Estim Types - brief intense TENS through other uses Flashcards
what is brief intense TENS used for
used to provide rapid-onset, short term pain relief during painful procedures(wound debridement, passive stretching, joint mob)
trying to distract them
when would you use brief intense TENS
- trying to distract from the pain
- wound debridement, passive stretching, joint mobs
burst mode TENS
combination of high and low rate TENS
stimulation of endogenous opiates
more tolerable than low rate TENS
hyperstimulation TENS
noxiously stimulate trigger point or local area of pain such as tendonitis
amplitude modulation
often used to improve patient tolerance and limit adaptation
modulation mode TENS
- a method of modulating parameters of any above TENS to prevent adaptation due to constant ES
- alters fq., intensity or pulse duration by at least 10%
low-intensity DC
- one long pulse
- does not stimulate sensory/motor nerves
- monophasic
what is low intensity DC used for
wound healing, tissue repair
high volt pulsed current: wave form
typically paired monophasic with instantaneous rise and exponential fall of current
is there a ramp time with high volt pulsed current
no
what is high volt pulsed current used for
wound healing, tissue repair
can be for pain
wound healing concept
- intact skin surface negative with respect to deeper epidermal layers
- injury to skin develops positive potentials initially and negative potentials during healing
iontophoresis goal
- application of a continuous direct current to transport medicinal agents through the skin or mucous membrane for therapeutic purpose
if the meds dexamethasone is negative polarity, what electrode would you place for iontophoresis
negative - cathode
decrease muscle spasm
NMES
alter on:off time to achieve goal
