13.2.1 REHABILITATION II
CATEGORY REHABILITATION II
PROGRAM HIP PROSTHESIS
WHEN?
Except where there are complications, as soon as possible following the surgical
implantation of a total hip replacement.
WHY?
To restore the muscular qualities of the gluteus medius and gluteus maximus muscles,
to recover stability when standing on one foot and to prevent limping.
HOW?
The three levels of the programme correspond to the Disuse atrophy (level 1 and 2) and
Reinforcement (level 1) programmes for which the low frequencies have been removed
so as not to cause vibration in the prosthesis.
PULSE WIDTH
To make it as comfortable as possible for the patient, use pulse widths equivalent to the
chronaxies of the motor nerves of the gluteal muscles. The mi-SCAN function can be
used to determine the pulse widths suitable for the patient's muscles.
ELECTRODES
Electrodes positioned on the gluteal muscles must correspond to the specific indication.
INTENSITY
The maximum tolerable stimulation energy, which is one of the key factors determining
the eectiveness of the treatment. The higher the stimulation energy, the higher the
number of muscle fibres (motor units) being used. Progressively increase the level of
energy during the course of a treatment session.
+TENS
OPTION
Yes.
- A minimum of 1 channel with muscular work imposed by the Disuse atrophy
programme.
- A maximum of 3 channels with the TENS programme.
• Electrodes positioned on the painful area.
• Sucient stimulation energy to produce a clear tingling sensation.
Once the +TENS combination has been activated, the message “TENS” appears on the
screen with respect to the channel or channels where the treatment is active. The mi
functions – apart from the mi-SCAN – are also no longer accessible.
Take care to properly observe the correct order for switching on the modules, the order
of switching on that corresponds to the numbering of the channels.
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