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Methods II > Practical 2 > Flashcards

Practical 2 Flashcards

1
Q

What are the different Purposes NMES is used for?

A
  • Muscle Weakness
  • Shoulder Subluxation
  • Tendon Excursion (tendon gliding)
  • Spasticity/Muscle Spasm
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2
Q

What is the appropriate pulse rates/frequency with NMES for Muscle Weakness?

A

25-35pps (Hz)

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3
Q

What is the appropriate pulse rate/frequency with NMES for Shoulder Subluxation?

A

25-50pps (Hz)

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4
Q

What is the appropriate pulse rate/frequency with NMES for Tendon Excursions?

A

25-50pps (Hz)

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5
Q

What is the appropriate pulse rate/frequency with NMES for Spasticity?

A

30-60pps (Hz)

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6
Q

What is the appropriate pulse rate/frequency with NMES for Muscle Spasms?

A

30-60pps (Hz)

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7
Q

What is the appropriate pulse duration with NMES for Muscle Weakness?

A

300 us

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8
Q

What is the appropriate pulse duration with NMES for Shoulder Subluxation?

A

200-300 us

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9
Q

What is the appropriate pulse duration with NMES for Tendon Excursion?

A

200-300 us

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10
Q

What is the appropriate pulse duration with NMES for Muscle Spasms?

A

300 us

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11
Q

What is the appropriate pulse duration with NMES for Spasticity?

A

300 us

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12
Q

What is the On/Off Ratio for Muscle Weakness?

A

1:2

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13
Q

What is the On/Off Ratio for Shoulder Subluxation?

A

1:3

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14
Q

What is the On/Off Ratio for Tendon Excursion?

A

1:3

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15
Q

What is the On/Off Ratio for Muscle Spams?

A

1:1

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16
Q

What is the appropriate On/Off Ratio for Spasticity?

A

1:1

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17
Q

For TENS, what is the appropriate Pulse Rate/Frequency for the Sensory Level?

A

80-100pps (Hz)

18
Q

For TENS, what is the appropriate Pulse Rate/Frequency for the Motor Level?

A

2-10pps (Hz)

19
Q

For TENS, what is the appropriate Pulse Duration for the Sensory Level?

A

50-100 us

20
Q

For TENS, what is the appropriate Pulse Duration for the Motor Level?

A

150-200 us

21
Q

For TENS, what type of Pain is experienced at the Sensory Level?

A

Acute pain

22
Q

For TENS, what type of Pain is experienced at the Motor Level?

A

Chronic pain

23
Q

Client comes in with a Shoulder Subluxation. What do you do? Why? Settings? Placement?

A

NMES: Reduce shoulder pain & facilitate neuromuscular reeducation (thereby reducing the subluxation).

Waveform: Asymmetrical
Pulse Rate: 25–50pps
Pulse Duration: 200–300 us
On/off Ratio: 1:3

Place negative cathode over Rear-deltoid & positive anode over Supraspinatus.

24
Q

Client comes in with Wrist Extensor Weakness s/p CVA. What do you do? Why? Settings? Placement?

A

NMES: Increase muscle strength; neuromuscular reeducation.

Waveform: Asymmetrical
Pulse Rate: 25–35pps
Pulse Duration: 300 us
On/off Ratio: 1:2

Placed over extensors & posterior wrist.

25
Q

Client comes in with Radial Nerve Palsy. What do you do? Why? Settings? Placement?

A

NMES: Neuromuscular reeducation (treating muscle weakness)

Waveform: Asymmetrical
Pulse Rate: 25-35pps
Pulse Duration: 300 us
On/off Ratio: 1:2

Placed over extensors & posterior wrist.

26
Q

Client comes in with Shoulder Subluxation–what do you do? Why? Settings? Placement?

A

NMES: Reduce shoulder pain; facilitate neuromuscular reeducation (reducing subluxation).

Waveform: Asymmetrical
Pulse Rate: 25–50pps
Pulse Duration: 200-300 us
On/off Ratio: 1:3

Placement: Negative cathode over Rear-deltoid & positive anode over Supraspinatus.

27
Q

Client comes in with L RF zone II flexor tendon injury 7 weeks post-op (difficulty with 4th DIP). What do you do? Why? Settings? Placement?

A

NMES: Neuromuscular reeducation & tendon gliding/excursion (after 5wks).

Waveform: Asymmetrical
Pulse Rate: 25–50pps
Pulse Duration: 200–300 us
On/off Ratio: 1:3

Placement: Pinky-side extensors.

28
Q

Client comes in with complaints of pain in her Volar forearm s/p MVA. What do you do? Why? Settings?

A

TENS: Pain reduction–temporary relief (via distraction).

If Acute pain–Sensory Level:
Pulse Rate: 80–100pps
Pulse Duration 50–100 us

If Chronic pain–Motor Level:
Pulse Rate: 2–10pps
Pulse Duration: 150–200 us

29
Q

Interventions for Shoulder Subluxation?

A

Intention: Promote movement of shoulder joint, bringing the head of the humerus closer to correct placement.

Intervention:
* Towel Slides/Wall Walks
* Occupation-based: Meal prepping: reaching to grab cans, Tupperware, dishes, etc.

30
Q

Contraindications of E-Stem?

A
  • Pregnancy (pelvis, trunk, lower back).
  • Pacemaker or other cardiac implants.
  • Peripheral vascular disease
  • Hyper/hypotensive patients
  • Heart abnormalities
  • Cancer, infection, hemorrhage
31
Q

Precautions of using E-Stem?

A
  • Metal
  • Osteoporosis
  • Cognitive impairments
  • SCI-Autonomic Dysreflexia
  • Seizures
32
Q

Interventions for Left Wrist Extensor Weakness s/p CVA?

A

Intention: Increase muscle weakness & ROM

  • Occupation-based: Folding laundry
  • Wrist maze
33
Q

Interventions for Radial Nerve Palsy?

A

Intention: Neuromuscular reeducation of wrist extension.

  • Occupation-based: Brushing hair/teeth
  • Spilling the cup (Oops, I did it again)
  • AAROM
  • Mirror therapy
34
Q

Interventions for L RF zone II flexor tendon injury 7 wks post-op?

A

Intention: Neuromuscular reeducation.

  • Occupation-based:
    Picking up cotton balls, paper, socks, pens, etc.
  • Making a fist while using NMES
35
Q

Intervention for Pain management in volar forearm s/p MVA?

A

Intention: Pain management, proprioceptive input; *ask how long ago injury was, pain has been present.

  • Ball rolls on table
  • Towel slides on table
35
Q

Intervention for Pain management in volar forearm s/p MVA?

A

Intention: Pain management, proprioceptive input; *ask how long ago injury was, pain has been present.

  • Ball rolls on table
  • Towel slides on table
36
Q

Where would you place electrodes for Thumb IP flexion difficulties?

A

Volar mid-forearm radial side

37
Q

How would you describe Gate Control Theory to a client?

A

Think about very hot water being poured on you. What we’re doing is adding cold water to the hot water, diluting the hot temperature of the water, lessening the pain.

38
Q

How would you describe the feeling of TENS to the pt?

A

Prickling & tingling

39
Q

How would you describe the feeling of NMES to the pt?

A

Tingling with a muscle contraction

Methods II (7 decks)

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