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Formerly Pediatric Physical Therapy Services
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Engage and Change: Using 21st Century Technology to Achieve Better, Faster Results
EMG-Triggered
Muscle Stimulation

With EMG+STIM, the patient has to trigger the muscle stimulation. Electrodes placed over the muscles pick up the EMG signal (low level electrical current produced within a muscle) when the patient attempts a movement.  When a preset threshold of EMG is reached, the stimulator turns on and helps the patient complete the movement. This technology uses the patient’s own neural system as the trigger, thus allowing the patient to learn how to produce a normal muscle contraction. This is a “closed loop” training system that builds on current knowledge of the amazing plasticity of the brain.
EMG Biofeedback

Classic biofeedback training techniques have been widely used for neuromuscular re-education and relaxation for many years. With biofeedback, as the patient attempts to activate a muscle, the electrodes placed over it pick up the EMG signal. The patient then gets an auditory and/or visual feedback about the strength of the EMG signal.

The MyoTrac Infinity NeuroPD contains EMG biofeedback training protocols (scripts) that can also be used for open EMG biofeedback training. A detailed assessment protocol allows the practitioner to monitor patient progress across a variety of muscle functions. EMG biofeedback can be used with young children.
Threshold Electrical Stimulation (TES)

TES is a form of neuromuscular electrical stimulation (NMES) used for the treatment of disuse muscle atrophy. Unlike conventional NMES however, TES is applied at the sensory level - giving only a very low level of stimulation over an extended period of time.  

When a muscle experiences severe disuse atrophy, it cannot be strengthened because there is not enough muscle tissue to work with. In the past, NMES has been used to strengthen atrophied muscles, but it is now known that using such high-intensity stimulation on already weak muscles may contribute to overwork weakness.  A muscle with atrophy or significant weakness should be treated with TES prior to rigorous strength training.

The equipment consists of a small, two-channel pocket sized NMES stimulator, lead wire, and four electrodes.
Instruction in the use of Threshold Electrical Stimulation (TES) for the treatment of disuse muscle atrophy.
A child works with EMG-Triggered Muscle Stimulation to improve muscle control and strength.