A patient post-tendon transfer shows poor muscle strength. What EMG biofeedback protocol should be used initially?

The initial choice of a high-detection sensitivity protocol with recording electrodes placed close together is appropriate for a patient post-tendon transfer who exhibits poor muscle strength. This setup enhances the ability to detect and amplify the electrical signals from the muscle, which is particularly beneficial in rehabilitation settings.

In this context, high-detection sensitivity allows for more accurate detection of muscle activation, which is crucial for providing biofeedback. The proximity of the electrodes means that they can pick up signals from a smaller area, minimizing interference from surrounding muscles and thus focusing on the target muscle more effectively. This can help the patient to become more aware of their muscle contractions, promoting better muscle re-education.

Using a high-detection sensitivity while positioning the electrodes close together is critical for patients recovering from surgery, as it aids in reinforcing the correct muscle firing patterns and encourages engagement of the weakened muscle. This technique is often a preliminary step in restoring function, guiding the patient to improve strength through targeted feedback and exercises.