estim parameters Flashcards
For denervated muscle what is …-
-type/waveform
-pulse duration/width
-frequency rate
-intensity
-electrodes
-duty (on:off)
-reps/sets
-type/waveform: **asymmetric , biphasic **
interrupted square wave DC and progressive exponential wave DC
**sine wave AC **
-pulse duration/width : asymmetric , biphasic - 1st 2wks : <1 msec
interrupted square wave DC and progressive exponential wave DC - >10 msec
sine wave AC - short as possible by long enough for mm contraction
-frequency rate: for sine wave AC only <10 Hz
-intensity : moderately strong mm contraction for all
-electrodes- monopolar or bipolar for all
-duty (on:off)- 1:4 or 1:5 for all
-reps/sets-3x 5-20, 3x a day for all
For muscle reeducation what is …-
-type/waveform
-pulse duration/width
-frequency rate
-intensity
-TT time
-duty (on:off)
-reps/sets
-type/waveform: Medium frequency biphasic: interrupted (Russian) or surged current (Biphasic/NMES home units)
-pulse duration/width : 200-600 usec for
-frequency rate: 35-55 pps for med and
-intensity : comfortable mm contraction for both
-TT time : medium is 15 min \
-duty (on:off): for med is **1:1 or 1:5 **
-reps/sets: med - alternate voluntary mm contractions
For muscle pump contraction (edema control - mm theroy) what is …-
-type/waveform
-pulse duration/width
-frequency rate
-intensity
-TT time
-duty (on:off)
-reps/sets
-type/waveform:
HVPC (Monophasic pulsed)
-pulse duration/width : 200-600 usec
-frequency rate: 35-55 pps (beg of tetany range)
-intensity : comfortable mm contraction for both
-TT time: 20-30 mins for both
-duty (on:off): **1:1 **(5-10s: 5-10s) for both
-reps/sets: 2-5xday for both
extra: Elevate the body part. AROM may be encouraged if it is not contraindicated. Use in addition to ice for best effect.
For retardation of mm atrophy what is …-
-type/waveform
-pulse duration/width
-frequency rate
-intensity
-TT time
-duty (on:off)
-reps/sets
-type/waveform: Medium frequency biphasic: interrupted (Russian) or surged current (Biphasic/NMES home unit)
HVPC (Monophasic pulsed)
-pulse duration/width: 200-600 usec for both
-frequency rate: 50-85 pps (tetany range) for both
-intensity : greater then 25% MVIC for both ( should be as high as tolerated by pateint and needs to move th limb thru the antigravity range)
-TT time: 15-20 mins for both
-duty (on:off): **1:5 **(10-15s: 50-120s) for both
-reps/sets: 3x10 reps of **> 25% of MVIC **; 2x a day
NMES
For mm strengthening what is …-
-type/waveform
-pulse duration/width
-frequency rate
-intensity
-ramp
-duty (on:off)
-reps/sets
-type/waveform: Medium frequency biphasic: interrupted (Russian) or surged current (Biphasic/NMES home unit)+
HVPC (Monophasic pulsed)
-pulse duration/width: 200-600 usec for both
-frequency rate: 50-85 pps (tetany range) for both
-intensity : 60% MVIC for both
-ramp: med- gradual ramp to peak intensity
-duty (on:off): 1:5 for both
-reps/sets: 3x10 reps 3x a week for both
NMES
For increasing ROM what is …-
-type/waveform
-pulse duration/width
-frequency rate
-intensity
-TT
-duty (on:off)
-type/waveform: Medium frequency biphasic: interrupted (Russian) or surged current (Biphasic/NMES home unit)+++
HVPC (Monophasic pulsed)
-pulse duration/width : 200-600 usec for both
-frequency rate: 35-55 pps (beg of tetany renate) for both
-intensity : mm contraction strong enough to move body part thru **gravity resisted ROM for both **
-TT: 90 mins (3x30mins) for both
-duty (on:off): 1:1 or 1:5 depending on fatigue 3-5 days/wk for both
For edema control (sensory level stimulation theory) what is …-
-type/waveform
-pulse duration/width
-frequency rate
-intensity
-electrode
-TT
-duty (on:off)
-type/waveform: HVPC (Interrupted monophasic)
-pulse duration/width : 10 usec on EMPI for 300pv unit default 2 usec on
-frequency rate:120pps
-intensity : 30-50v or 10% less than that needed to produce a visible mm contraction
-electrode: negative polarity: one small (active) and one larger (dispersive proximal up the leg)
-TT: 30 mins
-duty (on:off): continuous ; 50%
if the goal is Acute pain, post surgical pain , labor and delivery pain control what is …-
-type/waveform
-pulse duration/width
-frequency rate
-intensity
-TT
-duty (on:off)
-type/waveform: Conventional TENS (asymmetric biphasic) most common
-pulse duration/width: 75-150 usec
-frequency rate:80-125 pps
-intensity : tolaerbale sensory (no mm contraction)
-TT: until pain is no longer there (~30 mins)
-duty (on:off): continuous
if the goal is to control chronic pain what is …-
-type/waveform
-pulse duration/width
-frequency rate
-intensity
-electrodes
-TT
-duty (on:off)
- theory
-type/waveform: Low-frequency or motor-level TENS (Acupuncture-like)
-pulse duration/width : 100-600 usec
-frequency rate: <20 pps
-intensity : high enough to elicit both a tingling. sensation and mm contraction
-electrodes : over motor point
-TT: 15-60 mins
-duty (on:off): 30-60 secs
- theory: descending pain control theory
if the goal is to control chronic pain what is …-
-type/waveform:
-pulse duration/width
-frequency rate
-intensity
-electrodes
-TT
-duty (on:off)
- theory
-type/waveform: Noxious-level TENS (Hyperstimulation analgesia): HVPC’
-pulse duration/width: 100-1000 usec
-frequency rate: 1-5 pps
-intensity : high intensity to noxious level (mm contraction is acceptable)
-electrodes: over trigger or acupuncture points
-TT: until pain is not there
-duty (on:off): 30-45 secs
- theory : endogenous opiate pain control theory
if the goal from fast pain relief: before and during pain procedure/ wound debridement what is …-
-type/waveform:
-pulse duration/width
-frequency rate
-intensity
-TT
- theory
-type/waveform: brief intense TENS
-pulse duration/width : 100-600 usec
-frequency rate: 100 pps
-intensity : mm fasciculation to sustained contraction
-TT: ~15 mins
- theory: peripheral and central analgesia
if the indication is a muscle spams what IFC do u do
-frequency
-pulse width
-frequency sweep (start - stop)
- duty
-ramp
-TT
-frequency : quad/bi/premod
-pulse width: 200-400usec
-frequency sweep (start - stop) : 50-70pps
- duty : 10:10
-ramp: 1-2 secs
-TT: 10-20 mm
