Is reversing the experience of poor sensation and/or muscle weakness a primary
focus for you? Two main electrical stimulation parameters will be discussed
with you. Threshold Electrical Stimulation (TES) parameters are vital for
regaining sensory pathways and strengthening very weak muscles. For areas
with full sensation, and muscle strength that is already beginning movement,
Neuromuscular Electrical Stimulation (NMES) parameters are used to contract
and further strengthen muscles.
TES, developed by Karen Pape, M.D., is a very unique form of electrical stimulation
(ES) that
is a key part of the home program for every client with severe muscle weakness
and/or with impaired sensation. TES parameters have proven to be effective
in changing muscle bulk and strength, as well as influencing the return of
sensory pathways.
TES parameters do not cause a muscle contraction. TES stimulates only to the point of sensory awareness. TES stimulates the growth of atrophic muscle without risk. TES stimulates growth of wasted muscle by transmitting low-level electrical impulses though the surface of the skin to underlying tissues. This sensory level stimulation changes blood flow and capillary density. TES also stimulates growth of motor and sensory nerves as well as muscle.
NMES is a traditional electrical stimulation parameter that produces a forced muscle contraction. NMES is not indicated for very weak or insensate fibers due to the risk of damage to delicate atrophied muscle fibers. However, NMES parameters are highly indicated if your muscle strength has beginning movement or greater, and you have normal sensation. NMES parameters stimulate blood supply and growth of muscles, with overall strength changes. NMES may also be used to assist with coordination between muscle groups.
Your particular ES needs will be discussed thoroughly with you. If indicated, an individualized TES and/or NMES treatment plan using standardized protocols is assessed and set-up for each CenterIMT client with muscle weakness and/or sensory deficits.
ES is performed by a small battery operated unit. TES treatment is at the
point of just barely being able to feel it (your sensory threshold), and is
performed at home during sleep. NMES treatment producing muscle contraction
is practiced during your Center-based program, then is performed at home during
the day.