TENS

Question 1

Approach to patient

Answer 1

• Explain
  ~ Demonstrate
• Correct use (at home)
• protect Skin
• written instructions
• evaluate pain
• care of Tens machine

Question 2

Preparation of the patient

Answer 2

• explain
• contraindication
• position patient
• check skin - Isolate injured areas
• lest skin sensation (Sharp and blunt]
  _ asses pain on other outcome measures
• Test Machine and wash skin

Question 3

Application

Answer 3

• position the electrodes
• standard warning
• increase Intensity
• Leave for 5 min, increase intensity
• wash and examine skin
• wash electrodes

Question 4

standard Warning

Answer 4

This is a treatment with electrical currents. All you should feel isa tingling sensation ( High rate) in and around the area of the electrodes. This may be accomplished by a slight contraction or more twitching of the muscles (low-rate). This is a perfectly safe treatment. should you feel the sensation concentrating in any one spot or becoming painful, you must call me Immediately, otherwise you could get tissue damage.Please me still and do not touch any of the equipment. Do you understand? Do you have any questions?

Question 5

contraindications and precautions

Answer 5

• cardiac pacemaker → Do you have a pacemaker?
• Thrombophlebitis / DVT → Do you have any blood clots in the area
• Pregnancy → Are you pregnant or trying to become pregnant
• No muscle contractions - If so It can disrupt healing
• Cardiac disease → ask pt or check file
• Malignant tumour /cancer → check pt file for cancer
• Impaired mentation or unreliable pt → determine during interview
• Impaired sensation - Do you have any sensation / feeling problem (test for skin sensation)
• Skin irritation or open wounds - isk pt and observe shan
• low rate Tens can cause DOMS
  _ Because of pain relief, patient may easily do activities that can aggravate symptours

Question 6

High Rate parameter settings

Answer 6

• Frequency → 100-150 Hz
• pulse duration → 50-80 us
• intensity → comfortable tingling sensation, Increase Intensity after 5 minutes
• treatment time → 20-30 minutes
  . → 24 hours or until pain subsides

Question 7

Low Rate parameter setting

Answer 7

• Frequency → 2-10 Hz
• pulse duration → 150-300 us
• Intensity → must get a visible muscle contraction, increase intensity after 5 minutes
• treatment time → 20-30 minutes but not longer than 45 minutes