Estim Muscle Contraction Flashcards

1
Q

T/f Muscle contractions produced by ES are not identical as physiological contractions

A

TRUE

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2
Q

What are the six things ES contractions can do

A

Strengthen muscle
Improve muscular endurance
Improve cardiovascular health
Prevent muscle atrophy
Reduce spasticity
Help restore function

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3
Q

In an innervated muscle, what fibers are physiologically activated first

A

Slow twitch type 1 fibers

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4
Q

In an innervated muscle what fibers are electrically stimulated second ?

A

Fast twitch type II muscle fibers

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5
Q

T/f during a contraction, physiologically the contractions are smooth

A

True

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6
Q

T/f during a contraction, electrically the contractions are rapid and jerky

A

True

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7
Q

What characteristics type I muscle fibers ?

A

Small
Slow twitch
Produce dec. force contraction
More resistant to fatigue and atrophy

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8
Q

What characteristics are type II muscle fibers

A

Larger
Fast twitch
Produce inc force and quicker contraction
Fatigue rapidly
Prone to weakening and atrophy with disuse

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9
Q

What effect on muscle fibers does ES have ?

A

Strengthen muscle fibers that have been atrophied from disuse

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10
Q

In a denervated muscle what happens when es is applied

A

Muscle no longer contracts physiologically or with electrical stimulation

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11
Q

What can ES do to a denervated muscle nerve growth

A

Slow it down

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12
Q

What are some clinical applications to apply ES for muscle contraction

A

Orthopedic conditions
Cardio respiratory
Healthy adults and athletes
Muscle coordination and motor control for patients w neurological conditions

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13
Q

What is AMI

A

Atherolgenic muscle inhibition, causes shut down of muscle

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14
Q

When a person gets a TKA, the quads shut down, what fibers atrophy?

A

Type II fibers

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15
Q

How can patients with OA benefit from estim

A

Decrease pain
Increase strength
Improve walking
Improve climbing

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16
Q

How Can patient who have RA benefits from estim

A

Improve strength
Improve endurance

17
Q

Patients who had heart failure and applied NMES to their quads benefited from what ?

A

Peak O2 uptake
6 min walks test distance
Muscle strength
Depressive symptoms
Quality of life

18
Q

What athletes improves strength from estim

A

Rugby players
Hockey players
Tennis players
Soccer players
Gymnasts
Basketball players
Vollyball players
PE students

19
Q

Following a stroke, NMES can do what?

A

Reduce shoulder subluxation
Reduce spasticity

20
Q

Other than ES applied through current and pads, is there other forms it can be applied ?

A

Yes there is different divides such and hand devices, knee devices

21
Q

What neurological disorders can NMES benefit

A

Spinal cord injury
Multiple sclerosis
Cerebral palsy
Dysphagia
Urinary incontinence

22
Q

What is a precaution for ESTIm for muscle contraction .

23
Q

When applying EStim how should the patient be positioned

A

Never want them laying on the electrodes

24
Q

Where do the electrodes get placed for muscle contractions

A

One electrode over motor point
One on the muscle to be stimulated

25
What size muscles are short durations good for
Small muscles
26
What size muscles are longer durations good for
Larger muscles
27
If ES is uncomfortable for a patient what is the first thing you change
Pulse duration
28
If pulse duration needs to be decreases what needs ti be increased
Amplitude or intensity
29
When using low frequency on a patient (20pps) what will the twitches look like
Tiny little twitches not full contractions
30
As frequency increases to 30-50, what happens to the contractions
More twitches, smooth comtractions
31
For edema control with muscle contraction, what kind of electrodes should you use
Self adhesive electrodes
32
For edema control with muscle contraction ES where should the electrodes be placed
On muscle around main veins