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508 > Tens > Flashcards

Tens Flashcards

1
Q

What is tens

A

Application of electrical stimulation for pain control

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2
Q

Does the endorphin theory a.k.a. opiate mediated theory

A

Decreases the perception of pain
stimulation of the bodies all natural pain reliever’s
simulation to muscle contraction level encourages release of natural endorphins

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3
Q

What is acupuncture theory

A

Tens stimulates acupuncture points in the same meridian using traditional acupuncture points
cause vasodilation to occur

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4
Q

What are the four types of stimulation

A

Subsensory level
sensory level
motor level
noxious level

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5
Q

How do you achieve a different level of sensation

A

By changing rate, pulse width and intensely

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6
Q

What is the Subsensory level

A

Currents of ion movement in a biological tissues

Approximated the naturally occuring bio electric current found in the body

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7
Q

What is the Subsensory level used for

A

Pain
Depression
Anxiety

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8
Q

What is Subsensory intended to do

A

Realign the natural current flow in the body

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9
Q

What level does conventional tens use

A

Sensory

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10
Q

What does the sensory lvl do

A

Produces a cutaneous paresthesia (pins and needles)

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11
Q

What does the sensory level affect

A

Large afferent a fibers

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12
Q

What are indications for sensory level 10

A

Acute pain
pain with positional or dynamic stretch
joint mobilization

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13
Q

Where should electrode placement be in sensory level

A

On or near the location of reported pain

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14
Q

What should the sensory level feel like

A

Comfy buzzing no contraction

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15
Q

When is pain relief felt on sensory level

A

5 min
May last up to one hour
Accommodation frequently occurs

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16
Q

What is motor level

A

Current is strong enough to cause contraction

Like a tremor twitch or smooth contraction

17
Q

What is motor level used for

A

Chronic pain

18
Q

What is sensory level known as

A

High rate tens

19
Q

What is motor level known as

A

Acupuncture or low rate tens

20
Q

Electrode placement in motor level

A

Over motor point

Over segmental nerve roots corresponding with location of pain

21
Q

Indications for motor level

A

Chronic pain
Relief felt 15-60 min
Last for more that one hour

22
Q

What is the noxious level

A

Brief and intense
Last choice
Produces motor response

23
Q

What is noxious level used for

A

Chronic pain
Debridement
Passive stretch
Minor surgery

24
Q

What is cranial electrotherapy stimulation

A

Applied to head attached to ears

25
Q

What is ces used for

A 
Anxiety
Depression
Insomnia
Stress
Drug addiction
Migraines pain
26
Q

What is inferential electrical stimulation.

A

Two medium frequency electrical currents

Waves cross and intersect each other allowing current to penetrate deeper

27
Q

What is ies used for

A 
Stimulate sensory motor and pain fibers 
Desperate than tens 
Pain relief
Mm stim
Increase blood flow
Edema control
28
Q

Where to place tens electrodes

A

Motor points
Trigger points
Acupuncture points

29
Q

What are large ectrodes for

A

generalized pain

Multiple electrode set ups

30
Q

What are small electrodes for

A

Deep localized pain
Greater current density
Small areas like face and hands

31
Q

What do you use parallel placement of electrodes for

A

Scars
Surgical incision
Painful site

32
Q

What do you use a bracket for

A

Outside margin of painful area

Channel 1 proximal and 2 distal to pain

33
Q

What is closed tens for

A

Shoulder
Elbow
Wrist
Hand

34
Q

What is linear placement for

A

Along distribution of referred pain, peripheral nerve, dermatomes

35
Q

What is unilateral placement for

A

Placed on same side of body

36
Q

Where is bilateral placement

A 
Both sides of body 
Perihperal joint
Spine
Face 
Opposite extremity
37
Q

When is Contralateral placement best

A

When area is irritable, hyperesthesic, inaccessible

38
Q

Contraindications

A 
Pacemaker 
Over carotid sinus
Pregnant
Anterior neck 
Cardiac disease
Epilepsy 
Over eyes
Mucosal surfaces
CNS disorders
Confused or noncomplaint 
Kids
Thrombosis
PeripherAl vascular disease
Infection
Decreased sensation.
39
Q

What is the gate control theory

A

Simulation of non-nociceptors interferes with the transmission of sensation from nociceptors to the higher cortical areas

508 (10 decks)

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