E-stim Types - NMES through low rate TENS

Question 1

goals for NMES

Answer 1

atrophy/treatment
strengthening
synchronous firing/recuitment of motor units

Question 2

“artificial” contractions stimulated by NMES

Answer 2

• more random recruitment, large and small together

- cannot alter # of motor units recruited

Question 3

burst modulation “russian”

Answer 3

variation for alternating current that is interrupted and delivered in short bursts
-medium fq, burst alternating current

Question 4

pulse width/duration for NMES

Answer 4

200-800 microsecs

Question 5

pulse fq for NMES

Answer 5

30-100 pps

Question 6

on:off time for NMES

Answer 6

vary

10:50 sec for greater or equal to 10 reps

Question 7

ramp time for NMES

Answer 7

1-5 sec

Question 8

electrode placement for NMES

Answer 8

bipolar

Question 9

amplitude for NMES

Answer 9

max contraction/tolerance

Question 10

when do you turn up intensity

Answer 10

during the on cycle

Question 11

shorter off time, longer the on time =

Answer 11

greater chance for fatigue

Question 12

the longer the on time =

Answer 12

decrease force output over time

Question 13

FES

Answer 13

• functional e-stim
• type of NMES that is used as an alternative/supplement to orthotic device or brace
• peripheral n. in tact

Question 14

common uses for FES

Answer 14

shoulder sublux

foot drop

Question 15

IFC goals

Answer 15

pain modulation
muscle contraction
reduction of edema

Question 16

IFC set up

Answer 16

quadrapolar

Question 17

constructive interference

Answer 17

when 2 waves are in phase, sum of the superimposed wave is large

Question 18

destructive interference

Answer 18

sum of two waves is zero when the waves are 180 degrees out of phase

Question 19

beat fq

Answer 19

amplitude modulated

resultant fq produced by the two fq going into and out of phase

Question 20

wave form for IFC

Answer 20

alternating current amplitude modulated beats

Question 21

pulse width/duration IFC

Answer 21

200-400 microsec

Question 22

fq for IFC

Answer 22

10-150 pps

Question 23

duration IFC

Answer 23

10-30 mins

Question 24

amplitude for IFC

Answer 24

strong but tolerable

Question 25

effects of IFC treatment

Answer 25

- sensory fibers receive a lower amp stimulation than the area of tissue affect by the vector - more comfortable than equal amps delivered by conventional means

Question 26

high rate TENS

Answer 26

- pain modulation through activation of central inhibition of pain transmission - gate control theory

Question 27

wave form for high rate TENS

Answer 27

asymmetrical biphasic

Question 28

current for high rate TENS

Answer 28

continuous, pulsatile, burst

Question 29

amplitude for high rate TENS

Answer 29

comfortable tingling sensation, no muscle respone

Question 30

pulse rate for high rate TENS

Answer 30

50-80 pps

Question 31

pulse duration for high rate TENS

Answer 31

50-100 microsec

Question 32

duration of treatment for high rate TENS

Answer 32

10mins-several hours

Question 33

onset of pain relief for high rate TENS

Answer 33

fast

Question 34

duration of pain relief for high rate TENS

Answer 34

temporary

Question 35

low rate TENS

Answer 35

- pain modulation through descending pathways generating endogenous opiates - chronic phase of pain - analgesic

Question 36

wave form for low rate TENS

Answer 36

asymmetrical biphasic

Question 37

current for low rate TENS

Answer 37

continuous, pulsatile, burst

Question 38

amplitude for low rate TENS

Answer 38

strong, comfortable rhythmic muscle twitch

Question 39

pulse rate for low rate TENS

Answer 39

1-5 pps

Question 40

pulse duration for low rate TENS

Answer 40

150-300 microsec

Question 41

duration of treatment for low rate TENS

Answer 41

20-40 mins

Question 42

onset of pain relief for low rate TENS

Answer 42

20-40 mins

Question 43

duration of pain relief for low rate TENS

Answer 43

long lasting, greater than or equal to 1 hr