E-Stim lecture 3

Question 1

Conventional/ High Rate TENS

Answer 1

application:

• pulse rate (freq.): 100-150 pulses/sec
• pulse duration (width): 50-80 microsec
• amplitude: sensory (sub motor)
• treatment time: 30 min to 24 hours
• mechanism: gate theory

Question 2

Pain relief lasts ____ with conventional/ high rate tens
If it doesnt, then what
TENS does not replace _____

Answer 2

• during stmiulation
• adjust electrode placement
• doesnt replace rehabilitation

Question 3

conventional/high rate tens indications:

Answer 3

-any painful condition
-usually used with acute/sub-acute pain
but can also be used for chronic pain
-post-op management of pain
-use with ICE

Question 4

Low rate/acupuncture like TENS

• treats…
• pain modulation…

Answer 4

• used to treat sub-acute, chronic pain and trigger points
• pain modulation:
  
  • endogenous opioid stimulation and release
  • motor level
• mechanism of action equated with acupuncture-release of opioids
• more uncomfortable than high rate

Question 5

Which is more uncomfortable??

Answer 5

low rate/acupuncture like TENS

Question 6

Low rate estim may release ____?

leave it on for up to an hour but effects last for how long?

Answer 6

body’s natural opiates

• bind to pain receptor sites
• same as morphine
• effects last 4-5 hours

Question 7

Low rate TENS repetitive stimulation of _____ _____.

Use no more than ______ per session to avoid delayed-onset muscle soreness

Answer 7

motor nerves

-use no more than 45 minutes per session to avoid delayed-onset mm. soreness

Question 8

__________ to opioid release may occur

Answer 8

Accommodation