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Electrical stimulation of denervated muscle
Electrical stimulation can be used to stimulate so-called denervated muscle as well as innervated. This necessitates quite different stimulation approaches. In this article we discuss how denervation can result from damage to peripheral nerves and how and why electrical stimulation is used to reverse muscle atrophy and improve tissue quality
Can the Stimulette Edition 5 work with denervated muscle?
For several years we have worked successfully with the Stimulette Den2x (replaced by RISE Stimulator) with many home based clients in the UK. The product was designed for simple use in a home environment and has proved itself to be very effective in restoring muscle tissue bulk and quality with clients who have an injury to the spine or peripheral nerves resulting in muscle denervation.
Electrotherapy and Pain
Electrical stimulation is extensively used for the symptomatic control of pain. Although the idea had been proposed for many years (decades even) the rationale boost was provided by the so called “gate control theory” of pain proposed in the mid 1960s by Meizack and Wall.
This article is about pain - and the waveforms included in the Stimulette Edition 5 S2x for working with various kinds of pain.
Electrotherapy Concepts.
As we saw in my recent article, (Electrotherapy, FES and it's historical roots) Electrotherapy and it’s cousin, electrical stimulation, have some deep and colourful roots. The stories of applying electrical energy to the body for therapeutic purposes have sometimes stretched the imagination, have sometimes inspired quackery but also produced some fantastic results along the way. In simple terms, the aim is to deliver electrical energy to the tissues of the body in a precisely controlled manner, that will bring about physiological change and by this means achieve some therapeutic benefit.
The Edition 5 S2x - Russian Stimulation Protocol
The new Edition 5 S2x electrotherapy device hosts a number of excellent stimulation protocols but we find that knowledge about their application is not that well understood. In a series of articles we will take a look at some of these protocols and how they might be used. The first protocol we explore is sometimes known as “Russian Stimulation” but it also goes by other names - for example Kotz stimulation or Burst Mode Alternating Current which does tend to lead to some confusion.
Using the Stimulette Edition 5 with denervated muscles
The Stimulette Edition 5 supports a wide variety of electrotherapy waveforms that are useful for muscle weakness, pain and paralysis. In the case of muscle weakness due to denervated muscles the product supports two classes of waveforms. We discuss in this article how we approach using the stimulator with denervated muscle