Flex MT ™ Protocol
Click on the diagnosis below for suggested electrode placements
Wrist Strengthening

Electrode Placement
Channel 1:
Electrode over proximal third of forearm over wrist extensor bellies Electrode ~ 2" superior to wrist crease in center of forearm
Channel 2:
Electrode placed over proximal third of forearm over wrist flexor bellies Electrode placed centrally over flexor tendon ~ 3" superior to wrist crease
Perform only 1 channel at a time or alternate setting when using NMES.
Control Settings
Frequency: 30 Hz
Pulse Width: 200+ ms
Ramp: 3 seconds
On Time: 8 seconds
Off Time: 15 seconds
Amplitude: MS contraction
back to top
INTRINSIC STRENGTHENING

Electrode Placement
(-) Just proximal to pisiform
(+) 2 - 3" superior and lateral to (-) electrode
Control Settings
Frequency: 30 Hz
Pulse Width: 200+ ms
Ramp: 3 seconds
On Time: 10 seconds
Off Time: 35 seconds
Amplitude: MS Contraction
Treatment Time: 15 minutes
GRIP STRENGTHENING

Recommend dual channel to stimulate intrinsics and wrist flexors
Electrode Placement
Use 2" round electrodes and place 2 - 3 inches superior to volar crease. Place (+) leads from both channels here.
Place channel 1 (-) electrode proximal to pisiform.
Place channel 2 (-) electrode 1 - 2 inches distal to medial epicondyle over flexor MS bellies.
Control Settings
Frequency: 30 Hz
Pulse Width: 200+ ms
Ramp: 3 seconds
On Time: 10 seconds
Off Time: 35 seconds
Amplitude: MS Contraction
Treatment Time: 15 - 20 minutes
back to top
QUADRICEPS STRENGTHENING

Recommend dual channel placement
Electrode Placement
Channel 1: Electrode over VMO Electrode superior portion of vastus lateralis
Channel 2: Electrode superior to lateral border of patella
Control Settings
Frequency: 100 Hz
Pulse Width: 200+ ms
Ramp: 5 seconds
On Time: 15 seconds
Off Time: 30 seconds
Amplitude: MS Contraction
Treatment Time: 15 minutes
back to top
ANTERIOR SHOULDER SUBLUXATION

Electrode Placement
Place one electrode over posterior deltoid, other over supraspinatus
Control Settings
Frequency: 100 Hz
Pulse Width: 200+ ms
Ramp: 3 seconds
On Time: 15 seconds
Off Time: 2 seconds
Treatment Time: 15 - 20 minutes
back to top
UPPER TRAP SPASM

Control Settings
Frequency: 80 - 100 pulses per second
Pulse Width: 200+ ms
Ramp: 3 seconds
On Time: 10 seconds
Off Time: 10 seconds
Treatment Time: 15 minutes
back to top
SHOULDER WEAKNESS

Electrode Placement
Channel 1: Along medial periscapular border on rhomboid MS bellies
Channel 2: Infraspinatus with option of also teres major
Control Settings
Frequency: 50 - 70 pulses per second
Pulse Width: 200+ ms
Ramp: 2 seconds
On Time: 5 seconds
Off Time: 15 seconds
Intensity: To muscle contraction state
Treatment Time: 15 minutes
back to top
ANTERIOR TIBIALIS STRENGTHENING

Electrode Placement
Place one electrode on superior lateral MS belly of tibialis anterior, other approx. 3 - 4" below staying on muscle bulk of anterior tib.
Control Settings
Frequency: 30 Hz
Pulse Width: 200+ ms
Ramp: 2 seconds
On Time: 10 seconds
Off Time: 20 seconds
Treatment Time: 15 minutes
back to top
VMO STRENGTHENING

Electrode Placement
Channel 1:
(+) electrode over VMO
(-) electrode superior portion of vastus lateralis
Control Settings
Frequency: 50+ Hz
Pulse Width: 200+ ms
Ramp: 2 seconds
On Time: 15 seconds
Off Time: 10 seconds
Treatment Time: 20 - 30 minutes
back to top