E-Stimulation

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Author:
jsanders4
ID:
75842
Filename:
E-Stimulation
Updated:
2011-03-29 00:47:35
Tags:
Stimulation
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Description:
E- Stimulation
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  1. segmental pain control
    gate control
    stimulate
    intensity
    phase duration
    frequency
    • ascending control (close door)
    • A Beta receptors
    • sensory/strong comfortable sensation
    • short, <125usec
    • high, >20Hz, constant tingling you can have between 20Hz and 300Hz
  2. segmental pain control
    on/off cycle
    surge/ramp
    modulations
    polarity
    waveform
    • continuous, the gate needs to be short off
    • not applicable
    • yes to avoid adaptation, could be phase duration, frequency, or intensity
    • not necessary
    • any pulse waveform is okay (monphasic, bi or polyphasic)
  3. segmental pain control
    stabilization
    treatment
    electrode placement
    electrode size
    other
    • N/A
    • 15min-24hrs
    • monopolar or bipolar site of pain, dermatomes, nerve roots, peripheral nerves, trigger points, acupuncture points
    • largest electrode that can fit the area
    • onset of relief is relatively fast, but the carryover of relief is relatively short
    • used for acute and post-op conditions
  4. suprasegmental pain control
    gate control
    stimulate
    intensity
    phase duration
    frequency
    • descending control
    • A delta (sharp localized pain) and C fibers (generalized diffused pain)
    • noxious
    • long, >125usec
    • low, <10Hz since you are likely going through motor, you want to prevent tetany
  5. suprasegmental pain control
    on/off cycle
    surge/ramp
    modulations
    polarity
    waveform
    • continuous
    • N/A
    • N/A you can choose a frequency between 2 and 10 Hz
    • doesn't matter
    • any pulse
  6. suprasegmental pain control
    stabilization
    treatment
    electrode placement
    electode size
    other
    • N/A
    • 15-20 PRN
    • site of pain for sub acute or chronic; accupuncture and trigger points okay
    • small, for high density current; mono or bipolar is okay
    • relief is slower, but the carryover is longer
  7. muscle strengthening
    intensity
    phase duration
    frequency
    on/off
    surge/ramp
    • strong motor, maximal tolerated contraction (MTC)
    • long, >125usec
    • greater than 25, tetanic contraction (35-80 Hz (as the person gets stronger, increase frequency to increase contraction)
    • 1:5 progress to 1:3 ratio
    • as comfort dictates
  8. muscle strengthening
    modulations
    polarity
    wave form
    treatment
    stabilization
    • this is to prevent adaptation
    • if monopolar technique, let the active electrode be (-) polarity doesn't matter in bipolar technique
    • any pulse is good for muscle strengthening
    • depends on fatigue, tolerance, and the number of contracitions needed which will determine time
    • in a comfortable and safe position, better in a lengthened state
  9. muscles strengthening
    elctrode placement
    other
    • bipoloar technique, proximal and distal belly of muscles, parallel to muscle fibers; monopolar technique place active electrode on motor point
    • early ACL reconstruction result in more strength(recruits large axons (fast twitch)) than volitional contraction (recruits smaller axons (slow twitch)
  10. muscle re-education or biofeedback
    intensity
    phase duration
    frequency
    on/off
    surge/ramp
    • moderat motor
    • long >125usec
    • fused tetany 35-40Hz
    • 1:5 sec ratio
    • yes for smooth controlled contraction
  11. muscle re-education or biofeedback
    modulations
    waveform
    treatment
    stabilization
    electrode placemnt
    other
    • N/A
    • any form
    • long enough to practice the desired activity
    • may need to isolate desired mvmt, protect surgery, protect jt, and prevent cramp
    • monopolar, bipolar, or peripheral nerve
    • always combine re-education with strengthening

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