Electro Flashcards
Rheobase normal values (2)
2-18 mA
5-35 V
chronaxie normal
<1 ms
polar formula
CCC > ACC > AOC > COC
other names for polar formula
erb’s law, pleuger’s law
dubois reymond’s law
to electrically stimulate a nerve, there must be a sudden change in stimulus intensity
LFC frequency
1-1000 Hz / 1000-2000 Hz
ES can stimulate
LFC: sensory nerve, innervated and denervated ms
MFC: cannot denervated
HFC: none; deep heating
cathode characteristics (8)
alkalinic, sclerolytic, tissue softening, inc NCV, red, inc risk for burns depolarization, tiny rapid gas bubbles,
anode characteristics
acidic, sclerotic, tissue hardening, dec NCV, dec risk for burns, pinkish, hyperpolarization, slow large gas bubbles
anion medication, purposes (7)
NaCl - adhesion
Salicylic acid - pain and inflammation
Dexamethasone - inflammation
Iodide - wound and keloid
Acetic acid - calcium deposits
Water - hyperhidrosis
Brass - metal poisoning
cation medication, purposes (9)
magnesium, calcium - ms spasm
hydrocortisone - inflammation
copper sulfate - fungal infection
renotin - adhesions
lidocaine - pain
vinca alkaloid - neuropraxia (tic douloureux)
zinc sulfate - ulcer
hyaluronidase - edema
mecholyl - scleroderma
anion, adhesions
NaCL
cation, adhesions
renotin
anion, pain and inflammation
salicylic acid
anion, inflammation
dexamethasone
cation, pain
lidocaine
anion, hyperhidrosis
water
anion, metal poisoning
brass
anion, wound and keloid
iodide
anion, calcium deposits
acetic acid
cation, scleroderma
mecholyl
cation, fungal infection
copper sulfate
cation, zinc sulfate
ulcer
cation, inflammation
hydrocortisone
Short DIC (pulse duration, frequency, sensation, motor, indication)
0.002-1ms
50-70Hz
tingling
tetanic contraction
innervated ms
cation, edema
hyaluronidase
long DIC, EPC (frequency, sensation, motor, indication)
5-10Hz
none
slow, sluggish
denervated ms
long DIC pulse duration
1-800ms
EPC pulse duration
1000-2000ms
faradic and sinusoidal AC (duration, frequency, sensation, motor, indication)
50Hz
tingling
tetanic ms contraction
innervated ms
faradic pulse duration
1ms (0.001 s)
sinusoidal PD
10ms
partial reaction of degeneration
faradic: nerve and ms dec
galvanic: nerve dec, ms inc
full reaction of degeneration
faradic: nerve and ms (-)
galvanic: nerve (-), slow, sluggish ms
absolute reaction of degeneration
faradic: nerve and ms (-)
galvanic: nerve and ms (-)
conventional TENS (PD, freq, duration, effect, indication)
50-100 ms
50-80 pps
20-60 min
temporary
acute-chronic sensory
acupuncture TENS (PD, freq, duration, effect, indication)
150-300 ms
1-5 pps
30-40 min
long lasting
acute motor
burst TENS (PD, freq, duration, effect, indication)
50-200 ms
50-100 pps
20-30 min
long lasting
diffused
brief intense (PD, freq, duration, effect, indication)
50-250 ms
80-150 pps
15 min
temporary
painful procedure
hyper stimulation (PD, freq, duration, effect, indication)
150-300 ms
1-5 pps
15 min
long-lasting
MPS
muscle reeducation ES waveform
asymmetric/symmetric biphasic 200-500ms
muscle reeducation ES PR
> 60 pps
muscle reeducation ES SA
Max tolerable
muscle reeducation ES DC
1:1
muscle reeducation ES duration
15 mins
ms integrity/atrophy waveform (2)
20-300ms mono/biphasic
2500Hz in 50 bursts
ms integrity/atrophy PR
> 40 pps
ms integrity/atrophy SA
max tol
ms integrity/atrophy modulation
smooth and gradual contraction
ms integrity/atrophy DC
1:5
ms integrity/atrophy duration
varies
idiopathic scoliosis waveform
rectangular monophasic 220 ms
idiopathic scoliosis PR
25 pps
idiopathic scoliosis SA
50-70 Hz
idiopathic scoliosis DC
1:1
idiopathic scoliosis duration
gradual to 8hrs
spasticity direct stimulation
same as muscle reeduc
spasticity antagonist waveform
monophasic/biphasic 200-500ms
spasticity antagonist PR
30-50pps
spasticity antagonist SA
tolerable
spasticity antagonist duration
15-20 mins
spasticity antagonist DC
1:1 to 1:5
spasticity reciprocal stim waveform
monophasic/biphasic 300ms
spasticity reciprocal stim PR
30 pps
spasticity reciprocal stim SA
tolerable
spasticity reciprocal stim DC
5:5
spasticity reciprocal stim duration
15-20 mins
ms spasm intermittent stimulation waveform
biphasic 300 ms
ms spasm intermittent stimulation PR
30-50pps
ms spasm intermittent stimulation SA
comfortable ms contraction
ms spasm intermittent stimulation modulation
surge
ms spasm intermittent stimulation DC
1:3
ms spasm intermittent stimulation duration
15-20 mins
ms spasm high frequency stimulation waveform
monophasic/biphasic 200-300ms
ms spasm high frequency stimulation PR
> 60 pps
ms spasm high frequency stimulation SA
max tol
ms spasm high frequency stimulation DC
none
ms spasm high frequency stimulation modulation
continuous
ms spasm high frequency stimulation duration
15-20 mins
edema waveform
monophasic HVPC, asymmetrical/symmetrical biphasic 200-500 ms
edema PR
> 60 pps
edema SA
max tol
edema DC
1:1
edema duration
20-30 mins
tissue healing low amplitude cont unidirectional stim waveform
continuous unidirectional current (ionto)
tissue healing low amplitude cont unidirectional stim SA
low 200-1000mA
tissue healing low amplitude cont unidirectional stim duration
1-2 hrs
tissue healing monophasic short duration c HVPC waveform
monophasic
tissue healing monophasic short duration c HVPC PR
85-105 pps
tissue healing monophasic short duration c HVPC SA
subthreshold motor level stim
tissue healing monophasic short duration c HVPC duration
30-60 mins
acceptable BNUR
2-6:1
intensity for acute, sub acute, chronic, pedia/geria
acute: 0.1-0.5 w/cm2
sub acute 0.5-1.0 w/cm2
chronic 1.0-2.0 w/cm2
pedia/geria: 0.75 w/cm2
circular US movement
2-3s/cycle
parallel US mvmt
4cm/s
CI for US
TIPPCarGoDVa
tumor, impaired sensation, pacemaker, pregnancy, carotid sinus, growing endplate, DVT, vital organs
SWD frequency and wavelength
13.56 MHz = 22m
27.12 MHz = 11 m
40.68 MHz = 7m
CI for SWD and MWD
MAPEH
metal implants, acute infection/condition, pregnancy, edema, hemorrhage
MWD (microthermy) frequency and wavelength
2450 - 122.5
915-433.9 - 330
IRR types, other name, wavelength, penetration
IRR A - short IRR - 770-4k - 1-3mm
IRR B - long IRR - 4k-15k - 0.5-1mm
IRR C - very long IRR - >15k - several micrometers
luminous IRR characteristics (5)
short IRR, hot and glowing, tungsten and carbon filaments, deeper structures, 18-24” away
non-luminous IRR (5)
long IRR, needs 5 mins to preheat, resistant wires, superficial structures29-36” away
IRR CI
FUSI-TEX
fungal infection, unreliable pts, skin infection, impaired sensation, topical cream application, eyes, after x-ray
UV types, other name, wavelength, penetration
UV A - long UVR - 290-400
UV B - short UVR 180-290
UV C - very short UVRR < 180
all: penetration = 2cm
UVR local effect (5)
pigs grow and eat dumplings
pigmentation
growth of epithelial cells
antibiotic
erythema
desquamation
UVR generalized effect (3)
FEN
formation of vit D
esophylactic effect
natural protection against UVR
UVR adverse effects (3)
burn
cancer
eye damage
dosimetry measurements
E1 prog, E2 & prog, E3 & prog, E4
E1 prog = 25% of E1 + E1
E2 = E1 x 2.5
E2 prog = 50% of E2 + E2
E3 = E1 x 5
E3 prog = 75% of E3 + E3
E4 = E1 x 10
E1 (appear, disappear, desquamation, pigmentation, characteristic, TBS, frequency)
6-8hrs, 1 day, p repeated exposure, p repeated exposure, mild erythema, whole, daily
E2 (appear, disappear, desquamation, pigmentation, characteristic, TBS, frequency)
4-6 hrs, 2 days, powdery, definitely, mild sunburn, 20%, every 2 days
E3 (appear, disappear, desquamation, pigmentation, characteristic, TBS, frequency)
2-4 hrs, 3 days, marked skin peeling, marked, moderate sunburn, 250cm2, 2x/wk
UVR dosage for acne, different regions (3)
E1 = face
E1, E2 = chest, neck
E3 = shoulder, back
E4 (appear, disappear, desquamation, pigmentation, characteristic, TBS, frequency)
2-4 hrs, p several weeks, –, –, blister, 25cm2, once wound heals first
Psoriasis tx UVR (2)
leeds regimen - coal tar bath + E1
PUVA - psoralen + UVA
CI for UVR
her dear friend took photo inside dubai mall
hypersensitivity to sunlight, dermatologic conditions (SLE), febrile, TB, photosensitivity, impaired sensation, deep x-ray, malignancy
LASER meaning
light amplification by stimulated emission of radiation
Laser types, power, hazards (5)
1 - 0.5mw - no hazards
2 - 1 mw - safe for momentary view
3a - 5mw - laser point; eye damage p prolonged exposure
3b - 500mw - therapeutic laser, eye damage p brief exposure
4 - >500 mw - surgical/industrial
laser agents, indications (3)
HeNe (helium, neon)
- red visible light, superficial structures
GaAs (gallium, arsenide)
- IRR + invisible light
- deep structures
GaAlAs (gallium, aluminum, arsenide)
- CTS
laser indication (5)
soft tissue healing, bone healing, neuropathy, lymphedema, pain
russian currents DC
(strength, ms fatigue, inc ROM, edema)
strength: 1:5
ms fatigue: 5:1
inc ROM: 2:5
edema: 1:1