IMMEDIATE POSTSURGICAL STIMULATION
OF CALF MUSCLES TO PREVENT
ES (electrical stimulator) is a general term for units used to stimulate muscles. There are many types of (ES) on the market. The TENS is separate from the NMES since the indication for TENS is limited to post-surgical pain, but it is still an ES. Neuromuscular electrical stimulation (NMES) units, per FDA indications, are therapeutic. The indicated uses are achieved by working muscle fiber, the following compares the different units ability to work the inactive or injured muscle fibers versus a “fast twitch” on the active muscle. Some types of ES units are:
- Direct current, low-voltage;
- Direct current, high-voltage;
- Alternating current, low-voltage;
- Alternating current, high-voltage;
- Micro current;
- TENS. It requires 30 to 35 volts to achieve any contraction of an active muscle. Increased voltage increases muscle recruitment. It requires more volts to get deeper muscle fiber.
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The units listed are multiple names and models, but cover the complete type availability.
- 6V units do nothing more than cause a fast twitch of active muscles.
- 7.5 V will work some active muscle fiber, but cannot recruit inactive or muscle in disuse due to injury.
- 9V will work only the active muscle fiber, but cannot recruit inactive or muscle in disuse due to injury.
- 12 V is closest to the clinical models, but can be used at home. Recruits inactive muscle fiber, in disuse due to injury. Can overcome the resistance of inflammation and edema, to recruit muscle. Neurocare™ are the only 12V portables.
- 110/120 V Neurocare’s Clinical model. Recruits inactive muscle fiber, in disuse due to injury. Can overcome the resistance of inflammation and edema, to recruit muscle.
- TENS, 9V will only invoke a “fast twitch” of active muscle, and is FDA indicated for diffusing pain signal, localized post-surgically. Not FDA approved for other uses.
Remember, all machines listed will show a “fast twitch” of muscles. However, muscle recruitment is achieved via fatigue of the muscle fibers. An injured muscle is in disuse and must be recruited to re-education thus achieving wellness. The only unit listed capable of this recruitment is the 12V and clinical Neurocare™.