Summary
Highlights
The video introduces electrical muscle stimulation for denervated muscles, which are muscles that have lost nerve stimulation due to peripheral injuries, not central nervous system damage. These muscles require a specific type of stimulation.
Denervated muscles have high chronaxie and rheobase, meaning they require a very high level of stimulation. A progressive, exponential stimulating signal with a longer duration than other neuromuscular stimulating currents is necessary for effective treatment.
Specific techniques are used for stimulation, involving both electrodes rather than just the cathode. The video displays various multi-wave apparatuses that offer different types of waves (square, exponential, triangular, bipolar, symmetric, asymmetric) and allow for selection of pulse and pause times, and intensity.
Multi-wave devices can generate various currents like biphasic symmetric/asymmetric, Russian, rectangular, and square currents. Intensity for galvanic current and other currents is set separately, and these currents are not used simultaneously.
Some smaller devices have only one channel and might use just one type of current, such as biphasic symmetric currents, to induce muscle contraction.
The video explains different electrode types: unipolar electrodes (small, with both poles active in one area) for facial or very small muscles; flexible electrodes of various shapes and sizes connected by a cable; and older rigid electrodes that were hard to mold and required a wet cloth for conductivity.