EStim Flashcards

1
Q

What Estim is best for motor/noxious level pain?

A

TENS

IFC/Premod*

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2
Q

What Estim is best for wound healing?

A

HVPC*

MENS (- then +)

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3
Q

What Estim is best for Edema prevention?

A

HVPC (-) at sensory level

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4
Q

What Estim is best for edema reduction?

A

Premod*
NMES
HVPC @ motor-level intensity

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5
Q

What Estim is best for spasm/trigger point?

A

HVPS w/ probe (trigger pt)
Combo US-Estim (spasm)
Premod (motor twitch)

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6
Q

What is the best Estim for muscle reeducation?

A

Russian

HVPC

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7
Q

What is the best Estim for muscle strengthening?

A

Russian

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8
Q

What are the disadvantages to using TENS?

A

Low total current limits tetany production

Cannot control duty cycle

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9
Q

What are the goals with TENS units?

A

Motor/Noxious level pain control

Motor level edema/spasm reduction?

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10
Q

What are the goals with HVPC?

A

Motor-level edema/spasm reduction
Probe option for trigger points
Neuromuscular reeducation

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11
Q

What are the disadvantages of HVPC?

A

Lacks total current needed for maximum force production

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12
Q

What are the motor level goals with IFC?

A

Pain control
Edema/spasm reduction
Combo (US/estim)

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13
Q

What are the disadvantages with IFC?

A

Waveform may produce discomfort with patient before tetany can be reached
Typically no duty cycle control
No ramp option

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14
Q

What are the motor goals with NMES?

A

Neuromuscular reeducation

Strength augmentation - tetany contraction w/ little sensory discomfort

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15
Q

What is the best Estim for sensory pain reduction?

A

TENS
IFC/Premod*
HVPC (generally +)

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16
Q

What are the parameters for Neuromuscular Reeducation?

A
Duty Cycle - 1:3 or 1:5
Ramping - dependent on patient comfort
Pulse frequency - 50-70Hz
Intensity - motor tetany
Frequency - 3 set 5-20 reps 3x/day
17
Q

What are the parameters for would healing with HVPC?

A

(reduce healing time by 1.5-2.5 times)
Pulse frequency - 100pps
Intensity - Sensory
(-) electrode till infection clears, then (+)

18
Q

What are the parameters for wound healing with MENS?

A

Pulse frequency - Max level
Intensity - subsensory
(-) electrode until infection clears then (+) electrode

19
Q

What are the parameters for Edema Prevention?

A

HVPC only
Intensity - sensory level (~10% less than needed for contraction)
Pulse Frequency - 120 pps
(-) polarity - facilitate permeability of BVs

20
Q

What are the parameters for Edema Reduction?

A
Any biphasic or HVPC (pulsed direct)
Intensity - motor twitch/tetany (strong but comfortable)
Duty cycle - 1:3
Pulse Frequency - 50 (te)
Frequency - 20-30 min 2-5x/day