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Course Description

Go beyond traditional electrical stimulation with this one day hands on course. This unique e-stim treatment approach is user and patient friendly. The course offers protocols for multiple rehabilitation applications. The “Mobile Electrode Technique”(MET) is a moveable e-stim application that brings much more flexibility to treatment compared to the static limitations of traditional e-stim. It’s simple and precise. MET will be discussed, demonstrated and practiced as a means to enhance clinical applications in which e-stim is integrated for therapeutic exercise, manual therapy, patient education and other therapeutic interventions. This technique allows the clinician to integrate e-stim; for more types of therapeutic interventions and for a wider range of patients.
Note: Bring appropriate clothing for labs (shorts, short sleeve shirt, etc)

Course Objectives

Upon successful completion of this course, participants will be able to:

  • Describe the body’s normal neurophysiological responses to electrical stimulation.
  • Determine the basic behavior of electrical currents during transcutaneous applications.
  • Describe the equipment, technique, and parameters for MET stimulation.
  • Identify the precautions and contraindications for MET stimulation.
  • Perform MET stimulation:
  • a. to search for motor, trigger, and electrical acupuncture points
  • b. to screen for peripheral nerve integrity
  • c. to localize muscles that are being treated with electrotherapy, manual therapy and therapeutic exercise
  • d. as an adjunct to stretching interventions to improve flexibility and ROM
  • e. as an adjunct to therapeutic exercise programs to improve muscle strength and endurance
  • f. as an adjunct in a rehabilitation program for individuals with CNS lesions
  • g. as an adjunct in a rehabilitation program for individuals following amputation
  • h. as an adjunct to therapeutic interventions for increasing venous and lymphatic fluid flow.
  • i. as an adjunct for facilitating wound healing

Tom Holland


Dr. Tom Holland received his physical therapy education and his PhD degree from the Physical Therapy Program of NYU. He is an Assistant Professor at the City University of New York - Hunter College/Program in Physical Therapy. In addition, he is an Adjunct Instructor at New York University, Columbia University, and Dominican College. His practice includes per diem work at Kessler Institute (Saddle Brook NJ). Tom's physical therapist practice and specialty areas include physical modalities and kinesiology. Tom has been a Certified VitalStim Instructor since 2002 and has co-taught dozens of VitalStim Certification Courses across the country.

Financial Disclosure: Tom receives honoraria from CIAO Seminars for the presentation of this course. He also receives royalties for the purchase of his recorded course(s)
Non-Financial Disclosure: no relevant relationships

Day 1

08:00 - 10:00
Description of electricity
08:00 - 10:00
Neurophysiological responses to electrical stimulation
08:00 - 10:00
Electrodes used for electrical stimulation
08:00 - 10:00
Description of the MET stimulation system
08:00 - 10:00
Contraindications / Precautions for MET stimulation
10:00 - 10:15
10:15 - 12:00
Finding specific points with MET stimulation
10:15 - 12:00
Using MET stimulation to screen for PNS lesions
10:15 - 12:00
Muscle localization with MET stimulation for electrotherapy, manual therapy, and therapeutic exercises
10:15 - 12:00
LABS: Point locator technique, Screening for PNS lesions, Muscle localization
12:00 - 01:00
LUNCH - On your own
01:00 - 03:00
Integrating MET stimulation in a stretching / flexibility program
01:00 - 03:00
Integrating MET stimulation in a strengthening / endurance program
01:00 - 03:00
Integrating MET stimulation in a rehab program for individuals with CNS lesions
01:00 - 03:00
LABS: Stretching & Flexibility, Muscle strengthening, MET stimulation techniques for individuals with CNS lesions
03:00 - 03:15
03:15 - 05:00
Integrating MET stimulation in a rehab program for individuals following amputation
03:15 - 05:00
Integrating MET stimulation to enhance venous and lymphatic fluid flow
03:15 - 05:00
Integrating MET stimulation to enhance wound healing
03:15 - 05:00
LABS: MET stimulation techniques for individuals following amputation, to enhance venous and lymphatic fluid flow and wound healing
05:00 - 05:30
Questions / discussion

Delivery VIA:

  • Live By Request - This course is available to come to you! Contact us to see how easy that can be. mail@ciaoseminars.com

Contact hours pre-approved for:

  • 8.0 hrs OT/COTAs; PT/PTAs unless otherwise noted
  • CIAO is an AOTA Approved Provider (OT/COTAs)
  • This course meets PDU requirements for NBCOT (8 PDUs)
  • CIAO is an IACET Approved Provider
  • CIAO is recognized as an Approved Provider for PT/PTAs by the NYSE Dept State Board for PT
  • CIAO is an Illinois Approved Provider for PT/PTA Continuing Education
  • This activity is provided by the Texas Board of PT Exam. Accredited Prov #1602009
  • This activity meets the continuing competence requirements for PT/PTA license renewal in TX
  • 8.0 hrs PT/PTAs in IL, LA, NY, TX (8 CCUs)
  • 9.5 hrs. OT/COTAs, PT/PTAs in FL (CP110917430) (CE Broker #20-323712)

Contact hours applied for:

  • PT/PTAs in FL for 2012

The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

CIAO Automatically reports to CE Broker for Florida Occupational and Physical Therapists and Assistants. Florida SLPs can either use the ASHA CE Participant Form (Bubble Sheet) or self-submit through CE Broker.

CIAO is accredited by the International Association for Continuing Education and Training (IACET). CIAO complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, CIAO is accredited to issue the IACET CEU.

CIAO is recognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)


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