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Modalities Flashcards

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1
Q

Russian pulse duration

A

150-200 µsec

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2
Q

Russian pulse frequency

A

50-70

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3
Q

Russian On:Off time

A

10:50

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4
Q

Russian Ramp

A

1-5 sec

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5
Q

Russian electrode placement

A

Bipolar

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6
Q

Russian Treatment time

A

Based on number of contractions

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7
Q

Russian Amplitude

A

Max contraction/tolerance

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8
Q

Russian Parameters

A

Pulse width/Duration= 150-200 µsec

Pulse Frequency= 50-70 pps

On:Off time: Will vary on your use, 10 sec on:50 sec off is common for >10 reps

Ramp: 1-5 sec up/down

Bipolar electrode placement

Determine treatment based on number of contractions not length of time (similar to therapeutic exercise prescription)

Amplitude: Maximal contraction/tolerance

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9
Q

NMES Pulse Duration

A

200-800 Pulse µsec

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10
Q

NMES Pulse Frequency

A

30-100 pps

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11
Q

NMES On:Off time

A

10:50 common for >10 reps

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12
Q

NMES Ramp

A

1-5 sec

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13
Q

NMES electrode placement

A

bipolar

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14
Q

NMES treatment time

A

based off of # of contractions

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15
Q

NMES Amplitude

A

Max contraction/tolerance

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16
Q

Typical NMES parameters

A

Pulse width/Duration= 200-800 µsec

Pulse Frequency= 30-100 pps

On:Off time: Will vary on your use, 10 sec on:50 sec off is common for >10 reps

Ramp: 1-5 sec up/down

Bipolar electrode placement

Determine treatment based on number of contractions not length of time (similar to therapeutic exercise prescription)

Amplitude: Maximal contraction/tolerance

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17
Q

IFC Pulse duration

A

200-400µsec

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18
Q

IFC Frequency

A

10-150 pps

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19
Q

IFC duration

A

10-30 mins

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20
Q

IFC electrode setup

A

Quadripolar

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21
Q

IFC amplitude

A

strong but tolerable

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22
Q

IFC parameters

A

Wave form: alternating current (polyphasic sinusoidal) amplitude modulated beats

Pulse width/Duration= 200-400 µsec

Frequency= 10-150 pps

Duration = 10-30 mins

Quadripolar electrode setup

Goal: pain reduction

Amplitude: strong but tolerable sensation

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23
Q

High Rate TENS wave form

A

typically asymmetrical biphasic

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24
Q

Hight Rate TENS current

A

continuous, pulsatile, or burst

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25
High Rate TENS Amplitude
comfortable tingling with no muscle response
26
Hight Rate TENS Frequency
50-80 pps
27
High Rate TENS pulse duration
50-100 µsec
28
High Rate TENS treatment time
10 minutes-several hours
29
High Rate TENS parameters
Wave form: typically asymmetrical biphasic Current: continuous, pulsatile, or burst Amplitude: comfortable tingling sensation; no muscle response Pulse rate: 50-80pps Pulse duration: 50-100 µsec Duration of treatment: 10 minutes-several hours Onset of pain relief: relatively fast Duration of pain relief: temporary
30
Low Rate TENS Wave form
typically asymmetrical biphasic
31
Low Rate TENS current
continuous, pulsatile, or burst
32
Low Rate TENS amplitude
strong but comfortable rhythmic muscle twitch
33
Low Rate TENS frequency
1-5 pps
34
Low Rate TENS pulse duration
150-300
35
Low Rate TENS duration of treatment
20-40 minutes
36
Low Rate TENS Onset of pain relief
20-40 minutes
37
Low Rate TENS duration of pain relief
over 1 hr
38
Low Rate TENS parameters
Wave form: typically asymmetrical biphasic Current: continuous, pulsatile, or burst Amplitude: strong, but comfortable rhythmic muscle twitch Pulse rate: 1-5pps Pulse duration: 150-300 µsec Duration of treatment: 20-40 minutes Onset of pain relief: 20-40 minutes Duration of pain relief: long lasting > 1 hour
39
Brief Intense TENS wave form
asymmetrical biphasic
40
Brief Intense TENS current
continuous, pulsatile, or burst
41
Brief Intense TENS amplitude
to tolerance
42
Brief Intense TENS frequency
80-150 pps
43
Brief Intense TENS pulse duration
50-250 µsec
44
Brief Intense TENS duration of treatment
15 minutes
45
Brief Intense TENS parameters
``` Wave form: typically asymmetrical biphasic Current: continuous, pulsatile, or burst Amplitude: patient’s tolerance Pulse rate: 80-150pps Pulse duration: 50-250 µsec Duration of treatment: 15 minutes Onset of pain relief: relatively fast Duration of pain relief: temporary (30-60 minutes) ```
46
Burst mode TENS wave form
asymmetrical biphasic
47
Burst mode TENS current
continuous, pulsatile, or burst
48
Burst mode TENS amplitude
comfortable, intermittent paresthesia
49
Burst mode TENS frequency
50-100 pps in bursts of 1-4
50
Burst mode TENS pulse duration
50-200 µsec
51
Burst mode TENS treatment time
20-30 minutes
52
Burst mode TENS parameters
Wave form: typically asymmetrical biphasic Current: continuous, pulsatile, or burst Amplitude: comfortable, intermittent paresthesia Pulse rate: 50-100 pps delivered in packets or bursts 1-4 pps Pulse duration: 50-200 µsec Duration of treatment: 20-30 minutes Onset of pain relief: 20-40 minutes Duration of pain relief: long lasting (hours)
53
Hyperstimulation (point stimulation) TENS wave form
asymmetrical biphasic
54
Hyperstimulation TENS current
continuous, pulsatile, or burst
55
Hyperstimulation TENS amplitude
max tolerance, should be uncomfortable
56
Hyperstimulation TENS frequency
1-5 pps
57
Hyperstimulation TENS pulse duration
150-300 µsec
58
Hyperstimulation TENS on/off cycle
15-30 second increments
59
Hyperstimulation TENS treatment time
15-20 minutes
60
Hyperstimulation TENS parameters
Wave form: typically asymmetrical biphasic Current: continuous, pulsatile, or burst Amplitude: maximum tolerance should be uncomfortable Pulse rate: 1-5pps Pulse duration: 150-300 µsec On/off cycle: 15-30 second increments Duration of treatment: generally 15-20 minutes but can be longer Onset of pain relief: 20-40 minutes Duration of pain relief: long-lasting
61
Iontophoresis wave form
DC
62
Iontophoresis amplitude
max intensity 4-5 mA
63
Iontophoresis electrode placement
similar charge electrode over treatment area positive (anode) negative (cathode)
64
US Contraindications
``` Impaired circulation Impaired cognitive function Absent sensation Cancer Joint cement over plastic components vital areas pregnancy ```
65
US precautions
acute inflammation open epiphyseal plate healing fx breast implants
66
Thermal US parameters 1-2 cm depth
duty cycle: 100% frequency: 3 MHZ intensity: 0.5-1.0 W/cm2 Duration: 5-10 min
67
Thermal US parameters 5cm depth for soft tissue shorteni
duty cycle: 100% frequency: 1MHZ intensity: 1.5-2.0 W/cm2 Duration: 5-10 min
68
Non- Thermal US parameters 1-2cm
duty cycle: 20% or 50% frequency: 3 MHZ intensity: 0.5-1.0 W/cm2 duration: 5-10 min
69
Non- Thermal US parameters 5cm
duty cycle: 20% or 50% frequency: 1 MHZ intensity: 1.5-2.0 W/cm2 duration: 5-10 min
70
What are the contraindications for E-Stim?
1. pacemaker/electronic medical device 2. over carotid artery, thrombosis, eyes, phrenic nerve, pelvis, low back with pregnancy 3. transcerebrally 4. active bleeding or infection 5. superficial metal implants 6. malignant tumors 7. pharyngeal muscles 8. laryngeal muscles 9. motor level stim in conditions that prohibit motion
71
E-stim precautions
1. cardiac disease 2. impaired mentation 3. impaired sensation 4. skin irritation/open wounds 5. uncontrolled hyper/hypotension 6. bleeding disorders

Modalities (1 decks)

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