Electrical stimulation can be used to manage edema in a water environment. The negative electrode is placed into the water, along with the edematous extremity. A positive electrode is placed, in this case, on the upper forearm. Low frequency stimulation of one twitch per second is used, with the goal of muscle pumping the edema out of the extremity. If the subject removes the hand from the water, the quality of the stimulation decreases. As the hand is re-submerged, activation of the intrinsic muscles of the hand can be seen. Please note that once the electrode has been submerged the conductive and adhesive gel will float off of the electrode. The electrode can be used again for submersion, but it can not be used for stimulation directly on the patient's skin.
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