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Ag-AgCl adhesive electrodes were applied over the muscles in a belly-tendon bipolar montage, with the active electrode placed on the motor point of each muscle.
The active surface detection electrode was placed over the motor point of the vastus medialis.
The tibialis anterior muscle will be selected (bilaterally), with surface electrodes (5 cm X 5 cm) positioned on the motor point of the muscle.
39, 41 We may assume that the effect of EA on spasticity may also be related to the stimulation at the motor point of the affected muscle.
The active electrode was applied over the motor point of the vastus medialis (3 fingerbreadths superiomedial to the base of the patella).
The motor point of the muscle were found by means of electrical stimulation and that point, with the lowest stimulation threshold providing the highest muscle contraction, visually registered, was chosen for the stimulation protocol.
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The validity and reliability of the motor point detection system: a preliminary investigation of motor points of the triceps surae muscles.
By placing an electrode at a few positions, i.e., at the motor points, of a muscle, the entire muscle can be activated.
The small electrodes used in this study fitted the width of the peroneal muscle belly at the upper 1/4 position, so the electrical current may have well flowed to the motor points of the muscles to initiate quick contraction.
After appropriate skin preparation, rectangular adhesive electrodes (9 × 5 cm) were placed over the motor points of the vastus lateralis, vastus medialis and peroneus longus muscles.
For NMES application (Rehab 4 Pro, CEFAR Medical AB, Malmö, Sweden), rectangular electrodes (90 × 50 mm) were placed on the motor points of vastus lateralis, vastus medialis and peroneus longus of both lower extremities, after appropriate skin preparation.
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