Estim I Flashcards

(40 cards)

1
Q

Motor points?

A

Locations on the skin where E-stim causes specific mms to contract. Created by Duschenne.

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2
Q

Gate control theory?

A

Define later

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3
Q

What can Estim do in the clinic?(3)

A

Produce mm contractions
Pain control
Promote tissue healing

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4
Q

Estim for mm contraction is used for?(7)

A
Strengthening
MM reeducation
Prevent atrophy
Prevent DVT
Prevent Pressure ulcers
Reduce mm spasms
Enhance transdermal drug delivery
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5
Q

3 types of electrical current wave forms?

A

DC (direct current)
AC (alternating current)
PC (Pulsed current)

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6
Q

What is DC?

A

A continuous electrical flow of charged particles.

Most commonly used in ionophoresis to stimulate contractions in mm)

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7
Q

What is AC?

A

An interrupted flow of charged particles

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8
Q

What can AC be used for?(3)

A

MM strengthening (contraction)
Pain control
Tissue healing
(most often used for Estim)

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9
Q

Interferential current?

A

Produced by the interruption of two med-Fq currents of slihtly different Fqs (4 electrodes used)

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10
Q

Premod current?

A

Alternating current with a med Fq 1000-10000Hz(2 electrodes)

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11
Q

Russian protocol?

A

Estim c specific parameters for quads mm strengthening.

Fq Med AC 2500Hz 10ms durration

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12
Q

Pulsed current types?(2)

A

Monophasic

Biphasic

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13
Q

Pulsed?

A

An interrupted flow of charged particles that flows in a series of pulses seperated by periods of no current.

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14
Q

Monophasic pulsed current?

A

Current only flows in one direction during a pulse

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15
Q

Biphasic pulsed current?

A

Current flows back and fourth during a pulse

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16
Q

Monophasic is used for?

A

Any Estim but most commonly for:
Tissue healing
Acute edema mgmnt

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17
Q

Most commonly used mono current?

A

High-volt pulsed current (HVPC)

18
Q

In MonoP the currents are equal T/F and opposite_____?

A

True, polarity

19
Q

In biP the currents are equal T/F and there is a ___ charge.

20
Q

Pulse duration?

A

How long each pulse lasts

21
Q

Shorter pulse durations are mostly used for?

22
Q

Longer pulse durations are mostly used for?

A

MM contraction

23
Q

Phase duration?

A

The duration of one phase of the pulse.

24
Q

Amplitude?

A

The magnitude of the current voltage. Also called intensity.

25
Frequency (Fq)?
Number of cycles or pulses per second. Measured in Hz or pps
26
On time?
Time during which a train of pulses occurs.
27
Off time?
Time between pulses
28
On/off time are used for?
Estim for mm contractions. On=contraction off =relaxation. Expressed as a ratio Ie 10:50 10 on 50 off.
29
Ramp up?
The amount of time for the amplitude to go from 0 to max during on time
30
Ramp down?
The amount of time it takes for the amplitude to go from max to 0 during off time.
31
Short pulses and low amps are used to?
Stimulate sensory nerves
32
Long pulses and high amps are used to?
Stimulate motor nerves.
33
Short pulse durations are more comfortable b/c?
They do not stimulate C fibers.
34
Long pulse durations are uncomfortable b/c?
They stimulate A-delta and C fibers
35
Does increasing the current amp or pulse duration beyond that needed to reach the action potential of a nerve make the AP larger or longer?
No
36
Accomodotion?
The process by which a nerve becomes less responsive to stimulation.
37
Can nerve propagation occur in both directions with Estim?
Yes
38
APs travel faster in large/shot diameter, myelinated/unmyelinated nerve fibers?
Large, myelinated
39
A-alpha fibers are large/small? Myelinated/unmyelinated?
Large, myelinated
40
C fibers are myelinated/unmyelinated?
Unmyelinated