Electrotherapy Flashcards

(53 cards)

1
Q

Therapeutic Effects of Electrotherapy

A
Decreased edema​
Decreased pain​
Eliminate disuse atrophy​
Facilitate bone repair​
Facilitate wound healing
Improved range of motion​
Increased circulation​
Muscle re-education​
Muscle strengthening​
Relaxation of muscle spasm
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2
Q

Indications for Electrotherapy

A
Labor and Delivery​
Muscle spasm​
Spasticity/reduce hypertonicity​
Open wound/ulcer​
Pain modulation​
Stress incontinence​
Shoulder subluxation
Edema reduction​
Decreased range of motion​
Denervated muscle​
Fracture​
Muscle Re-education​
Joint effusion​
Disuse atrophy (muscle weakness)
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3
Q

Purpose of muscle contractions via Electrotherapy

A

Electrically stimulated muscle contractions may be used for the following purposes:​
Promote muscle strengthening & reducation​
Prevent atropy, DVT’s & pressure ulcers​
Reduce muscle spasm

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4
Q

Clinical Applications if Electrotherapy in Rehab

A
Pain control-acute, chronic, postsurgical​
​
Promotion of tissue healing​
​
Enhancement of transdermal drug therapy
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5
Q

4 FUNDAMENTAL PROPERTIES OF​ CHARGE

A

There are two types of charge-positive and negative.​
Like charges repel while opposites attract​
Charge is neither created nor destroyed​
Charge can be transferred from one object to another

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6
Q

Definition of Polarity

A

term used to indicate the relative charge of the terminals or leads of an electrical circuit ​

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7
Q

Cathode

A

(-) LEAD/ATTRACTS (+) CHARGED PARTICLES (CATIONS)

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8
Q

Anode

A

(+) LEAD/ATTRACTS (-) CHARGED PARTICLES (ANIONS)

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9
Q

Voltage

A

The magnitude of the difference between the positive and negative poles is the voltage

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10
Q

Electromotive Force

A

electrical potential difference between two points in an electrical field or the force that makes charged particles move
EMF is required to depolarize a membrane and is therefore needed to force a large number of electrons through the conductive media of the body tissues​

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11
Q

Conductor

A

materials which tend to give up their electrons easily and readily allow electron movement/flow within them ​
ex. Metal, water, copper, gel, sponges​
Human body: muscle, nerve, blood

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12
Q

Insulator

A

materials in which charges are not free to move around​
ex. Rubber, plastic​
Human body: adipose tissue/fat

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13
Q

Conductance

A

ease with which charged particles move in a medium

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14
Q

higher the ___ content, the better the tissues will conduct

A

the higher the H20 content, the better the tissues will conduct

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15
Q

Current

A

The directed flow of free electrons from one place to another​
The unit of current is the AMPERE (A)​
1 A = 6.25 x 1018 electrons/second or 1A=1C/sec​
Current flow is directly proportional to voltage​
Current is direct or pulsatil

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16
Q

Ohms Law

A

I = V/R

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17
Q

Resistance

A

specific to the flow of ​ direct electrical current

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18
Q

Impedance

A

Resistance to current flow​ when an alternating current is applied​
frequency dependent​

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19
Q

Direct Current

A

Continuous or uninterrupted flow of charged particles in 1 direction for greater than 1 second​
Greater potential for chemical reaction under electrodes

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20
Q

Therapeutic Use of DC

A

Iontophoresis​

stimulating contractions in denervated muscle

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21
Q

Alternating Current (AC)

A

Continuous bidirectional flow of charged electrons and must change direction ​
AC has equal ion flow in each direction, no pulse charge is retained by tissue

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22
Q

Therapeutic Use of AC

A
Pain control (Interferential premodulated)​
Muscle contraction (Russian protocol)
23
Q

3 Types of Medium Frequency AC Current

A

Interferential current​
Premodulated current​
Russian protocol

24
Q

Pulsatile Current

A

An interrupted flow of charged electrons​

Current flows in a series of pulses which periodically ceases for a finite period of time (for less than 1 second)​

Can be monophasic or biphasic

25
Monophasic ​PC
Tissue healing​ | Acute Edema mgt.
26
Biphasic PC
Pain
27
Current Density
The amount of current per unit area​ | Ratio of maximum current amplitude to electrode stimulating surface area
28
__ electrodes have more current density than ___ electrodes
Smaller electrodes will have more current density than larger electrodes
29
Current Characteristics of Small Electrodes
Increased current density​ Increased impedance​ Decreased current flow
30
Current Characteristics of Large Electrodes
Decreased current density​ Decreased impedance​ Increased current flow
31
Phase Duration
elapsed time from beginning to end of 1 phase (may be referred to as phase width)​
32
Pulse Duration
elapsed time from beginning to end of all phases within a pulse, measured in microseconds(μsec)​
33
Pulse Rate
(frequency) | the number of pulses per measure time
34
Amplitude
Magnitude of current | Intensity
35
T/F Increasing F will recruit more motor units
False
36
Tetany (definiton and frequency)
tetany occurs when tension generation doesnt have time to decrease between APs and is sustained 20-50 pps
37
Muscle Twitch Frequency
1-10pps
38
On/ Off Time
Prevent fatigue during muscle contraction
39
Ramp up/ Ramp down
Allows a patient to be more comfortable with muscle contraction
40
Rise Time
time required for a single phase to reach peak amplitude
41
Effects of Electrical Currents
Stimulation of APs in nerves (NMES) AP propogation Direct muscle depolarization (EMS) Ionic Effects
42
Action Potential
achieved by rapid sequential depolarization and repolarization in response to stimulation
43
Strength Duration Curve
the amount of electricity needed to produce an AP is dependent on the type of nerve Curve depicts the minimum combination of amplitude and pulse duration needed to depolarize a nerve sensory< motor < a motor or C pain fibers < denervated muscles
44
Strength duration of sensory nerves
lower amplitudes and shorter pulse durations to become depolarized <80 usec
45
Strength duration of motor nerves
higher amplitudes and longer pulse durations than sensory nerves 150-300 usec
46
Strength duration of Pain transmitting C fibers
require higher amplitudes and longer pulses than motor and sensory nerves
47
Rheobase
minimum current amplitude required to produce AP (w long pulse duration)
48
Chronaxie
the minimum duration of an electrical current at twice rheobase intensity
49
Accomodation
decrease in a nerve's AP frequency over time when exposed to an unchanging depolarization stimulus
50
Electrical Muscle Stimulation
Application of electrical current directly to muscle to produce muscle contraction needed for stimulation of denervated muscle
51
Ionic Effects of Electrical Current
Treat inflammatory states Facilitate tissue healing Reduce formation of edem
52
Contraindications to Electrotherapy
``` demand cardiac pacemaker unstable arrythmia over carotid over venous thrombosis pregnancy ```
53
Precautions to Electrotherapy
cardiac disease impaired sensation or mentation malignancy skin irritation/ open wound