2 года назад
Me tooo
@strokeandthegarden9496
@strokeandthegarden9496 Год назад
Botox will help you with the fingers to relax
@sauravmisraz
@sauravmisraz Год назад
@@strokeandthegarden9496 it did not. Have gone for 2 sessions. Did not work at all. Botox is just waste of money, better to apply pressure, streach andgo for pnf
@strokeandthegarden9496
@strokeandthegarden9496 Год назад
@@sauravmisraz yea.. I figured I try and give you hope. I've never had Botox injections.. I take baclofen muscle relaxers.. they work for me.Sometimes. at first docs had me on Flexeril and that did nothing.. I've seen in bad cases you can get the baclofen pump install.. it has done wonderful things for cerebral palsy .. but unfortunately spasticity is a life long curse we will grow od with and that's the part I don't look forward too.. because waking up everyday with stiff knees and shoulders don't sound like fun.. if I'm alive at 60 + I'll probably be bed ridden praying for death.. for now I've got 8 more years for my daughter to graduate.. and become a little more mentally stable in this fucked world..
@hmme3682
@hmme3682 Год назад
Prindavan yappari
@davidlo168888
@davidlo168888 2 года назад
If endogenous neural stem cells (NSCs) can't be triggered for regeneration, all physical rehabilitation seems to be of little help. Central nervous system definitely has enough endogenous adult stem cells for repair of damaged nerves and neurons. God's mercy nano-medication should be the last-ditch treatment for stroke and can cure stroke. All glory belongs to God !
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