Midterm Flashcards
TENS Frequency Range
50 - 120 pps
Frequency is high to increase the drive on cutaneous sensory afferents.
NMES Frequency Range
35 - 50 pps
Frequency is high enough for muscle tetany.
Higher = More Comfortable.
Voltage
The difference between the number of ions inside and outside of a cell membrane. (Units Millivolts mV)
Current
The displacement of ions from one point to another. (Units Milliamps mA) This movement of ions can be driven by diffusion (chemical gradient) and electrical gradient (voltage)
Impedance
The resistance of a system to the flow of ions.
In physiologic systems impedance includes resistance (R), capacitance (3) and inductance (L).
Ohm’s Law
V (voltage) = I (current) x Z (resistance/impedance)
Contraindications for E-Stim
Pacemaker or Defibrillator (anywhere on the body).
Superficial Metal
Cancer due to increased circulation with TENS
Pregnancy
TENS Pulse Duration (Phase) Range
50 - 150 microseconds
Amplitude
Strong sensory stimulation without muscle contraction
TENS Waveforms
Symmetric or Asymmetric (Ideally symmetric).
TENS Tx Duration
20 minutes minimum, however, continuous stimulation as needed for pain management. Or cyclical with multiple cycles throughout the day of 20-60 minuets is ideal.
Special Precaution (Contraindication) for Point Stimulation
People who are prone to migraine headaches. Point stim could trigger a migraine.
Point Stim Frequency
1 - 5 pps
Point Stim Phase Duration
200 microsec - 1 millisec (LONG Phase Duration)
Point Stim Amplitude
Noxious Level