Electrical Stimulation Parameters (full) Flashcards

1
Q

What type of ES is Russian Burst Modulation?

A

NMES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Uses of Russian Burst Modulation?

A

muscle strengthening, synchronous firing, and atrophy prevention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Russian Burst Modulation - pulse width/duration?

A

150 - 200 microseconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Russian Burst Modulation - pulse frequency?

A

50 - 70 pps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Russian Burst Modulation - on:off time?

A

will vary; avg = 10:50 sec for more than 10 reps (10 min)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Russian Burst Modulation - ramp interval?

A

about 1 - 5 sec up/down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Russian Burst Modulation - electrode placement?

A

bipolar on muscle belly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Russian Burst Modulation - amplitude?

A

maximum contraction/pt tolerance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Uses of NMES?

A

muscle strengthening, synchronous firing and atrophy prevention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

NMES - pulse duration/width?

A

200 - 800 microseconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

NMES - pulse frequency?

A

30 - 100 pps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

NMES - on:off time?

A

will vary; avg = 10:50 sec for more than 10 reps (10 min)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

NMES - ramp?

A

1 - 5 sec up/down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

NMES - electrode placement?

A

bipolar; parallel to muscle fibers on muscle belly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

NMES - amplitude?

A

maximum contraction/pt tolerance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does the muscle do if properly on NMES?

A

CONTRACT!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What size electrode do I use for NMES?

A

the size will correlate with the size of the targeted muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How do you determine your NMES treatment time?

A

on the number of muscle contractions, NOT LENGTH OF TIME!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What type of ES is Functional Electrical Stimulation (FES)?

A

a type of NMES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Uses for Functional Electrical Stimulation (FES)?

A

used in braces for muscle stimulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Specific (yet common) uses for FES?

A

shoulder subluxation and foot drop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Uses for Interferential Current (IFC)

A

pain modulation, edema reduction, and muscle contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

IFC - wave form?

A

alternating current (polyphasic sinusoidal) amplitude modulated beats

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

IFC - pulse width/duration?

A

200 - 400 microseconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
IFC - pulse frequency?
10 - 150 pps
26
IFC - on:off time?
continuous for 10-30 min
27
IFC - electrode placement?
in an X pattern with channels crossing so that the middle of the X is the target area
28
IFC - amplitude?
strong but tolerable
29
Why does my body take a longer time adjusting to IFC?
because there is back and forth between constructive and destructive interference which gives the body too much variation to adjust efficiency
30
High Rate TENS - uses?
pain modulation through central inhibition (gate control theory)
31
High Rate TENS - wave form?
asymmetrical biphasic
32
High Rate TENS - pulse frequency?
50 - 80 pps
33
High Rate TENS - on:off time?
can either be continuous, pulsatile or burst for 10 min
34
High Rate TENS - amplitude?
comfortable tingling sensation... NO muscle response/contraction
35
What does High Rate TENS do to pain?
onset of relief is super quick, but it is extremely temporary
36
How does High Rate TENS work?
Gate Control Theory basically
37
Low Rate TENS (Acupuncture) - uses?
pain modulation through descending pathways generating endogenous opiates
38
Low Rate TENS - wave form?
asymmetrical biphasic
39
Low Rate TENS - pulse width/duration?
150 - 300 microseconds
40
Low Rate TENS - pulse frequency?
1-5 pps
41
Low Rate TENS - amplitude?
strong, but comfortable rhythmic muscle twitch
42
How does Low Rate TENS work?
stimulates PAG to release of Sub P to stop the C fiber ascension... so pain modulation via endogenous opiates from brain to SC
43
Brief Intense TENS uses?
wound debridement, passive stretching, or joint mob
44
What is Brief Intense TENS?
basically, a painful distraction from something more painful (such as before a procedure)
45
Brief Intense TENS - wave form?
asymmetrical biphasic
46
Brief Intense TENS - pulse width/duration?
50 - 250 microseconds
47
Brief Intense TENS - pulse frequency?
80 - 150 pps
48
Brief Intense TENS - on:off time?
continuous for 15 min
49
Brief Intense TENS - electrode placement?
around target tissue
50
Brief Intense TENS - amplitude?
pt's tolerance, but it needs to be very strong and painful
51
Burst Mode TENS - uses?
combines low and high rate TENS for pain modulation
52
Burst Mode TENS - wave form?
asymmetrical biphasic
53
Burst Mode TENS - pulse width/duration?
continuous, pulsatile, or burst
54
Burst Mode TENS - pulse frequency?
50 - 100 pps in burst of 1 - 4 pps
55
Burst Mode TENS - on:off time?
20 - 30 min
56
Burst Mode TENS - electrode placement?
around target tissue
57
Burst Mode TENS - amplitude?
comfortable, intermittent paresthesia
58
What does Burst Mode TENS do to pain?
takes about 20-40 min for pain relief, but it lasts for hours
59
Hyperstimulation (point-stim) TENS - uses?
stimulates trigger point or local area of pain (tendonitis)
60
Hyperstimulation (point-stim) TENS - wave form?
asymmetrical biphasic
61
Hyperstimulation (point-stim) TENS - pulse width/duration?
150 - 300 microseconds
62
Hyperstimulation (point-stim) TENS - pulse frequency?
1 - 5 pps
63
Hyperstimulation (point-stim) TENS - on:off time?
10 - 30 sec increments for 15 - 20 min
64
Hyperstimulation (point-stim) TENS - electrode placement?
on target tissue
65
Hyperstimulation (point-stim) TENS - amplitude?
maximum tolerance; should be uncomfortable
66
What does Hyperstimulation (point-stim) TENS do to pain?
takes about 20-40 min for pain relief, but it lasts hours
67
Low-intensity DC (microcurrent) - uses?
wound healing, tissue repair
68
Low-intensity DC (microcurrent) - wave form?
monophasic
69
Low-intensity DC (microcurrent) - pulse width/duration?
20 - 100 microseconds
70
Low-intensity DC (microcurrent) - pulse frequency?
50 - 200 pps
71
Low-intensity DC (microcurrent) - on:off time?
continuous for 20 - 60 min
72
Low-intensity DC (microcurrent) - electrode placement?
on target tissue; positioning according to negative/positive based on the treatment
73
Low-intensity DC (microcurrent) - amplitude?
comfortable tingling sensation; NO MUSCLE RESPONSE
74
Explain positive and negative electrode placement in regard to Low-intensity DC (microcurrent)?
if positive (anode) is on the wound, negatively charged particles would come in and positive particles would be pushed out... each treatment has different placements depending on if the particles are negative/positive so look them up prior to administering
75
Iontophoresis - uses?
transport of medicine via polarity
76
Iontophoresis - wave form?
direct current, monophasic
77
Iontophoresis - electrode placement?
on target tissue; position according to negative/positive based on treatment
78
Iontophoresis - amplitude?
max intensity = 4 - 5 milliamps