When working with individuals who have weakness bilaterally, therapists can use bifurcated lead wires to increase their treatment efficiency with PENS e-stim protocols by treating both limbs at the same time.
To perform this type of treatment with PENS, Channel A is set up on the agonist muscles bilaterally with four electrodes and Channel B is set up on the antagonist muscles bilaterally with four electrodes. Use PENS protocols as a reference for channel and polarity placement.1,2
Note: The muscle groups on one side of the body may contract more strongly than those on the opposite side. If a twitch is not obtainable on both sides, bilateral application may not be the appropriate protocol choice.
Bilateral Scapular Therapeutic Exercise
Upper Extremity Triphasic PENS Protocol
Indicated for restoring scapular/shoulder retraction and
Bilateral Knee Therapeutic Exercise Lower PENS Protocol
Indicated for improving strength and coordination in the
targeted muscles and may help improve performance with transfers, standing balance and/or gait.
1. OmniStim® FX² Pro and OmniVersa® user manuals
2. OmniStim® FX² Pro and OmniVersa® PENS Lab