ESTIM

Question 1

Contraindications for ESTIM (6)

Answer 1

pacemaker or other electronic medical device
pregnant
active DVT
active bleeding or infection
cancer
metal implants

Question 2

precautions for estim (3)

Answer 2

impaired mentation
impaired sensation
uncontrolled HTN

Question 3

Direct current

Answer 3

uninterrupted unidirectional flow ex. Ionophoresis and wound healing
type of monophasic current

Question 4

Alternating current

Answer 4

uninterrupted bidirectional flow (pain modulation)
Bouncing back and forth between the two pads
Type of biphasic current

Question 5

Pulse current

Answer 5

can either be unidirectional (monophasic) or bidirectional (biphasic) current that periodically ceases for very short time period.
has additional parameters

Question 6

does pulse current cause tetanic contraction

Answer 6

yes

Question 7

what is need to initiate depolarization

Answer 7

intensity and duration of stimulus

Question 8

monopolar configuration uses

Answer 8

wound healing, edema control, iontophoresis

Question 9

electrode distance recomendation

Answer 9

one half the diameter of each electrode

Question 10

what kind of current is Russian

Answer 10

burst alternating current

Question 11

nerve in FES has to

Answer 11

nerve has to be intact but not functioning appropriately

Question 12

IFC uses

Answer 12

pain and reduction of edema

Question 13

brief intense tense use

Answer 13

short term pain relief during painful procedures (wound debridement, passive stretching, joint mobilizations)

Question 14

Burst mode TENS

Answer 14

Combines characteristics of both high and low rate TENS. Stimulation of endogenous opiates, but current is more tolerable to patient than low rate TENS

Question 15

Hyperstimulation TENS

Answer 15

trigger point or tendonites

Question 16

modulation mode tens

Answer 16

prevent adaptation due to constant ES; alters frequency, intensity, or pulse durations by > 10%

Question 17

Hig-volt pulsed current (HVPC)

Answer 17

tissue repair and wound healing primarily; can be used for pain

Question 18

Macrophages and neutrophils charge

Answer 18

negative