Similarly, if you’re worried about straining an already swollen or painful area after injury, you can move the pads away from that area until you get a strong contraction and you’ll still receive benefit since all the tissue are connected. If you can still get a strong contraction, you’ll still receive the benefit of a global flush – good in, bad out. Now, if you’re like Kelly and after surgery you might be worried about pulling an incision by contracting the muscles around the incision, he recommends moving the pads away from that specific area and trying a different pad placement for electrical stimulation. The goal is to get the best contraction possible, even if it’s not directly on the muscle belly. Per Kelly, a rule of thumb to follow: if you’re getting contraction in any muscles in your leg (or affected area), it’s going to encourage lymphatic drainage of the whole system. If you can stay ahead of pain, you can most likely maintain most of your muscle mass and maintain function. Just like post-surgical (or post-injury) swelling can inhibit movement and function, so will pain. He also wanted to make sure the connection between his brain and muscle tissues in his leg stays strong in order to prevent the brain from becoming fearful to move due to pain. The device he’s using in this video is the H-Wave OTC.Īfter his knee surgery, the most important thing for him to do was to engage the muscle and tissues right away in order to prevent muscle loss or disuse atrophy. Kelly Starrett, DPT reviews a different way to approach how and where to place electrode pads to get the most benefit from electrical stimulation, specifically NMES (neuromuscular electrical stimulation). How to Get More Out of Your Device with Better Pad Placementĭr. Pad Placement for Electrical Stimulation-Tips & Tricks with Dr.
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March 2023
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