Skills Check E-stim

Question 1

What are the parameters for pain control (alternating current with IFC/Premod)?

Answer 1

Current: IFC/Premod

Pad placement: quadpolar or bipolar

Frequency: 80-150pps

Phase duration: NONE

Intensity: Sub-motor

Duration: 10-20mins

Question 2

What are the parameters for pain control (pulsed biphasic with TENS)?

Answer 2

Current: TENS (pulsed biphasic)

Pad placement: monopolar/bipolar

Frequency: 80-150pps (high)

Phase duration: <100 (short)

Intensity: Sub-motor

Duration: 10-20 mins

Question 3

What are the parameters for edema reduction (pulsed biphasic)

(Ankle pumps)

Answer 3

Current: Pulsed biphasic

Pad placement: Bipolar

Frequency: 1pps (low)

Phase duration: 100-300 (medium)

Intensity: Until good pump

Duration: 5 mins (max)

Question 4

What are the parameters for muscle re-ed (Russian: alternating current)?

Answer 4

Current: Russian

Pad placement: bipolar

Frequency: 30-60pps

Phase duration: NONE

Intensity: Sub-noxious

Duration: Reps (10-20)

Extras:
- 2 second ramp
- 10/20 duty cycle (on/off)
- have patient do a few volitional contractions to solidify the work they’ve done

Question 5

Not very important❗️

What are the parameters for muscle re-ed (Pulsed biphasic)?

Answer 5

Current: Pulsed biphasic

Pad placement: Bipolar

Frequency: 30-60pps (medium)

Phase duration: 100-300 (medium)

Intensity: Sub-noxious

Duration: Reps (10-20)

Extras:
- 2 second ramp
- 10/20 duty cycle (on/off)

Question 6

What are the parameters for muscle spasm reduction (pulsed biphasic)?

Answer 6

Current: Pulsed biphasic

Pad placement: Bipolar

Frequency: 1-4pps (low)

Phase duration: 100-300 (medium)

Intensity: Sub-noxious

Duration: 5 mins

Question 7

What are some contraindications of
E-Stim?

Answer 7

• malignancy
• implanted electrical devices
• active infection
• devitalized skin

Or (CAMP)

• Cancer
• Active infection
• Metal implants
• Pacemaker