Neuro Re-Education - Accelerated Care Plus OMNISTIM FX2 PRO User Manual

PROTOCOL / CLINICAL
STIMULATION PARAMETERS
INDICATION
UE TRIPHASIC PENS  70 µS phase duration
 Triphasic EMG Pattern
Neuro-re-education
 Treatment time of 15 minutes
FX 2 before Therex
 70 µS phase duration
UE BIPHASIC PENS
 Biphasic EMG pattern
Neuro-re-education
 Cycle time of 0.75 seconds
FX 2 before Therex
 Treatment time of 15 minutes
LE TRIPHASIC PENS  70 µS phase duration
 L.E. Triphasic EMG Pattern
Neuro-re-education
 Treatment time of 15 minutes
FX 2 before Therex
TENS-LVPC MOTOR
 4Hz - 200uSec PD Continuous
 Treatment time of 15 minutes.
Neuro-re-education Post stroke.
 50 BPS - 2500 Hz
MFAC RECIPROCAL
 12Sec "ON" and 18Sec "OFF" time
INHIBITION
 Channels fire simultaneously
Reduces muscle tone (spasm) of
 Ramps are 6Sec "ON" and 4Sec "OFF"
spastic muscle
 Treatment time of 15 minutes

Neuro Re-Education

MECHANISM OF ACTION
This program is used to re-educate U.E. agonist
and antagonist muscle pairs where fine motor
control and positioning is required. Place the (+)
and (-) electrodes as indicated in the clinical
treatment charts over the agonist and antagonist
muscle pair to be treated. In patients with severe
disuse atrophy, decreased sensation or
inflammation use a sensory level of stimulation for
the first two weeks of treatment. This can be
increased to a moderate muscle twitch during the
next 4-6 weeks of treatment.
Patterned Electrical Neuromuscular Stimulation
This program is used to re-educate U.E. agonist -
(PENS) is a precise reproduction of EMG firing
antagonist muscle pairs for reciprocal movement such
patterns of muscle agonist and antagonist pairs. The
as pursing the lips, chewing, and for the treatment of
stimulation helps to re-establish proper firing
torticollis. Place the (+) and (-) electrodes as indicated
sequence in the spinal and supraspinal central
in the treatment clinical charts over the agonist and
pattern generators, re-educating neuromuscular
antagonist muscle pair to be treated. In patients with
function. PENS helps re-boot the sense position
severe disuse atrophy, decreased sensation or
system and neuromuscular junction to improve
inflammation use a sensory level of stimulation for the
recruitment and muscle function. It should be used
first two weeks of treatment. This can be followed
prior to Therex to improve recruitment and motor
increased to a moderate muscle twitch during the next
performance. It's also used to decrease spasticity
4-6 weeks of treatment.
and muscle tone.
This program is used to re-educate L.E. agonist and
antagonist muscle pairs where fine motor control
and positioning is required. Place the (+) and (-)
electrodes as indicated in the clinical treatment
charts over the agonist and antagonist muscle pair to
be treated. In patients with severe disuse atrophy,
decreased sensation or inflammation use a sensory
level of stimulation for the first two weeks of
treatment. This can then be increased to a moderate
muscle twitch during the next 4-6 weeks of
treatment.
Motor level stimulation activates recovery of Target tissue-superficial. Bipolar placement over
function in post ischemic stroke patients based local and distal acu points. Set intensity to elicit
on clinical trial evidence. a moderate muscle twitch.
A single channel (A or B) is used over the spastic
Stimulation of the spastic muscle's antagonists muscle's antagonist. Set intensity to elicit a grade 2-
activates reciprocal inhibition of the spastic muscle 3 muscle contraction. Ensure the intensity is not too
reducing tone. Slow ramps decrease the potential high to induce overflow activation of the spastic
to trigger spasticity of the agonist. muscle. Reduce treatment time based on muscle
fatigue and inhibition of spasticity.
APPLICATION TECHNIQUE
 Press NEURO RE-ED button until screen reads "UE TRIPHASIC
PENS".
 Set Outputs A and B until the patient feels the desired sensation.
 Press START / STOP and T15 will display in upper right corner.
 Adjust treatment time if necessary using the TIME/PARAMETER button.
 The treatment will end at the end of the preset time or if the patient
safety switch is pressed.
 Press NEURO RE-ED button until screen reads "UE BIPHASIC PENS".
 Set Outputs A and B until the patient feels the desired sensation.
 Press START / STOP and T15 will display in upper right corner.
 Adjust treatment time if necessary using the TIME/PARAMETER button.
 The treatment will end at the end of the preset time or if the patient
safety switch is pressed.
 Press NEURO RE-ED button until screen reads "LE TRIPHASIC
PENS".
 Set Outputs A and B until the patient feels the desired sensation.
 Press START / STOP and T15 will display in upper right corner.
 Adjust treatment time if necessary using the TIME/PARAMETER button.
 The treatment will end at the end of the preset time or if the patient
safety switch is pressed.
 Press NEURO RE-ED button until screen reads "TENS-LVPC MOTOR".
 Set Outputs A and B until the patient feels the desired sensation.
 Press START / STOP and T15 will display in upper right corner.
 Adjust treatment time if necessary using the TIME/PARAMETER button.
 The treatment will end at the end of the preset time or if the patient
safety switch is pressed.
 Press NEURO RE-ED button until screen reads "MFAC RECIPROCAL
INHIBITION".
 Set Outputs A and B until the desired contraction level is obtained.
 Press START / STOP and T15 will display in upper right corner.
 Adjust treatment time if necessary using the TIME/PARAMETER button.
 The treatment will end at the end of the preset time or if the patient
safety switch is pressed.
OPERATIONAL SEQUENCE