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REHAB/THETA/PHYSIO EN
16. HOW TO USE THE REHAB/THETA/PHYSIO ON SPECIFIC
INDICATIONS
... Stimulation energy
The energy level will be gradually increased until significant values are obtained.
... Results
No muscular contraction of the extensors of the wrist and fingers is observed, either visually or by
palpating. It can be concluded, therefore, that denervation is total.
CONCLUSION
Our patient has paralysis of the radialis nerve with complete denervation of the extensor muscles of wrist
and fingers. There is hope of re-innervation.
PRACTICAL THERAPEUTIC APPROACH
In this case the purpose of rehabilitation is going to be to prevent atrophy as much as possible and limit
the phenomenon of sclerosis pending possible re-innervation.
Here the preferred technique is going to be stimulation of the extensor muscles of wrist and fingers by
means of Denervated programmes. To stimulate a fully denervated muscle wide rectangular pulses will
be used (between  and  ms) as the denervated fibre can only be slightly excited. It therefore needs a
large amount of electrical charge to reach its excitation threshold.
... Protocol
Total automatic or Total manual
Unless the exact stimulation parameters are known (for that one would have to have the precise results of
a recent electromyograph), it is recommended that the Total automatic programme be used (Physio will
work with default figures).
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