stim

Question 0

Muscle Spasm?

Answer 0

NMES
Russian or Biphasic
10:10

Question 1

Muscle weakness?

Answer 1

NMES

Russian or Biphasic 10:50

Question 2

Acute pain?

Answer 2

Interferential
80-150
or Sensory TENS

Question 3

Chronic pain?

Answer 3

Interferential 0-15

or Motor TENS

Question 4

Slow healing wound?

Answer 4

ESTHR
High volt pulsed current
microcurrent

Question 5

Various musculoskeletal problems?

Answer 5

Iontophoresis -ions

Iontophoresis +ions

Question 6

Inflammatory phase?

Answer 6

Hi volt + 1-200 Hz

attracts neutrophils and macrophages

Question 7

Repair/remodeling phase?

Answer 7

Hivolt - 1-200 Hz

attracts fibroblasts, epidermal cells, and keratinocyts

Question 8

Reduce edema?

Answer 8

Hivolt -

repels short peptides and small proteins

Question 9

Fight infection?

Answer 9

Hivolt - and +

Change polarity every 3 days

Question 10

Clinical goals for interferrential treatment?

Answer 10

Decrease pain, strengthen pelvic floor

Question 11

Size of the area?

Answer 11

Small area: premod, 2 pads on each side of pain

Large area: IVC, 4 pads crisscrossed

Question 12

Temporal presentation?

Answer 12

Acute, 60-150 Hz

Chronic, 0-15 Hz

Question 13

Nerve fibers targeted?

Answer 13

A-Beta, Acute 60-150 Hz

A-Delta, Chronic 1-15 Hz

Question 14

Premod 60-150 Hz?

Answer 14

Small area, acute pain, patient comfort 15-20 min, A-beta

Question 15

Premod 0-15, small area?

Answer 15

Chronic pain, one electrode on either side of pain, patient comfort-muscle twitch, 15-20 min, A-delta

Question 16

True interferential, 60-150 Hz?

Answer 16

Large area, acute pain, crisscross 4 pads 2 channels, patient comfort-sensory only, 15-20 min, A-beta

Question 17

True interferential, 0-15 (low)?

Answer 17

Large area, chronic pain, crisscross 4 pads 2 channels, patient comfort-muscle twitch, 15-20 min, A-delta

Question 18

Hi Volt +?

Hi Volt-?

Answer 18

Healing, over or around wound, patient comfort, 30-90 min 1-3x a day (I think this is usually acute)
Healing or edema, over or around wound, patient comfort, 30-90 min 1-3x a day

Question 19

Neuromuscular Electrical Stim (NMES) clinical goals of treatment?

Answer 19

Fatigue a muscle spasm

Re-educate a muscle after lack of use

Question 20

What is the size area of NMES (Russian current)

Answer 20

fatigue a single muscle, 10/10 single muscle for 10 min
reeducate a single muscle, 10/50 single muscle for 10-15 min
fatigue bilateral muscle groups, 10/10 co-contract 10 min
reeducate agonist/antagonist pair, 10/50 reciprocal 10-15 min

Question 21

10/10 for Russian current?

10/50?

Answer 21

10 sec of contraction followed by 10 sec of relaxation

10 then 50

Question 22

What’s performed at patients tolerance?

Answer 22

Russian stim, turn up amplitude slowly

Question 23

Russian 10/10?

Answer 23

single muscle, fatigue muscle spasm, origin and insertion, patient tolerance, ramp .5-1 sec, new pt 1.5-2 sec

Question 24

Russian 10/50 normal?

Answer 24

single muscle, muscle reeducation recovery from/prevent atrophy, origin and insertion, patient tolerance, ramp .5-1 sec, new pt 1.5-2 sec

Question 25

Russian 10/10 co-contract?

Answer 25

Bilateral muscles that work in unison (traps and erectors), fatigue muscle spasm, one channel on one side, 2nd on other side, ramp .5-1 sec new pt 1.5-2 sec

Question 26

Russian 10/50 recip?

Answer 26

agonis/antag (biceps/triceps), muscle reeducation recovery from/ prevent atrophy, one channel on one muscle, 2nd on recip muscle, patient tolerance, ramp .5-1 sec new pt 1.5-2 sec for 10 min