Non-Systems: Therapeutic Modalities: Electrical Agents: Basic Concepts Flashcards

1
Q

Resting Membrane Potential: Electrical Potential

A
  • Electrical potential is generated by the higher concentration of potassium inside the cell as opposed to sodium outside the cell.
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2
Q

Resting Membrane Potential: Charges

A
  • Inside the cell=negative
  • Outside the cell=positive
    Due to the movement of potassium out of the cell
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3
Q

Resting Membrane Potential: Excitable cells

A
  • RMP will be -60 to -90
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4
Q

Resting Membrane Potential: Maintained by

A
  • An active sodium potassium pump that takes in potassium and extrudes sodium
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5
Q

Action Potential

A
  • Generated when the influx of sodium into the cell causes a reduction of resting membrane potential called depolarization
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6
Q

Action Potential: Critical Threshold

A
  • Point at which sodium/potassium pump opens widely
  • Permeability to sodium increases rapidly
  • Permeability to potassium occurs slowly
  • (-55mV)
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7
Q

Action Potential: Depolarization

A
  • Transmembrane potential rises to +35 mV
  • Positive charge generated inside the cell
  • Negative charge generated outside the cell
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8
Q

Action Potential: Repolarization

A
  • Potassium channels maximally open at the time the sodium channels close
  • Potassium rushes out of cell
  • Transmembrane potential becomes rapidly more negative
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9
Q

Action Potential: Hyperpolarization

A
  • Potassium channels remain open long enough to repolarize the membrane
  • Potassium channels then close and passive diffusion of the ions rapidly return to its initial value
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10
Q

Electrical Action of Muscle and Nerve

A
  • Amplitude must be high enough to cause membrane potential to be lowered enough to reach threshold
  • Duration must cause depolarization (usually less than or equal to 1 ms)
  • Rate of rise of current must be rapid enough to prevent accomodation
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11
Q

Rheobase

A
  • Intensity of current with long duration stimulus required to generate minimum muscle contraction
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12
Q

Chronaxie

A
  • The pulse duration of the stimulus at twice the rheobase intensity
  • In denervated muscle=greater than 1 msec
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13
Q

Pulse Durations: Short (Less than 0.05 msec)

A
  • Stimulate sensory nerves
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14
Q

Pulse Durations: Longer (Greater than 1 msec)

A
  • Stimulate motor nerves
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15
Q

Pulse Durations: Long (Greater than 10 msec)

A
  • Stimulate denervated muscle
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16
Q

Motor Point

A
  • Area of greatest excitability on the skin where the smallest amount of current generates a muscle response
17
Q

Motor Point: Innervated muscle

A
  • Located where the motor nerve enters the muscle belly
18
Q

Motor Point: Dennnervated muscle

A
  • Located over the muscle belly distally toward the insertion