Effect of the Simultaneous Application of NMES and HVPC on Knee Extension Torque

Abstract

Simultaneous application of HVPC with NMES does not facilitate the neuromuscular response but may provide an efficient treatment when managing atrophy, strength loss, pain, and edema associated with reconstructive surgery.

High-voltage electrical stimulation improves nerve regeneration after sciatic crush injury

“…The clinical advantage of HVES is that the stimulation is confortable and affects sensory, motor and nociceptive nerve fibers. The physical parameters involved in this current allow for several therapeutic effects, such as pain and edema control 22 , as well as acceleration of tissue repair 23,24 .…”

Recent Advances in the Rehabilitation of Anterior Cruciate Ligament Injuries

“…107,124 We also utilize various therapeutic lasers to aid in the healing response. 31,58,118 Treatment options for swelling include cryotherapy, 15,32,125,135,169 high-voltage stimulation, 74 and joint compression through the use of a knee sleeve or compression wrap. 91 A commercial cold device (FIGURE 2) providing continuous cold therapy and compression may also be beneficial.…”

Effects of Multipath and Conventional NMES on Maximum Comfortable Stimulus and Torque Production

“…We also placed an empty Kneehab® XP garment over the c-NMES electrodes in an effort to blind participants to treatment condition (Figure 3) (Morf et al, 2015). As has been done previously to limit fatigue (Bremner et al, 2015), participants performed a single NMES-induced contraction during each session (c-NMES or m-NMES) while using a self-selected maximum comfortable stimulus intensity; which is defined as the highest intensity that does not cause pain (Holcomb, Rubley, Girouard, 2007).The maximum comfortable stimulus intensity was determined following procedures used previously (Figure 3) (Bremner, Holcomb, in-press).…”