Click-to-copy e-stim documentation for PTs and PTAs in skilled nursing. Free, no login.
Patient received therapeutic stretching in conjunction with --- Skin assessment completed regularly throughout SWD application to insure proper thermal response. Upon completion of session skin was intact and in normal condition.
ESTIM STROKE – OMNISTIM – Pain- TENS LVPC Motor Protocol x 15mins; ELECTRODE PLACEMENT: ((CHANNEL A)) negative electrode: body inches proximal to the superior border of the patella at the bulge of the Vastus Medialis muscle, Positive electrode: In the depression anterior and inferior to the head of the fibula; ((CHANNEL B)) negative electrode: 3 body inches above the lateral malleolus between the posterior border of the fibula and the peroneus longus and brevis tendons, positive electrode on the dorsum of the foot, distal to the junction of the first and second metatarsal bones.
Patient received electro acupuncture using TENS- LVP motor to SP-10, GB-34, ST-36, GB-39, LV-3: Acupoints to facilitate neuro reeducation, decrease tone to LE and for stroke recovery.
E-Stim applied to left foot, left ankle and left knee in order to facilitate muscle reeducation, facilitate neuromuscular reeducation and enhance muscle strength, power and functional activity tolerance with intensity level, durations and settings at Neuro Re-Ed TENS LVPC Motor.
E-Stim applied to left ankle and right ankle in order to facilitate muscle reeducation, facilitate neuromuscular reeducation and enhance muscle strength, power and functional activity tolerance with intensity level, durations and settings at Neuro Re-Ed LE Triphasic PENS.
E-Stim applied to left knee and right knee in order to facilitate muscle reeducation, stimulate muscle contraction and facilitate neuromuscular reeducation with intensity level, durations and settings at Functional Re-Ed Slow Cycle Fast Cycle; AA muscle contraction.
E-Stim applied to left knee and right knee in order to stimulate innervated muscles to cause a muscular contraction to strengthen and assist in functional activities, facilitate muscle reeducation, facilitate neuromuscular reeducation and enhance functional mobility with intensity level, durations and settings at Functional Re-ed Slow Walk - AA muscle contraction.
E-Stim applied to left ankle and left knee in order to stimulate innervated muscles to cause a muscular contraction to strengthen and assist in functional activities and facilitate neuromuscular reeducation with intensity level, durations and settings at Neuro Re-Ed TENS LVPC Motor.
E-Stim applied to right knee and left knee in order to stimulate innervated muscles to cause a muscular contraction to strengthen and assist in functional activities, facilitate muscle reeducation and enhance muscle strength, power and functional activity tolerance with intensity level, durations and settings at Functional Re-Ed Fast Cycle.
LVPC 2Hz, 400 pulse duration with 30 intensity to B tibialis anterior muscles to promote muscle activation necessary to improve strength and stability in preparation for standing activities.
E-Stim applied to right knee and left knee in order to stimulate innervated quadriceps muscles to cause a muscular contraction to strengthen and assist in functional activities, facilitate muscle reeducation and enhance muscle strength, power and functional activity tolerance with intensity level, durations and settings at Functional Re-Ed Fast Cycle to promote pt active participation during transfers and bed mobility tasks.
LPVC to B quads was provided today at 2 Hz and variable intensity to visible muscle contraction to promote improved active muscle contraction in preparation for transfers and bed mobility tasks. E-stim to quads was provided to promote reciprocal inhibition to hamstring and improve pelvic and knee posture in supine as well as improve knee extension ROM.
E-stim applied to BLE knees for pain management set to IFC sensory with intensity set to 34. Therapist performed skin prep before and after session along with skin inspection with no adverse reactions noted.
E-stim applied to L LE anterior tibialis to increase ankle DF activation and improve pt muscle activation set to neuro PENS with intensity at 47 for visible muscle contractions. Skin prep before and after with no adverse reactions. Skin assessment before and after with no adverse reactions noted.
Patient received electrical stimulation to the bilateral quadriceps using a biphasic waveform at 400 microseconds and 2 Hz on a continuous mode. Electrodes were strategically placed over the motor points of the quadriceps muscles. The intensity was gradually increased to a level that elicited a strong, comfortable muscle contraction without causing discomfort. The patient tolerated the treatment well and reported improvements in muscle activation and strength. The e-stim session lasted for 15 minutes, and the patient was educated on the purpose and benefits of the modality.
Pt was provided with B LE LPVC today to B quads at 2Hz and continuous biphasic waveform to induce muscle fatigue and improve muscle contraction endurance for improved muscle capacity to participate with bed mobility tasks.
pt was provided estim LVPC 2Hz, 400 pulse duration with 30 intensity to B tibilas anterior muscles to promote muscle activation necessary to improve strength and stability in preperation for standing activites.
NMES applied to R quadriceps at --- Hz, --- usec, --- sec on and --- sec off x --- min at an intensity producing a visible contraction, to facilitate quadriceps recruitment for sit to stand.
NMES applied to L tibialis anterior x --- min synchronized with the swing phase of gait to reduce toe drag; drag reduced from --- to ---.
NMES applied to B quadriceps x --- min at --- mA to address disuse atrophy following --- days of immobilization.
Russian stimulation applied to R quadriceps at --- Hz x --- min to promote strength gains in a muscle graded --- MMT.
TENS applied to lumbar paraspinals at --- Hz, --- usec x --- min for pain modulation; pain decreased from --- to --- of 10.
IFC applied to R knee x --- min at --- Hz beat frequency for pain and edema management; girth decreased from --- to --- cm.
HVPC applied to the --- wound bed x --- min at --- V to promote granulation; wound measured --- x --- cm this date.
NMES applied to R deltoid and supraspinatus x --- min to reduce shoulder subluxation; gap decreased from --- to --- fingerbreadths.
NMES applied to B gastroc x --- min for edema management via the muscle pump mechanism; girth decreased --- cm.
NMES applied to R quadriceps x --- min followed immediately by sit to stand x --- reps to capitalize on facilitated recruitment.
E-stim applied for sensory level stimulation to --- x --- min to improve proprioceptive awareness 2/2 --- sensory deficit.
NMES parameters progressed this date from --- to --- based on the patient's accommodation and tolerance at --- of 10 discomfort.
Patient educated on the sensation of NMES prior to application; patient verbalized understanding and reported --- of 10 tolerance during treatment.
NMES applied to R quadriceps x --- min; skin inspected before and after and found --- with no adverse response.
NMES contraindications screened including pacemaker, malignancy, and impaired sensation; patient cleared for e-stim this date.
Iontophoresis with --- delivered to --- at --- mA x --- min for --- ; patient reported pain decreased from --- to --- of 10.
NMES applied to L hamstrings x --- min to address a quadriceps to hamstring imbalance contributing to knee instability during stance.
NMES applied to R quadriceps x --- min with the patient performing a volitional contraction in --- of --- opportunities.
NMES applied to B tibialis anterior x --- min to address bilateral foot drop 2/2 --- ; DF strength improved from --- to --- MMT.
NMES applied to the R wrist extensors x --- min to improve grasp release needed for RW management.
E-stim discontinued this session 2/2 --- ; nursing notified and the PT will reassess appropriateness of continuation.
NMES applied x --- min to R quadriceps at an intensity producing --- ; the patient was able to tolerate a --- mA increase compared to last session.
TENS unit issued to patient with education on electrode placement, parameters, and skin care; patient returned demonstration with --- accuracy.
NMES applied to R gluteus medius x --- min to address Trendelenburg pattern observed during single limb stance.
NMES applied to R quadriceps x --- min while the patient performed terminal knee extension to promote motor learning during stimulation.
E-stim applied to --- ; patient reports the sensation is --- and the intensity was titrated to remain within tolerance.
NMES applied to B quadriceps x --- min; the patient was educated that e-stim supplements but does not replace volitional exercise.
NMES applied to L quadriceps x --- min; the patient's five times sit to stand improved from --- sec to --- sec over --- sessions of combined NMES and exercise.
NMES applied to R quadriceps x --- min with the LE positioned at --- degrees knee flexion to optimize the length-tension relationship.
Neuromuscular re-education protocol e-stim applied to --- pressure points x --- min to facilitate motor recruitment and reduce tone.