electrical stimulation currents Flashcards

1
Q

where the change in physiologic response can occurs

A

cellular, tissus, segmental, systematic

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2
Q

what do the electrical field on the skin surface

A

Drives ions beneficial to the healing process into or through the skin

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3
Q

effect of physiologic response to electrical current

A

direct: along line of current flow and under electrode
indirect:Remote to area of current flow and are usually the result of stimulating a natural physiologic event to occur

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4
Q

excitability of muscle and nerve depend on

A

cell membrane voltage sensitive permeability

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5
Q

potential difference is known as and why

A

resting potential because cell tries to maintain electrochemical gradient as its normal homeostatic environment

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6
Q

what is the voltage sensitive permeability

A

Produces unequal distribution of charged ions on each side of the membrane
Creates a potential difference between the charge of the interior of cell and exterior of cell

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7
Q

what is the active transport mechanism

A

Cell continually moves Na+ from inside cell to outside and balances this positive charge movement by moving K+ to the inside

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8
Q

Na move from to and K move to

A

na: from inside to outside
K move inside

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9
Q

electrical gradation is produce how

A

+ charge outside and - charge inside

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10
Q

how does transmission of an impulse in nerve is create

A

resting membrane potential must be reduced below thresholds level

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11
Q

what happen when the membrane potential fall below threshold

A

creating an action potential that propagates impulse along nerve in both directions causing depolarization of membrane

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12
Q

what does the stimulus must have to depolarize a nerve

A

intensity and last long enoughStimulus must alter membrane so that a number of ions are pushed across membrane exceeding ability of the active transport pumps to maintain the resting potentials thus forcing membrane to depolarize resulting in an action potential

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13
Q

what cause the current to flow to the inactive membrane

A

Difference in electrical potential between depolarized region and neighboring inactive regions causes the current to flow from depolarized region intercellular material to the inactive membrane

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14
Q

how does the depolarization propagate through nerve fibre

A

flows through extracellular materials, back to the depolarized area, and finally into cell again
* Makes depolarization self propagating as process is repeated all along fiber in each direction from depolarization site.

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15
Q

what happen when a nerve impulse reach effector organ or another nerve cell

A

impulse is transferred btw 2 at a motor end plate or a synapse

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16
Q

what is release from the nerve when the impulse is transfer to motor end plate

A

transmitter substance is released from nerve and causes the other excitable tissue to disarcher = twitch muscle contraction

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17
Q

T/F there is a gradation of response

A

F

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18
Q

what is the chemical effect

A

stimulus is continuous and applied over a period of time

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19
Q

what is tissue impedance

A

resistance to the passage of electrical current

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20
Q

which tissus have high impedance

A

bone and fat

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21
Q

which tissue have low impedance

A

nerve and muscle

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22
Q

what happen if a low-impedance tissue is located under a large amount of high-impedance tissue

A

current will never become enough to cause depolarization

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23
Q

what is current density

A

refer to the volume of current in the tissue

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24
Q

curent density is highest where and diminish where

A

high at surface and diminish in deeper tissue

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25
Q

how can we increase density in deeper tissue

A

move electrode further appart

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26
Q

which type of electrode between active or dispersive create a greater current density

A

active

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27
Q

which type of electrode between active or dispersive create a lesser current density

A

dispersive

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28
Q

which type of electrode btw active or dispersive are larger

A

dispersive

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29
Q

how can we change current density

A

change size of electrode
change spacing of electrode

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30
Q

effect of frequency

A

effect type of muscle contraction and effect mechanism of pain modulation

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31
Q

what happen when we increase the intensity

A

cause the current to reach deeper tissue
excite smaller fibers and finer farther away

32
Q

how can we reach deeper tissue

A

increase intensity

33
Q

how can we excite the closest and largest fibers

A

stimulus pulse at a duration-intensity above threshold

34
Q

how can we excite smaller and farther aways fibers

A

increase intensity and increase duration

35
Q

what happen if we keep the same intensity but increase the length of time

A

can stimulate more nerve fibers

36
Q

which type of nerve (large or smaller) are the easier to be stimulated

A

large

37
Q

which type of nerve (deep or superficial) are the easiest to be stimulated

A

superficial

38
Q

T/F small sensory nerve are more excitable than motor nerve

A

F

39
Q

which one btw motor nerve and pain fibre are more excitable

A

motor nerve

40
Q

what is a anode

A

Positive Electrode With Lowest Concentration of Electrons

41
Q

what is a cathode

A

Negative Electrode With Greatest Concentration of Electrons

42
Q

what is polarity switch

A

Designates One Electrode As Positive and One As Negative

43
Q

where are negative electrode positioned

A

distally

44
Q

which type of reaction for positive pole

A

acidic

45
Q

which pole decreased nerve irritability

A

positive

46
Q

which pole attracted negative ion

A

positive

47
Q

which pole softened tissue

A

negative

48
Q

what is the reaction of negative pole

A

alkaline

49
Q

characteritic of negastive pole

A

Attracts + Ions
Alkaline Reaction
Softening of Tissues Increased
Nerve Irritability

50
Q

charactistic of positive pole

A

attract - ions
acidic rx
hardening of tissue
decreased nerve irratibility

51
Q

where can electrode can be place

A

on or around painful area
Over specific dermatomes, myotomes, or sclerotomes that correspond to the painful area
– Close to spinal cord segment that innervates an area that is painful
– Over sites where peripheral nerves that innervate the painful area becomes superficial and can be easily stimulatedOver superficial vascular structures
– Over trigger point locations
– Over acupuncture points
– In a criss-cross pattern around the point to be stimulated so the area to be treated is central to the location of the electrodes

52
Q

what is russian current

A

deliver medium frequency 2000-10000 hz, polyphasic AC wave

53
Q

pulse of russian current

A

50-250 usec and the phase duration is half of the puls duration of 25-125 usec

54
Q

sine wave produced in which mode and how many % duty cycle

A

burst and 50%

55
Q

dark shade area in russian current represent

A

total current

56
Q

light shade reprensent what in russian current

A

total current without interbust interval

57
Q

what happen when current is generate with burst effect

A

total current is decreased allowing tolerance of greater current intensity

58
Q

what happen with higher frequency with russian current

A

reduce resistance to current flow making wave form comfortable enough to tolerate higher intensities -> help recruite deeper nerve

59
Q

russiant current is what and what does it does

A

fast oscillating AC current, as soon as nerve repolarizes it is stimulated again, producing a current that will maximally summate muscle contraction

60
Q

what is interferential. current

A

make use of 2 separates generators and produce sine wavec at different frequencies

61
Q

what happen when a second generator is added

A

it can be summative-amplitude which means the electric waves are combined and increase, they originate at the same time

it can be generated out of sync and cancel each other

62
Q

what is a destructive interference

A

when 2 wave are generated out of sync and cancel each other

63
Q

what is a constructive interference

A

when 2 wave are general at the same time and add up to each other

64
Q

how a beat pattern can be create

A

when 2 generator have slighty difference frequencies and are out of phase

65
Q

what heterodyne effect

A

blending of wave caused by constructive and destructive interference pattern

66
Q

what frequencies to use if we want muscle contraction

A

20-50 pps

67
Q

what frequencies to uses if we want pain management

A

50-120 pps

68
Q

what frequencies to use for acustim pain relief

A

1 pps

69
Q

when using 50 -120 pps for pain management we are using gate control or opiode response

A

gate control

70
Q

when using 1 pps for acustim pain relief we are using opiode response or gate control

A

opiode response

71
Q

how can we reach max pain relief

A

center the painful area with the electrode (place them in square) which allow interferential current to passed through a homogenous medium a predictable pattern

72
Q

why do we use opiode response to have max effect of pain relief

A

because of its longer effect

73
Q

how does an electrical fiel is created

A

when 2 current cross between line of electtric current flow

74
Q

where does maximum interference effect take place

A

near center, with field gradually decrease in strength as it move awayer from center

75
Q

what is stereodynamic effect

A

when another set of electrode create a 3D flower effect

76
Q

what do the scanning interferential current

A

move force around