ES - muscle contraction Flashcards

1
Q

electrical stimulation for pain modulation

A

TENS

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1
Q

activation of skeletal muscle for neuromuscular re-education or strengthening

A

NMES

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2
Q

Activation of skeletal muscle for re-educaiton or movement training for functional use

A

FES

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3
Q

stimulation of denervated muscle

A

EMS

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4
Q

NMES purpose

A
  • to induce contraction of skeletal muscle (with an intact peripheral nerve) to obtain similar physiological improvements that result form exercise training
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5
Q

NMES primarily used for

A

treating or preventing muscular atrophy following disuse, immobilization or detaining

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6
Q

primary goals of NMES

A

increase volitional production of muscle force when motor recruitment is most impaired

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7
Q

mechanisms of muscle strength gains

A
  • neural adaptations
  • muscular adaptations
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8
Q

neural adaptations

A

enchanted recruitment of motor units (number, frequency, synchronization)

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9
Q

muscular adaptations

A
  • increasing contractile proteins
  • changes in muscle fiber type
    -altering metabolic profile
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10
Q

mechanisms of muscle strength loss

A
  • intrinsic loss
  • extrinsic loss
  • initial strength loss post injury is usually done to extrinsic loss, but is sally surpassed by intrinsic loss
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11
Q

intrinsic loss

A

muscle atrophy and fiber loss

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12
Q

extrinsic loss

A

impaired motor unit recruitment (size, number, frequency, and synchronization)

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13
Q

when voluntary muscle activation may be impaired, ES results in

A

greater and more rapid gains in strength than voluntary exercise or no exercise at all

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14
Q

ES intensity and exercises intensity must be

A

similar to achieve similar results

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15
Q

the points in a muscle where there is the greatest density of motor end plates

A

motor point

16
Q

if electrons are too small for the the targeted muscle?

A

increased current density may lead discomfort

17
Q

why type of fibers are recruited first during voluntary contraction

A

type I

18
Q

during NMES, which motor units are recruited first?

A

Type II

19
Q

ES result in early ____ compared with voluntary recruitment

A

early fatigue

20
Q

since no peripheral nerve with motor endplate, the sarcolemma must be depolarized around the. muscle cell itself

A

EMS

21
Q

Typically biphasic current - functional tasks

A

FES

22
Q

Electrical muscle stimulation (EMS)

A
  • maintains contractile properties of the muscle while awaiting reinnervation
  • used in patients with peripheral nerve injuries
  • atrophy and fibrosis can be attenuated
  • literature is controversial
23
Q

ems activation of the muscle requires depolarization of the muscle membrane itself

A

the sarcolemma

24
Q

functional electrical stimulation (FES)

A
  • primary goal is to improve function, not increase strength as in NMES
25
Q

FES intensity is only enough to

A

meet the demands of the specific functional task

26
Q

evidence for the use of NMES

A

-improved strength gains without hypertrophy
- hypertrophy with CNS lesion
- hypertrophy with MSK disorders
-improvements in hypertrophy

27
Q

High volt pulsed current (HVPC)

A
  • twin peaked monophonic pulsed current
  • peak voltage 150 to 500 v
  • short pulse duration (50 to 100usec)
  • frequency of 1 to 120Hz
28
Q

HVPC is for

A

preventing or reducing edema

29
Q

HVPC parameters

A
  • current type: monophonic
  • frequency 100 -125 ops
  • pulse duration 2-100usec
  • amplitude: comfortable sensory perception (10%)
  • time: 20 min intervals or several hours
30
Q

NMES parameters for reducing edema

A
  • current type: biphasic PC or Russian/Aussie
  • Frequency: 20-80pps
  • pulse duration:100-600usec if PC
  • amplitude: visible contraction
  • time: 10-20 min treatment sessions 3sec on; 3sec off