NMES TENS Flashcards

1
Q

What is the goal of NMES?

A

Stimulate alpha motor neurons

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2
Q

Why would you do NMES?

A

Retrain lost muscle function after injury/surgery. Decrease atrophy after immobilization

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3
Q

In NMES physiologic contractions are slow or fast twitch fibers recruited first?

A

Slow

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4
Q

What causes inhibition in NMES>?

A

Golgi

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5
Q

What kind of firing is used in physiologic muscle contractions synchrony or asynchronous?

A

Asynchronous

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6
Q

Does NMES causes fatigue?

A

Not usually because of the order of firing

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7
Q

In electrical muscle contractions what muscle fibers are recruited first?

A

Fast

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8
Q

What is the synchrony of firing in electrical muscle stim?

A

Synchrony (contraction continues until the stim is lost)

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9
Q

Is there fatigue seen in electoral stimulated muscle contrition ?

A

Yes, rapid

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10
Q

How does inhibition work with electrical muscle stim?

A

GTO is activated but overcome

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11
Q

What types of currents are used fro NMES?

A

Russian, biphasic pulsed, interferential

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12
Q

What is beps set at for NMES?

A

50

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13
Q

What does TENS enduce?

A

Electroanalgesia

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14
Q

What are the most common waveform for TENS?

A

Biphasic, symmetrical, square or rectangular

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15
Q

For sensory level TENS what is the target?

A

A-beta fibers

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16
Q

What is the treatment time for sensory level TENS?

A

20-30 min

17
Q

Is there a duty cycle with TENS?

A

No

18
Q

What fibers are the target for noxious lever TENS?

A

C fibers

19
Q

TENS is set to patient_____?

A

Comfort

20
Q

Acupuncture like more targets what?

A

A beta fibers

21
Q

Motor level TENS in burst mode is used to target what?

A

Alpha motor

and delta

22
Q

In noxious tens how many miliseconds is required?

A

10-20

23
Q

What is the limit on machines for nox tens?

A

250

24
Q

What is the treatment time for nox tens?

A

30 seconds per point, 8-10 point per session

25
Q

What is the pulse rate for nox tens?

A

60-150 hz