interferential, ESTHR, NMES, ultrasound Flashcards
Contraindeications for interferential current
Anterior cervical area through chest Through head Pacemakers Abdomen, pelvis, lumbars of first tri pregnancy Mental implants Epilepsy Areas of hemorrhage Cancer Confused patients Damaged skin Unknown etiology
What is the frequency of premod and interferential for acute? Chronic?
Acute: 80-150
Chronic: 1-15
What is the intensity/amplitude for premod or interferential?
Patient comfort
What is the treatment time for interferential?
15-20minutes
Describe interferential current
4 electrodes, 2 channels
Criss cross around the area of pain
Describe premodulated technique
2 electrodes, 1 channel
One electrode on either side of pain
When treating acute pain for interferential, what are the target fibers?
A beta
When treating chronic pain for interferential, what are the target fibers?
A delta
Contraindications for NMES
Anterior cervical area Through the head Chest Pacemakers Confused/unreliable patients Abdomen, pelvis, lumbar areas of first tri pregnancy Hemorrhage Damaged skin Metal implants Epilepsy Cancer Unreliable patients
Indications for premod/interferential
Pain reduction
Indications for NMES (russian or biphasic)
Muscle re-education
Retard atrophy
Muscle strengthening
Decrease muscle spasm through fatigue
Treatment frequency for NMES (russian or biphasic)
50 Hz
What is the intensity/amplitude of NMES (russian or biphasic)
Patient tolerance
What is the treatment time and EPA to fatigue muscle spasm, NMES (russian or biphasic)
15-20min, 10/10
What is the treatment time and EPA to prevent atrophy or re educate muscle, NMES (russian or biphasic)
10 minutes, 10/50
When would you use co contract NMES (russian or biphasic)
Bilateral muscle groups
When would you use reciprocal NMES (russian or biphasic)
Agonist, antagonist muscles
When would you use single mm NMES (russian or biphasic)
Single muscle
Indications for ESTHR, hi volt, and microcurrent
Stimulate healing
Reduce edema
Decrease spasm
Contraindications for ESTHR, hi volt, and microcurrent
Osteomyelitis Cancer Electronic implants Anterior cervical area Through chest Through head Metal implants Abs, lumbar, pelvis of first tri pregnancy Hemorrhage Unknown etiology
What is the treatment area for ESTHR, hi volt, and microcurrent
Wound
Where do you place the electrodes for ESTHR, hi volt, and microcurrent
Over or around edema, wound, etc
Intensity or amplitude for ESTHR, hi volt, and microcurrent
Patient comfort
Treatment time for ESTHR, hi volt, and microcurrent
30-90 min 1-3x a day
Clinical goal for ESTHR, hi volt, and microcurrent
Healing
Treatment frequency for hi volt
1-200Hz
Treatment frequency for microcurrent
Continuous
Indications for ultrasound
Increase extensibility of co.lagen fibers and tendons
Increase blood flow
Increase cell metabolism
Increase collagen synthesis
Decrease joint stiffness
Decrease muscle spasm
Enhance tendon, ligament, and muscle healing
Contraindications for ultrasound
Cancer Hemorrhage Ischemia Thrombus Infection Gonads Eye Pelvic, abdominal and lumbar areas of pregnancy Spinal cord aftern laminectomy Plastic or cemented implants Near electronic implants Unknown etiology
what is the treatment area for direct ultrasound?
2-3x the size of the treatment area, move in slow circles
clinical goals for direct ultrasound
increase healing
duty cycle for direct ultrasound
no heat, 50% (pulsed)
OR
100% (continuous), heat
treatment time for ultrasound
5-10 minutes
clinical goal for direct ultrasound with heat
decrease chronic pain
decrease muscle spasm
when do you use underwater ultrasound?
when the head won’t contact the skin flat
what is the clinical goal of underwater ultrasound?
increase healing, decrease pain
what is the duty cycle of underwater ultrasound?
50-100%
heat or no heat
combination of ultrasound and premodulated interferential has what clinical goal?
chronic tendinosis, trigger points, acute or chronic pain
duty cycle of combination of ultrasound and premodulated interferential
50-100%
heat or no heat
