E Stim And Ultrasound Parameters

Question 1

What kind of TENs do you use for acute pain?

What type of TENs do you use for chronic pain?

What kind of TENs for fast pain relief?

Answer 1

Acute- Conventional

Chronic- Acupuncture or Noxious

Fast relief- Brief Intense

Question 2

What is the duration of Conventional TENs?

What is the frequency?

Answer 2

Duration: 75-150

Frequency: 80-125

Usually on normal mode but can be set to modulate if necessary

Question 3

What is the frequency/duration of Acupuncture-like TENs?

Answer 3

Duration: 100-600

Frequency: Under 20pps

Usually on N but can be set to M if necessary

Question 4

What is the frequency/duration of noxious level TENs

Answer 4

Duration 100-1000

Frequency: 1-5

Usually on N but can be set to M if necessary

Question 5

What is the duration/frequency of Brief Intense TENS?

Answer 5

Duration: 100-600

Frequency: 100

Set on B mode for blast, NOT N

Question 6

What are you looking for with Conventional TENS?

What are you looking do with Acupuncture-like TENS?

Answer 6

Tolerable sensory w/ no muscle contraction

High enough to illicit sensory and motor

Question 7

What are you looking for with Noxious level TENS?

What about Brief Intense TENS?

Answer 7

High intensity sensory, muscle contraction is acceptable but not the goal

Brief Intense- Muscle fasciculations or a sustained muscle contraction

Question 8

What is the pulse width of NMES for muscle re-education?

Frequency?

Answer 8

pulse width: 200-600

Frequency- 35-55 (Beginning range of tetany)

Question 9

How long should a treatment with NMES for muscular re-education last?

Answer 9

15 minutes

Question 10

What duty cycle should you use for NMES for muscular re-education?

Answer 10

Start with 1:5 and move to 1:3 and then 1:1 based on fatigue levels

Question 11

What frequency and duration should you use for NMES for MUSCLE STRENGTHENING or preventing atrophy?

Answer 11

Duration: 200-600

Frequency: 50-85 ( tetany range)

Question 12

How strong should the intensity be when using NMES for retardation of atrophy or muscle strengthening

Answer 12

Retardation of atrophy - 25%+ of MVIC, great enough to move limb through antigravity range

Muscle strengthening: 60% of MVIC

Question 13

What duty cycle should you use for Russian current for muscle strenghtening?

Answer 13

1:5

Question 14

For a non-thermal treatment of US, what parameters should you use?

Answer 14

20% duty cycle (1:5) instead of continuous.

Intensity: 1 W/Cm^2

Time: 8-10 minutes

Question 15

For DEEP mild thermal ultrasound of a subacute injury, what parameters should you use?

Answer 15

1MHz

Intensity: 1 W/Cm^2

Time: 5 minutes

Question 16

For superficial mild thermal ultrasound of a subacute injury, what parameters will you use?

Answer 16

3MHz

Intensity: 0.5

Time: 3.3

Question 17

For moderate thermal of a deep chronic injury/trigger point, what parameters will you use?

Answer 17

1MHz

Intensity: 1 for 10 mins

OR

Intensity 1.5 for 6.67 minutes

OR

Intensity 2 for 5 minutes

Question 18

For moderate thermal ultrasound of a superficial chronic injury, what settings will you use?

Answer 18

3MHz

Intensity: 0.5

Time: 6.67

Question 19

For vigorous thermal ultrasound of a superficial joint contracture, what settings will you use?

Answer 19

3MHz

Intensity: 1

Time: 6.67

Question 20

For vigorous thermal ultrasound of a deep joint contracture, what settings will you use?

Answer 20

1MHz

Intensity: 2

Time: 10