Estim For Pain

Question 1

What is the gate control theory for ?

Answer 1

Transmission from small myelinated A delta fibers and small unmyelinated C nerve fibers to the spinal cord

Question 2

What is the descending pain control theory for

Answer 2

Release of enkephalin through descending neurons which blocks pain impulses at the spinal cord level

Question 3

What is stimulated Im the endogenous opiate theory

Answer 3

Sensory nerves stimulate release of B endorphin and dynorphin from pituitary glans and hypothalamus into CSF

Question 4

What do opioids shut off

Answer 4

Serotonin

Question 5

Low rate tens are used for what stage of healing ?

Answer 5

Chronic

Question 6

What is more effective in patients taking opioids, low or high rate TENS

Answer 6

High rate tens

Question 7

When using TENS with a patient who has recently intook caffein, what does caffeine act as

Answer 7

An antagonist

Question 8

How long will low rate TENS control pain for

Answer 8

4-5 houses after a 20-30 min treatment

Question 9

What happens if TENS is applied for longer than 45 min

Answer 9

Risk of DOMS

Question 10

For a patient taking opioids should you use low or high rate TENS

Answer 10

High rate tens

Question 11

For a patient who had caffeine should you use low or high rate TENS

Answer 11

Low rate tens

Question 12

Low or high rate tens: recommended when a longer duration of pain control is Desired and muscle contraction is likely to be tolerated

Answer 12

Low rate tens

Question 13

High or low: recommended when sensation, but not muscle contraction will be tolerated

Answer 13

High rate TENS

Question 14

T/f When applying TENS for acute pain, anxiety was reduced ?

Answer 14

True

Question 15

What are the 4 main diagnoses that TENS for chronic pain can benefit

Answer 15

KNEE OA
DIABETIC NEUROPATHY
FIBROMYALGIA
LOW BACK PAIN

Question 16

What is IFC?

Answer 16

Using 4 pads in a diagonal shape around the effected area to target the point in the middle

Question 17

Is there a clinical difference between the effects of symmetrical and asymmetrical balanced waveforms

Answer 17

No not really

Question 18

What is more comfortable when applied to small muscles in face, hands, or children, asymmetrical or symmetrical biphasic

Answer 18

Asymmetrical

Question 19

High rate tens should produce what type of feeling to the patient

Answer 19

Strong tingling or vibration sensation

Question 20

Low rate tens should produce what type of feeling ti the patient

Answer 20

A viable muscle contraction that can be seen or palpated

Question 21

What pathway is for low rate tens

Answer 21

Descending pathway

Question 22

What pathway is for Hugh rate tens

Answer 22

Gate control theory