Time: 1 pm and 7 pm EST
Discipline(s): OT PT
Seminar Sponsor: Mobility Research - Institute of Continuing Education
Phone Number: (480) 829-1727
Contact Email: firstname.lastname@example.org
Website/Register: Click Here
Presented by: Susan Dustin Hastings, PT, DPT, PCS
Course Date: 08/21/2019
Sponsor: Mobility Research
90 minute webinar
This webinar will present the difference between neuromuscular electrical stimulation (NMES) and functional electrical stimulation (FES). It will show how to apply FES, as an alternative to or in conjunction with, other recommended interventions to manage the problems of decreased functional motor control, strength, ROM, and balance in children with cerebral palsy. Evidence from the most current literature will support the concepts presented during the session, explaining how and why to apply the information. Immediate within sessions case results, as well as long-term results, will be shown using videos of actual patients treated using FES. Objective progress will be illustrated through changes in GMFCS levels, SCALE score changes and Peds Quality of Life Survey. The instructor will explain the equipment needed for best outcomes, contraindications, and setting the parameters for the equipment recommended. Choice of the best candidates for FES treatment will be identified. Two specific electrode applications will be taught, so that participants can use FES in their practice, and get immediate results.
The speaker has no financial interest, or conflict of interest related to this
presentation. I obtain an instructor’s discount from Medi-Stim, and TheraSigma for
use of Theratrode electrodes in lab classes.
Following this presentation, participants should be able to:
• Describe the 2 different forms (FES and NMES) and techniques of electrical stimulation used in the
clinic, and explain why they are different.
Recognize at least one reason for the confusion that exists in evaluating the literature in electrical stimulation in the literature.
• Explain the differences in equipment and technique used for using FES in the pediatric population as compared to adults.
• State 3 indications, precautions, and contraindications of NMES/FES.
• Use novice skill level in choosing electrodes and their placement for
treatment when using (FES using single or multiple units) in one presented application of FES
10 minutes: Introduction: brief description on how terminology creates a barrier to use FES, who is a good candidate for FES and how to choose what muscle to stimulate, how it works to make movement easier.
20 minutes: How do we currently treat cerebral palsy/tone? A brief look at updated long-term outcomes in the literature: surgery, BTX, Baclofen, SDR; evidence-based outcomes when using electrical stimulation (NMES and FES).
10 minutes: Pediatric electrical stimulation machines: what is needed in a machine for pediatric use, parameters, settings, and electrode placements conducive to motor learning, why use more than 1 unit.
10 minutes: Support for using FES for how motor learning can occur through the EB literature on synaptogenesis, motor control, myo-fascial force transmission, movement synergies.
25 minutes: Case presentations: overview of what is possible including a 13- year period for child with bilateral CP. Two specific applications to get started.
5 minutes: The future: new transcutaneous spinal stimulation with video illustration of what it does
10 minutes: Questions, followed by Post-Test