Neuromuscular Electrical Stimulation (NMES)
Neuromuscular electrical stimulation (NMES) uses a low-level electrical current that decreases swelling and allow muscle contraction and recruitment after an orthopedic or neurological injury.
- Pulse Duration
- On/Off Time
- Polarity of Electrodes
Usually, NMES is used on the point of origin for the condition and the belly, often for neurological dysfunctions.
Possible indications for use of NMES: neurological atrophy, muscle disuse atrophy, improper muscle firing sequences and joint effusion
Transcutaneous Electrical Neuromuscular Stimulation (TENS)
Transcutaneous electrical neuromuscular stimulation (TENS) provides a low-level electrical current to disrupt the normal pain perception pathways. It releases endorphins into the blood stream and cerebrospinal fluid to relieve pain and inflammation post-surgically or as an alternative to surgery.
Possible indications for use of TENS: Intervertebral Disc Disease, paraspinal muscle spasm, Lumbosacral Disease, partial CCL tears, arthritis, and other elbow or knee pain.
TENS can also be used in stimulating acupuncture points in order to achieve a systemic response, in addition to a localized response. It is often effective when combined with laser therapy, magnetic field therapy, massage, traction, and/or stretching exercises.