Larynx Pareses

Electrotherapy for Laryngeal Paresis – Neuromuscular Stimulation with vocaSTIM-Master


One particular area of application for stimulation current therapy is the treatment of laryngeal nerve palsies using vocaSTIM-Master. This device combines diagnostics, therapy and therapy progress monitoring in a standardized procedure. Neuromuscular electro-phonatory stimulation (NMEPS) according to Pahn is based on the targeted electrical stimulation of damaged laryngeal muscles using intentional exercises: While the patient attempts to initiate a voluntary contraction, a suitable electrical impulse is simultaneously triggered via a hand-held button.

The treatment unit with vocaSTIM-Master consists of two phases:

  • Preheating of the tissue with forms of current that stimulate blood circulation
  • Neuromuscular electrophonatory or electroarticulatory stimulation (NMEPS/NMEAS) for targeted activation of the affected muscles

Effective diagnosis and therapy for vocal fold paralysis

Even before therapy begins, the individual stimulation current parameters are determined using simple but informative electrodiagnostics - in particular using the accommodation quotient (ACC). This procedure determines differences in the accommodation capacity between healthy and damaged nerve-muscle systems and enables the stimulation current impulses to be precisely adapted to the degree of damage.

The vocaSTIM-Master device has a user-friendly menu navigation for ACC determination as well as a foot switch control, which facilitates simultaneous laryngoscopy.

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