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    Hi, new to the forums here. I bought a TENS/EMS unit to help in recovery after workouts. There was a unit called "MARC Pro" that is advertised to professional and elite athletes. I'm no where near that and the cost was astronomical ($650). I found another EMS unit online but have no idea so to what settings would mimic the effect of active muscle recovery is. pulse width, frequency, Hz, etc... Is there a standard setting for muscle recovery when using and EMS? if so, can anyone lead me to what settings to start with? Appreciate all help. thank you.

    Comment


      Originally posted by membrain View Post
      Hi, new to the forums here. I bought a TENS/EMS unit to help in recovery after workouts. There was a unit called "MARC Pro" that is advertised to professional and elite athletes. I'm no where near that and the cost was astronomical ($650). I found another EMS unit online but have no idea so to what settings would mimic the effect of active muscle recovery is. pulse width, frequency, Hz, etc... Is there a standard setting for muscle recovery when using and EMS? if so, can anyone lead me to what settings to start with? Appreciate all help. thank you.
      Do you have a spinal cord injury or MS? You will get better responses if you fill out your profile.

      Comment


        By muscle recovery, are you referring to a strengthening program? You are looking to contract the muscle with the assist of the stimulation?
        If this is the case, you'll want a 300usec pulse and 75pps frequency - these are comfortable settings. The amplitude will be based on your tolerance and what strength contracts the muscle.
        You want a 1:5 ratio, like ON for 6 seconds, OFF for 30 seconds.
        Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

        Comment


          Rocky recovery/Theracycle

          Hi
          New to forum and have a question for scitotalfitness. My husband is C4-C7 incomplete resulting from stenosis and a laminectomy which made symptoms worse not better. 18 months in he has reasonable movement and can walk using a walker but masked by high tone (used to spasm a lot but helped by 70mg of baclofen daily). He is making slow progress and would love to use an exercise bike. He trialled a Theracycle (assisted movement) for just his legs and did 10 mins and felt great immediately afterwards but deteriorated by the evening. 3 days later he is still having major stiffness in his left side (the worst for high tone - his right side is weaker but no tone). He's not been able to stretch it out and he's also been having burning neuro pain in his left knee. This pattern isn't unusual for him. He can have a brilliant physio session and be able to walk a short distance almost unassisted at the end of the session. Then his tone kicks in even worse the next day and he's back where he started. Should he persevere with the Theracycle or wait for a while and try again? Any suggestions for taking his physio/exercise programme forward would be helpful as he's finding the ups and downs very challenging mentally and is very negative at the moment.

          Comment


            That member has not visited our site since Oct. 2013 so is unlikely to respond.

            KLD
            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

            Comment


              Thanks for this. I'm new here and trying to find my way round and get "settled in". Is there a better place to direct my request for information/help? Thanks again - any help is appreciated.

              Comment


                I'm here!

                I apologize for the delay! I also haven't "appeared" to visit since the site redesign because I apparently wasn't "logged in." That's my mistake - I didn't even realize. But I'm here! I promise


                MoCo - First of all, it sounds like your husband is making great progress and he should keep up the great work! However, the increased tone and extended recovery coupled with pain is not a typical response for exercise. He could have overdone it, and that is his way of his body telling him so, or there is something else going on?

                Ask him a few questions about how hard he felt when he was working on the bike and the walking: on a scale of 1-10, with 10 being an all-out sprint, how hard did he feel like he was going during those sessions?
                Also, had he worked at that level of intensity at any other time in his recent rehabilitation and not had the increased spasticity the following day?
                You can have him try the bike at a lower intensity (so if he felt he was working at an 8/10 previous, have him try the bike for 5 minutes at a 6/10). If he still has increased tone and/or pain the next day, I would definitely recommend bringing it to the attention of his medical professionals. Increased tone is one of the body's ways of letting you know something isn't right.
                Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

                Comment


                  Hi and thanks for responding. We've since talked to a rep for the Reck Motomed power assisted bike and he says that he has come across this before. He has suggested that my husband tries to build up his exercise time more slowly starting with 5 mins of completely passive cycling and only doing 2 or 3 minutes daily of active to start and build up from there - pretty similar to what you are suggesting. We think he may have some very mild arthritis in his left knee as he had a few issues with it pre his spinal problems. He's always had increased tone if he pushes himself too hard or gets over treated by the physios. The physios tell us that he is a tricky patient as they are aware that pushing him too far too fast will mean a kickback response but it's sometimes difficult to predict how far/fast is too much. We have had to "sack" one physio who was frustrated by his slow pace of recovery and frequently over treated him. Thanks again for the advice and I'll post again and let you know how his trial with a Motomed bike goes.

                  Comment


                    Good luck!
                    Have you looked into different options to help with the tone? I know that medications have their side effects… And it's great that baclofen has helped. What has the medical team said as far as a baclofen pump? Or botox?
                    It's tricky when there is strength… but it sounds like tone is limiting, so options are worth exploring.
                    Keep up the good work!
                    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

                    Comment


                      A question, any response/help is MOST appreciated!

                      Me - C5-6 incomplete SCI, 26 year injury, mild leg movement, NO triceps, very little pectorals, strong biceps and deltoids, full body sensation, pain/hot/cold vastly diminished below sternum, some leg movement, able to stand and walk in bars with assistance but is VERY hard on neck/shoulders (walking non functional outside), live alone w/no assistance 8 years

                      The short version - following 5+ years of using an ill-fitted new chair AND a series of falls, have chronic neck & shoulder pain/fatigue, my shoulders/lats almost always sore/achy, feels from overuse. I have also developed chronic headaches which I theorize are also related

                      Long version - 6 years ago I got a new chair that was (unbeknownst to me) VERYpoorly fitted, lower clearance on foot rest, poor construction, TWICE had back fail and went over backwards, head hit hard on carpet with concrete underneath, then 3 weeks later while going up curb cut, lowered foot rest wedged and I was thrown face first onto concrete, WAS able to absorb some of impact with hands arms, mild cut on lip, went straight to ER, put in neck brace, MRI showed no new injury and what looked like healed C5-6 initial injury compression fracture (no old films on hand to compare), muscles/pain were all baseline as before injury, released and diagnosed 'AOK'

                      2 weeks later on I85 Atlanta, was rear-ended HARD in rush-hour, pushed into car in front of me, assailant sped away while my car was stalled/front end mashed, neck and back muscles sore for a few days then went away, nurse girlfriend at time said she felt some muscle tear in back.

                      After using new poorly fitted chair, began to get chronic shoulder and neck pain/fatigue, BUT have to say also increased my day to day self care in a huge way, after many years of getting through college with assistance I trained myself to do shower & bowel care completely alone, but noticed the stress on upper body acutely increased, but alas, as always, more independence feels GREAT To make matters worse, to battle chronic UTI's I now transfer down EVERY time to cath to avoid re-infecting, has doubled/tripled my transfers in any given day. YES I did get a new chair 3 months ago that is WELL fitted, am hoping this helps neck/shoulders over long haul

                      So, do I get through my day doing everything I need? YES, and am infinitely grateful to be doing so. BUT today I sit with fatigued aching neck & shoulders as I type, afternoon headaches that comes after eating lunch 2 or 3 times a week, spinning out in my head that if my shoulders and neck go, I dont think I can stand it! It truly scares me to death

                      Yes, deep massage does help some in short term, and PT neck stretches feel good (I am guilty of not doing regular at all but today have resolved to stick with 3X day regimen)

                      I have in hand a PT order that includes aquatic therapy, which I may enact this week

                      FATIGUED & ACHY IN NC

                      Lee

                      PS being followed by physiatrist, had DETAILED MRI 3 years ago, showed no farenum (sp?), may redo MRI in coming month to check again for possible compression issues in cervical spine, forgot to mention I do have some tingling in left hand that comes and goes, but doc feels I show no signs of muscle loss or weakness
                      Last edited by LeeinNC; 7 Jun 2014, 3:41 PM.

                      Comment


                        Wow Lee… what an unfortunate series of events!!
                        I do think trying the aquatic therapy can be beneficial. It will unweight you while you can stretch and strengthen.
                        Why was the newer wheelchair also not fit properly? Is this something that can be changed? Or do you have to wait for insurance?

                        Have you considered getting an assist for your manual wheelchair? The power assist system can be heavy, but Magic Wheels are not http://www.magicwheels.com
                        and there's the SmartDrive which is a power assist wheel that can attach to your chair as is whenever you want to use it.

                        These options will decrease the work you have to do with pushing without going to a power chair. You may want to also see an orthopedic PT who could help with some modalities on the shoulders and soft tissue. If there's a sports PT who deals with baseball players in your area, they generally get how to work on damaged shoulders. I would not let anyone work on your neck until you have the MRI completed and have a better idea what is going on. The left hand tingling could be from the cervical spine or it could be a peripheral impingement. A PT should be able to help determine that.

                        Hope that helps!
                        Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

                        Comment


                          scitotal - thank you so much for the reply, unfortunate series of events indeed!

                          Scheduled aquatic therapy today

                          Assist wheels - at this time think I'm okay for total manual, can still roll with authority, in all honesty though its possible this shoulder breakdown is from many years of stubborn manual use, refused any help through college, may have paid a price

                          Will question PT next week about baseball/shoulder specialist

                          Thanks again!

                          Lee

                          Comment


                            Hi , a question . what are the best and most advance portable medical FES unit available for home use for spinal cord injury now ? not the FES bicycle but the portable FES unit to use at home (company's name , and model's number ) . Thanks

                            Comment


                              Estim

                              Originally posted by kz View Post
                              Hi , a question . what are the best and most advance portable medical FES unit available for home use for spinal cord injury now ? not the FES bicycle but the portable FES unit to use at home (company's name , and model's number ) . Thanks

                              You're looking for an NMES unit - check out this site:
                              http://www.chattmed.com/index.php?act=viewCat&catId=20
                              You'll need a prescription. I have the Intellect NMES Digital.

                              Here's another:
                              http://www.a3bs.com/primera-tensnmes...FUmUfgodca0A8A

                              These are the more affordable units. I suggest asking a local physical therapist to help you set up the settings on whatever unit you get.
                              Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

                              Comment


                                I recently purchased a cybex arc trainer to try to help increase range of motion, endurance and strength. Any recommendations on a schedule I should follow? i.e. how many times a week, etc. It will be the only source of exercise, other than the everyday standing to transfer.

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