14.8.2.4 Patient position
Phases 1 and 2:
The first stimulation sessions are conducted on a patient seated, with the upper limb in the reference
position, the forearm resting on an armrest.
In subsequent sessions, the arm will gradually be placed in increasing abduction to 60°. The patient’s
position during stimulation should prevent any stress on the scar tissue and should always remain painless.
Phase 3:
The stimulation of the infra- and supraspinous muscles can be performed simultaneously with active
work, such as, for example, proprioception exercises.
The patient can be placed in the push-up position, with the hands resting on a trampoline. In this position,
he/she is asked to bounce in time with the phase of electrically induced contraction of the spinal muscles.
This exercise is always performed after warm-up and will first be performed with two-handed support,
then one-handed support.
The mi-ACTION function can be used to greatly facilitate the combination of voluntary exercises with the
stimulation.
14.8.2.5 Stimulation energy
The stimulation energy must be gradually increased to the maximum of the patient’s sub-painful
threshold.
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