EStim Flashcards
What Estim is best for motor/noxious level pain?
TENS
IFC/Premod*
What Estim is best for wound healing?
HVPC*
MENS (- then +)
What Estim is best for Edema prevention?
HVPC (-) at sensory level
What Estim is best for edema reduction?
Premod*
NMES
HVPC @ motor-level intensity
What Estim is best for spasm/trigger point?
HVPS w/ probe (trigger pt)
Combo US-Estim (spasm)
Premod (motor twitch)
What is the best Estim for muscle reeducation?
Russian
HVPC
What is the best Estim for muscle strengthening?
Russian
What are the disadvantages to using TENS?
Low total current limits tetany production
Cannot control duty cycle
What are the goals with TENS units?
Motor/Noxious level pain control
Motor level edema/spasm reduction?
What are the goals with HVPC?
Motor-level edema/spasm reduction
Probe option for trigger points
Neuromuscular reeducation
What are the disadvantages of HVPC?
Lacks total current needed for maximum force production
What are the motor level goals with IFC?
Pain control
Edema/spasm reduction
Combo (US/estim)
What are the disadvantages with IFC?
Waveform may produce discomfort with patient before tetany can be reached
Typically no duty cycle control
No ramp option
What are the motor goals with NMES?
Neuromuscular reeducation
Strength augmentation - tetany contraction w/ little sensory discomfort
What is the best Estim for sensory pain reduction?
TENS
IFC/Premod*
HVPC (generally +)