Click-to-copy e-stim & modalities documentation for OTs and COTAs in skilled nursing. Free, no login.
E-stim, decrease muscle tone-spasm protocol applied to flexor retinaculum, biceps, triceps, and posterior forearm musculature at 20 mA x 30 minutes.
E-stim, acute pain protocol applied to LUE anterior deltoid, posterior trapezius, latissimus dorsi, and lateral muscle group of biceps and triceps at 35 mA x 15 minutes.
E-stim, chronic pain protocol applied to bilateral splenius capitis muscle and posterior trapezius muscle at 25 mA x 30 minutes.
E-stim, acute pain protocol applied to L vastus lateralis, tensor fasciae latae, and biceps femoris insertion points at 105 mA x 30 minutes.
Diathermy applied to right shoulder for 15 minutes for purposes of reduce chronic pain, facilitate functional skill performance, enhance functional skills during daily living tasks, facilitate functional mobility, increase range of motion and facilitate circulation with intensity level/settings at 4 delta T.
E-Stim applied to right shoulder/RUE anterior deltoid, posterior trapezius, latissimus dorsi, and lateral muscle group of biceps and triceps in order to reduce pain, control/manage pain, eliminate pain, increase ROM, increase circulation, facilitate functional skill performance, restore functional skills during daily living tasks, enhance functional mobility and decrease abnormal movement pattern with intensity level, durations and settings at 35 mA x 15 minutes.
E-Stim, chronic pain protocol applied to left and right knee; vastus lateralis, vastus medialis, tibialis anterior, and proximal/anterior portion of gastrocnemius muscle for purpose(s) of decreasing pain and intensity level/settings at 20 mA x 15 minutes each.
10. Patient arrived at OT with R UE weakness s/p CVA. Post estim to facilitate muscle contraction, patient was instructed in the following exercises to facilitate improved voluntary muscle movement. Patient instructed in GE towel slides flexion/extension and horiz add/abd on table top 3x10 with assistance of LUE as needed; however, OT facilitated constraint therapy to increase RUE movement. Patient frustrated at times, but OT provided hand over hand as needed and patient with resultant improved performance.
30. E-stim, decrease muscle tone-spasm protocol applied to flexor retinaculum, biceps, triceps, and posterior forearm musculature at 20 mA x 30 minutes.
31. E-stim, acute pain protocol applied to LUE anterior deltoid, posterior trapezius, latissimus dorsi, and lateral muscle group of biceps and triceps at 35 mA x 15 minutes.
34. E-stim, chronic pain protocol applied to bilateral splenius capitis muscle and posterior trapezius muscle at 25 mA x 30 minutes.
35. Diathermy applied to right shoulder for 15 minutes for purposes of reduce chronic pain, facilitate functional skill performance, enhance functional skills during daily living tasks, facilitate functional mobility, increase range of motion and facilitate circulation with intensity level/settings at 4 delta T.
36. E-Stim applied to right shoulder/RUE anterior deltoid, posterior trapezius, latissimus dorsi, and lateral muscle group of biceps and triceps in order to reduce pain, control/manage pain, eliminate pain, increase ROM, increase circulation, facilitate functional skill performance, restore functional skills during daily living tasks, enhance functional mobility and decrease abnormal movement pattern with intensity level, durations and settings at 35 mA x 15 minutes.
E-Stim applied to left shoulder and right shoulder for purpose(s) of decreasing pain and intensity level/settings at IFC PREMOD Chronic Pain at 41 mA x 15 minutes with skin integrity intact pre and post e-stim.
E-Stim applied to anterior forearm to facilitate muscle contraction, strength, decrease risk of falls, coordination and muscle power and intensity level/settings at LVPC Asymmetrical Hand Control Biphasic Function Re-ed 38 mA x 15 minutes with skin integrity intact pre and post session.
E-Stim applied to B anterior deltoids and biceps for purpose(s) of to facilitate muscle contraction, strength, decrease risk of falls, coordination and muscle power and intensity level/settings at LVPC Medium Muscle Symmetrical Biphasic Muscle Disuse Atrophy PENS 34 MA x 15 minutes with skin integrity intact pre and post session.
Diathermy applied to Anterior forearm, wrist and hand for 15 minutes in order to increase range of motion with intensity level/settings at 2 Delta T with skin integrity intact pre and post session.
Diathermy applied to R lumbar for 15 minutes in order to reduce chronic pain, facilitate functional mobility and minimize negative effects of immobility with intensity level/settings at 2 Delta T with skin integrity intact pre and post session. Pt reported decrease lumbar pain post diathermy of 2/10 (improved from 3/10 at start of session).
Diathermy applied to left shoulder for 15 minutes in order to increase range of motion with intensity level/settings at 2 Delta T with skin integrity intact pre and post session.
Diathermy applied to left shoulder for 15 minutes in order to increase range of motion and enhance functional skills during daily living tasks with intensity level/settings at 2 Delta T with skin integrity intact and post session.
7. Patient arrived at OT with R UE weakness s/p CVA. Post estim to facilitate muscle contraction, patient was instructed in the following exercises to facilitate improved voluntary muscle movement. Patient instructed in GE towel slides flexion/extension and horiz add/abd on table top 3x10 with assistance of LUE as needed; however, OT facilitated constraint therapy to increase RUE movement. Patient frustrated at times, but OT provided hand over hand as needed and patient with resultant improved performance.
E-stim
2. E-stim, decrease muscle tone-spasm protocol applied to flexor retinaculum, biceps, triceps, and posterior forearm musculature at 20 mA x 30 minutes.
3. E-stim, acute pain protocol applied to LUE anterior deltoid, posterior trapezius, latissimus dorsi, and lateral muscle group of biceps and triceps at 35 mA x 15 minutes.
4. E-stim, chronic pain protocol applied to bilateral splenius capitis muscle and posterior trapezius muscle at 25 mA x 30 minutes.
5. E-stim, acute pain protocol applied to L vastus lateralis, tensor fasciae latae, and biceps femoris insertion points at 105 mA x 30 minutes.
6. E-Stim applied to right shoulder/RUE anterior deltoid, posterior trapezius, latissimus dorsi, and lateral muscle group of biceps and triceps in order to reduce pain, control/manage pain, eliminate pain, increase ROM, increase circulation, facilitate functional skill performance, restore functional skills during daily living tasks, enhance functional mobility and decrease abnormal movement pattern with intensity level, durations and settings at 35 mA x 15 minutes.
7. E-Stim, chronic pain protocol applied to left and right knee; vastus lateralis, vastus medialis, tibialis anterior, and proximal/anterior portion of gastrocnemius muscle for purpose(s) of decreasing pain and intensity level/settings at 20 mA x 15 minutes each.
Diathermy
1. Diathermy applied to right shoulder for 15 minutes for purposes of reduce chronic pain, facilitate functional skill performance, enhance functional skills during daily living tasks, facilitate functional mobility, increase range of motion and facilitate circulation with intensity level/settings at 4 delta T.
RIGHT ESTIM Strength - E-stim applied R elbow and R shoulder in order to facilitate neuromuscular reeducation and enhance muscle strength, power and functional activity tolerance and intensity levels/settings at Neuro Re-ed Triphasic PENS RUE biceps and triceps at 41mA x15 minutes. Skin integrity intact pre and post estim application.
LEFT ESTIM Strength - E-stim applied L elbow and L shoulder in order to facilitate neuromuscular reeducation and enhance muscle strength, power and functional activity tolerance and intensity levels/settings at Neuro Re-ed Triphasic PENS LUE biceps and triceps at 41mA x15 minutes. Skin integrity intact pre and post estim application.
RIGHT ESTIM Shoulder FLEXION - Estim applied to R wrist, R elbow and R shoulder for purpose(s) of increasing ROM and intensity/levels at Neuro Re-ed Triphasic PENS RUE mid biceps/triceps, across the thenar and hypothenar eminence and upper 1/3 extensor carpi ulnaris, extensor carpi radialis and extensor digitorum at 23mA x15 minutes. Skin integrity intact pre and post estim application.
LEFT ESTIM Shoulder FLEXION - Estim applied to L wrist, L elbow and L shoulder for purpose(s) of increasing ROM and intensity/levels at Neuro Re-ed Triphasic PENS LUE mid biceps/triceps, across the thenar and hypothenar eminence and upper 1/3 extensor carpi ulnaris, extensor carpi radialis and extensor digitorum at 23mA x15 minutes. Skin integrity intact pre and post estim application.
Fall Prevention Protocol (Strength) - Fall prevention intervention protocol with emphasis on BUE strength of biceps, triceps, deltoids and wrist extensor muscles with facilitation of BUE shoulder, elbow and wrist flexion/extension as well as shoulder protraction and retraction to reduce risk of falls.
RIGHT ESTIM shoulder flexion - E-Stim applied to right wrist, right elbow and right shoulder for purpose(s) of increasing ROM and intensity level/settings at Neuro Re-ed Triphasic PENS RUE mid biceps/triceps strength, across the thenar and hypothenar eminence and upper 1/3 extensor carpi ulnaris, extensor carpi radialis and extensor digitorum at 29mA x15 minutes. Skin integrity intact pre and post estim application.
LEFT ESTIM shoulder flexion - E-Stim applied to left wrist, left elbow and left shoulder for purpose(s) of increasing ROM and intensity level/settings at Neuro Re-ed Triphasic PENS LUE mid biceps/triceps strength, across the thenar and hypothenar eminence and upper 1/3 extensor carpi ulnaris, extensor carpi radialis and extensor digitorum at 29mA x15 minutes. Skin integrity intact pre and post estim application.
RIGHT ESTIM strength - E-Stim applied to right elbow and right shoulder in order to facilitate neuromuscular reeducation and enhance muscle strength, power and functional activity tolerance and intensity level/settings at Neuro Re-ed Triphasic PENS RUE biceps and triceps at 40mA x15 minutes. Skin integrity intact pre and post estim application.
LEFT ESTIM strength - E-Stim applied to left elbow and left shoulder in order to facilitate neuromuscular reeducation and enhance muscle strength, power and functional activity tolerance and intensity level/settings at Neuro Re-ed Triphasic PENS LUE biceps and triceps at 40mA x15 minutes. Skin integrity intact pre and post estim application.
E-Stim Application - Pt demonstrates decrease R deltoid strength limiting shoulder flexion affecting self-feeding. E-Stim applied to right shoulder for purpose(s) of increasing ROM and muscle contraction and intensity level/settings at Muscle Disuse Atrophy LVPC Medium muscle Symmetrical Biphasic R anterior deltoid and bicep to increase deltoid strength to facilitate shoulder flexion: Stimulation pulse duration 250 microsecond; Stimulation frequency 50 Hz; Channel timing 2:15 at 33mA x15 minutes. Skin integrity intact pre and post estim application.
Diathermy (NM) - Diathermy applied to right elbow for 15 minutes in order to increase range of motion with intensity level/settings at RUE (elbow) 2 Delta T to decrease joint stiffness and contracture x15 minutes with required skilled positioning for effective application. Skin integrity intact pre and post diathermy application.
FALL PREVENTION PROTOCOL (STRENGTH) - Fall prevention intervention protocol with emphasis on BUE STR of biceps, triceps, deltoids and wrist extensor muscles with facilitation of BUE shoulder, elbow and wrist flexion/extension as well as shoulder protraction and retraction to reduce risk of falls.
Diathermy (NM) Pain - Diathermy applied to LUE digits for 15 minutes in order to decrease pain with intensity level/settings at 1 Delta T to relieve pain x15 minutes with required skilled positioning for effective application. Skin integrity intact pre and post diathermy application.
E Clin ESTIM to decrease pain - Post Traumatic-Post Surgical Pain Sensory Nerve Block to LUE (biceps, triceps, most proximal forearm extensor/flexor muscles) at 21mA x15 minutes in order to reduce pain. Skin integrity intact pre and post estim application. Reported 4/10 pain rating to LUE pre estim application; 2/10 post estim application.
ESTIM to decrease pain (forearm BELL) - E-Stim applied to left wrist and left elbow for purpose(s) of decreasing chronic pain and intensity level/settings at IFC PREMOD motor L forearm anterior flexor muscles (flexor carpi radialis, pronator teres, palmaris longus) at 33mA x15 minutes to reduce pain. Skin integrity intact pre and post estim application. Reported 9/10 pain rating pre estim application; 8/10 post estim application.