13.8K
NE✨NMES FOR MUSCLE RESTORATION✨
🧠 A great way to supplement your neuro rehab treatment of a hemiparetic limb 🙌🏻
@neuro.ot_nj
#Nmes
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GCThis test shows if NMES is actually working for your quads.
(And if it’s not at 50% of your max—you’re wasting time.)
How I Tested My NMES Setup Properly
Step 1: Establish your max strength with a handheld dynamometer.
My max measured 42kg. This is the most force I can generate myself.
Step 2: Stim the quad and turn up the intensity.
With the same position and setup, I ramped up the NMES intensity until I got a strong visible contraction. The goal? See how much torque the stim alone could generate without me helping.
Step 3: Record the stimulated output.
The stim-only contraction peaked at 37kg. That’s 88% of my volitional max—well above the minimum 50% threshold for clinical effectiveness.
Step 4: Lock in your NMES parameters.
If you can achieve over 50% keep using muscle stim. If you can’t stop. Here is a guide for dosing:
* 15 minutes
* 3-4x week
* 75 Hz
* 400 µs pulse width
* 10 sec on / 50 sec off
* Ramp: 2 sec
And yes—it felt like a crampy quad punch, but that’s the point.
NMES has some of the strongest evidence in ACL and quad rehab—but only if you dose it right.
Don’t just go off sensation. Test it. Measure it. Then load it up.
→ Ask your physio to check your stim output. Or better—learn how to test it yourself.
#ACLrehab #quads #NMES #physiotherapy #kneeinjury #sportsrehab #rehabscience #evidencebasedphysio
@gc_kneegroup
8.3K
NE4 weeks out and we’re crushing submaximal quad isometrics with our @tindequipment
#nmes #quads #aclrecovery #kneepain #sportsrehab
@newenglandreturntosport
993
STWhat is NMES?
Neuromuscular Electrical Stimulation (NMES) uses electrical impulses to activate muscles—helping them contract when they can’t do so effectively on their own.
Why it’s used post-surgery:
After surgeries like ACL reconstruction or rotator cuff repair, it’s common for muscles to “shut down” due to pain, swelling, or disuse. NMES helps re-educate the muscle, restore activation, and prevent early atrophy.
How it works:
Electrode pads are placed on the skin over the target muscle. The stimulation causes the muscle to contract in a controlled way—helping rebuild strength and connection between the brain and muscle.
Why it helps:
✅ Improves muscle recruitment
✅ Reduces atrophy
✅ Enhances circulation and recovery
✅ Bridges the gap until strength returns
💡 Think of it as jump-starting your muscle’s comeback after surgery!
DM us if you have an ACL tear or rotator cuff tear and need St Pete's premier physical therapy to help you
#SportsPT #RehabScience #ACLRecovery #NMES #PhysicalTherapy #RehabTools #PostOpRecovery#ilovetheburg #IloveStPete #InjuryRehab #SportsRehab #StPeteRehab #StPeteAthletes #StPeteSportsInjury
@stpetephysicaltherapy
109.3K
AZYou can always count on our OTs to make a treatment session fun and engaging 🥳
Functional grasp patterns, functional reaching, weight bearing, and MORE!
#neuro #neurorehab #neurorehabilitation #occupationaltherapy #ot #nmes #resistance #blazepod #weightbearing #upperextremity #upperextremityrehab #strength #coordination #grasp #stroke #strokerehab #cva #reach
@azneurorehab
5.5K
NEUnveiling ARC-EX Transcutaneous Spinal Stimulation at DRIVEN NeuroRecovery Center powered by NeuroHope!
The ARC-EX by @onwdempowered is the first FDA cleared device for non-surgical spinal cord stimulation.
This form of Transcutaneous spinal stimulation (TSS), differs from traditional Neuromuscular electrical stimulation (NMES) in several ways :
1. Electrodes are placed on the spinal cord , above and below the injury level, instead of on the muscle.
2. The electrical parameters (pulse width , milliamps) differ, with a goal to help activate the central nervous system.
3. The delivery of the stimulation is constant , rather than sequenced “on and off” activation of the muscles / peripheral nerves.
The goal of this form of stimulation is to help signals from the brain cross the injury level to assist with voluntary movement.
Since our founding, we have pushed to ensure that the best resources in neuro recovery are accessible to the people that need them. This form of stimulation may not be appropriate for everyone, but we are thrilled to add this research based, cutting edge intervention to our services at NeuroHope.
@conquerparalysisnow #spinalcordinjuryrecovery #neurorecovery #nmes #tss #affordablerehab #onward #arcex #empoweringmovement #sci
@neurohope
3.7K
KNAfter ACLR surgery, NMES is important for several reasons:
- Muscle Re-Education: Following ACLR surgery, there can be significant muscle weakness and loss of function due to disuse and trauma from the surgery. NMES helps to re-educate these weakened muscles by promoting contractions, thereby improving muscle strength, coordination, and control around the knee joint.
- Prevention of Muscle Atrophy: Immobilization and reduced physical activity after ACLR surgery can lead to muscle atrophy (loss of muscle mass). NMES helps to prevent or minimize muscle atrophy by stimulating muscle contractions, even when the muscles are not being actively used.
- Improvement of Blood Circulation: NMES can improve blood flow to the muscles and surrounding tissues. This enhanced circulation helps to deliver oxygen and nutrients to the muscles, facilitating the healing process and reducing swelling and inflammation.
- Pain Management: ACLR surgery can be accompanied by pain and discomfort. NMES can help manage pain by triggering the release of endorphins, which are the body’s natural pain-relieving chemicals.
- Accelerated Recovery: By promoting muscle strength, preventing atrophy, improving circulation, and managing pain, NMES can contribute to a faster and more successful recovery following ACLR surgery. It can help patients regain functional mobility and return to their normal activities sooner.
#squat #gym #gymmotivation #strength #power #reels #reelsinstagram #reelsinsta #follow #followforfollowback #knee #kneepain #kneepainrelief #acl #aclrecovery #acl2020 #aclrehab #jumpersknee #meniscus #meniscusrehab #surgerylife #rehabilitacija #koleno #rehab #rehabilitación #recovery #getfit #backontrack #jumping #football
@knee__rehab
39.2K
WAA 3-in-1 device that helps in:
⚡️ FES – retrains functional movement patterns
⚡️ NMES – activates weak or paralyzed muscles
⚡️ TENS – reduces pain to allow effective rehab
When voluntary muscle control is compromised after neurological injury, rehab is not just about exercise, it’s about restoring the brain-muscle connection first.
#FEStherapy #NMES #tenstherapymassagedevice
@walk_n_run_india
66.7K
DR4 key ways to help facilitate a muscle contraction after neurological injury
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❗️These will be performed on any individual who has limited muscle activation and/or has difficulty maintaining a muscle contraction. It will be performed on the patient by the therapist in clinic and then can be taught directly to the patient and/or caregiver for carryover at home ❗️
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✅ Tapping
▫️Quick, forceful taps to the center of the muscle belly (using my quads as an example in the video) is an excellent way to help facilitate a muscle contraction.
▫️I use this technique most often for my patients who sustained a spinal cord injury
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✅ Ice/Cryotherapy
▫️Acts more as a noxious stimuli to promote a muscle contraction
▫️I often use this for my patients who are minimally conscious to help stimulate a motor response
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✅ Vibration (Massage Gun)
▫️Thought to increase corticospinal excitability as well as inhibitory neuronal activity in the antagonist muscle
▫️Also thought to promote a sustained isometric contraction of the muscle via a tonic vibration reflex
▫️Helps decrease innervation of antagonist muscle (manages spasticity and abnormal muscle synergies. “Reciprocal inhibition”)
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✅ NMES (Neuromuscular Electrical Stimulation)
▫️Remember a “TENS” unit is intended for pain relief, an “NMES” unit is used to help facilitate a motor response
▫️Make sure you understand proper parameters for your patient before attempting this!
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#neurorehab #neuropt #neuronerds #mincon #nmes #electricalstimulation #cryotherapy #massageguns #vibration #stroke #strokerehab #strokerecovery #braininjury #multiplesclerosis #parkinsons #spinalcordinjury #spinalcordinjuryrecovery #sciexercise #neuroplasticity
#physicaltherapy #physiotherapy #injuryprevention #neurology #pain #decreasepain #neuropt #dptstudent #dptstudents #choosept #dpt
@dr.trevor.neuropt
31.5K
NEOur patients need to feel successful with the help from their therapists before they actually use their affected hand and arm at home with IADLs. Show them what they are capable of!
NMES settings can be 200us/50hz or 300us/35hz as examples - are you certified in PAMs? We can help you find classes is not ⚡️
@neuro_ots
3.1K
BENMES: Your ACL Recovery Secret Weapon!
Struggling with quad activation after ACL surgery? This simple but powerful tool can make a huge difference in your recovery! NMES (Neuromuscular Electrical Stimulation) helps “wake up” those sleepy quad muscles and get them firing again.
Starting NMES early in your rehab journey can:
• Speed up quad activation
• Reduce muscle atrophy
• Help you hit those strength goals faster
Talk to your PT about incorporating NMES into your ACL recovery plan! We’re here to help you get back to what you love.
Click the link in the bio to schedule an appointment!
#sandiegophysicaltherapy #sandiegophysicaltherapy #sandiegosportsrehab #sandiegorehab #sandiegoorthopedics #sandiegoorthopt #sandiegoorthopt #sandiegopt #carmelmtphysicaltherapy #carmelmtrehab #carmelmt #carmelmtsandiego #physicaltherapy #ACLrecovery #ACLrehab #sportsrehab #ACLsurgery #NMES
@bespoketreatments
18.1K
MI🔴💡 “Recovery Game-Changer: Combining Red Light Therapy and NMES Pumping for Acute Hamstring Injuries. 🚀
Hamstring injuries can sideline you, but integrating red light therapy with NMES pumping can accelerate your comeback.
Red light therapy enhances mitochondrial function, boosting cellular energy (ATP), and stimulates nitric oxide release to improve blood flow and reduce inflammation. All the things that come in handy in acute injury situations and my preferred go to over ice and drugs.
Clinical studies have shown it speeds up tissue repair and reduces pain which can help take the edge off or reduce reliance on drugs like NSAIDS, which may actually slow the healing process by inhibiting delivery of cytokines that signal tissue repair.
I don’t use a lot of modalities in day to day practice, but when an acute injury represents itself, and direct tissue loading is limited, it presents a really good opportunity to lean on some cool tech like these red light wraps from @fringeheals .
These wraps are portable, rechargeable, and VERY affordable compared to the big panels. You can use my code MIKE15 for an additional 15% off and free shipping 😉
Pair this with NMES pumping to increase muscle contractions and promote blood circulation, aiding in quicker recovery. 🏃♂️⚡
Don’t just rehab—recover stronger and faster. 💪✨ #RedLightTherapy #NMES #InjuryRecovery #HamstringRehab #TheMovementUnderground”
—
Andrade R, Pereira H, Ridder RM, et al. Systematic review: photobiomodulation on acute musculoskeletal injuries in human trials. Lasers Med Sci. 2020;35(6):1237-1248. doi:10.1007/s10103-019-02940-y.
Enwemeka CS, Parker JC, Dowdy DS, et al. The efficacy of low-power lasers in tissue repair and pain control: a meta-analysis study. Photomed Laser Surg. 2004;22(4):323-329.
@mikestella_atc
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