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17 Cards in this Set
- Front
- Back
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What parameters are used for muscle strengthening using a TENS unit?
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Pulse Freq.
35-80pps Pulse Dur. 150-200ms (small), 200-350ms (large) make sure to place over motor points. Mechanism of Action Overload Principle- at least 50% max. contraction Treatment time 10-20 min every 2-3 hours when awake |
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What are the parameters for muscle reeducation?
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35-50pps
150-200ms(small) 200-350ms (large) |
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What are the parameters for Muscle spasm reduction?
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35-50pps
150-200ms(small) 200-350ms (large) Treatment Time: 10-30 min every 2-3 hours until spasm relieved. |
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For Pain modulation what are the parameters for Conventional (high rate)?
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100-150pps
50-80ms (depolarize only A-beta) Amplitude= to produce tingling Duration: may be worn 24 hours, as needed for pain control. |
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How does Conventional(high rate) control the pain? By releasing endorphins or gating at the spinal cord?
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gating at the spinal cord
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For Pain modulation what are the parameters for Low Rate (acupuncture-like)?
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2-10pps
200-300ms (depolarize motor nerves and A-beta) Amplitude: to visible contraction treatment time: 20-30 min |
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How does Low Rate control the pain? By releasing endorphins or gating at the spinal cord?
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Endorphin release
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What are the parameters for burst mode TENS?
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preset at 10 bursts
100-300ms Amplitude: to visible contraction Treatment time:20-30 min. |
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What are the parameters for tissue healing at the Inflammatory phase/infected?
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HVPC (monophasic)
(negative polarity 45-60 min. duration) 60-125pps 40-100ms Amplitude: Produce comfortable tingling. |
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What are the parameters for tissue healing at the Proliferation phase/clean?
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HVPC (positive polarity 45-60 min. duration)
60-125pps 40-100ms Amplitude: Produce comfortable tingling. |
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What are the parameters for controlling edema when it is associated with inflammation?
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HVPC (negative polarity)
100-120pps 40-100ms Amplitude:Produce comfortable tingling |
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What are the parameters for controlling edema when it is associated with lack of motion?
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Biphasic
35-50pps (2-5sec equal on/off times) 150-350ms Amplitude: Produce visible contraction |
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What are the contraindications for E-Stim?
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1. Demand cardiac pacemaker or unstable arrhythmias
2. Placement of electrodes over carotid sinus 3. Areas where venous or arterial thrombosis or thrombophlebitis is present 4. Pregnancy-over or around abdomen or back |
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What are the precautions of E-Stim?
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1. Cardiac disease
2. Patients with impaired mentation or in areas with impaired sensation 3. Malignant tumors 4. Areas of skin irritation or open wounds 5. Iontophoresis after other physical agents |
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What do you use for a denervated muscle?
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You use a continuous DC current for at least 10 ms.
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Short pulses and low-current amplitudes are used for sensory or motor stimulation?
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Sensory stimulation
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Long pulses and higher amplitudes are used for sensory or motor stimulation?
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motor stimulation
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