When a person is unable to exercise and
achieve muscle strength and tone in the normal manner, electrical stimulator can
be a great option.
In a normal
routine exercise, contraction occurs when the impulse is received from the
brain to the spinal cord to the nerve ending. The muscle contraction and
relaxation helps in achieving mobility and motility. The muscle contraction is
really a process that shortens or provides tension to the muscle. It is the
muscle contraction that helps us move, maintain our posture and body heat.
The Electrical stimulator or NMES
bypasses the brain–spinal cord pathway and directly acts on the muscle. The
stimulator uses low volt current to activate the muscle, just as the electrical
pathway created at the neuromuscular junction.
Failure in muscle contraction can happen
due to failure in any one of the components that is the brain sending the
impulse, the nerve ending conveying the message, or the muscle responding. This
where an external stimulator helps.
NMES is designed to address the specific
need of each patient claims the NMES research center. This customization is
possible by adjusting the dial on the machine gradually until the patient feels
the current passing. Higher the setting
on the dial faster is the cycle of contraction and relaxation. This mimes the exercise cycle though this is
passive.
The FDA (food and drug administration)
has cleared the premarket design for the NMES, for certain purposes. It helps
to increase the range of muscle movement, strengthens and tones muscles in
people who are not able to actively exercise. The supervision of a healthcare
person is essential.
Electricmuscle stimulator manufacturers market it for
the following uses:
- It has been prescribed for pain relief.
- To increase blood circulation
There have been claims of NMES being
used to reduce body weight and girth, this claim has not yet been authenticated
by the FDA.The FDA regulates the sale of all devices used in healthcare. This
ensures that the device is effective and sales, particularly as they are
intended for use in physical therapy and rehabilitation.
Direct marketing companies provide data
and research documents to the FDA to ensure that their product is safe and efficient.
FDA is concerned basically with reports
of shocks, burns, bruising, skin irritation and pain on use of the device.
There have reports of the device interfering with pacemakers and
defibrillators.Electrocution of the user or caregiver due to faulty leads and
cables is another of the concerns of FDA.
Devices that meet the FDA premarket
requirements automatically are cleared for these hazards the others may not be
so.However, the slender tone Flex marketed by NeuroTech Inc. has been cleared
by FDA for over the counter sale.
Problems
in safety or efficiency of the EMS/NMES can be reported.
- Directly to the manufacturer.
- Med Watch, in one of the following ways
a.
http://www.accessdatAnswer:fdAnswer:gov/scripts/medwatch
b. by
telephone at 1-800-FDA-1088
c.
by FAX at 1-800-FDA-0178
d. by
mail to Med Watch, Food and Drug Administration, HF-2, 5600 Fishers Lane,
Rockville, MD 20857
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