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REHAB/THETA/PHYSIO EN
16. HOW TO USE THE REHAB/THETA/PHYSIO ON SPECIFIC
INDICATIONS
... Choice and position of the electrodes
Self-adhesive electrodes are not very suitable for stimulating denervated muscles. It is preferable to use
soft carbon electrodes, the size of which should be chosen so that the electrodes can cover all the fibres of
the muscle you need to stimulate.
In the Denervated programme, we work in bipolar mode, i.e. the positive and negative poles are
immaterial.
After being coated with gel, the two electrodes will be positioned crosswise on the fleshy part of the
muscle (thus avoiding the tendinous parts); the size of the electrodes will have been previously determined
so that they cover the muscle fibres as much as possible; they must therefore cover the full width of the
muscle.
... Stimulation intensities
The maximum tolerable intensity should always be used in order to obtain the greatest spatial recruitment
possible. For safety reasons, in the Denervated programme, the maximum intensity strength is limited to
 mA.
... Stimulation frequency
In automatic mode, the pulses are  ms wide and are repeated every two seconds (frequency . Hz).
The muscle fibres respond to each pulse with a single twitch.
... Duration and frequency
The treatment lasts for  minutes and must be repeated  times a week until possible re-innervation is
achieved. It will be abandoned as soon as the re-innervation time has elapsed.
During rehabilitation, it is desirable to test the denervated muscles regularly with the Disuse atrophy
programme in order to check for the possible start of reinnervation, in which case it is appropriate to
choose triangular shaped pulses, i.e. the form suitable for stimulation of partly denervated muscles (see
Situation  below).
277


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