Electrode Placement for Stroke | Foot drop, Wrist & Finger Extension
Aug 26, 2023
Electrode Placement for Stroke | Foot drop, Wrist & Finger Extension
Welcome back to the Sunit PhysioTherapist channel. In this video I will show you how to place electrode to heal your body after the stroke. Also this is a electrode placement for muscle stimulation for wrist and finger (foot drop, wrist \u0026 finger extension) to release pain and stroke recovery. Stay tuned!https://www.instamojo.com/physiocapsule https://physiosunit.com/electrode-pla …https://www.amazon.in/shop/drsunitphysio Affiliate Disclosure: As an Amazon Associate I earn from qualifying purchases from Amazon.com
Content
0.3 -> Friends in today's video I will demonstrate to you that,
if you have a paralysis patient...
9.2 -> Suppose this is a patient of hemiplegia.
10.8 -> Where will the electrode placement be
when you give muscle stimulation.
16 -> Faradic or Galvanic depends on the situation.
19 -> That's what this video is about, so let's begin.
26.7 -> Friends, before going ahead, as I always say,
28.9 -> If you are new to our channel, do subscribe it
and press the bell icon beside it.
35.7 -> First of all, consider this is my model
whose left hand is paralyzed.
42.1 -> Usually in hemiplegia our flexor group of muscles gets stiff
50 -> and the extensor group of muscles becomes quite weak.
54 -> So our aim here will be to
58.5 -> strengthen the extensor group of muscles via muscle stimulation.
64.2 -> So its electrode placement will be such that
your passive electrode will be on the neck.
70 -> It will be on the neck near C7 and T1.
75.5 -> The best way which I use in my clinical practice,
I have a sand bag.
81 -> I will keep the sand bag under the neck this way.
85.1 -> See, I kept it under the neck and
88.2 -> and then there's the muscle stimuator there
and these are 2 electrodes.
94.6 -> The red one is the passive electrode and
the black one is the active electrode.
99 -> The passive electrode as I said, will be under the neck here.
104.9 -> -Lift the neck a little. Yes.
Look.
110 -> The purpose of the sand bag is that it will keep
the active electrode compressed and stable at the neck.
118.2 -> Now the active electrode, to place the active electrode
124 -> there are two main extensor group of muscles in our upper arm
which we have to strengthen.
128.9 -> One is the triceps muscle and one is the wrist flexor muscles.
134 -> We will strengthen the triceps first.
138 -> For triceps you will take a strap and tie it here.
143.3 -> Our motor point is the bulkiest point of the muscle.
149 -> So this electrode will be placed this way
in the middle part of the triceps.
161 -> So this is a good arrangement.
163.2 -> This arrangement, this electrode placement is for the triceps
so that your triceps muscle will become strong.
169 -> Then let's move ahead.
172.8 -> We have to strengthen these extensor muscles.
178.2 -> So we have to place this here and then place the electrode here.
184.4 -> We have to keep it on the bulky muscle seen on the outer side
191.5 -> and then we have to give stimulation for 10 minutes.
197 -> Let's go to finger extensors.
200 -> For finger extensors the electrode placement will be different.
203.2 -> In this, you have to place both
active and passive electrodes here.
213 -> I tied one strap here and I tied the other strap
just above it on the bulky muscle.
220 -> Means this muscle originates from here and
inserts in the finger.
226 -> I place the passive electrode here on the bulky muscles,
on the origin of the extensor group of muscles.
235.7 -> And you can place this on the lower one third of the forearm.
244 -> Then if you increase the stimulation it's good for the fingers.
249.8 -> To make this more effective you can use a pillow.
257 -> Look, if you place the pillow this way here
263 -> then when the muscle is stimulated
our wrist and fingers will extend this way.
272 -> You can place a pillow here to make it more effective.
280.7 -> In our leg too, we have to target the extensor group of muscles.
287 -> The main extensor group of muscles are
Quadriceps muscles and Tibialis Anterior muscle, see this.
294 -> The problem of Foot Drop occurs
because of weakness of this muscle.
299.5 -> I'll change the camera angle a little so that you can see.
305.3 -> He has not worn shorts so I'll show you accordingly.
310 -> For the Quadriceps muscle you will
place the passive electrode around here.
320.2 -> And the active electrode, this is the patella,
about 2 inches above the patella you can place it.
330 -> You will tie the strap above the patella
334.4 -> and then place the active electrode here
and give 10 minutes.
342.4 -> Now let's go to the Tibialis anterior.
346 -> This is the Tibialis anterior and it is necessary to strengthen it
because it affects the gait pattern.
354.5 -> The Foot Drop problem occurs because of this.
361 -> If we strengthen this muscle,
the Foot Drop problem will be relieved a lot.
366.2 -> Place the passive electrode here.
369.8 -> The bone on the inside is called Tibia and
the bone on this side is called Fibula.
377 -> A nerve comes through the lateral part of the Fibula
and supplies the Tibialis anterior.
383.7 -> So our passive electrode will be just behind the tibial bone here.
391.4 -> We have to put the strap here.
His pants are in the way so I can't demonstrate properly.
398 -> And the active electrode on the bulky area
in the middle of the Tibialis muscle here.
409.8 -> Place the electrode here.
413 -> I'll repeat, put it here near the fibula bone
420.1 -> and then if you increase stimulation,
this type of movement will start.
426.7 -> If foot movement is not happening
then move the passive electrode a little,
432 -> 1 centimeter lower, higher, left, right,
you can replace it and see.
439.1 -> If you get stimulation again, it will be good.
443.8 -> For Foot Drop you can give stimulation in sitting position also.
451.8 -> If the patient can sit then it will be better to give while sitting.
-You may sit.
458.5 -> I have made him sit.
461.3 -> Placement will be the same but while sitting you will know
the effect of Foot Drop better.
468.8 -> Along with that if you ask the patient to move the foot up this way,
it will be more effective.
476 -> Friends, I hope you found this video helpful.
479.6 -> I hope this clears your confusion and simplifies your technique.
488.3 -> Give your opinion about the video in the comments box.
491.5 -> And if you are on our channel for the first time, do subscribe.
Thank you for watching friends, bye-bye.
Source: https://www.youtube.com/watch?v=B08mA83HMw4
