PT Flashcards
What is the stimulation principle for NMES?
current induced must be sufficient amplitude and duration to maintain muscle excitement
With electrically recruited motor fibers, which is recruited first, type I or Type II?
Type II Fast twitch fibers d\t larger diametier of neurons
With voluntary contraction, whcih motor units are recruited first type or Type II?
Type I slow twitch b\c they take longer to fatigue
3 things that the muscle force generation is determined by.
Type of muscle fibers, number of motor units, and rate coding\temporal summation.
TF: Training uscles w repetitiive contractions of external load will induce muscle fiber hypertrophy.
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4 physiological effects of NMES
- recruites fast twitch fibers 2. synchronous contraction of fibers
- deactivatess GTO 4. increase in metabolic efficiency after immobilization
As a result of NMES, the muscles have a increased injury potential? Why?
A physiologic effect of NMES is to inactivate the GTO, which normally protects the muscle.
Indications for NMES include? 6
muscle strengthning, increase ROM, and treatment of disuse dtt atrophy, mscl re education, spasticity management, functional electrical stimulation
Describe the waveform for russian current
biphasic, symmetrical, balance, continuous sine wave in bursts of 10 sec on and 50 sec off
What is the relationship b\t pulses and physiological effects?
No relationship, number of pulses in a burst is independent of phys effect
What is the relationship b\tt bursts and physio effects
Number of bursts per second determines the magnitude of physio effects
What is the importance of a medium frequency range of sine waves?
medium frequency shortens the pulse duration and charge, leading to the skin decreasing resitance and allows deeper pentration
What is the importance of mediu frequency sine waves on nerve stimulation?
nerve depolarizes and doesn
t have sufficient time to re polarize, so the nerve is in a constant stae of depolarization, blocking nerve signals. Called Wedinsky Inhibition
Painlss muscle contraction is supposedly cause by this concept
Wedinsky Inhibition
Overall effects of russian current
stronger than voluntary contractions, deeper tissue stimulation, painless, recruits fast twitch motor uits and increases mscl strength