15
Intensity Adjustment Guidelines
For TENS programs or less demanding NMES programs, you are generally required to progressively increase the
stimulation intensities until you see muscle twitches or feel comfortable sensation.
For the majority of NMES stimulation programs, that use powerful muscle contractions, the efficacy of the treatment
can be proportional to the maximum number of fibers being recruited, and, therefore, it is often required to adjust your
stimulation intensity to the maximum levels the patient can comfortably endure.
Keep in mind that the maximum intensity levels may vary, not only from one stimulation session to another, but also
within the course of a single stimulation session. It’s possible that patient’s muscles will adapt to stimulation at a
certain intensity level reasonably quickly. Various conditions, such as differences in skin’s dampness or sweat level, or
the rate of the electrode pad deterioration, may affect the intensity of stimulation.
During stimulation, it is important to maintain feedback with the patient to make sure that his/her
stimulation intensity settings are always in balance with the level of comfort on one side and efficiency of
stimulation on the other.
For efficiency in NMES and Performance sessions, based on patient feedback and feelings, try increasing
slowly intensities during the course of the session.
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